The autonomic nervous system (ANS) Is the portion of the nervous system that controls most visceral functions of the body Divisions of ANS: The ANS is subdivided into: - Sympathetic nervous system - Parasympathetic nervous system General organization of the ANS: - The ANS is activated by centers located in the spinal cord, brain stem, and hypothalamus. - The peripheral parts of the ANS are made up of preganglionic and postganglionic neurons. Sympathetic: Output from the CNS: - Originate from the thoracic and some lumbar segments from T1 to L2 (thoraco-lumbar). - The cell bodies of the preganglionic neurons are located in the lateral horn of the spinal cord. - It leave the spinal cord and project to the paravertebral ganglion, where it synapse with the postganglionic neurons. - The ratio of a preganglionic neuron to postganglionic neurons is about 1:20 The sympathetic ganglia The site of cell bodies of the postganglionic neurons 1. Paravertebral ganglion: - extends parallel to the thoracic and upper lumbar spinal segments - are connected together to form the sympathetic trunk 2. Cervical extension: superior, middle and stellate ganglia 3. Collateral ganglia: - close to the viscera. - the celiac, superior mesenteric, and inferior mesenteric ganglia Organization of sympathetic: Activation of sympathetic: Stressful stimuli: - Emotion - Anxiety - Exercise - Hypoglycemia - Hypotension - Infection - Any debilitating disease - Intense heat or cold - Hemorrhage - Trauma - Surgery Parasympathetic: Output from the CNS The cell bodies of the preganglionic neurons are located in: - Motor nuclei of the cranial nerves III,VII, IX and X - lateral horn of the sacral segment (S2, S3 and S4). The parasmpathetic ganglia are found near or within the wall of the target organs. The ratio of a preganglionic neuron to postganglionic neurons is 1:1 Organization of Parasympathetic: Activation of parasympathetic: physical and mental rest. The neurotransmitters of ANS: - Acetylcholine - Norepinephrine (noradrenaline). Cholinergic neurons: - All preganglionic neurons - All postganglionic parasympathetic neurons - Some postganglionic sympathetic neurons Adrenergic neurons: - Most postganglionic sympathetic neurons Postganglionic sympathetic neurons that release acetylcholine supply: 1. the sweat glands 2. arterioles of skeletal muscles 3. pilo-erectror muscles. Acetylcholine: - Synthesized from acetyl co A and choline in the cell body of cholinergic neurons - Synthesis is catalyzed by the enzyme choline acetyltransferase. When it released at the synaptic cleft: - acts on its receptors. - its action is terminated by the acetylcholinesterase enzyme - which converts it to acetate and choline. Norepinephrine (noradrenaline): Synthesized from the amino acid tyrosine in noradrenergic neurons When it released at the synaptic cleft: - Acts on its receptors. - Diffusion into the plasma where it is hydrolyzed by two enzymes: - Monoamine oxidase (MAO) - Catechol-O-methyl-transferase (COMT)