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AUTONOMIC NERVOUS SYSTEM I Dr Margaret Biber January 14, 2009 AUTONOMIC NERVOUS SYSTEM Involuntary motor system Visceral efferent (motor) system CENTRAL NERVOUS SYSTEM Brain Spinal Cord PERIPHERAL NERVOUS SYSTEM Somatic N.S. Autonomic N.S. Sympathetic Parasympathetic Skeletal Muscle (voluntary muscle) Enteric N.S Heart Smooth Muscle Glands Smooth muscle & Glands of GI tract Not under voluntary control TARGETS OF INNERVATION BY THE ANS • HEART MUSCLE & specialized conducting tissue • SMOOTH MUSCLE – walls of all hollow organs (except heart) – – – – – Blood vessels Digestive tract Urinary tract Reproductive organs Airways • GLANDULAR TISSUE – Sweat glands – Digestive glands – Glands of the respiratory tract Functions of the ANS: Regulation of visceral organ function EXAMPLES • CV system: Arterial blood pressure – Diameter of blood vessels – Mechanical performance of the heart: heart rate, force of contraction • Digestive system: controls & coordinates gastrointestinal motility and secretions (in conjunction with hormones) • Emptying of the urinary bladder • Respiratory tract secretions and airway resistance (diameter of bronchi and bronchioles) HOMEOSTASIS (maintenance of the internal environment) Function of the ANS: Adaptive responses to environmental stimuli • Light • Temperature • Threatening stimuli - Stress Function of the ANS: Adaptive responses to environmental stimuli • Light - constriction of the pupil to bright light (miosis) - dilation of the pupil in low light (mydriasis) • Temperature - cutaneous vasodilation and sweating in a warm environment - cutaneous vasoconstriction and goose pimpling in the cold • Stress - rapid, coordinated response to threatening or stressful stimuli FEAR SIGNS OF FEAR • POUNDING HEART – heart rate & force of contraction increases • DILATED PUPILS – wide eyed with fear • PALLOR – pale with fear – ashen faced • GOOSEPIMPLING – hair standing on end; chills down the spine • COLD SWEAT – clammy hands • DRY MOUTH STAY AND FIGHT TAKE TO YOUR HEELS IN FLIGHT FIGHT OR FLIGHT RESPONSE • Anticipatory – triggered the moment the possibility of trouble is detected • Allows immediate & sustained physical exertion • Critical for survival SUMMARY OF FUNCTION OF ANS • Exerts overall control of function of visceral organs – key contribution to homeostasis • Produces important adaptations to environmental stimuli: • Level of illumination • Ambient temperature • Stressful, alarming or dangerous situations • Proper function essential for survival Characteristics of autonomic control 1. Speed of onset • heart rate can double within 3-5 seconds • sweating can occur within a few seconds to a rise in temperature or in response to fear (cold sweat). • goose pimpling appears in seconds in cold or fearful situations • involuntary emptying of the bladder, when it occurs, does so in seconds • marked changes in blood pressure (rise or fall) can take place in about 5 secs. A precipitous fall in blood pressure causes fainting. 2. Tonic activity • Basal rate of neuronal firing - sympathetic or parasympathetic tone. • Consists of low frequency bursts of action potentials averaging ~ 1 Hz (impulses per sec). • Sets up a baseline level of effector organ activity • Permits basal activity to be increased or decreased. 3. Reflex control of autonomic activity • Not under voluntary control • Reflexes are stereotyped responses triggered by specific sensory stimuli • Sensory stimuli that trigger autonomic reflexes do not reach consciousness • Autonomic reflexes are sensitive to & altered by emotional state ORGANIZATION OF THE ANS Physiological Anatomy Somatic motor neuron Spinal cord Alpha motor neurons: Axons: Wide diameter, myelinated; Conduct APs at high speeds 15-50 m/sec& at high frequency. Fast precise control of skeletal muscle Skeletal muscle Autonomic neurons Spinal cord preganglionic postganglionic Fine axons: Conduct APs at low speeds (0.5 m/sec) & at low frequency (~20 Hz) Control of targets slower & much less precise smooth muscle glands, heart FIG 1 P 174 Fig 2 P 175 FIG 1 Fig 2 Diffusely distributed targets FIG 1 Diffusely distributed targets FIG 1 1. Cervical ganglia are fused Diffusely distributed targets 2. Prevertebral or collateral ganglia (coeliac, superior & inferior mesenteric ganglia) innervate abdominal organs & the enteric NS 3. Preganglionic sympathetic nerves innervate adrenal medullary chromaffin cells (= modified postganglionic sympathetic neurons) Synaptic Organization of Sympathetic Ganglia: Divergence Spinal cord Sympathetic ganglion Postganglionic nerve Sympathetic chain Preganglionics Synaptic Organization of Sympathetic Ganglia: Convergence Spinal cord Sympathetic ganglion Postganglionic nerve Sympathetic chain Preganglionic nerve Divergence and Convergence at the level of single neurons Divergence Convergence Post Pre ANATOMICAL FEATURES OF THE SYMPATHETIC NS • • • • Thoraco-lumbar outflow Short preganglionic axon Long postganglionic axon Distinct ganglion system with much divergence and convergence of inputs Fig 3 Key Features of Parasympathetic Postganglionic nerves lie in or near target tissues • Long pre, short postganglionic neurons • Ratio of pre to postganglionic neurons 1:1 or 1: 2 • Control is highly targeted ANATOMICAL FEATURES OF THE PARASYMPATHETIC NS • Cranial-sacral outflow • Relatively long preganglionic axon • Little branching of preganglionic axons (little divergence) • Ganglion, if present, located at or near target organ (cranial region) • Short postganglionic axon post pre Parasympathetic Cranial Spinal cord T1 pre post Sympathetic pre Adrenal Splanchnic nerve L3 pre Parasympathetic Sacral post S2 S3 S4 Schematic ANS Organization of the Autonomic Neuroeffector Junction Skeletal NMJ Motor unit Autonomic NEJ POSTGANGLIONIC Sympathetic postganglionic nerve terminal: Branching terminal network with varicosities Synaptic vesicle COMPARISON OF SOMATIC AND AUTONOMIC NERVOUS SYSTEMS Target: SOMATIC AUTONOMIC skeletal muscle smooth muscle heart glands Control: precise; rapid (msecs) less so (100 msecs to secs) Anatomy: two neurons one neuron Ach Motor neuron NMJ Skeletal Muscle fiber Properties of motor neurons: wide diameter myelinated rapidly conducting 15 - 50 m/sec Ach/NE Ach Pre Post NEJ fine diameter 2nd neuron unmyelinated slow conducting 0.5 m/sec COMPARISON OF SOMATIC AND AUTONOMIC NERVOUS SYSTEMS SOMATIC Neuroeffector junction: well organized nerve terminals close to muscle endplate (15 nm gap) Ach receptors tightly packed in endplate Receptors: ligand gated ion channels Transmitter: acetylcholine AUTONOMIC branching, diffuse terminals with variable distances from effector cell membrane (80 1000 nm) receptors not organized into a localized chemosensitive area G-protein coupled signaling on the effector cells acetylcholine - parasympathetic norepinephrine- sympathetic (exception generalized sweat glands) Effects: excitation one to one relay excitation or inhibition modulatory END