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glands cardiac muscle smooth muscle regulates unconcious process that maintains homeostasis – BP, body temperature, respiratory airflow – Receptors detect internal stimuli -- stretch, etc |
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Unconscious, automatic responses to stimulation of glands, cardiac or smooth muscle |
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detect internal stimuli -- stretch, blood chemicals, etc. |
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transmit sensory signals to interneurons in the CNS |
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carry motor signals to effectors – ANS is the efferent neurons of these reflex arcs |
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glands, smooth or cardiac muscle – ANS modifies effector activity, rather than causing it |
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ANS is made up of the efferent neurons of reflex arcs |
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presynaptic neuron cell body located in CNS – brain or spinal cord • postsynaptic neuron cell body in peripheral ganglion |
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1. Sympathetic division (thorocolumbar division) – “fight or flight” – prepares body for physical activity • increases heart rate, BP, airflow, blood glucose levels, etc 2. Parasympathetic division (craniosacral division) – “rest & digest” – calms many body functions and assists in bodily maintenance – digestion and waste elimination • Neither has universally excitatory or calming effects |
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• The normal rate of activity that represents the balance of the two systems • This balance shifts depending on the needs of the body |
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Anatomy of Sympathetic NS |
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• Origin of presynaptic neurons – lateral horns of gray matter of thoracic to lumbar cord – fibers exit via spinal nerves T1-L2 leading to…. • Sympathetic chain ganglia (paravertebral ganglia) – On average 3 cervical, 11 thoracic, 4 lumbar, 4 sacral and 1 coccygeal ganglia – 2 branches called white and gray communicating rami suspend ganglia from spinal nerve |
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Pathways of preganglionic fibers |
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Small myelinated preganglionic fibers travel from the spinal nerve to the white communicating ramus, then enter ganglia – Some synapse immediately with a postganglionic fiber – Some travel to higher or lower ganglia & synapse – Some pass through chain without synapsing to reach collateral ganglia via splanchnic nerves • Unmyelinated postganglionic fibers leave ganglia via gray communicating ramus |
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– each postganglionic cell may receive signals from multiple preganglionic cells |
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Neuronal divergence predominates |
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each preganglionic cell branches and synapses on multiple postganglionic cells – There are ~ 17 postganglionic neurons for every preganglionic neuron in the SNS – produces widespread effects on multiple organs |
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Signals to effectors leave the sympathetic chain by 3 routes - spinal nerve route - sympathetic nerve route splanchnic nerve route |
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– Effectors in body wall are innervated by sympathetic fibers that travel through spinal nerves – Sweat glands, piloerector muscles, blood vessels of skin & skeletal muscles |
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Effectors in head and thoracic cavity are innervated by fibers in specific sympathetic nerves – Sweat, salivary, nasal glands; blood vessels, heart, iris |
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Splanchnic (visceral) nerve route |
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– Effectors in abdominal cavity are innervated by sympathetic fibers in splanchnic nerves that lead to 3 major collateral ganglia • celiac, superior and inferior mesenteric ganglion |
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Paired glands (1 left, 1 right) • Sit on superior pole of each kidney • Cortex (outer layer) – secretes steroid hormones (androgens, cortisol, etc) • Medulla – modified sympathetic ganglion that secretes neurotransmitters (in the form of hormones) into blood rather than onto other neurons • catecholamines - 85% epinephrine (aka adrenaline), 15% norepinephrine – complementary involvement in mass activation that occurs during fight or flight reaction |
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Paired glands (1 left, 1 right) • Sit on superior pole of each kidney • Cortex (outer layer) – secretes steroid hormones (androgens, cortisol, etc) • Medulla – modified sympathetic ganglion that secretes neurotransmitters (in the form of hormones) into blood rather than onto other neurons • catecholamines - 85% epinephrine (aka adrenaline), 15% norepinephrine – complementary involvement in mass activation that occurs during fight or flight reaction |
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Origin of preganglionic fibers – pons and medulla oblongata (cranial nerve nuclei) – spinal cord segments S2-S4 • Pathways of preganglionic fibers – cranial nerves III, VII, IX and X • cardiac, pulmonary, esophageal, abdominal aortic plexus – arising from sacral spinal cord • pelvic splanchnic nerves & inferior hypogastric plexus – enervate the pelvic and genital organs, regulating the emptying of the urinary bladder and the rectum as well as sexual functions like erection and orgasm • Terminal ganglia in target organs due to normally short postganglionic fibers |
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– narrows pupil – focuses lens |
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– tear, nasal and salivary glands |
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– All major viscera as far as proximal half of colon – Cardiac, pulmonary, and esophageal plexus |
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• Nervous system of the digestive system • Composed of 100 million neurons found in the walls of the digestive tract – no components in CNS! • Has its own reflex arcs • Regulates motility and secretion of digestive enzymes and acid in concert with the ANS |
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Neurotransmitters & Receptors |
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cholinergic fibers secrete ACh while adrenergic fibers secrete NE (nor-epinephrine) – only postganglionic sympathetic fibers are adrenergic |
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Acetylcholine binds to 2 classes of receptors Nicotonic receptors muscarnic receptors |
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• occur on all ANS postganglionic neurons, adrenal medulla, on skeletal muscle • excitatory when ACh binding occurs |
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• occur on all glands, smooth muscle & cardiac muscle that receives cholinergic innervation • either excitatory or inhibitory when ACh binding occurs |
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2 categories of NE receptors – alpha adrenergic receptors • NE binding is excitatory – beta adrenergic receptors • NE binding is inhibitory • Exceptions to normal results (EPSP or IPSP) – existence of subclasses of each receptor type • alpha 1 and 2; beta 1 and 2 • Function by means of 2nd messengers – beta receptors activate cyclic AMP – Alphas2 receptors suppress it – Alpha1 receptors use calcium |
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– antagonistic effects oppose each other • exerted through dual innervation of same effector cells – heart slowed down or speeded up • exerted because each division innervates different cells – pupillary dilator muscle & constrictor pupillae change pupil size – Cooperative effects seen when 2 divisions act on different effectors to produce a unified effect (salivation) • parasympathetic NS increases salivary serous cell secretion • sympathetic NS increases salivary mucous cell secretion • Both divisions do not innervate an organ equally |
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Control Without Dual Innervation |
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Adrenal medulla, arrector pili muscles, sweat glands & many blood vessels receive only sympathetic fibers • Sympathetic tone is a baseline firing frequency • provides partial constriction called vasomotor tone – increase in firing frequency = vasoconstriction decrease in firing frequency = vasodilation • Vasomotor tone can shift blood flow from one organ to another according to changing needs – sympathetic stimulation increases blood to skeletal & cardiac muscles -- reduced blood to skin |
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Sympathetic and Vasomotor Tone |
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Sympathetic division prioritizes blood vessels to skeletal muscles and heart in times of emergency, stress, or exercise Blood vessels to skin vasoconstrict to minimize bleeding if injury occurs during stress or exercise |
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Central Control of Autonomic Function |
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ANS is regulated by several levels of the CNS – Cerebral cortex • influenced by our emotions – Hypothalamus • fight or flight responses originate here – Reticular formation • can respond directly to sensory input from cardiac, vasomotor, & GI tract – Spinal cord • defecation & micturition reflexes are integrated in the spinal cord |
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enhance sympathetic activity – stimulate receptors or norepinephrine release |
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suppress sympathetic activity – inhibit norepinephrine release or block receptors |
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enhance activity while Parasympatholytics suppress activity |
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Management of clinical depression |
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Prozac blocks reuptake of serotonin to prolong its moodelevating effect – MAO inhibitors interfere with breakdown of monoamine neurotransmitters • Caffeine competes with adenosine (inhibitory causing sleepiness) by binding to its receptors |
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A fractured spine, and subsequent severing of the spinal cord at C2 results in duadriplegia. How is it that the patient's vital organs continue to function? |
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Ephedrine and pseudoephedrine are the main ingredients in some very popular cold remedies. Ephedrine and pseudoephedrine act to: |
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mimic the sympathetic division |
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