Autonomic Nervous System - Los Angeles Mission College

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Autonomic Nervous SystemDr. Ali Ebneshahidi 2017 Ebneshahidi

Nervous System Divisions of the nervous system The human nervous system consists of the central nervousSystem (CNS) and the Peripheral Nervous System (PNS). CNS is composed of the brain (located in the cranial cavity)and the spinal cord (located in the vertebral cavity), whichserve as the main control centers for all body activities. PNS is composed of nerves derived from the brain and spinalcord (12 pairs of cranial nerves and 31 pairs of spinalnerves) which serve as linkage between the CNS and thebody. 2017 Ebneshahidi

ANS Versus SNS PNS can be subdivided into sensory (afferent)nerves and motor (efferent) nerves. Sensory nervessend nerve impulse from the body to CNS toeffector organs. Motor nerves are divided into the somatic nervoussystem (SNS) which regulates the voluntarycontraction of the skeletal muscles, and autonomicnervous system (ANS) which regulates theinvoluntary control of smooth, cardiac muscles andglands. 2017 Ebneshahidi

ANSFinally, the ANS can be divided into sympathetic andparasympathetic branches where in general sympathetic nervesstimulate activities of the effect or organs (except digestiveorgans) and parasympathetic nerves inhibit activities of theeffect or organs (except digestive organs). 2017 Ebneshahidi

Comparison of Somatic and Autonomic Systems 2017 Ebneshahidi

ANS ANS together with the endocrine system controls the body'sinternal organs . It innervates smooth muscles, cardiac muscle ,and glands , controlling the circulation of blood , activity of theG.I . Tract and body temp . Characteristics : 1. Innervates smooth muscle , cardiac muscle and glands ofinternal organs . 2. Involuntary , are reflexes controlled . 3. two neuron chain a. preganglionic neurons – originate in the brain or spinal cord . b. postganglionic neurons – originate in the ganglion locatedoutside the CNS . 2017 Ebneshahidi

Anatomy of ANS 2017 Ebneshahidi

ANSTwo neuron chain: a. cell body of first neuron is in CNS. b. Axon of first neuron: preganglionic fibers synapse with somaof second neuron. c. second neuron is in ganglia outside the CNS (in PNS). d. Axon of second neuron: postganglionic fibers innervateseffecter organ.sympathetic e. Two divisionsparasympathetic 2017 Ebneshahidi

Sympathetic Nervous System Generally stimulates the effector organ (except in digestive tract) It is activated in emergencies, flight– or– fight reaction, in thesense that the body can either quickly flee or "take a stand". 2017 Ebneshahidi

Sympathetic nervous system The pregangionic fibers of the sympathetic nervous systemproduce Acetylcholine and are called cholinergic fibers. Most postganglionic fibers produce norepinephrine (noradrenalin)and are called adrenergic fibers (exceptions are the sweat glandsand blood vessels in skin). Location of ganglia is within a few cm of CNS, along thevertebral column (Para vertebral and prevertebral [collateral]ganglia). Sympathetic fibers originate from the thoracolumbar region of thespinal cord (T1 – L2). 2017 Ebneshahidi

Sympathetic Nervous System Short preganglionic fibers. Long postganglionic fibers. Postganglionic fibers aredistributed throughout thebody. Postganglionic fibers runfrom the ganglion to theorgans that they supply. 2017 Ebneshahidi

Parasympathetic divisionGenerally inhibits the effector organ (except in digestive tract).All pre and postganglionic fibers product Ach and are cholinergic.Location of ganglia (terminal ganglia) is in or near effector organ.Pregarglionic fibers arise from the CNS (brain stem) and sacral region ofspinal cord (S2 – S4).Long preganglionic fibers.Short postganglionic fibers.Postganglionic fibers are limited to the head, viscera of chest, abdomenand pelvis. 2017 Ebneshahidi

Parasympathetic Division Outflow 2017 Ebneshahidi

Anatomy of ANSDivisionLocation ofGangliaOrigin of FibersLength of FibersSympatheticThoracolumbarregion of the spinalcordShort preganglionicand longpostganglionicClose to thespinal cordParasympatheticBrain and sacralspinal cordLong preganglionicand shortpostganglionicIn the visceraleffector organs 2017 Ebneshahidi

ANS: Neurotransmitters & Receptorsalpha - receptors Adrenergic receptors :beta - receptors in General, NE or epinephrine binding to alphareceptors are stimulatory while their binding to betareceptors are inhibitory. Both and receptors have distinct subtypes (alpha 1 ,2 , beta 1, 2 ). 2017 Ebneshahidi

Alpha-1 & Alpha-2 ReceptorsAlpha-1 receptors: reflect the "flight or fight" RX. cause constriction of blood vessels (control of B.P.). Inhibit motility in the gut by contracting sphincter muscles andrelaxing non – sphincter tissue. Mobilize energy by breaking down liver glycogen to glucose.Alpha-2 receptors: found in pre–synaptic membranes and provide feed back controlof neurotransmitter secretion (inhibit Ca influx, decreaseneurotransmitter release). 2017 Ebneshahidi

Beta-1 & Beta-2 Receptors: beta-1 receptors: well known for their effects in the heart ( increase rate and forceof contraction). induce muscle relaxation in the gut. beta-2 receptors: Induce bronchiodilation. Induce smooth muscle relaxation in the gut. Induce conversion of glycogen to glucose. Stimulate secretion of insulin from pancreas. 2017 Ebneshahidi

Cholinergic Receptors: Nicotinic receptors: Are all excitatory. Their response is rapid (milliseconds). Muscarinic receptors: Either excitatory or inhibitory , depending on the target organ . Have distinct subtypes (M1 , M2 , M3). Decrease heart activity. Increase motility in G.I. tract. Depolarization of smooth muscle fibers, hyperpolarization ofcardiac muscle fibers. 2017 Ebneshahidi

Cranial Nerves with Parasympathetic outflow1. Oculomotor nerve (III) Innervates smooth muscles ofeye, causing it to constrict.2. Facial nerve (VII) Stimulates the secretaryactivity of glands in the head. Ex. Nasal glands, lacrimalgland, submandibular,salivary, & parotid glands. 2017 Ebneshahidi

Cranial Nerves with Parasympathetic outflow3. Glossopharyngeal never (IX) Activates the parotid, and salivary glands.4. Vagus nerve (X) two vagus nerves account for 90% of all preganglionicparasympathetic fibers in the body. major portion of parasympathetic cranial outflow is via vagusnerve. mixed nerve containing both sensory and motor fibers. sensory input from medulla to cardiovascular, pulmonary,urinary, reproductive, and digestive system travels in the afferentfibers of the vagus nerve. 2017 Ebneshahidi

Cranial Nerves with Parasympathetic outflow 2017 Ebneshahidi

Other Receptors Lungs:a. Stretch receptorsb. Type J receptorsa. Stretch receptors: Inhibits further inhalation, cardiac rate, andvasodilation.b. Type J receptors: Increase pulmonary congestion.produces feelings of breathlessness and causes a reflex fall incardiac rate and blood pressure. Aorta : chemoreceptors – stimulated by rise in CO2 and fall in O2,produce increase rate of breathing, rise in heart rate, andvasoconstriction. 2017 Ebneshahidi

Visceral Reflexes 2017 Ebneshahidi

Other Receptorsa. Baroreceptors Heart:b. Arterial stretch receptorsc. Stretch receptors in ventricles a. Baroreceptors: stimulated by increased bloodpressure – produces a reflex decrease in heart rate. b. Arterial stretch receptors:Antidiuretic hormone secretion inhibited , thusincrease the volume of urine execreted. 2017 Ebneshahidi

Other receptors c. stretch receptors in ventricles:produces a reflex in Hear rate and vasodilation. d. stretch receptors in G.I. tract:fleeing of satiety, discomfort and pain. 2017 Ebneshahidi

Referred Pain Pain stimuli arisingfrom the viscera areperceived assomatic in origin. This may be due tothe fact that visceralpain afferents travelalong the samepathways assomatic pain fibers. 2017 Ebneshahidi

Effects of autonomic Stimulation Skin : Apocrine gland (S): secretionEccrine gland (P): no Action Special senses: Iris of eye (S): Dilation(P): constriction Tear gland (S): Inhibitory(P): secretion Endocrine system: Adrenal cortex (S): secretion And medulla (P): no Action 2017 Ebneshahidi

Effects of autonomic Stimulation Digestive system:Gall bladder:(s): relaxation(p): constrictionIntestine:(s): decrease peristalsis(p): Increase peristalsisSmooth muscle:(s): relaxes(p): ContractsSphincters:(s): constricts(p): Relaxes 2017 Ebneshahidi

Effects of autonomic StimulationSecretion(s): increase(p): decreasepancreas(s): decrease(p): IncreaseRespiratory System:(s): dilate bronchioles(p): constrict bronchiolesHeart Muscle:(s): increase heart rate(p): decrease heart rate 2017 Ebneshahidi

Effects of autonomic StimulationBlood vessels of skin & others:(S): constriction(P): no actionUrinary system:Bladder (S): Relaxation(P): contractionUrinary sphincter (S): contraction(P): relaxation 2017 Ebneshahidi

Effects of autonomic Stimulation penis: (S): causes erection(P): causes ejaculation Vagina: (S): causes erection of clitoris(P): causes contraction of vagina 2017 Ebneshahidi

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