PNS Anatomy & Physiology Flashcards
Somatic Nervous System vs. Autonomic Nervous System
- somatic = regulates voluntary skeletal muscle
- single neuron connects CNS w/ peripheral tissues
- autonomic = regulates involuntary visceral smooth muscle, cardiac muscle, glands
- pre- and post-ganglionic nerves connect at ganglion (to transmit signal from CNS to peripheral tissues)
- sympathetic & parasympathetic
CNS origin of parasympathetic neurons
- cranial nerve nuclei (@ brain stem)
- sacral segments of spinal cord (S2-S4)
CNS origin of sympathetic neurons
- Thoracic segment of spinal cord (T1-T12)
- Lumbar segment of spinal cord (L1-L5)
Location of parasympathetic & sympathetic ganglia
- parasympathetic = @ innervated organs
- sympathetic
- two paravertebral chains along spinal cord
- prevertebral ganglia in abdomen
- adrenal medulla = ~sympathetic ganglion
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Length of pre- and post-ganglionic neurons: PNS vs. SNS
- sympathetic:
- pre-gang = short
- post-gang = long
- parasympathetic:
- pre-gang = long
- post-gang = short
Ratio of pre-ganglionic to post-ganglionic neurons: PNS vs. SNS
- parasympathetic:
- =1:1
- fxns in a discrete, localized fashion
- sympathetic:
- =1:20
- can fxn in diffuse or widespread manner
- Cholinergic neuron NT release =
- Adrenergic neuron NT release =
- = acetylcholine (ACh)
- = norepinephrine (NE)
- acetylcholine receptors =
- norepinephrine/epinephrine receptors =
- = “cholinergenic receptors”
- subtypes = nicotinic [N] & muscarinic [M]
- = “adrenergic receptors”
- subtypes = alpha & beta
Somatic nervous system NTs
- ACh released by efferent neurons ==>
- muscular nicotinic cholinergic (NM) receptors @ voluntary skeletal muscle @ NMJ
Parasympathetic nervous system NTs
- Pregang ==> ACh @ ganglia ==>
- Neuronal nictonic cholinergic (NN) receptors
- Postgang ==> ACh @ end organs ==>
- Muscarinic cholinergic (M1-5) receptors
Sympathetic nervous system NTs (preganglionic neurons)
- Pregang ==> ACh @ ganglia and adrenal medulla ==>
- neuronal nicotinic cholinergic (NN) receptors
Sympathetic nervous system NTs (postganglionic neurons)
- Postgang ==> Norepinephrine @ effector organs ==>
- a1-adrenergic & b-adrenergic receptors
- Postgang ==> ACh @ sweat glands ==>
- muscarnic cholinergic (M) receptors
- Postgang ==> dopamine (DA) @ renal vascular smooth muscle ==>
- dopamine (D1) receptors
- Adrenal medulla ==> epinephrine (EPI) & some NE @ blood ==>
- a1-adrenergic & b-adrenergic receptors
Typical innervation of organs + exception
- most organs = dual innervation = both SNS & PNS
- blood vessels = SNS only
- posses non-innervated muscarin cholinergic recptors on resistance vessels (activated by muscarinic agonists, but not by activation of PNS)
“Tone” definition/characteristics
- “tone” = intrinsic level of activity of an organ = integration of input from SNS & PNS
- predominant control = mostly PNS (except vasculature = SNS)
Functions of PNS
- overall fxn = conservation + restoration of NRG & maintain organ fxn during min activity
- PNS ==> single organ system ==> discrete, local changes
- “Rest & Digest”
- slowed HR ==> lower BP
- stimulate GI motility/secrete
- empty bladder/rectum
- pupil constriction
SNS fxns
- activity adjusted to environment
- widespread physiologic responses
- “Fight or Flight” = response to stress/threat
- increase HR + contract ==> increase BP
- blood flow ==> skeletal muscles
- rise in blood glucose
- dilation of bronchioles & pupils
Effects mediated by peripheral muscarinic cholinergic [M] receptors
- cardio: decrease HR and AV conduction rate + vasodilation (indirect) ==> decreased BP
- respiratory: bronchial mscle contraction
- GI: increase in secretory & motor activity
- Genitourinary: promote voiding
- Eye: miosis (pupil constriction), accommodation (focus lens for near), outflow of aqueous humor
Effects mediated by nicotinic neuronal cholinergic [NN] receptors
- located @ autonomic ganglia
- cardio: sympathetic effects = vasoconstriction, tachycardia, elevated BP
- GI/urinary: parasympathetic effects = nauseau, vomiting, diarrhea, urination
Effects mediated by nicotinic cholinergic [NM] receptors @ NMJ
- muscle contraction
Effects mediated by peripheral adrenergic receptors @ vasculature
- a1 (vasoconstriction) & b2 (vasodilation) recetors
- @ cutaneous, mucous membranes, splanchnic vasculature [a1 receptors] ==>
- vasocontriction ==> increase in TPR
- @ skeletal muscle [a1 & b2 receptors] ==>
- vasocontriction or vasodilation
- b2 activation (e.g. rx: Epi) ==> increased blood flow ==> decrease TPR
- @ renal vasculature:
- relaxation via D1 receptors
- constriction via a1 receptors
Effects mediated by peripheral adrenergic receptors @ heart
- Primarily mediated by b1 receptors
- SA node: Increase in heart rate (positive chronotropy)
- AV node: Increase in conduction velocity; refractory period decreased
- Atrial and ventricular cardiac muscle: Increase in force of contraction (positive inotropy)
Summary: a1 vs. b1 vs. b2 vs. a2 (effects + BP effects)
- α1: Vasoconstriction increases TPR and BP (reflex bradycardia occurs)
- β1: Increased heart rate and increased force of contraction increases CO and BP
- β2: Vasodilation decreases TPR and BP (reflex tachycardia occurs)
- α2: Decrease in SNS outflow (via action in CNS) decreases BP
Effects mediated by peripheral adrenergic receptors @ kidney
- NE ==> increased renin release ==> vasoconstriction + fluid retention + increased BP
Effects mediated by peripheral adrenergic receptors @ respiratory tract
- Bronchial smooth muscle: bronchodilation via b2 receptors
Effects mediated by peripheral adrenergic receptors @ eye
- Mydriasis (pupil dilation): via a1 receptors
- increased aqueous humor production: via B2 receptors (==> increased IOP)
- minor increase in outflow via a1 receptors (==> decreased IOP)
Effects mediated by peripheral adrenergic receptors @ GI tract
- indirect smooth muscle relaxation: via a2 receptors
- direct relaxation: via b2 receptors
Effects mediated by peripheral adrenergic receptors @ skeletal muscle
- marked tremor/shakiness: via b2 receptors
Metabolic effects mediated by peripheral adrenergic receptor
- liver: increased glycogenolysis via b2 receptors ==> increased blood glucose
- fat: increased lipolysis via b3 receptors