AUTONOMIC NERVOUS
SYSTEM
Control of Involuntary Effectors (smooth muscle of gut, blood vessels, lungs, reproductive tract, and pupils; cardiac muscle; glands)
Maintains homeostasis.
ANS is the visceral motor division of the nervous system. Two neurons involved: one neuron has cell body in CNS and terminates at a paravertebral ganglion or autonomic ganglion near visceral organ. Second neuron has cell body in ganglion and its axon innervates a visceral effector.
CNS --> Pre-ganglionic fiber---> Ganglion ----> Post-ganglionic fiber---> Visceral Effector
Visceral Effectors: smooth muscle, cardiac muscle, glands (salivary, lacrimal)
ANS has 2 divisions:
1) Sympathetic (thoracolumbar in origin). Autonomic ganglia are paravertebral ganglia. Short preganglionic fiber, long postganglionic fiber.
2) Parasympathetic (craniosacral in origin). Autonomic ganglia are near effector organs. Long preganglionic, short postganglionic fibers
Autonomic
Connections of Spinal Cord
Functions
Sympathetic -- "fight or flight". Stimulates heart, blood glucose rises, blood diverted away from viscera to skeletal muscles. Can be activated as a whole.
Neurotransmitters used: ACh, preganglionic; epinephrine (adrenalin) or norepinephrine, postganglionic.
Parasympathetic--related to relaxation, vegetative functions. Blood goes to viscera, heart beat slows. Not activated as a whole normally.
Neurotransmitters used: ACh at both preganglionic and postganglionic synapses.
Sympathetic and Parasympathetic systems are usually antagonistic:
Examples heart rate (sym. increases, parasym. decreases) and control or iris of eye (sym. dilates, parasym constricts).
General Overview of Actions of Sympathetic and Parasympathetic Nervous Systems
Structure/System
|
Sympathetic Nervous System
|
Parasympathetic Nervous System
|
Eye (ciliary muscle/iris) | pupil dilation, distance vision | pupil constriction, close vision |
Salivary Glands | Saliva viscous/thick | Saliva copious & watery |
Sweat Glands & Arrector Pili | Activates (Sweating & Goosebumps) | No PSNS innervation |
Heart | Increases Heart Rate & Force of Contraction | Decrease Rate and Force |
Respiratory | Bronchioles/airways dilate | Bronchioles constrict |
Digestive | Inhibits secretions and decreases motility | Increased secretions; decrease motility |
Adipose | Stimulates breakdown (lipolysis) | No innervation |
Urinary: Kidneys & Bladder | decreased urine production, urine retention | increased urine production, voiding |
Reproductive: Male/Female | Ejaculation/Orgasm | Penile Erection/ Clitoral Erection & Increased glandular secretions. |
There are some cooperative effects; for example, urination and sexual response.
Erection involves vasodilation induced by parasympathetic NS while ejaculation and orgasm involves vasoconstriction induced by sympathetic nervous system.
Some effectors are only innervated by one system--adrenal medulla, arrector pili and sweat glands are only innervated by sympathetic.
Adrenal medulla is actually a sympathetic ganglia that lacks postganglionic fibers. It dumps epinephrine and norepinephrine directly into blood. Acts to generate a wide-spread sympathetic response -- increases heart rate, blood pressure, increases rate and depth of breathing, blood flow to muscles and away from viscera.
Even though 3 transmitters are involved in ANS, they can have a variety of effects because of different receptors on effectors.
Cholinergic Receptors: Respond to Acetylcholine (ACh). Two types of receptors found:
Muscarine, a "mushroom toxin" is found in some fungi but there are numerous other mushroom toxins
Atropine (belladonna) is an anticholinergic drug (an muscarinic receptor antagonist). It binds to muscarinic receptors and prevents ACh from exerting its normal effect. When used on eye, pupil dilates -- mimics sympathetic NS by blocking parasympathetic NS ability to constrict pupil. Also used in diarrhea medications and as an antidote for muscarine and pesticide poisoning.
Note: Belladonna means 'pretty woman': It was used as a cosmetic -- dilated pupils do make people more appealing (that "come hither" look?)
Belladonna was also part of "Witchcraft Herbal Lore" and is even used by homeopaths.Trivia Quiz: Who was famous
for singing "Oh, Pretty Woman?" Who starred in the movie "Pretty
Woman"?
I'll use a lifeline,
Regis. Phone
a friend?
(Don't confuse "Oh, Pretty Woman" with "Pretty
Woman" of 2 Live Crew).
Curare (poison darts of Amazonian Indians) binds to nicotinic receptors and causes paralysis. Used in surgery.
Alpha-bungarotoxin (cobra venom) binds to nicotinic receptors and causes paralysis. Used experimentally.
Adrenergic Receptors: receptors for epinephrine and norepinephrine
Five major types: alpha 1 & 2, beta 1 & 2 & 3
Variations in gene are associated with ability to gain weight.
Distinguishing receptors is important pharmacologically. For example, asthma treatment. Asthma attack: bronchioles constrict. If treated with epinephrine heart rate and blood pressure would be affected. Modern asthma medications activate b2 receptors only.
"Beta-blockers"
used for coronary patients or for high blood pressure block primarily b1
receptors.
The
Autonomic Nervous System:
from Neuroscience for Kids. Good, basic overview, even for older kids!
Problems
associated with the ANS Horners, Sympathectomy, Shock(nursing source)
More
Problems associated with the ANS
Hyperhidrosis:
excessive sweating, typically palms. May be treated via surgery (cut sympathetic
trunk serving hands)
Case History: Diarrhea and Vomiting after a homemade spaghetti dinner
Effects of Cholinergic Overdose
(eg: organophosphate poisoning). Mnemonic device for health workers "LESS DUMB":
Lacrimation, Excitation of nicotinic synapses, Salivation, Sweating, Diarrhea,
Urination, Micturition, Bronchoconstriction.
Anticholinergic Overdose: Symptoms
Blind as a bat
Dry as a bone
Red as a beet
Mad as a hatter
Hot as a hare
Case
History: Dysautonomia or Multiple Sclerosis (MS)?
Case History Rephrased: Homework Assignment
Case History: Green Tobacco Poisoning
Dysautonomia:
NINDS Overview
National
Dysautonomia Research Foundation
Familial
Dysautonomia
Symptoms
of MS
Multiple
System Atrophy