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Autonomic Nervous System

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The Autonomic Nervous SystemRegulate activity of smooth muscle, cardiac muscle & certain glandsStructures involvedgeneral visceral afferent neuronsgeneral visceral efferent neuronsintegration center within the brainReceives input from limbic system and other regions

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Слайд 1Autonomic Nervous System
Overview
Anatomy
Physiology

Autonomic Nervous SystemOverviewAnatomyPhysiology

Слайд 2The Autonomic Nervous System
Regulate activity of smooth muscle, cardiac muscle

& certain glands
Structures involved
general visceral afferent neurons
general visceral efferent neurons
integration

center within the brain
Receives input from limbic system and other regions of the cerebrum
The Autonomic Nervous SystemRegulate activity of smooth muscle, cardiac muscle & certain glandsStructures involvedgeneral visceral afferent neuronsgeneral

Слайд 3Autonomic versus Somatic NS
Somatic nervous system
consciously perceived sensations
excitation of skeletal

muscle
one neuron connects CNS to organ
Autonomic nervous system
unconsciously perceived visceral

sensations
involuntary inhibition or excitation of smooth muscle, cardiac muscle or glandular secretion
two neurons needed to connect CNS to organ
preganglionic and postganglionic neurons
Autonomic versus Somatic NSSomatic nervous systemconsciously perceived sensationsexcitation of skeletal muscleone neuron connects CNS to organAutonomic nervous

Слайд 4Autonomic versus Somatic NS
Autonomic NS pathway is a 2 neuron

pathway
Somatic NS pathway only contains one neuron.

Autonomic versus Somatic NSAutonomic NS pathway is a 2 neuron pathway Somatic NS pathway only contains one

Слайд 5Basic Anatomy of ANS
Preganglionic neuron
cell body in brain or spinal

cord
axon is myelinated type B fiber that extends to

autonomic ganglion




Postganglionic neuron
cell body lies outside the CNS in an autonomic ganglion
axon is unmyelinated type C fiber that terminates in a visceral effector
Basic Anatomy of ANSPreganglionic neuroncell body in brain or spinal cord axon is myelinated type B fiber

Слайд 6Divisions of the ANS
2 major divisions
parasympathetic
sympathetic

Dual innervation
one speeds up organ
one

slows down organ
Sympathetic NS increases heart rate
Parasympathetic NS decreases heart

rate
Divisions of the ANS2 major divisionsparasympatheticsympatheticDual innervationone speeds up organone slows down organSympathetic NS increases heart rateParasympathetic

Слайд 7Autonomic Nervous System
Overview
Anatomy
Neurotransmitter
Physiology

Autonomic Nervous SystemOverviewAnatomyNeurotransmitterPhysiology

Слайд 8Sources of Dual Innervation
Sympathetic (thoracolumbar) division
preganglionic cell bodies in thoracic

and first 2 lumbar segments of spinal cord

Parasympathetic (craniosacral) division
preganglionic

cell bodies in nuclei of 4 cranial nerves and the sacral spinal cord
Sources of Dual InnervationSympathetic (thoracolumbar) divisionpreganglionic cell bodies in thoracic and first 2 lumbar segments of spinal

Слайд 9Locations of Autonomic Ganglia
Sympathetic Ganglia
trunk (chain) ganglia near vertebral bodies
prevertebral

ganglia near large blood vessel in gut
celiac
superior mesenteric
inferior mesenteric
Parasympathetic

Ganglia
terminal ganglia in wall of organ
Locations of Autonomic GangliaSympathetic Gangliatrunk (chain) ganglia near vertebral bodiesprevertebral ganglia near large blood vessel in gutceliac

Слайд 10Autonomic Plexuses
Cardiac plexus
Pulmonary plexus
Celiac (solar) plexus
Superior mesenteric
Inferior mesenteric
Hypogastric

Autonomic PlexusesCardiac plexusPulmonary plexusCeliac (solar) plexusSuperior mesentericInferior mesentericHypogastric

Слайд 11Structures of Sympathetic NS
Preganglionic cell bodies at T1 to L2
Rami

communicantes
white ramus = myelinated = preganglionic fibers
gray ramus = unmyelinated

= postganglionic fibers
Postganglionic cell bodies
sympathetic chain ganglia along the spinal column
prevertebral ganglia at a distance from spinal cord
celiac ganglion
superior mesenteric ganglion
inferior mesenteric ganglion
Structures of Sympathetic NSPreganglionic cell bodies at T1 to L2Rami communicanteswhite ramus = myelinated = preganglionic fibersgray

Слайд 12Ganglia & Plexuses of Sympathetic NS

Ganglia & Plexuses of Sympathetic NS

Слайд 13Pathways of Sympathetic Fibers
Spinal nerve route
out same level
Sympathetic chain route
up

chain & out spinal n
Collateral ganglion route
out splanchnic n to

collateral ganglion
Pathways of Sympathetic FibersSpinal nerve routeout same levelSympathetic chain routeup chain & out spinal nCollateral ganglion routeout

Слайд 14Organs Innervated by Sympathetic NS
Structures innervated by each spinal nerve
sweat

glands, arrector pili mm., blood vessels to skin & skeletal

mm.
Thoracic & cranial plexuses supply:
heart, lungs,esophagus & thoracic blood vessels
plexus around carotid artery to head structures
Splanchnic nerves to prevertebral ganglia supply:
GI tract from stomach to rectum, urinary & reproductive organs
Organs Innervated by Sympathetic NSStructures innervated by each spinal nervesweat glands, arrector pili mm., blood vessels to

Слайд 15Circuitry of Sympathetic NS
Divergence = each preganglionic cell synapses on

many postganglionic cells
Mass activation due to divergence
multiple target organs
fight or

flight response explained
Adrenal gland
modified cluster of postganglionic cell bodies that release epinephrine & norepinephrine into blood
Circuitry of Sympathetic NSDivergence = each preganglionic cell synapses on many postganglionic cellsMass activation due to divergencemultiple

Слайд 16Anatomy of Parasympathetic NS
Preganglionic cell bodies found in
4 cranial

nerve nuclei in brainstem
S2 to S4 spinal cord
Postganglionic

cell bodies very near or in the wall of the target organ in a terminal ganglia
Anatomy of Parasympathetic NSPreganglionic cell bodies found in 4 cranial nerve nuclei in brainstem S2 to S4

Слайд 17Parasympathetic Cranial Nerves
Oculomotor nerve
ciliary ganglion in orbit
ciliary muscle & pupillary

constrictor muscle inside eyeball
Facial nerve
pterygopalatine and submandibular ganglions
supply tears, salivary

& nasal secretions
Glossopharyngeal
otic ganglion supplies parotid salivary gland
Vagus nerve
many brs supply heart, pulmonary and GI tract as far as the midpoint of the colon
Parasympathetic Cranial NervesOculomotor nerveciliary ganglion in orbitciliary muscle & pupillary constrictor muscle inside eyeballFacial nervepterygopalatine and submandibular

Слайд 18Parasympathetic Sacral Nerve Fibers
Form pelvic splanchnic nerves
Preganglionic fibers end

on terminal ganglia in walls of target organs
Innervate smooth muscle

and glands in colon, ureters, bladder & reproductive organs
Parasympathetic Sacral Nerve FibersForm pelvic splanchnic nerves Preganglionic fibers end on terminal ganglia in walls of target

Слайд 19ANS Neurotransmitters
Classified as either cholinergic or adrenergic neurons based upon

the neurotransmitter released

Adrenergic


Cholinergic

ANS NeurotransmittersClassified as either cholinergic or adrenergic neurons based upon the neurotransmitter releasedAdrenergicCholinergic

Слайд 20Parasympathetic
Cholinergic neurons release acetylcholine from preganglionic neurons & from parasympathetic

postganglionic neurons

Action: Excites or inhibits depending upon receptor type and

organ involved

Receptor:
Nicotinic receptors are found on dendrites & cell bodies of autonomic NS cells and at NMJ
Muscarinic receptors are found on plasma membranes of all parasympathetic effectors
ParasympatheticCholinergic neurons release acetylcholine from preganglionic neurons & from parasympathetic postganglionic neuronsAction: Excites or inhibits depending upon

Слайд 21Sympathetic
Adrenergic neurons release norepinephrine (NE) from postganglionic sympathetic neurons only

Action:

Excites or inhibits organs depending on receptors

Receptor:
Alpha1 and Beta1 receptors

produce excitation
Alpha2 and Beta2 receptors cause inhibition
Beta3 receptors (brown fat) increase thermogenesis
NE lingers at the synapse until enzymatically inactivated by monoamine oxidase (MAO) or catechol-O-methyltransferase (COMT)
SympatheticAdrenergic neurons release norepinephrine (NE) from postganglionic sympathetic neurons onlyAction: Excites or inhibits organs depending on receptorsReceptor:Alpha1

Слайд 22Autonomic Nervous System
Overview
Anatomy
Physiology
Hypothalamus
Sympathetic
Parasympathetic

Autonomic Nervous SystemOverviewAnatomyPhysiologyHypothalamusSympatheticParasympathetic

Слайд 23Physiological Effects of the ANS
Hypothalamus
Some organs have only sympathetic innervation
sweat

glands, adrenal medulla, arrector pili mm & many blood vessels


controlled by regulation of the “tone” of the sympathetic system

Most body organs receive dual innervation
innervation by both sympathetic & parasympathetic
Hypothalamus regulates balance (tone) between sympathetic and parasympathetic activity levels

Physiological Effects of the ANSHypothalamusSome organs have only sympathetic innervationsweat glands, adrenal medulla, arrector pili mm &

Слайд 24Sympathetic Responses
Dominance by the sympathetic system is caused by physical

or emotional stress -- “E situations”
emergency, embarrassment, excitement, exercise
Alarm

reaction = flight or fight response
dilation of pupils
increase of heart rate, force of contraction & BP
decrease in blood flow to nonessential organs
increase in blood flow to skeletal & cardiac muscle
airways dilate & respiratory rate increases
blood glucose level increase
Long lasting due to lingering of NE in synaptic gap and release of norepinephrine by the adrenal gland
Sympathetic ResponsesDominance by the sympathetic system is caused by physical or emotional stress -- “E situations”emergency, embarrassment,

Слайд 25Parasympathetic Responses
Enhance “rest-and-digest” activities
Mechanisms that help conserve and restore body

energy during times of rest
Normally dominate over sympathetic impulses
SLUDD type

responses = salivation, lacrimation, urination, digestion & defecation
3 “decreases”--- decreased HR, diameter of airways and diameter of pupil
Paradoxical fear when there is no escape route or no way to win
causes massive activation of parasympathetic division
loss of control over urination and defecation
Parasympathetic ResponsesEnhance “rest-and-digest” activitiesMechanisms that help conserve and restore body energy during times of restNormally dominate over

Слайд 26Comparison
CVS: Heart
CVS: Veins
Resp: Bronchioles
GIT: Stomach
and Intestines
GIT: Liver
GIT: Gall

Bladder
UT: Kidney
UT: Urinary Bladder
Repro: Sex Organs
Sympathetic

Increase HR
Constriction

Dilation











Ejaculation
Parasympathetic






Increase motility

Glycogenesis

Contraction

Diuresis

Contraction/ urination

Erection










Repro: Sex

Organs
ComparisonCVS: HeartCVS: VeinsResp: BronchiolesGIT: Stomach  and IntestinesGIT: LiverGIT: Gall BladderUT: KidneyUT: Urinary BladderRepro: Sex OrgansSympatheticIncrease HRConstrictionDilationEjaculationParasympatheticIncrease

Слайд 27Autonomic or Visceral Reflexes
Autonomic reflexes occur over autonomic reflex arcs.

Components of that reflex arc:
sensory receptor
sensory neuron
integrating center
pre & postganglionic

motor neurons
visceral effectors
Unconscious sensations and responses
changes in blood pressure, digestive functions etc
filling & emptying of bladder or defecation
Autonomic or Visceral ReflexesAutonomic reflexes occur over autonomic reflex arcs. Components of that reflex arc:sensory receptorsensory neuronintegrating

Слайд 28Control of Autonomic NS
Not aware of autonomic responses because control

center is in lower regions of the brain
Hypothalamus is major

control center
input: emotions and visceral sensory information
smell, taste, temperature, osmolarity of blood, etc
output: to nuclei in brainstem and spinal cord
posterior & lateral portions control sympathetic NS
increase heart rate, inhibition GI tract, increase temperature
anterior & medial portions control parasympathetic NS
decrease in heart rate, lower blood pressure, increased GI tract secretion and mobility
Control of Autonomic NSNot aware of autonomic responses because control center is in lower regions of the

Слайд 29Autonomic Dysreflexia
Exaggerated response of sympathetic NS in cases of spinal

cord injury above T6
Certain sensory impulses trigger mass stimulation of

sympathetic nerves below the injury
Result
vasoconstriction which elevates blood pressure
parasympathetic NS tries to compensate by slowing heart rate & dilating blood vessels above the injury
pounding headaches, sweating warm skin above the injury and cool dry skin below
can cause seizures, strokes & heart attacka
Autonomic DysreflexiaExaggerated response of sympathetic NS in cases of spinal cord injury above T6Certain sensory impulses trigger

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