chapter 11 efferent division

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Efferent Peripheral NS: The Autonomic & Efferent Peripheral NS: The Autonomic & Somatic Motor Divisions Somatic Motor Divisions Running Problem: Smoking

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Efferent Peripheral NS: The Autonomic &Efferent Peripheral NS: The Autonomic &

Somatic Motor DivisionsSomatic Motor Divisions

Running Problem: Smoking

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Review (again)Review (again)

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H omeostasis and theH omeostasis and the Autonomic DivisionAutonomic Division

BP, H R, Resp., H BP, H R, Resp., H 2 2 O balance, Temp. . .O balance, Temp. . .

Mostly dual reciprocal innervationMostly dual reciprocal innervation

i.e., agonist/antagonist or excitatory/inhibitory i.e., agonist/antagonist or excitatory/inhibitory 

Sympathetic:Sympathetic:

AKA Thoracolumbar AKA Thoracolumbar 

flight flight--or or--fight fight 

Parasympathetic:Parasympathetic:

AKA Craniosacral AKA Craniosacral 

rest and digest rest and digest 

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Autonomic TargetsAutonomic Targets Smooth MuscleSmooth Muscle

Cardiac MuscleCardiac Muscle

Exocrine GlandsExocrine Glands

Some Endocrine glandsSome Endocrine glands

Lymphoid TissueLymphoid Tissue AdiposeAdipose

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Autonomic pathway:Autonomic pathway: Two Efferent Neurons inTwo Efferent Neurons in

SeriesSeriesPreganglionic neuron cell body in CNS Preganglionic neuron cell body in CNS 

Synapse in autonomic ganglion outside CNS (oftenSynapse in autonomic ganglion outside CNS (often divergencedivergence!)!)

Postganglionic neuronsPostganglionic neurons

target cellstarget cells

N1 N 2 

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= Thoracolumbar 

division (T1 to L2 )

Preganglionic neurons (N1)from

thoracolumbar region of spinal cord 

Pre and paravertebral ganglia

Long postganglionic neurins (N 2 )

secrete NE onto adrenergic receptors

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= Craniosacral Division

Long preganglionic axons from

brain & S 2 - S4

Intramural ganglia

Postganglionic (nonmyelinated)neurons secrete ACh onto

cholinergic muscarinic receptors

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Most Common Autonomic NTs:Most Common Autonomic NTs:

Acetylcholine (ACh)Acetylcholine (ACh)ACh neurons & ACh receptors are called ACh neurons & ACh receptors are called cholinergic cholinergic 

(nicotinic or muscarinic).(nicotinic or muscarinic). Located at autonomic Located at autonomic preganglionic & parapreganglionic & para--sympathetic postganglionic sympathetic postganglionic synapsessynapses

Norepinephrine (NE)Norepinephrine (NE)NE neurons & receptors are called (nor)NE neurons & receptors are called (nor) adrenergic ( adrenergic ( EE and and 

FF).). Located at sympathetic postganglionic synapsesLocated at sympathetic postganglionic synapses

Fig 11-7 

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NTs of Autonomic NS NTs of Autonomic NS 

Compare to Fig 11-7 

E and

N1

N1

N 2 

N 2 

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Neuroeffector JunctionNeuroeffector Junction= Synapse between postganglionic cell = Synapse between postganglionic cell 

and target and target 

Most are different from model Most are different from model 

synapsesynapse (compare to Fig 8 (compare to Fig 8--20 , p.20 , p.2 7 0 )2 7 0 )

ANS synapse: axon hasANS synapse: axon has varicositiesvaricositiescontaining neurotransmitter containing neurotransmitter 

May supply many cells, resulting inMay supply many cells, resulting in

less specific communicationless specific communication

Synthesis of NT is in the varicosity Synthesis of NT is in the varicosity 

Fig 11-8 

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Summary:Summary: PrePre-- & Postganglionic Parasympathetic & Postganglionic Parasympathetic 

Neurons Release AChNeurons Release ACh

muscarinic muscarinic nicotinic nicotinic 

Receptors

N1

N 2 

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Two Types of Cholinergic Receptors:Two Types of Cholinergic Receptors:

Nicotinic and Muscarinic Nicotinic and Muscarinic 

1.1.

Nicotine=

agonist Nicotine=

agonist 2 .2 . In autonomic ganglia & somatic NS In autonomic ganglia & somatic NS 

3.3. Directly opens a NaDirectly opens a Na++ & K & K ++ channel:channel: ? ? 

4.4. Curare = antagonist Curare = antagonist 

1) Nicotinic 

cholinergic 

receptor 

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2 )2 ) Muscarinic cholinergic Muscarinic cholinergic 

receptor receptor 

Muscarine = agonist Muscarine = agonist 

Found in neuroFound in neuro--effector junctions of effector junctions of parasympathetic branchparasympathetic branch

G G--protein coupled mechanismsprotein coupled mechanisms

Atropine = antagonist Atropine = antagonist 

Amanita muscarina

N1

N 2 

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Muscarinic ACh are G Muscarinic ACh are G--protein Mediated protein Mediated Receptor Mechanism of Sweat GlandsReceptor Mechanism of Sweat Glands::

Also some 2 Also some 2 nd nd 

messenger mechanismsmessenger mechanisms

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Adrenergic Adrenergic 

ReceptorsReceptors

Found in neuroeffector junctions of sympathetic branchFound in neuroeffector junctions of sympathetic branch

G protein linked, with various 2 G protein linked, with various 2 nd nd mess. Mechmess. Mech

NT is NE NT is NE 

 -- and and -- ReceptorsReceptors

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NE Action

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Sympathetic ReceptorsSympathetic Receptors

  Receptors:Receptors:

��NT is NE NT is NE 

��(most common)(most common) ExcitationExcitation [Ca2 +] In[Ca2 +] Inoo muscle

contraction or secretion by exocytosis.� Inhibition of GI tract and pancreas

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FF ReceptorsReceptors Clinically more important Clinically more important 

FF ExcitationExcitation heart heart ([ ([ E] = [NE])E] = [NE])

³ ³ FF -- blockers´ = Antagonistsblockers´ = Antagonists (e.g.: Propranolol)(e.g.: Propranolol)

FF usually usually inhibitory inhibitory : smooth muscle relaxation of some blood : smooth muscle relaxation of some blood vessels and vessels and  bronchiolesbronchioles ([E] > [NE])([E] > [NE])

FF Adipose; [NE]>[E]Adipose; [NE]>[E]

³ ³ FF --blockers´ = Antagonistsblockers´ = Antagonists (e.g.: Propranolol)(e.g.: Propranolol)

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Termination of NT Termination of NT 

Activity Activity 

ACh:ACh: ACh esteraseACh esterase

CatecholamineCatecholaminereuptakereuptake repackagingrepackaging

degradation (MAO )degradation (MAO )

Blocked by cocaineBlocked by cocaine

Fig 11-9

Fig 8-22 

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Somatic Motor DivisionSomatic Motor Division Pathway consists of single neuron fromPathway consists of single neuron from

CNS to target CNS to target 

Neuromuscular junction:Neuromuscular junction: nicotinic nicotinic 

cholinergic receptorscholinergic receptors

Similar to synapse; post Similar to synapse; post ±± synaptic synaptic 

membrant called Motor End Platemembrant called Motor End Plate

Recall Motor Unit Recall Motor Unit 

Always excitatory Always excitatory  muscle contractsmuscle contracts

All Ach mediated All Ach mediated 

Degraded by Ach esteraseDegraded by Ach esteraseFig 11-13

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Myasthenia gravis

MG: Antibodies block, alter, or destroy the receptors for 

acetylcholine at the neuromuscular junction

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Direct (Ant)agonist = mimic or block the NT receptor Direct (Ant)agonist = mimic or block the NT receptor (Ant)agonist = mimic or block secretion, reuptake or (Ant)agonist = mimic or block secretion, reuptake or 

degradation of NT degradation of NT 

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Strychnos Toxifera( Curare) from Koehler's

Medicinal-Plants 1887 

Direct Direct AntagonistsAntagonists

AtropineAtropineppmuscarinic muscarinic 

CurareCurarepp nicotinic nicotinic 

Propranolol Propranolol pp

FF11 and and FF2 2 

Metoprolol Metoprolol pp FF11

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Indirect (Ant)agonistsIndirect (Ant)agonists Botulinum toxinBotulinum toxin

pp inhibits ACh releaseinhibits ACh release

Parathion, malathionParathion, malathion organophosphate insecticidesorganophosphate insecticides pp inhibit inhibit 

AChE (anticholinesterases)AChE (anticholinesterases)

CocaineCocaine

pp prevents NE reuptakeprevents NE reuptake

AmphetaminesAmphetamines

pp stimulates NE releasestimulates NE release

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Summary Summary of Efferent of Efferent NS NS 

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