The Autonomic nervous system Flashcards

1
Q

Difference between central nervous system & peripheral nervous system

A

Central Nervous system = brain and spinal cord

Peripheral nervous system = ganglion and nerve

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2
Q

Cephalisation

A

Cerebral Cortex (telencephalon) = memory, attention, thought language consciousness.

Thalamus and hypothalamus (diencephalon) = metabolism, autonomic nervous system.

Midbrain (mesencephalon) = motor behaviour, alertness, temp and regulation

Pons and cerebellum (metencephalon) = sleep, respiration, equilibrium taste

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3
Q

Roles of the hypothalamus

A
  • control of autonomic nervous system
  • controls the pituitary gland which releases hormones
  • control eating and drinking
  • control of body temp
  • regulation of circadian rhythm
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4
Q

Chemical transmission

A
  • communication between neurons is mediated by chemical transmission at synapses.
  • synapses release neurotransmitters which act on receptors.

STEPS IN CHEMICAL TRANSMITTERS :

  1. TRANSMITTER SYNTHESIS
  2. TRANSMITTER STORAGE
  3. TRANSMITTER RELEASE
  4. TRANSMITTER BINDING TO AND ACTIVATION OF RECEPTOR
  5. TRANSMITTER ACTIVATION
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5
Q

Process of chemical transmission

A
  1. transport of metabolite/molecule into presynaptic button
  2. biochemical processing of metabolite into the neurotransmitter
  3. uptake of the neurotransmitter into vesicles
  4. action potential reaches the presynaptic area
  5. calcium influx is triggered. calcium mobilises neurotransmitter vesicles towards the presynaptic membrane
    6.neurotransmitter is released in the synaptic cleft
  6. neurotransmitter binds to receptors on the postsynaptic membrane
  7. this triggers a response in the synaptic neuron/cell
  8. neurotransmitter is inactivated and processed into its original precursor
  9. neurotransmitter reuptake into the neuron
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6
Q

Peripheral nervous system

A

composed of :
- somatic efferent system = innervates skeletal muscle

  • sympathetic system
  • parasympathetic nervous system

SYMPATHETIC AND PARASYMPATHETIC MAKES UP THE AUTONOMIC NERVOUS SYSTEM

MAIN NEUROTRANSMITTERS ARE ACH AND NORADRENALINE

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7
Q

SUMMARY OF SYMPHATEITC ( FIGHT OR FLIGHT RESPONSE) NEURONS AND SYNAPSES

A

PREGANGLIONIC NEURONS
- short
- synapse with postganglionic neurons near spinal cord
- release ACH to activate nicotinic receptors on postganglionic neurons

POSTGANGLIONIC NEURONS
- long
- synapse on the target organ
- release norepinephrine activate adrenergic receptors on target organs

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8
Q

SUYMMARY OF PARASYMPATHETIC ( REST AND DIGEST) AND SYNAPSES

A

PREGANGLIONIC NEURONS
- long
- synapses with postganglionic neurons at or near organ
-release ACH to activate nicotinic receptors on postganglionic neurons

POSTGANGLIONIC NEURONS
- short
synapse on the target organ
- release ACH to activate muscarinic receptors on the target organ

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9
Q

SYMPATHETIC SYSTEM

A
  • liver releases glucose into blood to increase energy supply
  • increased heart rate, blood pressure, respiration
  • increased blood flow to skeletal muscles, heart, brain
  • decrease GI activity
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10
Q

PARASYMPATHETIC SYSTEM

A
  • decreased heart rate, blood pressure, respiration
  • increased GI activity facilitates digestion
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11
Q

Choline transport

A

most choline is derived of ACh in synaptic cleft.

choline is transported is inhibited by :
- hemicholinium
- triethylcholine

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12
Q

What are the two subtypes of cholinergic receptors

A
  • nicotinic = ligand gated ion channels
  • muscarinic = G protein coupled receptors
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13
Q

Ligand gated ion channels

A
  • ion channels is integral part of receptor
  • generally composed of 4-5 protein sub-units
  • agonist binding has direct effect on ion channel function.
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14
Q

Nicotinic receptors

A

categorised into three classes based on location :
- muscle = skeletal neuromuscular junction
- ganglia = autonomic nervous system
- brain = synapses between neurons

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15
Q

Muscarinic receptors

A

categorised into classes based on difference in location :

-M1 ( neural ) = nervous system, ganglia, gastric parietal cells

M2 ( cardiac ) = heart, auto receptors on presynaptic terminals

M3 ( GLANDULAR ) = glands, visceral and vascular smooth muscle

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16
Q

Drugs affecting cholinergic transmission

A

mAChR agonists = also known as parasympathomimetic - few in clinical use but include bethanechol used to treat urinary retention

mAChR antagonists - Darifenacin = M3 selective , relaxes bladder contraction, used in treatment of urinary incontinence

17
Q

Activators of the sympathetic nervous system

A
  • stress
  • trauma and fear
  • hypoglycaemia
  • cold
  • excercise
18
Q

CATECHOLAMINES (CA)

A
  • sympathomimetic amines with a 3,4 - dihydroxy benzene group

ORIGINS OF CA :
- noradrenaline
- adrenaline
- dopamine
- isoprenaline

19
Q

REUPTAKE

A

UPTAKE 1 = high efficiency system more specific for NA located in neuronal membrane

UPTAKE 2 = less specific for NA - located in smooth muscle/cardiac muscle

20
Q

Metabolism of catecholamines

A

MONO AMINE OXIDASE
- intracellular bound to mitochondrial membrane
- present in NA terminals and liver/intestine
- MAO are used as antidepressants

CATECHOL-O-METHYL-TRANSFERASE ( COMT )
- neuronal and non neuronal tissue
- acts on catecholamines and by-products
VMA levels are diagnostic for tumours

21
Q

SUBGROUPS OF ADRENO RECEPTORS

A
  • alpha 1 = blood pressure
  • alpha 2 - NA release
  • beta 1 = myocardial contraction
  • beta 2 = uterine relaxation
  • beta 3 = lipolysis
22
Q

Subdivision of alpha - adrenoreceptors

A

alpha 1 and alpha 2

majority of alpha 1 receptors are situated post synaptically

the majority of adrenergic alpha 2 type are situated pre-synaptically

23
Q

Presynaptic receptors

A

Two types = auto and hetero

Auto receptor interaction = neurotransmitter affects the nerve terminals from which it is being released

Heteroreceptor interaction = a neurotransmitter affects the release of another

24
Q

Beta- adrenoreceptors

A

beta 1 are found in the heart, stimulation results in increased rate and contractility

beta 2 are widely distributed on smooth muscle tissue, stimulation causes relaxation

beta 3 are found in adipose tissue, stimulation results in lipolysis

25
Q

Adrenoceptor agonists : clinical uses

A
  • the heart : cardiac arrest (B1)
  • blood vessels : hypertension, migraine profylax (A2)
  • the lungs : asthma (B2)
  • mucous membranes : Decongestant (A1)
  • small blood vessels : addition to local anaesthetics (A1) : reduction of superficial bleeding (A1)
  • mixed indications : anaphylactic shock (B1,B2) Premature labour (B2) Intraocular pressure (A1) Obesity (B3)