The Peripheral Nervous System: Efferent Division Chapter 7 • The autonomic nervous system (ANS) innervates cardiac and smooth muscle, most exocrine glands and some endocrine glands. • The ANS releases only two different neurotransmitters on the structures it controls: acetylcholine and norepinephrine. • An autonomic nerve pathway has two neurons: a preganglionic fiber and postganglionic fiber. The two subdivisions of the ANS are the sympathetic and parasympathetic nervous systems. • Sympathetic nerve fibers originate from the thoracic and lumbar levels of the spinal cord. – Its preganglionic fibers are short. Its postganglionic fibers are long, terminating at effectors. • Parasympathetic nerve fibers originate from the cranial and sacral levels of the CNS. – Its preganglionic fibers are long. Its postganglionic fibers are short, terminating at effectors. There are terminal ganglia near effector organs. An autonomic ganglion is between the preganglionic and postganglionic fibers of an autonomic pathway. The preganglionic fibers of both branches of the ANS release acetylcholine (ACh). • Parasympathetic postganglionic fibers release ACh. They are cholinergic fibers. • Sympathetic postganglionic fibers release noradrenalin (norepinephrine). They are adrenergic fibers. The ANS controls the involuntary responses of visceral organs. • These responses range from circulation and digestion to sweating and urination. • The visceral organs receive dual innervation. They are signaled by both subdivisions of the ANS. • Usually both subdivisions are active in controlling the activity of an internal organ. This ongoing activity is called sympathetic or parasympathetic tone activity. The sympathetic dominates during the fight-or-flight response. Examples of these responses are: – – – – – – – pupils of the eye dilate sweating is promoted heart rate increase bronchioles dilate motility for digestion is inhibited liver: conversion of glycogen into glucose urination is inhibited • These responses prepare the body for emergency or stressful situations. The parasympathetic dominates during quiet, relaxed situations. • The responses signaled by this subdivision is usually the opposite (e.g., decreased heart rate) or none (no activity of glucose production from the liver). • Dual, reciprocal innervation allows the precise control over the activity of a visceral organ. There are several exceptions to the general rule of dual, reciprocal innervation. • Most innervated blood vessels (arterioles and veins) receive only sympathetic nerve fibers. • Most sweat glands are innervated only by sympathetic nerves. • Both ANS subdivisions stimulate the activity of salivary glands. • As another exception, the adrenal medulla is a gland that evolved from postganglionic neurons. Each autonomic neurotransmitter binds to several different receptors. • Cholinergic receptors bind to ACh. – Nicotinic receptors are found on the postganglionic cells bodies of all autonomic ganglia. These ganglia are found where the preganglionic neuron signals the postganglionic neuron. – Muscarinic receptors bine to ACh from parasympathetic postganglionic nerve fibers. • Adrenergic receptors bind to norepinephrine and epinephrine from sympathetic postganglionic fibers. – Activation of alpha 1 receptors usually produces an excitatory response in the effector. Activation of alpha 2 receptors usually produce an inhibitory response – Beta 1 receptors are found mainly in the heart. They cause an excitatory response. The response to beta 2 receptor activation is general inhibitory. Certain drugs selectively enhance or mimic autonomic responses. They are agonists. • Other drugs block autonomic responses. They are antagonists. • Autonomic activities are controlled by different areas of the CNS. They include the spinal cord, medulla, hypothalamus, and prefrontal association cortex. The somatic nervous system signals skeletal muscles. One axon in its nerves from the spinal cord terminate on skeletal muscles. • Acetylcholine is the terminal neurotransmitter at the neuromuscular junction. This junction is where the axon of a somatic efferent neuron signals a skeletal muscle fiber (cell). – The axon terminates at a terminal button. The motor end plate is the specialized part of the muscle cell membrane facing the terminal button. • Somatic motor neurons are the final common pathway. Skeletal muscle activity can be affected only by acting on these motor neurons. – See Fig. 7-5 Acetylcholine is released at the neuromuscular junction. • An action potential at the axon terminal opens voltage-gated calcium channels in the terminal button. Calcium ions diffuse into the terminal button from the ECF. • By this calcium influx, acetylcholine is released by exocytosis from vesicles in the terminal button. • Acetylcholine diffuses through the space between the nerve cell and muscle cell. • This neurotransmitter binds to receptor sites on the motor end plate of the muscle cell membrane. • This binding opens channels for sodium influx into the ICF of the muscle cell. • This produces a local current flow that opens adjacent sodium channels in the motor end plate. • An action potential is initiated through the muscle fiber. – See Figure 7-6 Acetylcholinesterase destroys acetylcholine. This terminates the action potential and response of the muscle cell. • The neuromuscular junction is vulnerable to several chemical agents and diseases. • Examples are: – Two toxins, black widow spider venom and botulinum toxin, alter the release of acetylcholine. – Curare blocks the effect of released acetylcholine.