Autonomic Targets. Review (again) Efferent Peripheral NS: The Autonomic & Somatic Motor Divisions

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Transcription:

Review (again) Efferent Peripheral NS: The Autonomic & Somatic Motor Divisions Running Problem: Smoking Homeostasis and the Autonomic Division BP, HR, Resp., H 2 O balance, Temp... Mostly dual reciprocal innervation i.e., agonist/antagonist or excitatory/inhibitory Sympathetic: AKA Thoracolumbar flight-or or-fight Parasympathetic: AKA Craniosacral rest and digest Autonomic Targets Smooth Muscle Cardiac Muscle Exocrine Glands Some Endocrine glands Lymphoid Tissue Adipose Autonomic pathway: Two Efferent Neurons in Series Preganglionic neuron cell body in CNS Synapse in autonomic ganglion outside CNS (often divergence!) Postganglionic neurons target cells = Thoracolumbar division (T1 to L2) Preganglionic neurons ()from thoracolumbar region of spinal cord Pre and paravertebral ganglia Long postganglionic neurins () secrete NE onto adrenergic receptors

Most Common Autonomic NTs: = Craniosacral Division Long preganglionic axons from brain & S2- S4 Intramural ganglia Postganglionic (nonmyelinated) neurons secrete ACh onto cholinergic muscarinic receptors Acetylcholine (ACh( ACh) ACh neurons & ACh receptors are called cholinergic (nicotinic or muscarinic). Located at autonomic preganglionic & para-sympathetic postganglionic synapses Norepinephrine (NE) NE neurons & receptors are called (nor) adrenergic (α( and β). Located at sympathetic postganglionic synapses Fig 11-7 NTs of Autonomic NS Compare to Fig 11-7 α and β Neuroeffector Junction = Synapse between postganglionic cell and target Most are different from model synapse (compare to Fig 8-20, 8 p. 270) ANS synapse: axon has varicosities containing neurotransmitter May supply many cells, resulting in less specific communication Synthesis of NT is in the varicosity Fig 11-8 Summary: Pre- & Postganglionic Parasympathetic Neurons Release ACh Two Types of Cholinergic Receptors: Nicotinic and Muscarinic 1) Nicotinic cholinergic receptor nicotinic muscarinic Receptors 1. Nicotine = agonist 2. In autonomic ganglia & somatic NS 3. Directly opens a Na + & K + channel:? 4. Curare = antagonist

2) Muscarinic receptor Muscarine = agonist Found in neuro-effector effector junctions of parasympathetic branch G-protein coupled mechanisms Atropine = antagonist cholinergic Amanita muscarina Muscarinic ACh are G-protein G Mediated Receptor Mechanism of Sweat Glands: Also some 2 nd messenger mechanisms Adrenergic Receptors NE Action Found in neuroeffector junctions of sympathetic branch G protein linked, with various 2 nd mess. Mech NT is NE α- and β- Receptors Sympathetic Receptors α Receptors: NT is NE (most common) Excitation [Ca2+] In muscle contraction or secretion by exocytosis. Inhibition of GI tract and pancreas β Receptors Clinically more important β 1 Excitation heart ([E] = [NE]) β - blockers = Antagonists (e.g.: Propranolol) β 2 usually inhibitory: : smooth muscle relaxation of some blood vessels and bronchioles ([E] > [NE]) β 3 Adipose; [NE]>[E] β -blockers = Antagonists (e.g.: Propranolol)

Termination of NT Activity Fig 8-22 Somatic Motor Division Pathway consists of single neuron from CNS to target Neuromuscular junction: nicotinic cholinergic receptors ACh: ACh esterase Catecholamine reuptake repackaging degradation (MAO) Blocked by cocaine Fig 11-9 Similar to synapse; post synaptic membrant called Motor End Plate Recall Motor Unit Always excitatory muscle contracts All Ach mediated Degraded by Ach esterase Fig 11-13 Myasthenia gravis Direct (Ant)agonist( = mimic or block the NT receptor (Ant)agonist = mimic or block secretion, reuptake or degradation of NT MG: Antibodies block, alter, or destroy the receptors for acetylcholine at the neuromuscular junction Direct Antagonists Atropine muscarinic Curare nicotinic Propranolol β 1 and β 2 Metoprolol β 1 Strychnos Toxifera (Curare) from Koehler's Medicinal- Plants 1887 Indirect (Ant)agonists( Botulinum toxin inhibits ACh release Parathion, malathion organophosphate insecticides inhibit AChE (anticholinesterases) Cocaine prevents NE reuptake Amphetamines stimulates NE release

Summary of Efferent NS