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Understanding the Autonomic Nervous System: Sympathetic and Parasympathetic Systems, Lecture notes of Neuroscience

A comprehensive overview of the autonomic nervous system (ans), focusing on the sympathetic and parasympathetic systems. It explains the structure, function, and neurotransmitters involved in each system, as well as their effects on various organs such as the heart, lungs, gi tract, and smooth muscles. The document also discusses the differences between the two systems and their roles in maintaining homeostasis.

Typology: Lecture notes

2023/2024

Uploaded on 02/28/2024

jaydave-patel
jaydave-patel 🇺🇸

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Autonomic Nervous System
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The autonomic nervous system (ANS) controls the non-voluntary motor function in
your body. Remember that in the somatic nervous system (the system that controls
voluntary muscle movement) you have a neuron in the ventral horn of the spinal cord (
or motor neurons) that send out axons that synapse directly on skeletal muscle. In the
ANS, spinal cord neurons send out axons that synapse in ganglia in the body. It is the
axons from the neurons in the ganglia, which synapse onto smooth muscle.
This usually involves the contraction or relaxation of smooth muscle which makes up the
muscle tissue of organs such as stomach, GI tract and lungs. It also involves smooth
muscles around arteries for blood flow control and smooth muscles of the eye such as the
iris and the smooth muscle that controls the eye lens for focus. These postganglionic
axons can also synapse onto glands and cardiac muscle. The highest control center for the
ANS is the hypothalamus.
Note that axons that are travelling to a ganglion are called preganglionic fibers and
axons leaving the ganglion are called postganglionic fibers.
There are two parts of the ANS:
1) Sympathetic
2) Parasympathetic
Sympathetic System
A major group of neurons that are involved in the sympathetic nervous system is in the
gray matter of the spinal cord. It is called the intermediolateral cell column (IML),
found at spinal cord levels T1-L2. These neurons send axons (preganglionic fibers) out
of the spinal cord via the ventral root and synapse onto neurons in the sympathetic chain
ganglion. Some will bypass the sympathetic chain ganglia and synapse on other ganglia
in the body, e.g., superior mesenteric ganglia, etc. The neurotransmitter used in the
synapse in the sympathetic chain ganglion (or other ganglia) is ACh. The neurons in the
sympathetic chain ganglion send out axons (postganglionic fibers), which travel in nerves
(PNS) and synapse on the effector organ, e.g., smooth muscle, glands etc. The
neurotransmitters used at those synapses are norepinephrine, ACh and dopamine. Not
all preganglionic fibers of the sympathetic nervous system synapse onto a ganglion.
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The autonomic nervous system (ANS) controls the non-voluntary motor function in your body. Remember that in the somatic nervous system (the system that controls voluntary muscle movement) you have a neuron in the ventral horn of the spinal cord ( or  motor neurons) that send out axons that synapse directly on skeletal muscle. In the ANS, spinal cord neurons send out axons that synapse in ganglia in the body. It is the axons from the neurons in the ganglia, which synapse onto smooth muscle. This usually involves the contraction or relaxation of smooth muscle which makes up the muscle tissue of organs such as stomach, GI tract and lungs. It also involves smooth muscles around arteries for blood flow control and smooth muscles of the eye such as the iris and the smooth muscle that controls the eye lens for focus. These postganglionic axons can also synapse onto glands and cardiac muscle. The highest control center for the ANS is the hypothalamus. Note that axons that are travelling to a ganglion are called preganglionic fibers and axons leaving the ganglion are called postganglionic fibers. There are two parts of the ANS:

  1. Sympathetic
  2. Parasympathetic Sympathetic System A major group of neurons that are involved in the sympathetic nervous system is in the gray matter of the spinal cord. It is called the intermediolateral cell column (IML), found at spinal cord levels T1-L2. These neurons send axons (preganglionic fibers) out of the spinal cord via the ventral root and synapse onto neurons in the sympathetic chain ganglion. Some will bypass the sympathetic chain ganglia and synapse on other ganglia in the body, e.g., superior mesenteric ganglia, etc. The neurotransmitter used in the synapse in the sympathetic chain ganglion (or other ganglia) is ACh. The neurons in the sympathetic chain ganglion send out axons (postganglionic fibers), which travel in nerves (PNS) and synapse on the effector organ, e.g., smooth muscle, glands etc. The neurotransmitters used at those synapses are norepinephrine, ACh and dopamine. Not all preganglionic fibers of the sympathetic nervous system synapse onto a ganglion.

Some will synapse on cells in the adrenal medulla. When the ACh is released on those cells, those cells release epinephrine (adrenaline) into the blood stream. You also have three sympathetic ganglia in the neck, superior , middle and inferior cervical ganglia. The neurons of the hypothalamus control the IML by sending down axons that synapse onto the IML neurons. Some postganglionic sympathetic neurons use ACh as their NT (sweat glands)

Neurotransmitters and receptors of the Autonomic Nervous System Acetylcholine - 2 basic types of receptors Nicotinic receptors - ionotropic (Na+), found on all postganglionic neurons, and neuromuscular endplates. Muscarinic receptors - metabotropic, found on membranes of effector tissue that is innervated by postganglionic neurons of the parasympathetic and sympathetic nervous system. Atropine is a muscarinic antagonist used in surgery to inhibit the secretion of salivary and bronchial secretions to reduce the possibility of inhaling fluid during surgery. Norepinephrine/Epinephrine - 2 basic types of receptors.  adrenergic receptors - - metabotropic, two common subtypes  adrenergic receptors - metabotropic, approximately equal affinity for norepinephrine and epinephrine, usually stimulates the tissue, e.g., effects smooth muscle contraction in the wall of blood vessels, which includes coronary arteries. Urethral sphincter contraction, erector pili muscles. This receptor can also bind dopamine.  adrenergic receptors - metabotropic, approximately equal affinity for norepinephrine and epinephrine. Involved in constriction of sphincter of the GI tract. Involved in inhibition of insulin release in pancreas and induction of glucagon release from pancreas.  adrenergic receptors - metabotropic, two common subtypes (there are other subtypes as well):  1 - equal affinity for norepinephrine and epinephrine, found mostly in the heart. It stimulates the heart to contract more forcefully and more rapidly. Found in kidney, increases renin release. This receptor can also bind dopamine.  2 - much greater affinity for epinephrine compared to norepinephrine, mostly inhibitory, found in skeletal muscle blood vessels and coronary arteries, causes vasodilation thereby increasing blood flow to muscle and heart during sympathetic stimulation. Also found in smooth muscle of bronchioles, these relax thereby dilating air passages during sympathetic stimulation. Found in GI tract, decreases gut motility, but stimulates sphincter contraction in GI. In bladder, relaxation of bladder. Stimulates insulin release. Albuterol is a  2 agonist used for asthma patients, helps dilate bronchioles.

Propranolol is a "beta blocker". It blocks both  1 and  2 adrenergic receptors. It's used for patients with angina pectoris. It keeps the heart from working beyond its oxygen supply. Dopamine D1 receptor – in the autonomic system this receptor can be found on renal, GI and coronary vessels and vasodilates vessels. Administered at low doses, this causes increased renal perfusion and works as a diuretic, also causing sodium loss and water loss. Dopamine also can bind to  and  1 adrenergic receptors. At intermediate dosage dopamine, via  1 adrenergic receptors, causes increase force of contraction of heart and increased heart rate, raising blood pressure. At high dosage, dopamine, via  adrenergic receptors, causes body-wide vasoconstriction, including kidneys which can reduce urine output.

Autonomic Nervous System Summary The autonomic nervous system plays a major role in the regulation of cardiac and vascular function. Parasympathetic (vagal) nerves leave the vagal nuclei within the medulla as preganglionic efferent vagal fibers. These preganglionic efferent fibers are relatively long and do not synapse until they reach their target organ (e.g., the heart). The preganglionic fibers synapse within small ganglia located near the target tissue (e.g., the sinoatrial node) and release the neurotransmitter acetylcholine (ACh), which binds to nicotinic receptors causing depolarization and action potential generation in the short postganglionic vagal fibers that synapse at the target cells (see the following figure). The neurotransmitter released by these postganglionic fibers at the target tissue is also ACh. In contrast, the sympathetic nerves that originate within the medulla travel down the spinal cord where they synapse with preganglionic cell bodies within the spinal cord. These cell bodies give off preganglionic fibers that are relatively short (compared to the long preganglionic vagal efferents). These preganglionic fibers enter the paravertebral ganglia (sympathetic chain ganglia) that are found on either side of the spinal column. Either at the same level they enter the chain ganglia, or after traveling up or down the chain, these preganglionic neurons synapse with the cell bodies of postganglionic sympathetic fibers. ACh is the neurotransmitter within these ganglia, and the ACh binds to nicotinic receptors on postganglionic neurons (see the following figure). From these neurons arise relatively long postganglionic fibers that travel to their target organ and release norepinephrine as the primary neurotransmitter. Some of the preganglionic sympathetic fibers, instead of synapsing within paravertebral ganglia, synapse in prevertebral ganglia located within the abdomen (celiac, superior mesenteric, and inferior mesenteric ganglia). ACh, which binds to nicotinic receptors, is the neurotransmitter at these sites as found in the other autonomic ganglia. Postganglionic sympathetic fibers then travel from the prevertebral ganglia to innervate tissues such as blood vessels where they release norepinephrine as the primary neurotransmitter. Therefore, sympathetic postganglionic fibers can originate in either paravertebral or prevertebral ganglia. The figure below-right summarizes the concepts described above. Additionally, this figure shows the existence of postganglionic sympathetic cholinergic fibers that innervate sweat glands and vessels. These sympathetic cholinergic postganglionic nerves release ACh instead of norepinephrine that is released by the sympathetic adrenergic postganglionic nerves. Sympathetic cholinergic nerves also innervate skeletal muscle arteries. There are also postganglionic sympathetic dopaminergic nerves that release dopamine in the kidneys. Finally, there are preganglionic sympathetic nerves that synapse in the adrenal medulla glands to stimulate the production and release of catecholamines (epinephrine primarily, norepinephrine secondarily).