Transmission in ANS(Catecholamines) Dr Asma Jabeen Assistant professor, Physiology Learning Objectives At the end of this session, the student should be able to: •List the sites of release of norepinephrine as a chemical •transmitter. •Diagram the steps of catecholamines synthesis. •Describe the actions of norepinephrine and classify the •adrenergic receptors according to these actions. •Describe the removal of norepinephrine. Transmitters of ANS Acetylcholine -- para -sympathetic transmitter. Nor epinephrine – sympathetic transmitter. Adrenergic fibers: Most of the postganglionic sympathetic neurons are adrenergic . Function of Adrenal medulla: 80% Epinephrine 20% Norepinephrine Effects of circulating epinephrine and Norepinephrine last 5 to 10 times longer than direct sympathetic stimulation.(2 to 4 min, after stimulation is over. Both the hormones are removed from blood slowly Importance of adrenal medulla as a part of Sympathetic NS The dual mechanism of sympathetic stimulation ,direct and indirect, provides a safety factor, one mechanism substituting for the other if it is missing. Epinephrine and norepinephrine can stimulate structures that are not directly innervated by sympathetic fibers. e.g. metabolic rate of every cell is increased. Difference in action of Epinephrine and Norepinephrine Epinephrine has greater effect on cardiac stimulation (ß-receptors) Norepinephrine causes stronger constriction of muscle blood vessels. Thus it greatly increases TPR and elevates arterial pressure. Epinephrine has 5 to 10 times greater metabolic effect. Synthesis and removal of Nor epinephrine Synthesis begins in axoplasm ,completed in secretary vesicle. hydroxylation 1. Tyrosine 2. Dopa 3. Dopa decarboxylation Dopamine Transport into vesicle Hydroxylation 4. Dopamine Norepinephrine In adrenal medulla, methylation 5. Nor epinephrine Removal: 1. Reuptake 2. Diffusion 3. Destruction Epinephrine Sites of Synthesis EpinephrineProduced exclusively in adrenal medulla with a small amount in the brain. Essentially all the circulating epinephrine is derived from adrenal medulla. NorepinephrineIt is widely distributed in neural tissues including the adrenal medulla, sympathetic post-ganglionic fibers and the central nervous system. In brain its concentration is highest in the hypothalamus Metabolism: Removal and Inactivation The plasma half life of catecholamine is 1-3 minutes. The biological effects of catecholamine is terminated rapidly by following two processes 1. Neuronal uptake (non enzymatic inactivation) This is presynaptic reuptake accounts for inactivation of about 85% of released NE. It is less pecific for Ep than for NE 2. Extraneuronal uptake (enzymatic inactivation) It is mediated by postsynaptic cells and is followed by intracellular metabolic inactivation. The enzymes involved are mono amine oxidase (MAO) and catechol-o-methyl transferase (COMT) Mechanism of action: The transmitter binds with specific receptor on the effector cells Receptor is on outside of a protein molecule that penetrates the membrane. This causes a conformational change in protein molecule Altered protein molecule excite or inhibit the cell by: Change of cell membrane permeability Activating or inactivating an enzyme e.g. Adenyle cyclase → CAMP Adrenergic Receptors: 1. 2. Alpha receptors (Alpha 1 and Alpha 2) Beta receptors (Beta 1 and Beta 2) α-Adrenergic Receptors α-Adrenergic Receptors are sensitive to both Ep and NE These receptors are again of two types i. α-1 receptors-located on post synaptic membranes and are mainly excitatory, e.g. in blood vessels and non pregnant uterus ii. α-2 receptors- located on presynaptic nerve terminals of cholinergic and adrenergic nerves. Activation of neuronal α-2 receptors is inhibitory β-adrenergic receptors These receptors respond to Ep and in general are relatively insensitive to NE. These are associated with most of the inhibitory function of the body with one most important function i.e. excitation of myocardium. There are following three types of β adrenergic receptors i. β-1: cardiac muscle ii. β-2:skeletal muscle blood vessel, GIT and bronchioles iii. β-3:adipose tissue Adrenergic receptors in the sympathetic system b a1 Norepinephrine a2 Norepinephrine Neuroscience, Sinauer Asssoc., Inc Functions of Alpha Receptors: • • • • • • Vasoconstriction Iris dilation Intestinal relaxation Intestinal sphincter contraction Pilomotor contraction Bladder sphincter contraction Functions of Beta Receptors: • • • • • • • • • • Vasodilation ß2 Cardioacceleration ß1 Increased myocardial strength ß1 Intestinal relaxation ß2 Uterus relaxation ß2 Bronchodilation ß2 Calorigenesis ß2 Glycogenolysis ß2 Lipolysis ß2 Bladder wall relaxation ß2 Location of specific adrenergic receptors α1 receptors •vascular smooth muscle, on GI and bladder sphincters, and radial muscle of the eye •causes excitation (contraction) α2 receptors •presynaptic nerve terminals, platelets, fat cells, walls of GI tract •causes inhibition (relaxation, dilation) β1 receptors •SA node, AV node, ventricular muscle of heart • Produces excitation, increases heart rate, contractility, and conduction velocity β2 receptors •Vascular smooth muscle of skeletal muscle, bronchioles, walls of GI tract and bladder •Produces relaxation: dilation of vascular smooth muscle and relaxation of bladder, bronchioles Sympathetic Action and Receptors at Target Organs Organ Action Heart heart rate contactility AV node conduction Vascular smooth Muscle differential effects! constrict blood vessels (dilates blood vessel in skeletal muscles) Gastrointestinal Tract motility constricts sphincters Receptor b1 a1 b2 a2, b2 b2 Bronchioles dilates bronchiolar smooth muscle Males sex organs ejaculation a Bladder relaxes bladder wall constricts sphincter b2 a Sympathetic Action Cont…d organ action receptor sweat glands sweating goose bumps skin kidney contracts blood flow renin secretion a1 fat cells lipolysis b1 pupil dilation a1 salivary glands secretion a/b muscarinic b1 Thank you