Lecture 71 Flashcards

Intro to the Autonomic and Somatic Nervous Systems

1
Q

organization of the nervous system

A
  • CNS: brain and spinal cord
  • PNS: neurons outside brian and spinal cord; enter CNS (afferent) or leave CNS (efferent)
  • efferent subdivided into: somatic neurons (voluntary functions) and autonomic neurons (functions outside of conscious control)

pg 1842

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2
Q

autonomic vs somatic efferent neurons

A

Autonomic

  • have ganglia (NT → acetylcholine, receptor → Nn (neuronal))
  • post-ganglionic neurotransmitter and receptor varies depending on sympathetic vs parasympathetic

Somatic

  • NO ganglia
  • NT: acetylcholine
  • Receptor: Nm (muscle)

pg 1844

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3
Q

structure of the efferent neuron

A
  • autonomic: preganglionic and postganglionic neuron
  • somatic: 1 neuron from CNS to muscle

pg 1845

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4
Q

sympathetic vs parasympathetic neuron

A

Sympathetic

  • short pre-ganglionic neuron (branched), long postganglionic neuron
  • 1st NT → acetylcholine, 1st receptor → Nn
  • 2nd NT → norepinphrine/noradrenaline, 2nd receptor → α/β adrenergic receptor
  • ganglion in sympathetic chain, close to spinal cord

Parasympathetic

  • long pre-ganglionic neuron, short post-ganglionic neuron
  • 1st NT → acetylcholine, 1st receptor → Nn
  • 2nd NT → acetylcholine, 2nd receptor → muscarinic receptor
  • ganglion very close to or within the organ

pg 1847

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5
Q

sympathetic innervation to adrenal medulla

A
  • adrenal medulla thought of as a modified ganglion
  • has nicotinic receptor for acetylcholine from preganglionic neuron
  • releases epinephrine/adrenaline that travels in the blood to go where needed (and act on adrenergic receptors)

pg 1849

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6
Q

sympathetic nervous system

A
  • fight, fright or flight response
  • increases all heart functions
  • vasoconstricts BVs in skin and splanchnic, vasodilates skeletal BVs
  • decreases GI motility and secretions, contracts sphincters
  • bronchodilation, decreased respiratory secretions
  • bladder relaxation, urinary sphincter contracts
  • pupil dilation, accommodation for far vision

pg 1860

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7
Q

parasympathetic nervous system

A
  • rest and digest response
  • opposite functions as sympathetic nervous system

pg 1860

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8
Q

dual innervation

A
  • received by most organs
  • relationship between two components of ANS is dynamic and continuously fine tuned to achieve homeostasis

pg 1864

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9
Q

neurotransmission at cholinergic neurons

A
  1. synthesis of acetylcholine
  2. uptake into storage vesicles
  3. release of neurotransmitter
  4. binding to the receptor
  5. degradation of acetylcholine
  6. recycling of choline

pg 1866

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10
Q

cholinergic receptors

A
  • bind to acetylcholinecholinergic receptors
  • further classified into nicotinic and muscarinic

pg 1867

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11
Q

muscarinic recptors

A
  • found in effector organs receiving parasympathetic innervation
  • GPCRs
  • M1 through M5

pg 1868

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12
Q

nicotinic receptors

A
  • Nn found in ganglia and adrenal gland
  • Nm found in skeletal muscle
  • ion channel-linked receptors

pg 1868

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13
Q

distribution of muscarinic receptor subtypes

A
  • M2 found in heart
  • M3 in glands and smooth muscle
  • Nm found in skeletal muscle neuromuscular junction
  • Nn found in postganglionic cell body

pg 1869

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14
Q

examples of actions mediated by cholinergic (muscarinic) receptor stimulation

A
  • rest and digest actions
  • bronchoconstriction, lung secretion, increased GI motility, etc…

pg 1870

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15
Q

acetylcholinesterase (AChE)

A

responsible for termination of acetylcholine action at nerve terminals by breaking down acetylcholine (important drug target to elicit a parasympathetic response)

pg 1872

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16
Q

drugs targeting cholinergic receptors

A
  • enhance cholinergic signaling: receptor agonists (direct approach) or cholinesterase inhibitors (indirect approach)
  • inhibit cholinergic signaling: receptor blockers

pg 1873-1874

17
Q

adrenergic neurotransmission

A
  • unlike cholinergic neurotransmission, the major pathway to terminate noradrenergic transmission is the agonist’s removal and reuptake into the presynaptic neuron
  • reuptake system is target of pharmacotherapeutic agents

pg 1881

18
Q

adrenergic receptors

A
  • all GPCRs
  • separated into alpha and beta, alpha and beta further separated
  • alpha 1 (blood vessels of skin and splanchnic vessels)
  • alpha 2 (CNS)
  • beta 1 (heart)
  • beta 2 (bronchial smooth muscles)
  • beta 3 (bladder detrusor muscle)

pg 1882-1884