The peripheral nervous system Flashcards

1
Q

What are the functions of the autonomic nervous system ?

A

Controls:

  • Smooth muscle (git and vascular)
  • Exocrine function
  • Rate (chronotropic) and force (inotropic) of heart
  • Metabolic processes (glucose use)
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2
Q

Where in the spinal cord to sympathetic neurons originate ?

What about parasympathetic neurons ?

A

Sympathetic region = T1 - L2

Parasympathetic region = cranial nerves + S2 - S4

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3
Q

What are the characteristics of sympathetic Vs parasympathetic fibers ?

A

Sympathetic fibers :
- short pre-ganglionic neurons, clustered in paravertebral ganglionic chain, long post-ganglionic neurons
Parasympathetic fibers :
- all cranial nerves (except vagus X) –> short pre-synaptic neurons and long postsynaptic neurons
- S2-S4 region + vagus nerve –> long pre-ganglionic neurons, ganglion often in the wall of the innervated organ

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4
Q

What are the effects of parasympathetic stimulation ?

A
  • salivary flow
  • slowing of heartbeat
  • constriction of bronchi
  • stimulation of peristalsis and secretion
  • release of bile
  • contraction of bladder
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5
Q

What are the effects of sympathetic stimulation ?

A
  • pupil dilation
  • inhibition of saliva flow
  • acceleration of heartbeat
  • dilation of bronchi
  • inhibition of peristalsis and secretion
  • conversion of glycogen to glucose
  • secretion of AD and NA
  • inhibition of bladder contraction
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6
Q

What are the consequences pf the activation of the myenteric plexus ?

A
  • increase in tonic contraction
  • increase in intensity of rhythmic contractions
  • increase in rate of rhythmic contractions
  • increases velocity of conduction
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7
Q

What are the consequences of the activation of the submucosal plexus ?

A
  • increase in secretory activity

- modulation of intestinal absorption

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8
Q

What are the NTs used in the ANS ?

A

PNS = ACh on nAChRs –> ACh on mAChRs
SNS = ACh on nAChRs –> NA or
ACh on nAChRs –> AD (in adrenal medulla)

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9
Q

What receptor are present in the parasympathetic system ?

A
  • ACh at ganglion
  • Fast nicotinic
  • ACh at target
  • Slow muscarinic receptors
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10
Q

What receptor are present in the sympathetic system ?

A
  • ACh at ganglion
  • Fast nicotinic
  • NA at target
  • Slow alpha & beta receptors
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11
Q

What molecules are co-transmitted along with ACh at the ganglia ?

A

ACh causes fast depolarization
LHRH can be co-released to cause slow depolarization
Opioid peptides can be co-released can be c-released to cause slow hyper-polarization

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12
Q

In the parasympathetic system, what receptors are found in :
- the GI tract ?
- the bladder ?
- on the X nerve ?
- at sweat glands ?
What effect do they have when stimulated ?

A

M1 –> GI tract + bladder, +ve effect
M2 –> Vagus X nerve, autoreceptor, -ve effect
M3 –> Sweat glands, +ve effect

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13
Q

What molecules can be co-transmitted along w/ ACh at parasympathetic targets ?

A

peptides, such as VIP (Vasoactive Intestinal Peptide), SP (Substance P)

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14
Q

In the sympathetic system, what receptors are found in :
- the GI tract ?
- blood vessels ?
- the bladder ?
- the CNS ?
- the heart ?
What effect do they have when stimulated ?

A
GIT --> alpha-1 (+ve) and beta-2 (-ve)
Blood vessel --> alpha-1 (+ve)
Bladder --> alpha-1 (+ve)
CNS --> alpha-2 (autoreceptor, -ve)
Heart --> beta-1 (+ve)
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15
Q

What molecule can be co-released along with NA at sympathetic targets ?

A

ATP, causes fast depolarization.

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16
Q

How is NO synthesized ?

How is it used in different tissues ?

A

In the endothelium, arginine is converted to NO by NOS (NO synthase), then :

  • in the platelets, NO contributes to platelet inhibition (GTP in converted to cGMP by guanylyl cyclase, which is activated bu NO)
  • in red blood cells, NO is metabolized in the reaction NO + Hb-O2 –> metHb + NO3-
  • NO also contributes to the formation of peroxynitrite in the reaction NO + O2- –> ONOO-
  • in smooth muscle NO activates sGC which converts GT to cGMP, which causes relaxation
17
Q

What are the NT released in the enteric nervous system ?

A

5-HT, DA, GABA and SP