Upload
madison
View
104
Download
0
Embed Size (px)
DESCRIPTION
Introduction to the Autonomic Nervous System. George Howell III, Ph.D. Nervous system hierarchy. Enteric Nervous System. Autonomic nervous system. Independent – activities are not under direct conscious control (autonomic = automatic) - PowerPoint PPT Presentation
Citation preview
Introduction to the Autonomic Nervous System
George Howell III, Ph.D
Nervous system hierarchy
Enteric Nervous System
Autonomic nervous system
• Independent – activities are not under direct conscious control (autonomic = automatic)
• Divided into parasympathetic, sympathetic, and sometimes ENS on an anatomical basis
• Parasympathetic vs sympathetic divisions– Origin – IML vs CNS nuclei– Ganglia – paravertebral and prevertebral vs ganglia
at target organ– Primary neurotransmitters – Ach vs NE
Origination of the PNSWhat’s missing??
Synapses of the PNS
Synaptic transmission
1. Synthesis of neurotransmitter from precursors
2. Action potential spreading depolarization
3. Activation of VGCa+ channels4. Ca+ dependent fusion of
neurotransmitter containing vesicles with plasma membrane
5. Release of transmitters into cleft and binding to postsynaptic receptors
6. Termination of transmitter action via degradation or reuptake in presynaptic
7. Activation of postsynaptic cell
Major neurotransmitters of the ANS
• Acetylcholine (Ach)– Fibers using Ach are cholinergic fibers– Almost all fibers leaving CNS are cholinergic– Major transmitter of preganglionic fibers (sympathetic and
parasympathetic)– Major transmitter of parasympathetic postganglionic synapse and Nm
junction• Some parasympathetic postganglionics use peptides and NO as modulators
– Nicotinic and muscarinic receptors• Norepinephrine (NE)
– Fibers using NE are adrenergic fibers– Major transmitter at sympathetic postganglionic synapse
• Some sympathetic postganglionics use Ach– Adrenergic receptors
• Alpha and beta
Other neurotransmitters of the ANS
• Dopamine– Modulator in some ganglia and ENS– Sympathetic transmitter in renal
blood vessels• Serotonin
– Excitatory in ENS• GABA
– Inhibitory • Substance P
– Sensory neurotransmitter– Excitatory with Ach at Nm junction,
vasodilator due to NO release, nociception at peripheral nerve synapses
• Vasoactive intestinal peptide– Excitatory secretomotor transmitter
in ENS, vasodilator, cardiac stimulant
• Adenosine triphosphate (ATP)– Transmitter or cotransmitter at ANS
effector synapses
• Enkephalins and other endogenous opioids– Inhibitory effect on secretomotor
interneurons in ENS, inhibit peristalsis, stimulate secretion
• Gastrin releasing peptide (GRP)– Promotes gastrin release from G cells in
stomach
• Neuropeptide Y• Nitric oxide (NO)
– Synthesized on demand by NOS…..not stored
– Vasodilation
Cholinergic synapse • Synthesis of acetylcholine– Choline is taken up into presynaptic cell by
Na+ dependent choline transporter (rate limiting step)
– Acetyl CoA + choline = acetylcholine• Catalyzed by choline acetyltransferase
– Transported into vesicles by vesicle associated transporter (VAT)• Other cotransmitters are also stored in vesicle
• Vesicular release– v-SNAREs (synaptobrevin; subgroup of
VAMPs) bind with t-SNAREs (SNAPs; syntaxin and SNAP-25) to mediate vesicular fusion• Ca+ dependent• Blocked by botulinum toxin
• Presynaptic and postsynaptic responses to Ach (muscarinic and nicotinic receptors)– Presynaptic receptors – auto and
heteroreceptors
• Acetylcholinesterase mediated degradation– Acetylcholine to choline + acetate– Terminates action of acetylcholine in cleft
Cholinergic receptor subtypes and actionsNicotinic
• Ligand gated Na+ channels
• Directly mediate depolarization in excitable cells
• Two subtypes: neuronal (Nn) and muscular (Nm)
Muscarinic• GPCRs• 5 subtypes• M1, 3, 5 are
coupled to Gq G-proteins
• M2, 4 are coupled to Gi G-proteins
Role of each cholinoceptor at autonomic ganglia
• Nn – milliseconds– Excitatory postsynaptic potential (EPSP)– Temporal or spacial summation leads to AP
• M2 – seconds– Inhibitory postsynaptic potential (IPSP)– Follows AP– Mediated by opening of K+ channels
• M1 – seconds – Slow EPSP by closing K+ channels– Follows IPSP
• Peptides – minutes– Late, slow EPSP– Modulates response of postsynaptic cell to subsequent inputs
Adrenergic synapse
• Synthesis of NE• Vesicular transport
• VMAT• Dopamine converted to
NE in vesicle
• Neurotransmitter release• Vesicular fusion similar
to that of the cholinergic synapse
• Neurotransmitter actions• Postsynaptic and
presynaptic receptors• Transmitter reuptake
• NET and DAT terminate neurotransmitter action
Adrenergic receptor subtypes and actions
Alpha• GPCRs• Two subtypes• A1 – Gq protein
coupled• A2 – Gi protein
coupled
Beta• GPCRs• Three subtypes• B1-3 – Gs
protein coupled
Autonomic regulation of organ systems
Autonomic regulation of cardiovascular function
Baroreceptor reflex• Increase in MAP
• Increased baroreceptor firing
• Increase parasympathetic tone
• Decrease sympathatic tone
• Decrease in MAP• Decreased
baroreceptor firing
• Decrease parasympathetic tone
• Increase sympathetic tone
Enteric Nervous System
• Large and highly organized system of neurons located in the walls of the gastrointestinal system
• It is often considered a third division of the autonomic nervous system
• Includes the myenteric plexus (of Auerbach) and the submucous plexus (of Meissner)
Enteric nervous system
Myenteric plexus
Submucosal plexus
Longitudinal muscle
Circular muscle layer
Parasympathetic
• Walls constricted and sphincters relaxed via M3
• Secretions increased via M3
Autonomic regulation of structures associated with the eye
Dominant tone = Parasympathetic
Iris radial – contracted via alpha-1
Iris circular – contracted via M3
Ciliary muscle – contracted via M3
Regulation of the heart
Dominant tone = parasympathetic
Sympathetic
Increases heart rate and contractility via beta-1 and 2 (primarily beta-1)
Parasympathetic
Decreases heart rate and atrial contractility via M2
Regulation of the blood vessels
Veins
Dominant tone = parasympathetic
Arterioles/arteries
Dominant tone = sympathetic
Contraction via alpha1
Relaxation via beta-2
Regulation of the liver
• Sympathetic– Increase gluconeogenesis and glycogenolysis– Provide glucose to fuel “flight or fight” response– Primarily beta-2, possibly alpha-1
Control of stomach acid
Parasympathetic
• Increase histamine release from ECL cell via M3
• Increase H+ production from parietal cell in fundus via M3
• Decrease somatostatin release from D cell in antrum• Increases
gastrin release from G cell
Regulation of the bladder
Parasympathetic
• Bladder wall– Constriction via M3– Relaxation via beta-2
• Sphincter– Relaxation via M3– Constriction via alpha-
1
Glandular secretionSweat
Salivary
Appocrine – increased via alpha-1Eccrine – increased via M
Increased via M3
Lacrimal gland (tear production) – increased via M
Predominant tones of major organ systems
• Heart - parasympathetic• Arterioles/arteries - sympathetic• Veins - sympathetic• Iris - parasympathetic• Ciliary muscle - parasympathetic• GI tract (ENS) - parasympathetic• Smooth muscle - parasympathetic• Bladder - parasympathetic• Sweat glands - sympathetic• Salivary glands – parasympathetic• Lacrimal glands – parasympathetic
Physiological effects of autonomic innervation and receptors that govern the effect
Parasympathetic Sympathetic• Contracts the ciliary muscle
via M-3• Decelerates the sinoatrial
node via M-2• Decreases heart contractility
via M-2• Releases EDRF in the
endothelium via M-3, M-5• Contracts bronchiolar
smooth muscle via M-3• Contracts GI walls via M-3• Relaxes GI sphincters via M-3• Increases GI secretions via
M-3• Contracts the uterus via M-3• Causes erection of the penis
via M
• Contracts the iris radial muscle via alpha-1• Relaxes the ciliary muscle via beta• Accelerates the sinoatrial node via beta-1,2• Accelerates ectopic pacemakers via beta-1,2• Increases cardiac contractility via beta-1,2• Relaxes bronchiolar smooth muscle via beta-2• Relaxes GI walls via alpha-2, beta-2• Contracts GI sphincters via alpha-1• Relaxes bladder wall via beta-2• Contracts bladder sphincter via alpha-1• Contracts uterus via alpha, relaxes uterus via
beta-2• Contracts pilomotor smooth muscle via alpha• Activates sweat glands via alpha, M• Increases gluconeogenesis and glycogenolysis
in liver via beta-2 and alpha• Induces lipolysis via beta-2• Increases renin release from kidney via beta-1