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Somatic
Nervous system
Autonomic
ANS
Part of the peripheral nervous system Autonomic nervous system supplies and influences virtually every organ in the body Autonomic nervous system controls the bodys involuntary (i.e. outside of consciousness) activities
ANS
This is made of 1 ry visceral sensory neurons found in the peripheral nervous system and in cranial sensory ganglia (eg: geniculate, petrosal and nodosa ganglia appended respectively to cranial nerves VII, IX and X) Sensory nerves monitor CO2, O2 sugar, arterial pressure, chemical composition of gut content, taste
Somatic with lowest efferent relay in the CNS Autonomic with the lowest efferent relay outside CNS. The medullated pregang fiber always relay on post gang neuron cell bodies outside CNS
3rd sub type non adrenergic non cholinergic neurons found to be integral in autonomic function particularly in the gut and lung, - sometimes considered as an independent system
SYMPATHETIC SYSTEM Pre ganglionic neurone Axons start from the IML gray column & leave the spinal cord with the ventral roots of T 1 L 2 /3 spinal nerves They pass via the white rami communicantes to the para vertebral sympathetic ganglion chain ( 22 paired
ganglia)
Most of them end on the cell bodies of the post ganglionic neurone within the chain
SYMPATHETIC SYSTEM
Sympathetic postganglionic fibers innervate the trunk and limbs via the spinal nerves Sympathetic distribution to the head and neck, which enables and mediates vasomotor, pupillodilator, secretory and pilomotor function comes from those 3 cervical sym ganglion. Pregang fibers of these originate in the upper thoracic segments.
SYMPATHETIC SYSTEM
SYMPATHETIC SYSTEM
Allows an amplified and diffused discharge - Pregang sympath fibers may pass through multiple ganglia before synapsing -The terminal fibers of the pregang axons may contact large nos: of post gang nurones ( may synaps with >20 ganglia) - One cell may be supplied by several pregang fibers - -Pregang sym fibers not only synapse at the gang of the level of their origin in the spinal cord but can also course up and down the paired ganglia.
Parasympathetic system
Cranial component III, VII, IX, X Sacral component s2-s4 sacral plexus Pre gang nerve cell bodies in motor nuclei of cranial nerves, & lateral grey of sacral 2-4
Long medullated pre gang neurones Synapse in post gang cell bodies on or very close to viscera
Parasympathetic system
Parasympathetic system
This location of ganglia close to vicera makes the parasympa system more targeted and less robust than the sympathetic system Parasympathetic nerves may synapse with a 1:1 ratio of nerve to effector cells. The vagal innervation of the Auerbach plexus may connect one nerve fiber to 8000 cells
Is the network of neurones & their supporting cells found within the walls of the GI Tract, pancreas & gall bladder. This contains as many nerve cells as the spinal cord does Derived from the neuroblasts of the neural crest that migrates to the GI tract along the vagus nerve
Action depends on the geographic location. The combination of amines & peptides and their relative concentrations within the enteric neuron determine its function
Neurotransmitters- Ach, NE, NANC (NO, substance P, VAP, a variety of opiate peptides etc
2 plexuses Myenteric plexus also called the Auerbach plexus ( is a network of nerve strands & small ganglia
lying between external longitudinal & circular muscle coats of the intestine)
Slow EPSP(30s)
Sensitive - GnRH
(K + conductance)
ANS
ANS
Chemical transmission
Principal transmitters- Ach - NE - Dopamine is also secreted by interneurones in the sympathetic ganglia - GnRH is secreted by some pre ganglionic neurones. This mediates slow exitatory response
ANS
Chemical transmission
Co-transmitters eg: VIP is released with Ach ATP and neuropeptide Y with NE
ANS
Chemical transmission
Cholinergic Transmission All preganglionicneurons Para sympathetic post gang neurons Sympathetic post gang neurons to sweat glands and blood vessles to skeletal muscles Norepinephrine Transmission Remaining post ganglionic neurones 80% NE, 20% Epinephrine Alpha and beeta subtypes
Adrenal medulla:
Is a sympathetic ganglion. Post ganglionic cells have no axons and secrete NE, Epinephrine and some dopamine directly into blood stream. Usually NE spreads farther and has more prolonged action than Ach. Ach is short acting, metabolised by Ach esterase very fast.
Ach Receptors
Muscarinic Receptors Found on all effector cells stimulated by postgang parasymp neurons & on effector cells stimulated by postgang cholinergic sympa nurones 5 types ( M 1-5) encoded by 5 separate genes Exact status of M5 is uncertain
Others are serpentine , coupled with G protiene to adenylate cyclase, K+ channels or phospholipase C M1 in brain M2 in heart M4 in pancreatic acinar and islet cells M3 & M4 in smooth muscles
Ach Receptors
Nicotinic Receptors On N-M junctions , in autonomic ganglia and in CNS. Small amounts of Ach stimulates post ganglionic neurones Large amounts of Ach block impulses from pre to post ganglionic neurones. These actions are unaffected by atropine, mimicked y Nicotine.
Nicotinic Receptors
Consists of 5 subunits coming from a menu of 16 ubunit coded by 1 different genes. Skeletal muscles fetal 2 alpha1 + beeta1 + gama + delta adult 2 alpha 1 + beeta1 + epsilon + delta ( the channel open time, the conductance) In autonomic ganglia are heteromers. Usually contain alpha3 subunits and other subunits
Nicotinic Receptors
In the brain many located pre synaptically on glutamate secreting axon terminals Other post synaptic neurons. Some are on structures other than neurons Some seem to be free in intestinal fluid.
But in the brain both muscarinic and nicotinic receptors are found in large numbers.
Valsalva maneuver
Valsalva maneuver
1. Initial pressure rise application of expiratory force pressure rises inside the chest forcing blood out of the pulmonary circulation into the left atrium
Valsalva maneuver
2.Reduced venous return and compensation: The output of the heart is reduced and stroke volume falls. This occurs from 5 to about 14 seconds the cardiac output and blood flow to the body remains low. During this time the pulse rate increases.
Valsalva maneuver
3.Pressure release: Pulmonary vessels and the aorta to re-expand causing a further initial slight fall in stroke volume (20 to 23 seconds) due to decreased left ventricular return and increased aortic volume, respectively. Venous blood can once more enter the chest and the heart, cardiac output begins to increase.
Valsalva maneuver
4. Return of cardiac output: In 24 seconds the stroke volume usually rises above normal before returning to a normal level. With return of blood pressure, the pulse rate returns towards normal.
Sympathetic stimulation causes excitatory effects on some organs & inhibitory effects on others. Likewise parasymp stimulationn causes excitation in some but inhibition in some others. When sympathetic stimulation excites a particular organ parasymp sometimes inhibits it, demonstrating that the two systems occasionally act reciprocally to each other. But most organs are dominantly controlled by one or the other of the 2 systems There is no generalization one can use to explain those actions