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Autonomic nervous system

  • The autonomic nervous system (ANS) controls the bodies internal environment
  • It is important in the process of homeostasis
  • Helps control the heart rate, blood pressure, digestion, respiration, blood pH and other bodily functions
  • These controls are done automatically below the conscious level
  • The hypothalamus has important role in co-ordinating autonomic function
  • In the ANS there are two nerves between the central nervous system (CNS) and the end organ
  • The nerve cell bodies for the second nerve are organized into ganglia
  • The ANS effects its function via neural transmission as follows:
    • Central nervous system
    • Preganglionic nerve
    • Ganglion
    • Postganglionic nerve
    • End organ
  • At each junction neurotransmitters are released
  • The ANS has two divisions that differ in anatomy and function

Sympathetic nervous system

  • The sympathetic nerves come from the thoracic and lumbar regions of the spinal cord
  • The preganglionic nerves are short and synapse in paired ganglia adjacent to the spinal cord
  • The adrenal medulla, technically an endocrine gland, is functionally a part of the sympathetic nervous system
  • Acetylcholine is the neurotransmitter released from the preganglionic neurone
  • Noradrenaline is the neurotransmitter released from the postganglionic neurone
  • The sympathetic nervous system is the "fight or flight" branch of the ANS
  • Emergency situations are handled by the sympathetic system
  • The sympathetic system increases cardiac output and pulmonary ventilation, routes blood to the muscles, raises blood glucose and slows down digestion, kidney filtration and other functions not needed during emergencies
  • The adrenal medulla behaves like a combined autonomic ganglion and postsynaptic sympathetic nerve
  • Releases both adrenaline (80%) and noradrenaline (20%)

Parasympathetic nervous system

  • Parasympathetic nerves come from the cranial and sacral regions of the CNS
  • The cranial nerves involved are III, VII, IX, X
  • They have long preganglionic nerves which synapse at ganglia near or on the organ innervated
  • Acetylcholine is the neurotransmitter released from both  the pre and postganglionic neurones
  • The parasympathetic nervous system is the "rest and digest" branch of the ANS
  • The parasympathetic system promotes normal maintenance of the body
  • It promotes secretions and mobility of different parts of the digestive tract
  • Also involved in urination, defecation.

Autonomic receptors

  • There are multiple types of receptors in the autonomic nervous system
  • For the sympathetic system the major receptor types are alpha and beta
  • These are subdivided into alpha-, alpha-2, beta-1 and beta-2
  • The parasympathetic system has nicotinic and muscarinic receptors
  • Receptors subtypes are not evenly distributed throughout the body
  • Adrenergic receptors:
    • Usually stimulated by noradrenaline or adrenaline
    • Alpha-1 type is found in the smooth muscle of most arterioles and in sphincter muscles of the GI tract and bladder
    • Alpha-2 type is found in presynaptic nerves and parts of the GI tract
    • Beta-1 type is the dominant type in the heart
    • Beta-2 type is found in the bronchioles of the lung, the wall muscles of the bladder and other locations
  • Cholinergic receptors:
    • Usually stimulated by acetylcholine
    • Nicotinic types are found in autonomic ganglia
    • These receptors are different nicotinic receptor found in neuromuscular junctions
    • Muscarinic types are found on all organs with parasympathetic nerves

Actions of the ANS

  • The sympathetic and parasympathetic systems often have opposing actions on the same organ
  • Some examples of autonomic functions are as follows
  Sympathetic Parasympathetic
Eye Iris dilates Iris constricts
Heart Increased heart rate Decreased heart rate
Bronchioles Bronchodilatation Bronchoconstriction
Bladder Sphincter constricts Sphincter relaxes
  Detrusor muscle relaxes Detrusor muscle contracts
Intestine Secretions decrease Secretions increase
  Motility decreases Motility increases
Rectum Sphincter relaxes Sphincter constricts
  Muscle wall contracts Muscle wall relaxes

Author:  Dr Shakeeb Khan

 

 
 

Last updated: 05 January 2008

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