LECTURE16.AutonomicSys

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    LECTURE 16: AUTONOMIC AND NEUROENDOCRINE SYSTEMS

    REQUIRED READING:  Kandel text, Chapter 49

    Autonomic nervous system mediates visceral refex

    responses that are involuntary and largely unconscious 

    Autonomic nervous system consists o:

    1) Motor neurons which act on smooth muscle, cardiacmuscle, and exocrine glands

    2) “reganglionic! "#$ neurons whose axons synapse onthese motor neurons

    %) &isceral sensory neurons

    ') (ranches and susets o external*sensing neurons+including somatosensory , olactory, and retinal)

    Autonomic postganglionic neurons release neurotransmitterswhich act through metaotropic receptors on targetcells

    Autonomic responses are coordinated with one another andwith ehavioral responses and emotions through thehypothalamus in the "#$

    always

    cholinergic 

    cholinergic

    or

    adrenergic 

    nicotinic 

    receptors

    muscarinic 

    or 

    adrenergic 

    receptors

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    EXAMPLES OF AUTONOMIC FUNCTION

    Regulation of heartbeat rate

    Regulation of vascular constriction/dilation

    Pupil and lens ocular reexes

    Exocrine gland secretion

    Glucose mobilization

    Sweating and hair follicle erection

    Bladder lling and empt!ing

    Sexual responses

    "limentar! and bronchial reexes

    Gut peristalsis

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    THREE DIVISIONS OF THE AUTONOMIC NERVOUS SYSTEM

    $ympathetic nervous system

    arasympathetic nervous system

    nteric nervous system

    Sympathetic system controls visceral responses that prepare the body for rapid, intense activity,

      often refered to as FIGHT-O-F!IGHT "#$TIO%&

    esponses include accelerated heartbeat, central artery constriction, peripheral vascular dilation,

      liver glycogen metabolism, ' rapid breathing&

    Other sympathetic responses also wor( in balance with countering parasympathetic responses

      to maintain body homeostasis )counteraction to body stress*&

    +arasympathetic responses sometimes refered to as the "ST-#%-IG"ST ST#T"&

     #lmost all visceral targets receive both sympathetic ' parasympathetic neuronal inputs&

    "nteric neurons form pleuses that surround and etend along the length of the gut, including 

      stomach, small and large intestines&

    "nteric system activate coordinated contraction of smooth muscles to cause peristaltic 

      constriction of the gut&

    .ost of enteric nervous system functions independently of higher $%S control&

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    ANATOMY OF SYMPATHETIC & PARASYMPATHETIC NERVOUS SYSTEM

    Most SYMPATHETIC

    postganglionic neurons are

    adrenergic 

    (release E or NE)

    Most PARASYMPATHETIC

    postganglionic neurons are

    cholingeric 

    Site of spinal cord lesion in/ury can be rapidly assessed by surveying damaged and surviving autonomic refle responses

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    ANATOMY OF SYMPATHETIC & PARASYMPATHETIC NERVOUS SYSTEM

    Generalized “FIGHT”  response

    mediated by sympathetic

    activation of the adrenal gland,

    triggering epinephrine

    secretion into circulation

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    ANATOMY OF ENTERIC NERVOUS SYSTEM

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    SENSORIMOTOR CONNECTIONS IN ENTERIC NERVOUS SYSTEM

    ARE PREDOMINANTLY LOCAL

    A local circuitry drives peristalsisin the intestines

    FOOD

    DISTENSION     +     "          I     S     T     #     !     S     I     S

    +"SS0" S"%SI%G %"0O% 

    $I$0!# .0S$!" .OTO %"0O%S 

    ressure*sensing neuron senses gut distension

    Acts through interneurons to activate entericmotor neurons with axons pro-ecting rostrally

    causing s.uee/ing o circular muscle ehind the distension

    $imultaneous inhiition o other motor neuronswith axons pro-ecting caudally relaxes downstream

    circular muscle

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    POST-GANGLIONIC NEUROTRANSMISSION LACKS TYPICAL

    PRE- AND POST-SYNAPTIC SPECIALIZATIONS

    ost*ganglionic neuron0s axon terminal lacs clear*vesicle docing machinery

    Multiple axonal swellings +varicosities) are sites o neurotransmitter vesicle accumulation

    ost*synaptic target +smooth muscle, gland, etc) lacs post*synaptic density

     3arget cell neurotransmitter receptors are roadly distriuted on surace

    4eleased neurotransmitter acts di5usely over distances up to 1 mm

    6ighly ranched axons with multiple varicosities enale post*ganglionic neuronto act upon many cells in the target structure

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    DIFFUSE TRANSMISSION FROM GANGLIONIC AXONS FACILITATED

    DISCOVERY OF THE FIRST CHEMICAL NEUROTRANSMITTER

    arasympathetic vagus nerve activity slows hearteat rate,while sympathetic accelerator nerve activity speeds hearteat rate

    TWO BEATING FROG HEARTS DISSECTED AND MAINTAINED IN SMALL VOLUME SOLUTION;

     HEART #1 DISSECTED WITH INNERVATING NERVES ATTACHED

     HEART #2 DISSECTED WITHOUT NERVES

    $timulation o vagal nerve slowed eating o heart 71Ater stimulation, transer o heart 710s athing solution to heart 72 slowed its eating

    $timulation o accelerator nerve speeds eating o heart 71Ater stimulation, transer o heart 710s solution to heart 72 sped its eating

     364894, #4&*#; #

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    MECHANISMS OF AUTONOMIC MODULATION OF CARDIAC FUNCTION

    +arasympathetic release of acetylcholine reduces cardiac output in two ways

    Sympathetic release of norepinephrine increases cardiac output in two ways

    1) Muscarinic generation o =βγ

     directly activates a potassium channel +=4?) in pacemaer

      cardiocytes, which slows their depolari/ation and rate o hearteat

    2) Muscarinic generation o =αi in heart muscle lowers cAM and ?A levels, causing

      reduced opening o >*type calcium channels, therey reducing orce o heart contraction

      β

    1*adrenergic generation o =αs in pacemaer cardiocytes elevates cAM and ?A levels,

      which reduces the threshold voltage or action potential initiation, therey increasing  rate o hearteat

    2 β

    1*adrenergic elevation o cAM and ?A in heart muscle increases opening o >*type

      calcium channels, therey increasing orce o heart contraction

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    SENSORY INPUTS TO AUTONOMIC FUNCTION

    9ur odies sense deleterious changes and undertae automatic responsesto maintain homeostasis

    $ensory inputs eliciting autonomic responses include:

    1) xternal sensations which trigger corrective refexes

    xamples: a) 9cular refexes ** pupil dilation or constriction in response to light,lens stretching to ad-ust ocus

    http#//librar!$med$utah$edu/%w/h!perbrain/anim/reex$html

    ) ainul laceration ** vasoconstriction to limit lood losssympathetic activation o coordinated @ghtfight responses

    2) &isceral sensations induce homeostatic responses

    xamples:a) 9pposing sympatheticparasympathetic control o hearteat and lood pressure **

    sympathetic activity drives hearteat and artery constriction too much,

    pressure*sensitive sensory a5erents in the aorta trigger the baroreceptor  refex ,which includes parasympathetic vagal input to heart and induction o 

    arterial dilationhttp#//highered$mcgraw&hill$com/sites/''()*'(+('/student,view'/chapter)-/animation,,baroreceptor,reex,control,of,blood,pressure$htm l

    4eciprocally, pressure*sensitive sensory a5erents in the cardiac right atriam sense distentiontriggering the right atrial refex , y which sympathetic accerelerator nerve @ring speeds rate

    ) rritants to oronasal cavities act through parasympathetic ganglia

    to trigger nasal and lacrimal glandular secretions

    http://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://highered.mcgraw-hill.com/sites/0072507470/student_view0/chapter21/animation__baroreceptor_reflex_control_of_blood_pressure.htmlhttp://highered.mcgraw-hill.com/sites/0072507470/student_view0/chapter21/animation__baroreceptor_reflex_control_of_blood_pressure.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.htmlhttp://library.med.utah.edu/kw/hyperbrain/anim/reflex.html

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    PREGANGLIONIC FIBERS RELEASE SMALL MOLECULE AND PEPTIDE

    NEUROTRANSMITTERS TO ELICIT COMPLEX GANGLIONIC NEURON RESPONSES

    $ingle or low*re.uency preganglionic @ring releases Ach which activates nicotinicreceptors triggering ast $ in postganglionic neuron

    6igh*re.uency stimulation releases more Ach and >646 peptide 3he complexpostganglionic response consists o ast $, slow $ mediated ymuscarinic receptor activation o =4?s, and delayed $ resulting

    rom >646 inding to peptidergic receptors

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    SENSORY PATHWAYS OF SYMPATHETIC AND PARASYMPATHETIC SYSTEMS

    PASS LOOP THROUGH BRAIN STEM, BUT ALSO PROJECT TO CONSCIOUS CORTICAL AREAS

    A$"#;#= &$"4A>$#$94B A36CAB$

    ;$"#;#= A

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    HYPOTHALAMUS COORDINATES PHYSIOLOGY AND BEHAVIOR

    IN RESPONSE TO VISCERAL SENSORY INPUTS

    DAM>: (>99; 9$M9>A43B 69M9$3A$$

    1IS$"#! S"%SO2 I%+0TS 

    (lood pressure(lood osmolarity

    H2+OTH#!#.0S $OOI%#T" O0T+0TS 

    Autonomic ** action on smooth muscles in central and peripheral vasculature

    (ehavioral ** conscious thirst which drives search or fuid intae

    ndocrine ** secretion o vasopressin into lood, which promotes water  resorption y idneys

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    HYPOTHALAMUS CONTROLS HORMONE RELEASE FROM PITUITARY GLAND

    BOTH DIRECTLY AND INDIRECTLY