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Overview on the Autonomic Nervous System Yvette Taché, PhD, Study notes of Medicine

the autonomic visceral afferent neurons which direct the activity of autonomic efferent pathways, either in the same organ or other organs.

Typology: Study notes

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NIHDDK Workshop on
Stimulating Peripheral Activity to Relieve Conditions
Overview on the Autonomic Nervous System
Yvette Taché, PhD
Center for Neurovisceral Sciences & Women’s Health,
and CURE/Center for Digestive Diseases,
Department of Medicine, UCLA, and
Greater Los Angeles VA Healthcare System, Los Angeles, CA
uclacns.org
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NIHDDK Workshop on

Stimulating Peripheral Activity to Relieve Conditions

Overview on the Autonomic Nervous System

Yvette Taché, PhD

Center for Neurovisceral Sciences & Women’s Health,

and CURE/Center for Digestive Diseases,

Department of Medicine, UCLA, and

Greater Los Angeles VA Healthcare System, Los Angeles, CA

uclacns.org

THE ANS

• The term “autonomic nervous system” was

proposed by Langley in 1898 to describe:

“The sympathetic system and the allied nervous

system of the cranial and sacral nerves and the

local nervous system of the gut”.

• The ANS encompasses

– Sympathetic division

– Parasympathetic division

– Associated visceral afferent neurons

– Enteric division (the largest 200-600 million neurons)

Myenteric plexus

Submucosal plexus

Longitudinal

muscles

Mucosa

Circular muscles

Major functions under autonomic control

Heart rate, force and conduction

Arterial diameter (all vascular beds)

Mesenteric venous capacity

Pupillary diameter, accommodation of lens.

Exocrine gland secretion, including lacrimal, salivary, gastric,

exocrine pancreatic, sweat glands, glands of genital organs

Endocrine glands, including endocrine pancreas, adrenal gland

and liver

Secretion into organs: intestinal water and electrolyte

secretion, pulmonary and nasal secretion.

Gastrointestinal wall movement

Gall bladder contraction and biliary tract motility

Regulation of the urinary bladder and control of micturition

Tracheal and bronchial diameter

Contraction of vas deferens, vagina and other internal

genitalia

Mobilization of energy stores, for example from fat deposits

and liver.

Piloerection

Modulation of immune function

Anatomical Differences in Sympathetic and

Parasympathetic Division

Organs and function are regulated through ANS circuits

en

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en

neu r ons (thoraco lumbar)

sympathetic trunk (paravertebral ganglia)

ganglia on abdominal arteries (prevertebral ganglia)

blood vessels inside t he skull (brain)

mixed pelv ic ganglia conta in both sympathetic and parasympathetic neuronal cell bodies reproductive organs sphincters

visceral a fferents in s pinal nerves

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neurons (sacral)

Lung, heart, liver, pancreas, gastrointestinal tract, kidney, bladder, immune system, reproductive organs

Nodose

ganglia

Neural projections

between the ENS and

CNS

  • Intrinsic primary afferent

neurons (IPAN) involved in local

reflex circuit.

  • Intestinofugal neurons to:

sympathetic ganglia, gallbladder,

pancreas, airways

allowing organs to organs

interactions.

  • Extrinsic afferents that reach the

CNS and efferent parasympathetic

(vagal/lumbosacral) and

sympathetic pathways

Furness, 2014

TRH-R

Ghrelin

Mucosal

Blood

flow

Inflammation

Insulin

Taché et al. Auton. Neurosci. 2006;125(1-2):42-52. Review.

Dual actions of vagal activation on the integrity of the gastric mucosa linked with

the intensity of the activation

Protection against

erosive agents

HIGH LOW

How enteroendocrine cells relay sensory signals from

the gut lumen onto nerves is poorly understood.

S

t

ensing food and bacteria

Classical view:

Paracrine transmission

Emerging view:

Direct contact between

enteroendocrine cells and nerves

hrough neuropoods.

Intrinsec
extrinsec?

Neuropod

  • precise topographical

representation of sensory signals

from the gut;

  • potential physical path for

viruses in the lumen of the gut to

gain access to the peripheral

or central nervous system.

Liddle et al. J Clin Invest. 2015;125(2):782–786.

Autonomic signalling pathways to and from the abdominal organs:

N ts

Splenic nerve

. : . . '' ' '.

~ ...........

.'

Celiac ganglion

Afferent vagus nerve

.................... ..... \
  • ...... - ..::..._-;~..:!'- ~ (^) P roinflammatory cytok i nes

Heart

I LPS. other pathogen fragments and tissue. injury molecules

Macrophages, dendritic cells,

other immune cells

eeds more detailed analysis to unravel anti-inflammatory circui

Pavlov and Tracey Nature Rev. 8:743-754 (2012)

Support of NIH

Center grant DK 41301 (animal

core) and R01 DK-

Dr. David Adelson, PhD

Thanks!