The Autonomic Nervous System Chapter 15 Introduction The

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>The Autonomic Nervous System  Chapter 15 The Autonomic Nervous System Chapter 15

>Introduction The Autonomic Nervous System (ANS) is the system of motor neurons that innervate Introduction The Autonomic Nervous System (ANS) is the system of motor neurons that innervate the smooth muscle, cardiac muscle, and glands of the body By controlling these effectors, the ANS regulates such visceral functions as … Heart rate Blood pressure Digestion Urination

>Introduction The ANS is the general visceral motor division of the peripheral nervous system Introduction The ANS is the general visceral motor division of the peripheral nervous system and is distinct from the general somatic motor and brachial motor divisions which innervate skeletal muscles

>Introduction The general visceral sensory system continuously monitors the activities of the visceral organs Introduction The general visceral sensory system continuously monitors the activities of the visceral organs so that the autonomic motor neurons can make adjustments as necessary to ensure optimal performance of the visceral organs

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>Introduction The stability of our internal environment depends largely on the autonomic nervous system Introduction The stability of our internal environment depends largely on the autonomic nervous system Autonomic nervous system(ANS) receives signals from visceral organs The ANS makes adjustments as necessary to ensure optical support for body systems

>Comparison of ANS & PNS Recall that the somatic motor system innervates skeletal muscles Comparison of ANS & PNS Recall that the somatic motor system innervates skeletal muscles Each somatic motor neuron runs from the central nervous system all the way to the muscle being innervated, and that each motor unit consists of a single neuron plus the skeletal muscle cells it innervates Typical somatic motor axons are thick, heavily myelinated fibers that conduct nerve impulses rapidly

>Comparison of ANS & PNS Comparison of ANS & PNS

>Comparison of ANS & PNS In the somatic system Cell bodies are within the Comparison of ANS & PNS In the somatic system Cell bodies are within the central nervous system Axons extend to the muscles they serve Somatic motor fibers are thick, heavily myelinated Type A fibers that conduct impulses very rapidly

>Comparison of ANS & PNS In the autonomic nervous system The motor unit is Comparison of ANS & PNS In the autonomic nervous system The motor unit is a two neuron chain The cell body of the first neuron, the preganglionic neuron, resides in the brain or spinal cord Its axon, the preganglionic axon, synapses with the second motor neuron, the post- ganglionic neuron, in an autonomic ganglion outside the central nervous system The postganglionic axon then extends to the effector organ

>Comparison of ANS & PNS Compare the one motor neuron of the somatic motor Comparison of ANS & PNS Compare the one motor neuron of the somatic motor division with the two neuron chain of the autonomic nervous system

>Efferent Pathways and Ganglia Axons of most preganglionic neurons run from the CNS to Efferent Pathways and Ganglia Axons of most preganglionic neurons run from the CNS to synapse in a peripheral autonomic ganglion with a postganglionic neuron

>Efferent Pathways and Ganglia Axons of postganglionic neurons run from the ganglion to the Efferent Pathways and Ganglia Axons of postganglionic neurons run from the ganglion to the effectors (cardiac and smooth muscle fibers and glands)

>Efferent Pathways and Ganglia Preganglionic axons are lightly myelinated thin fibers Postganglionic axons are Efferent Pathways and Ganglia Preganglionic axons are lightly myelinated thin fibers Postganglionic axons are even thinner and are unmyelinated Conduction though the autonomic chain is slower than through the somatic motor Many pre and postganglionic fibers are incorporated into spinal or cranial nerves for most of their course

>Efferent Pathways and Ganglia Remember that autonomic ganglion are motor ganglia, containing the cell Efferent Pathways and Ganglia Remember that autonomic ganglion are motor ganglia, containing the cell bodies of motor neurons They are sites of synapse and information transmission from pre to postganglionic neurons Also note that the somatic motor division lacks ganglia entirely

>Neurotransmitter Effects All somatic motor neurons release acetylcholine at their synapses with their effectors, Neurotransmitter Effects All somatic motor neurons release acetylcholine at their synapses with their effectors, skeletal muscle fibers The effect is always excitatory, and if stimulation reaches threshold, the skeletal muscle fibers contacts

>Neurotransmitter Effects Neurotransmitters released onto visceral effector organs by postganglionic autonomic fibers include Norepinephrine Neurotransmitter Effects Neurotransmitters released onto visceral effector organs by postganglionic autonomic fibers include Norepinephrine secreted by most sympathetic fibers Acetylcholine released by parasympathetic fibers Depending on the receptors present on the target organ, its response to these neuro- transmitters may be either excitation or inhibition

>Overlap of Somatic & Autonomic Higher brain centers regulate and coordinate both somatic and Overlap of Somatic & Autonomic Higher brain centers regulate and coordinate both somatic and visceral motor activities Nearby spinal nerves and many cranial nerves contain both somatic and autonomic fibers Most of the body’s adaptations to changing internal and external conditions involve both skeletal activity and enhanced response of visceral organs

>Divisions of ANS There are two division of the ANS Parasympathetic Sympathetic Generally the Divisions of ANS There are two division of the ANS Parasympathetic Sympathetic Generally the two divisions have chains of two motor neurons that innervate same visceral organs but cause essentially opposite effects If one division stimulates certain smooth muscle to contract or a gland to secrete, the other division inhibits that action Through this process of duel innervation the two systems counterbalance each other

>Divisions of ANS The sympathetic part mobilizes the body during extreme situations (such as Divisions of ANS The sympathetic part mobilizes the body during extreme situations (such as fear, exercise or rage) The parasympathetic division allows us to unwind as it performs maintenance activities and conserves body energy

>Divisions of ANS Both the sympathetic and parasympathetic divisions issue from the brain and Divisions of ANS Both the sympathetic and parasympathetic divisions issue from the brain and spinal cord Two neuron pathways are shown for both divisions Solid lines indicate pre-ganglionic axons while broken lines indicate post-ganglionic axons

>Sympathetic Division The sympathetic division is responsible for the “fight, flight, or fright” response Sympathetic Division The sympathetic division is responsible for the “fight, flight, or fright” response Its activity is evident during vigorous exercise, excitement, or emergencies Physiological changes like a pounding heart, fast and deep breathing, dilated eye pupils, and cold, sweaty skin are signs of the mobilization of the sympathetic division, which help us survive danger

>Sympathetic Division Sympathetic responses prepare our bodies to cope with physiological  stressors While Sympathetic Division Sympathetic responses prepare our bodies to cope with physiological stressors While sympathetic response may increases the capacities of some systems they may in fact inhibit “non-essential” functions such as digestion and urinary tract motility

>Sympathetic Division The sympathetic system also innervates blood vessels, sending signals to the smooth Sympathetic Division The sympathetic system also innervates blood vessels, sending signals to the smooth muscles in their walls Even though sympathetic input causes the smooth muscle in some vessels (in skeletal muscle) to relax so that the vessel dilates, the bulk of sympathetic input signals smooth muscle in blood vessels to contract, producing vasoconstriction

>Sympathetic Division Vasoconstriction results in the narrowing of vessel diameter which forces the heart Sympathetic Division Vasoconstriction results in the narrowing of vessel diameter which forces the heart to work harder to pump blood around the vascular circuit As a result sympathetic activity results in blood pressure to rise during excitement and stress

>Role of Sympathetic Division During exercise the sympathetic division also promotes physiological adjustments Visceral Role of Sympathetic Division During exercise the sympathetic division also promotes physiological adjustments Visceral blood supply is diminished Blood is shunted to working musculature Bronchioles of the lungs dilate to increase ventilation Liver releases more sugar into blood stream to support metabolism

>Role of Sympathetic Division Its activity is evident when we are excited or find Role of Sympathetic Division Its activity is evident when we are excited or find ourselves in emergency or threatening situations (frightened) Pounding heart; rapid, deep breathing; cold, sweaty skin; and dilated eyes are signs Also changes in brain wave patterns Its function is to provide the optimal conditions for an appropriate response to some threat (run / see / think)

>Parasympathetic Division The parasympathetic division is most effective in non-stressful situations This division is Parasympathetic Division The parasympathetic division is most effective in non-stressful situations This division is chiefly concerned with keeping body energy use as low as possible, even as it directs body processes such as digestion and elimination Resting and digesting division

>Autonomic Homeostasis Autonomic homeostasis is the dynamic counteraction between the two divisions such that Autonomic Homeostasis Autonomic homeostasis is the dynamic counteraction between the two divisions such that they balance each other during times when we are neither highly excited nor completed at rest

>Divisions of ANS In addition to the functional differences between the parasympathetic and sympathetic Divisions of ANS In addition to the functional differences between the parasympathetic and sympathetic divisions , there are also anatomical and biochemical differences

>Divisions of ANS The two divisions issue from different regions of the CNS The Divisions of ANS The two divisions issue from different regions of the CNS The sympathetic can also be called the thoracolumbar division because its fibers emerge from the thoracic and lumbar parts of the spinal cord

>Divisions of ANS The parasympathetic division can also be termed the craniospinal division because Divisions of ANS The parasympathetic division can also be termed the craniospinal division because its fibers emerge from the brain and spinal cord (sacral)

>Comparison of ANS & PNS A second difference between the two divisions is that Comparison of ANS & PNS A second difference between the two divisions is that sympathetic pathways have short pre-ganglionic fibers and long post-ganglionic fibers

>Comparison of ANS & PNS Parasympathetic pathways in contrast have long pre-ganglionic fibers and Comparison of ANS & PNS Parasympathetic pathways in contrast have long pre-ganglionic fibers and short post-ganglionic fibers

>Divisions of ANS Therefore, all sympathetic ganglia lie near the spinal cord and vertebral Divisions of ANS Therefore, all sympathetic ganglia lie near the spinal cord and vertebral column, and all parasympathetic ganglia lie far from the CNS, in or near the organs innervated

>Divisions of ANS The third anatomical difference between the two divisions is that sympathetic Divisions of ANS The third anatomical difference between the two divisions is that sympathetic axons branch profusely, while parasympathetic fibers do not

>Divisions of ANS Extensive branching allows each sympathetic neuron to influence a number of Divisions of ANS Extensive branching allows each sympathetic neuron to influence a number of different visceral organs, enabling many organs to mobilize simultaneously during the “fight, flight or fright” response Parasympathetic effects, by contrast are more localized and discrete

>Divisions of ANS The main biochemical difference between the two divisions involves the neurotransmitter Divisions of ANS The main biochemical difference between the two divisions involves the neurotransmitter release by the postganglionic axons

>Divisions of ANS In the sympathetic division, most postganglionic axons release norepinephine (also called Divisions of ANS In the sympathetic division, most postganglionic axons release norepinephine (also called noradrenaline) these fibers are termed adrenergic The postganglionic neurotransmitter in the parasympathetic division is acetycholine (Ach) these fibers are termed cholinergic The preganglionic axon terminals of both divisions always release acetylcholine

>Divisions of ANS The main anatomical and physiological differences between the parasympathetic and sympathetic Divisions of ANS The main anatomical and physiological differences between the parasympathetic and sympathetic divisions are summarized in Table 15.1

>Anatomy of ANS The sympathetic and parasympathetic divisions are distinguished by Unique sites of Anatomy of ANS The sympathetic and parasympathetic divisions are distinguished by Unique sites of origin Different lengths of their fibers Location of their ganglia

>Anatomy of ANS Unique origin sites Parasympathetic fibers emerge from the brain and from Anatomy of ANS Unique origin sites Parasympathetic fibers emerge from the brain and from the spinal cord at the sacral level Sympathetic fibers originate from the thoracic and lumbar regions of the spinal cord

>Anatomy of ANS Different Lengths of their Fibers Parasympathetic division has long preganglionic Anatomy of ANS Different Lengths of their Fibers Parasympathetic division has long preganglionic and short postganglionic fibers Sympathetic is the opposite with short preganglionic and long postganglionic fibers

>Anatomy of ANS Length of their Ganglia Most parasympathetic ganglia are located in the Anatomy of ANS Length of their Ganglia Most parasympathetic ganglia are located in the visceral effector organs Sympathetic ganglia lie close to the spinal cord

>Parasympathetic Division The parasympathetic emerge from opposite ends of the central nervous system The Parasympathetic Division The parasympathetic emerge from opposite ends of the central nervous system The preganglionic axons extend from the CNS nearly all the way to the structures to be innervated

>Parasympathetic Division The  preganglionic neurons synapse with the ganglionic neurons located in terminal Parasympathetic Division The preganglionic neurons synapse with the ganglionic neurons located in terminal ganglia Very short post ganglionic axons issue from the terminal ganglia and synapse with effector cells in their immediate area

>Parasympathetic Division Several cranial nerves contain outflow of the parasympathetic Preganglionic fibers run in Parasympathetic Division Several cranial nerves contain outflow of the parasympathetic Preganglionic fibers run in the oculomotor, facial, glossopharyngeal, and vagus nerve

>Cranial Outflow  Oculomotor nerve III The parasympathetic fibers of the oculomotor nerves innervate Cranial Outflow Oculomotor nerve III The parasympathetic fibers of the oculomotor nerves innervate smooth muscles of the eye Constrictor muscles of iris cause pupil to constrict Ciliary muscle within the orbits of the eye controls lense shape for visual focusing Allow the eye to focus on close objects in the visual field

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>Cranial Outflow Facial Nerves VII The parasympathetic fibers of the facial nerves stimulate the Cranial Outflow Facial Nerves VII The parasympathetic fibers of the facial nerves stimulate the secretory activity of many large glands of the head The pathway activates the nasal glands and the lacrimal glands of the eyes The preganglionic fibers then run to synapse with ganglionic neurons in the pterygopalatine ganglia stimulating the submandibular and sublingual salivary glands

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>Cranial Outflow Glossopharyngeal (IX) The parasympathetic nerves originate in the medulla and activate the Cranial Outflow Glossopharyngeal (IX) The parasympathetic nerves originate in the medulla and activate the parotid salivary gland

>Cranial Outflow Vagus nerves (X) The major portion of the parasympathetic cranial outflow is Cranial Outflow Vagus nerves (X) The major portion of the parasympathetic cranial outflow is via the vagus nerves The two vagus nerves account for an estimated 90% of all preganglionic parasympathetic fibers in the body They provide fibers to the neck and contribute to nerve plexuses that serve virtually every organ in the thoracic and abdominal cavity

>Cranial Outflow The vagus nerve fibers arise from the dorsal motor of the medulla Cranial Outflow The vagus nerve fibers arise from the dorsal motor of the medulla and terminate by synapsing in terminal ganglia that are usually located in the walls of the target organ

>Cranial Outflow Most of the terminal ganglia are not individually named; instead they are Cranial Outflow Most of the terminal ganglia are not individually named; instead they are collectively called intramural ganglia, literally ganglia “within the walls” As the vagus nerves passes into the thorax, they send branches to autonomic plexuses Cardiac plexuses Pulmonary plexuses Esophageal plexuses

>Cranial Outflow When the vagus nerves reach the esophagus, their fibers intermingle to form Cranial Outflow When the vagus nerves reach the esophagus, their fibers intermingle to form the anterior and posterior vagal trunks Each trunk carries fibers from both vargus nerves

>Cranial Outflow The vagal trunks ride the esophagus down to enter the abdominal cavity Cranial Outflow The vagal trunks ride the esophagus down to enter the abdominal cavity They send fibers to form the aortic plexuses (formed by the celiac, superior mesenteric and hypogastric)

>Cranial Outflow Abdominal organs which receive vagal  innervation include the liver, gallbladder, stomach, Cranial Outflow Abdominal organs which receive vagal innervation include the liver, gallbladder, stomach, small intestine, kidneys, pancreas, and the proximal half of the large intestine The rest of the cavity are innervated by the sacral outflow

>Sacral Outflow The sacral outflow arises from neurons located in the lateral horn of Sacral Outflow The sacral outflow arises from neurons located in the lateral horn of the spinal cord at S2 - S4 The axons of these neurons run in the ventral roots of the spinal nerves to the ventral rami

>Sacral Outflow From the ventral rami the neurons branch to form the pelvic splanchnic Sacral Outflow From the ventral rami the neurons branch to form the pelvic splanchnic nerves Most neurons synapse in the intramural ganglia located in the walls of the distal large intestine, urinary bladder and reproductive organs

>Sympathetic Division The sympathetic division innervates more organs It supplies not only the visceral Sympathetic Division The sympathetic division innervates more organs It supplies not only the visceral organs in the internal body cavities, but also the visceral structures in the superficial part of the body Sweat glands Arrector pili Arteries and veins

>Sympathetic Division  All preganglionic fibers in the sympathetic division arise from cell bodies Sympathetic Division All preganglionic fibers in the sympathetic division arise from cell bodies of preganglionic neurons located in spinal cord segments from T1 through L2 It is also called the thoracolumbar

>Sympathetic Division After leaving the cord via the ventral root, the preganglionic sympathetic fibers Sympathetic Division After leaving the cord via the ventral root, the preganglionic sympathetic fibers pass through a white ramus communicans to enter the adjoining chain (paravertebral) ganglion forming part of the sympathetic trunk or chain

>Sympathetic Division The sympathetic trunks flank each side of the vertebral column and appear Sympathetic Division The sympathetic trunks flank each side of the vertebral column and appear as strands of white beads

>Sympathetic Division  Although the sympathetic trunks extend from the neck to the pelvis, Sympathetic Division Although the sympathetic trunks extend from the neck to the pelvis, sympathetic fibers arise only from the thoracic and lumbar spinal cord segments

>Sympathetic Division The ganglia vary in size, position, and number, but there are typically Sympathetic Division The ganglia vary in size, position, and number, but there are typically 23 ganglia in each sympathetic chain… 3 cervical 11 thoracic 4 lumbar 4 sacral 1 coccygeal

>Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it

>Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it… 1. It can synapse with a ganglionic neuron within the same chain ganglion

>Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it… 2. It can ascend or descend the sympathetic chain to synapse in another chain ganglion

>Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things Sympathetic Division Once a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it… 3. It can pass through the chain ganglion and emerge from the sympathetic chain without synapsing

>Sympathetic Division Preganglionic fibers which emerge from the sympathetic chain without synapsing help to Sympathetic Division Preganglionic fibers which emerge from the sympathetic chain without synapsing help to form the splanchnic nerves which synapse with prevertebral or collateral ganglia

>Sympathetic Division The prevertebral ganglia are located anterior to the vertebral column Sympathetic Division The prevertebral ganglia are located anterior to the vertebral column

>Sympathetic Division Unlike the paravertebral ganglia the prevertebral ganglia . . . Are neither Sympathetic Division Unlike the paravertebral ganglia the prevertebral ganglia . . . Are neither paired nor segmentally arranged They occur only in the abdomen and pelvis

>Sympathetic Division Note:  Regardless of where the synapse occurs, all sympathetic ganglia lie Sympathetic Division Note: Regardless of where the synapse occurs, all sympathetic ganglia lie close to the spinal cord The postganglionic fibers which run from the ganglion to the organs are typically much longer than the preganglionic fibers

>Visceral Reflexes The visceral sensory neurons are the first link in the autonomic reflexes Visceral Reflexes The visceral sensory neurons are the first link in the autonomic reflexes These neurons send information concerning chemical changes, stretch, and irritation of the viscera

>Visceral Reflexes Visceral reflex arcs have essentially the same components as somatic reflex arcs Visceral Reflexes Visceral reflex arcs have essentially the same components as somatic reflex arcs Receptor Sensory neuron Integration center Motor neuron Effector

>Visceral Reflexes Visceral reflex arcs differ in that they have a two-neuron chain Visceral Reflexes Visceral reflex arcs differ in that they have a two-neuron chain

>Visceral Reflexes Nearly all sympathetic and parasympathetic fibers are accompanied by afferent fibers conducting Visceral Reflexes Nearly all sympathetic and parasympathetic fibers are accompanied by afferent fibers conducting sensory impulses from glands or muscular structures Thus, peripheral processes of visceral sensory neurons are found in cranial nerves, VII, IX, and X, the splanchnic nerves, and the sympathetic trunk, as well as the spinal nerves

>Visceral Reflexes Like sensory neurons serving somatic structures (skeletal muscles and skin) The cell Visceral Reflexes Like sensory neurons serving somatic structures (skeletal muscles and skin) The cell bodies of visceral sensory neurons are located in the sensory ganglia of associated cranial nerves or in the dorsal root ganglia of the spinal cord

>Visceral Reflexes Visceral sensory reflexes are also found within sympathetic ganglia where synapses with Visceral Reflexes Visceral sensory reflexes are also found within sympathetic ganglia where synapses with preganglionic neurons occur Complete three-neuron reflex arcs (sensory, motor, and intrinsic neurons) exist within the walls of the gastro-intestinal tract Enteric nervous system Controls gastrointestinal activity

>Visceral Reflexes The fact that visceral pain travels along the same pathways as somatic Visceral Reflexes The fact that visceral pain travels along the same pathways as somatic pain fibers helps to explain the phenomenon of referred pain in which pain stimuli arising in the viscera is perceived as somatic in origin

>Visceral Reflexes A heart attach may produce a sensation of pain that radiates to Visceral Reflexes A heart attach may produce a sensation of pain that radiates to the superior thoracic wall and along the medial aspect of the left arm

>Visceral Reflexes Since the same spinal segments (T1-T5) innervate both the heart and the Visceral Reflexes Since the same spinal segments (T1-T5) innervate both the heart and the regions to which pain signals from heart tissue are referred, the brain interprets most such inputs as coming from the somatic pathway

>Visceral Reflexes Additional cutaneous areas to which visceral pain is referred Visceral Reflexes Additional cutaneous areas to which visceral pain is referred

>Overview of the ANS The autonomic nervous system differs in… Its effectors Its efferent Overview of the ANS The autonomic nervous system differs in… Its effectors Its efferent pathways Its target organs

>Effectors of ANS The somatic nervous system stimulates skeletal muscles The ANS innervates cardiac Effectors of ANS The somatic nervous system stimulates skeletal muscles The ANS innervates cardiac and smooth muscles and glands