Autonomics II: Dr. Gloria Roque

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Autonomics II

Dr. Gloria Roque


Physiological Differences
Summary of FUNCTIONAL DIFFERENCES between
sympathetic and parasympathetic divisions of ANS
Sympathetic Parasympathetic
Division Division
(a) General description of Preparation for emergency Conservation and
effect on organ response or stress situations fight or restoration of bodys
flight resources
(b) Localization of Widespread regions of body Localized effects
responses affected mass discharge
(c) Duration of responses sustained short

Why diffuse sympathetic responses?


Ratio of Pre: Post (Symp) = 1:20

Why localized responses in Para?


Ratio of Pre: Post = 1:1 (except vagus)
Autonomic Innervation
Dual innervation with antagonistic
effects
The Heart
S P - in tone both S & P are sending impulses
+ - at the same time
- Para inhibits
- Symp accelerates

+ Para cardiac activity

+ Symp cardiac activity

Cut Para HR
Cut Symp HR
Cut both HR
Autonomic Innervation
Dual innervation with antagonistic effects
The GIT

S P

1. Walls (-) (+)

2. Sphincters (+) (-)

3. Glands (-) (+)


Autonomic Innervation
Dual innervation opposite effects
because Symp and Para innervate
different structures in same organ
The IRIS
S P - Symp innervates radial fibers
+ S pupillary dilatation
+ -

- Para innervates circular fibers


+ P pupillary constriction
Autonomic Innervation
Dual Innervation with synergistic effects
The salivary glands
Symp Para

Slight in + +
Profuse salivation
salivation saliva watery
saliva Viscid

Salivary Glands
Single Innervation
Kidneys only Symp vasoconstriction
Adrenal Medulla only Symp secretion and release of
E and NE
Denervation Sensitivity
Denervation effector organ
develops sensitivity to NTA and
to chemical agents
Increased sensitivity greater in
postganglionic denervation
contributing factors
In the absence of nerve terminals no
reuptake of NTA
Ach E and MAO disappear no inactivation of
NTA
# and sensitivity of receptors
Autonomic Reflexes
Cardiovascular Reflexes
Ex. Sudden rise in ABP

More stimulation of pressoreceptor in carotid and aortic


sinuses

+ =
CIC VCC

HR Gen. vasodilation

CO TPR

ABP
Autonomic Reflexes
GIT Reflexes
Ex. -- Smell and sight of food secretion of saliva and
gastric secretion
-- Defecation
Intrarectal pressure mass peristalsis defecation
-- Gastrocolic reflex
Food in stomach mass peristalsis defecation

Other reflexes:
a. Micturition
b. Erection (Para)
c. Ejaculation (Symp)
d. Reflexes regulating pancreatic secretions
e. Gall Bladder emptying
f. Sweating
g. Blood glucose regulation
Autonomic Centers
There is hierarchy in the control
mechanisms
SPINAL CORD
Transection spinal shock
Characterized by: absence of reflexes both
autonomic and somatic below the level of
Transection; low BP; loss of sacral conditioned
reflexes.
MEDULLA OBLONGATA
Vital Centers cardiac center
- vasomotor center
- respiratory center
Other centers: vomiting / swallowing centers
Autonomic Centers
MIDBRAIN
Control of urinary bladder
Changes in skin resistance due to sweating or
vasomotor reaction
HYPOTHALAMUS
Is the head ganglion of ANS
PARA center ant. hypothalamus
SYMP center post. hypothalamus
Other centers: thermoregulatory center
appetite / satiety center
waking center
Regulates pituitary and endocrine glands
Autonomic Centers
LIMBIC SYSTEM
Concerned with motivation
Control of sexual behavior
Physical expression of rage and fear
CEREBRAL CORTEX
Concerned with affect of emotions
Refinement of control of ANS & SNS
Controls distribution of blood in various
parts of body
Pharmacological Differences
Between Symp. & Para. Divisions
AUTONOMIC DRUGS
Therapeutic and side-effects result directly
from their actions on NTA
4 General Categories of Autonomic Drugs
Based on 4 steps of chemical transmission
process
1.) Drugs which affect synthesis and storage of
(-) (+)
the neurohumor
(-) (+) 2.) Drugs which affect neurohumoral release
3.) Drugs which affect the interaction between
(-) (+)
neurohumoral and post-junctional receptors
4.) Drugs which affect neurohumoral
(+) (-)
deactivation
Pharmacological Differences
Between Symp. & Para. Divisions
Drugs called
Cholinergic Drugs
Adrenergic Drugs

A. Drugs that potentiate cholinergic effects


B. Drugs that block cholinergic effects
C. Drugs that potentiate adrenergic effects
D. Drugs that block adrenergic effects
The Enteric Nervous System
Intrinsic Intramural Plexus
Myenteric (Auerbachs) plexus
Between outer longitudinal and inner circular muscle
layers
Concerned with control of peristaltic activity
Meissners Plexus or Sub-Mucous Plexus
Between middle circular muscle layer and mucosa
Concerned with control of exocrine and endocrine
secretions of GIT cells

These plexuses are interconnected


Contain motor neurons innervate smooth muscle
Secretory neurons that regulate endocrine and exocrine
secretions in the mucosa
Sensory neurons respond to stretch, tonicity, glucose
or amino acids

Collectively: constitute enteric nervous system


The Enteric Nervous System
Dual Extrinsic Innervation
Parasympathetic cholinergic activity
generally increasing activity of intestinal
smooth muscle
Symp- adrenergic activity decreasing
motility but contraction of sphincters
The Enteric Nervous System
Gastric H2 Histamine Receptors

gastric H+ - K+ - ATPase can be inhibited by omeprazole

Muscarinic Receptors-
5 types:

M1 - abundant in the brain


M2 - Heart
M4 - Pancreas acinar and islets
M2M4 - smooth muscles
M3M5 - not yet characterized

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