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بسم الله الرحمن الرحيم. Autonomic Nervous System-II. Dr.Mohammed Sharique Ahmed Quadri Assistant prof. Physiology Al Maarefa College. Preganglionic sympathetic as well as parasympathetic are known as cholinergic as they secret acetylcholine.
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بسم الله الرحمن الرحيم Autonomic Nervous System-II Dr.Mohammed Sharique Ahmed Quadri Assistant prof. Physiology Al Maarefa College
Preganglionic sympathetic as well as parasympathetic are known as cholinergic as they secret acetylcholine. • Post ganglionic sympathetic fibers are known as adrenergic as they secret norepinephrine (except fibers to sweat gland & blood vessels of skeletal muscle, they are cholinergic) • Post ganglionic parasympathetic fibers are known as cholinergic as they secret acetylcholine.
Autonomic Neurotransmitter Receptors • Tissues innervated by autonomic nervous system have one or more of several different receptor types for postganglionic chemical messengers • Cholinergic receptors – bind to Ach -2 types • Nicotinic receptors – found on postganglionic cell bodies of all autonomic ganglia • Muscarinic receptors – found on effector cell membranes • Andrenergic receptors – bind to norepinephrine and epinephrine • Alpha (α) receptors • Beta (β) receptors
NICOTINIC RECEPTORS (PREGANGLIONIC) • ACTIVATED BY ACETYL CHOLINE ENDOGENOUSLY AND NICOTINE EXOGENOUSLY • BLOCKED BY CURARE AND HEXAMETHONIUM
MUSCARINIC RECEPTORS (POSTGANGLIONIC) • ACTIVATED BY ACETYL CHOLINE ENDOGENOUSLY AND MUSCARINE EXOGENOUSLY • BLOCKED BY ATROPINE
Properties of cholinergic receptors • Nicotinic receptors: binding of Ach to these receptors initiates opening of non specific cation channels . • Muscarinic receptors : binding of Ach initiates G protein linked receptors pathways , depending on effector organ.
Properties of adrenergic receptors • α1 & α2 receptors have greater sensitivity to norepinephrine • β2 receptors binds exclusively with epinephrine • β1 receptors have equal affinity for epinephrine and norepinephrine • All adrenergic receptors are linked to G protein • Activation of β1 & β2 activates cAMP • Activation of α1 activates IP3 /Ca2+ • Activation of α2 inhibits cAMP in target cells
In general α1 excitatory β1 α2 inhibitory β2
Functions of the sympathetic NS • sympathetic NSis characterized by: • It discharges during emergency and stress( fight and flight reaction). • It acts as one unit(generalized action). • It has catabolic action. • Delays evacuationof visceral content.
Functions of the parasympathetic NS Parasympathetic NSis characterized by: • It discharges during rest and sleep. • Its action is localized. • It has anabolic action (conserve body stores ). • It increases gastrointestinal secretion & motility i.e. secretomotor.
Structures supplied only by sympathetic nervous system: • Skin • Sweat glands (sympathetic cholinergic) • Piloerector muscle. • Blood vessels all over the body except the penis & clitoris . • Dilator papillae muscle. • Blood vessels of the skeletal muscles • Adrenal medulla. • Capsule of the spleen .
Structures supplied only by Parasympathetic nervous system: • Constrictor papillae muscle.
Autonomic agonist and antagonist • Agonist : Binds to neurotransmitter’s receptor and causes the same response as neurotransmitter would. • E.g. Salbutamol β2 agonist ( bronchodilator) • Antagonist : Binds with the receptor preventing the neurotransmitter from binding and causing a response. • E.g. atropine blocks the effect of Ach on muscarinic receptors ( blocks the parasympathetic effect). Use to suppress the salivary and bronchial secretion before surgery • Metaprolol selectively blocks the β1 receptors use for treating blood pressure(β1 in heart )
Regions of CNS Involved in Control of Autonomic Activities • Hypothalamus plays important role in integrating autonomic, somatic, and endocrine responses that automatically accompany various emotional and behavioral states • Medulla within brain stem is region directly responsible for autonomic output( cardiovascular & respiratory centers) • Some autonomic reflexes, such as urination, defecation, and erection, are integrated at spinal cord level
References • Human physiology by Lauralee Sherwood, seventh edition • Text book physiology by Guyton &Hall,11th edition • Text book of physiology by Linda .s contanzo,third edition