1. 1 The Autonomic Nervous System Def: The ANS consists of all visceral motor neurons innervating smooth muscle, cardiac muscle and glands. Chapter 60

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3. 3 Sympathetic and Parasympathetic Divisions of the ANS How they are similar: –Both divisions are part of the ANS –Both have effects on smooth muscle, cardiac muscle and glands How they differ: –Stimulation of effectors by each system vary from one body system to another. Effects may be stimulatory or inhibitory. –Location –Length of pre and postganglionic fiber –Neurotransmitters used

4. 4 Comparison of ANS and Somatic Motor Pathways Somatics –Single neuron from spinal cord to effector –One neuron innervates the effector cell –NTS is acetylcholine (ACh) Autonomics –Two neurons relay (ganglion) to effector –Dual innervation of effectors –NTS at ganglia (ACh); NTS at effector can be ACh or norepinephrine

5. Location and neurotransmitters used by Sympathetic/Parasymp sympathetic parasympathetic preganglionic neuron postganglionic neuron nicotinic receptors muscarinic receptors adrenergic receptors

6. Characteristics of Sympathetic and Parasympathetic Function Post-ganglionic sympathetic nerves release norepinephrine at their nerve endings –these nerves are called adrenergic nerves Pre and post-ganglionic parasympathetic nerves release acetylcholine at their nerve endings (Nitric oxide- corpora cavernosa)‏ –these nerves are called cholinergic nerves EXCEPTION FOR SYMPATHETIC: –Cholinergic: mACH; used in body wall. –Vasodilation of vessels in brain and skeletal muscle –Piloerector muscles –Sweat glands –Nitric oxide: vasodilation of vessels in brain, skeletal muscle

7. 7 Sympathetic Nervous System “Thoracolumbar” Figure 60-1; Guyton & Hall When active? Length of pre and postganglionic nerve? Location of cell bodies of preganglionic nerve? Location of cell bodies of postganglionic nerve? Neurotransmitters released? Adrenal medulla

8. 8 Lipolysis and thermogenesisAdipose tissue  3 Inhibitory, relaxation of resp. tract to get dilation Respiratory tract, GI, glands, hepatocytes  2 Increased heart rate and inotropyHEART, kidney, adipocytes  1 Presynaptic control/ release of NTVascular endothelium  2c Increase vasoconstriction (increased MI mortality w/polymorphism)‏ Vascular endothelium  2b Lipid metabolismVascular endothelium and adipocytes  2a Increased BP, vasoconstrictionArteries, heart  1B Increased inotropy, closure of GI sphincters, vasoconstriction, pupil dilation Iris, intestine, heart and arteries  1a ActionsWhere found?Receptor

9. 9 Parasympathetic Nervous System “cranio-sacral” Parasympathetic nerves originate from cranial nerves III, VII, IX, and X and the sacral spinal cord. occulomotor nerve - fibers to the pupillary sphincters and ciliary muscle facial nerve - fibers to lacrimal and submandibular gland glossopharyngeal nerve - fibers to parotid gland vagus nerve - motor inputs to visceral organs sacral segments - fibers to descending colon, rectum, bladder and genitalia Figure 60-3; Guyton & Hall

10. Effects of the ANS on the Organs eye –sympathetic --pupillary dilation (alpha 1 receptor)‏ –parasympathetic--pupillary constriction and accommodation (focusing) of the lens (mACh receptor)‏ glands of the body –parasympathetic stimulate the nasal, lacrimal, salivary, and G.I. glands (mACh receptor)‏ –sympathetic stimulates the sweat glands (mACh receptor)‏

11. Effect of the Autonomic Nervous System on the Organs G.I. tract –parasympathetic stimulates overall activity including G.I. smooth muscle –sympathetic has very little effect heart –sympathetic increases the rate and contractility –parasympathetic decreases heart rate blood vessels –sympathetic causes vasoconstriction. Reduced sympathetic response accounts for most vasodilation. –parasympathetic causes some vasodilation (e.g., penis)‏

12. Sympathetic and Parasympathetic “Tone” the basal rate of activity of each system this background activity allows for an increase or decrease in activity by a single system –sympathetic tone normally causes about a 50 % vasoconstriction increasing or decreasing “tone” can change vessel diameter –parasympathetic tone provides background G.I. activity

13. adrenergic or sympathomimetic drugs act like norepinephrine these drugs have an effect which is much more prolonged than that of either norepinephrine – phenylephrine stimulates alpha receptors –isoproterenol stimulates both beta 1 and beta 2 receptors –albuterol stimulates only beta 2 receptors some drugs act indirectly by increasing the release of norepi from its storage terminals –ephedrine, amphetamine, pseudoephedrine,

14. Pharmacology of the Sympathetic Nervous System drugs that block the effect of norepinephrine alpha blockers –phentolamine –Cheap Viagra! beta blockers –beta 1 and 2 - propranolol

15. Pharmacology of the Parasympathetic Nervous System parasympathomimetic drugs –muscarine –pilocarpine activates muscarinic receptors, cause profuse sweating (why if sweat glands are controlled by sympathetic system?)‏ cholinesterase inhibitors –neostigmine, potentiates the effect of acetylcholine antimuscarinic drugs –atropine blocks the effect of acetylcholine on effector cells