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Autonomic Physiology Questions
VT BMES 5004
28
Physiology
Graduate
09/20/2008

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Cards

Term
What are the two main nervous systems in mammals?
Definition

Autonomic (automatic) and Somatic (conscious control)

Term
The Autonomic Nervous system is divided into what two areas?
Definition
Sympathetic and Parasypathetic
Term
Describe the pre/post nerve structures for the sypathetic and parasympathetic.
Definition

Sympathetic has a short preganglionic nerve fiber, and a long post.

 

Parasympathetic has a long preganglionic nerve fiber, and a short post.

Term
Where are the sympathetic and parasympathetic nervous systems based out of?
Definition

Sympathetic in the thoraco-lumbar region of the spinal cord.

 

Parasympathetic originates in the brainstem, and in the coccyx of the spinal column.

Term
Why is it that someone can break their neck, be paralzed, but still be alive.
Definition
Breaking the neck severs the sympathetic and somatic nervous systems. But leaves the parasympathetic system in tact (it's in the brainstem as opposed to the spinal cord). Means stress response and conscious movement is out, but normal "rest/digest" functions normally.
Term
The three types of receptors on the plasma membrane of a postganglionic nerve or the organ are:
Definition
Nicotinic, Muscarinic, Adrenergic
Term
Where is acetylcholine found (in terms of nervous systems)
Definition
Both the parasympathetic and sympathetic ganglion. Also found at the adrenal gland, and is used in the somatic nervous system. Only place it's not used is part of the circulating adrenergic system, and at the sympathetic end organs.
Term
How is acetylcholine made? How is it broken down?
Definition

Synthesized from choline from diet, and from acetyl coenzyme A (energy derivative) by an enyme, choline acetyltransferase.

 

 Acetylcholinesterase is an enzyme that breaks down acetylcholine.

Term
Why won't a pharmacologist give Acetylcholine to a patient?
Definition
It wouldn't work. In the synapse between the pre/post nerves or the post nerve and the organ is acetylcholinesterase which degrades acetylcholine. Meanwhile pseudocholinesterase breaks down any acetylcholine injected into the body. Found in plasma and liver.
Term
If neurotransmitters are fairly ubiquitous (e.g. acetylcholine) how cna  drugs have effects in some areas, and none, or opposite in others?
Definition
Differing receptors cause different or nonexistant effects.
Term
How can acetylcholine slow down heart rate but increase digestion?
Definition
Differing types of Muscarinic Receptors. Modds are found in the gut to stimulate muscle contraction, while Meves are found in the heart.
Term
Why don't pharmacologists target the ganglion?
Definition
Doing so would affect both the parasympathetic nervous system, and the nicotinic receptors which would tend to cancel each other.
Term
Describe the catecholamine pathway.
Definition
Amino acid Tyrosine is gathered from diet (mainly meat). Hydroxylated by enzyme tyrosine hydroxylase and adds an OH creating L-Dopa. L-Dopa is hydroxylated again forming dopamine, a neurotransmitter. In the CNS, this is the end of the process. In the sympathetic nervous system, dopamine is hydroxilated by and enzyme, dopamine beta hydroxylase, to make norepinephrine. The adrenal gland transfroms norepinephrine into epinephrine.
Term
How is adrenergic transmission terminated?
Definition

Reuptake of norepinephrine and epinephrine into the nerve terminal accounts for 60%.

 

Diffusion of NE and EPI away from synaptic cleft accounts for 20% .

 

Metabolism of NE and EPI into inactive compounds accounts for 20%.

Term
How are drugs like cocain related to adrenergic stimulation?
Definition
They inhibit the reuptake of NE and EPI causing longer/concentrated stimulation of those receptors.
Term
How does cAMP function in smooth muscle? What about in cardiac muscle?
Definition

increasing cAMP causes phosphorylation of myosin light chain kinase, which inhibits it's normal function (muscle contraction). Thus it results in decreased muscle contraction.

 

In cardiac muscle increasing cAMP results in faster heart rate and contractility.

Term
What are the two main neurotransmitters for the autonomic nervous system?
Definition
Acetylcholine and Norepinephrine.
Term
Are nicotinic receptors good targets? Muscarinic? Adrenergic?
Definition

Nicotinic are poor targets because anything that affects nicotinic receptors can hit both nerves (ganglion) and muscles, so lots of side affects. Also hits both sympathetic and parasympathetic at the same time - no point.

 

Muscarinic are also poor targets usually due to lack of drugs that can specify between the different types.

 

Adrenergic receptors are strong targets with a large selection of drugs that are effective at targeting.

Term
What nerve controls the heart's response?
Definition
The tenth cranial nerve (vagus nerve)
Term
What are the major neurotransmitters at the end organs in the autonomic nervous system? At the ganglions?
Definition

Acetylcholine and Norepinephrine at the organs

 

Acetylcholine at the ganglion

Term
Where is acetylcholine found?
Definition

Autonomic end organs and ganglion

Parasympathetic end organs

Somatic neuromuscular junctions

 

Term
Describe parasympathetic and sympathetic stimulation of the heart. Which is dominant? What are the receptors?
Definition

Parasympathetic (M2 receptors): medulla => dorsal motor nerve / nerve ambigous => conduction tissue (near SA or AV) => decreases heart rate / contractility

 

Sympathetic (beta 1 receptors):intermediolateral cell column (in spine) => paravertebral chain => synapse in stellate or middle cervical ganglion => increase heart rate and contractility

 

Parasympathetic is dominant.

Term
Describe parasympathetic and sympathetic innervation of the vasculature. Which is dominant? What are the receptors?
Definition

Parasympathetic (alpha1 / non-innervated M3 receptors): minimal innervation. Small amount on venous side of: head, viscera, genitalia, bladder and bowel. Non-innervated M3 receptors on vascular endothelium cause vasodilation via nitric oxide.

 

Sympathetic (alpha1 / beta2): beta2 receptors not connected to nerves. React to circulating epinephrine, overriding alpha1 receptors causing relaxation.

 

Sympathetic dominant.

Term
Describe parasympathetic and sympathetic innervation on the lungs. Which is dominant? What are the receptors?
Definition

Parasympathetic (M3): vagus nerve => ganglia in airway wall => blood vessels and glands => bronchoconstriction

 

Sympathetic (beta2, NANC): sparse innervation. promotes bronchodilation from circulating epinephrine. NANC (Non-adrenergic, Non-cholinergic) receptors are a direct pathway to airway smooth muscle that reacts to neuropeptides. Some bronchodilate, some bronchoconstrict

Term
Describe parasympathetic and sympathetic innervation on the GI tract. Which is dominant? What are the receptors?
Definition

Parasympathetic (M1,2,3): increase/decrease secretions and smooth muscle contractions.

 

Sympathetic (beta2, alpha1,2): beta2 causes relaxation and less motility. alpha1 promotes contraction closing sphincters, alpha2 inhibits ACh (shuts down parasympathetic)

 

Also has intrinsic nervous system to coordinate complex movement.

 

Parasympathetic is dominant

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