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"stress", Defined as "the nonspecific response of the body to any
demand made upon it."
Body responds through
neural and hormonal mediators
Stress has
•Multiple targets
So stress isn't good or bad, it is just how the body responds overall to external demands, just anything that
forces your bodies homeostatic control to shift
Neural mediators and sympathetic and
parasympathetic systems.
Hormonal are driven by
Hypothalamic pituitary adrenal (HPA) axis
Driven by the "
autonomic" nervous system
Sympathetic ("flight or fight") and
parasympathetic ("rest and digest") systems constantly trade off
An essential difference between somatic and autonomic systems is the
autonomic ganglia.
The lower motor neurons, the ones that actually cause the muscle or gland to have an effect, start outside the
CNS with the cell bodies clustered into autonomic ganglia (make them say what a ganglion is).
These are the
postsynaptic neurons
These are the postsynaptic neurons. They receive input from neurons that start inside the CNS, the
presynaptic neurons, that have cell bodies in the spinal cord or brainstem.
As we will get to, the location of the ganglia will differ between
symp and parasymp, with symp tending to be closer to the spinal cord.
•Fight or flight,
-Dilate pupil, Open airways, Inhibit digestion, Glucose production
Chain ganglia are close to
•spinal cord.
Visceral ganglia are
•further away
-Celiac ganglia
-Mesenteric ganglia
There are two sets of sympathetic ganglia. The chain ganglia run along the length of the spinal cord, getting
presynaptic neurons from the thoracic and lumbar area.
These are close to the spinal cord with long postsynaptic neurons going to the target organ. Many ganglia go to the heart to help control heart rate. There are 3 ganglia that are further from the spinal cord: the
celiac ganglia branch out to control the stomach, gall bladder, pancreas and liver (in conjunction with the enteric); the superior mesenteric ganglion controls the intestines; and the inferior controls the rectum, bladder and penis.
Ganglia much closer to
target organs
Brainstem origin for many
preganglionic neurons
-Edinger-Westfall nucleus
•Pupil reflex
-Pons & medulla
•Spit & tears
-Dorsal motor nucleus of vagus
•Stomach, pancreas, upper intestine
Note here at parasymp preganglionics are longer and
more branched than symp.
Postganglionics are the opposite. Preganglionics only originate from
brainstem and sacral spinal cord.
Edinger-Westfall- group of preganglionic neurons located at top of brainstem. Axons leave via
oculomotor nerve (III). Controls pupil dilation and lens accomodation (stretch). Form synapses at ciliary ganglion
Pons & Medulla send out numerous axons that synapse in salivary ganglia and modulate
saliva and tear production. You have many different salivary glands so you need fine scale control.
Dorsal motor nucleus - stimulates digestion, pancreatic enzymes (insulin & glucagon). Stimulates
gall bladder, dilates blood vessels in small intestine.
Neurons in the gut can operate
•independently, although they are modified by sympathetic and parasympathetic innervation.
Consists of two major nerve
•plexuses
-Myenteric
Submucous
Controls function of GI tract, pancreas and gallbladder
Has local
sensory neurons, interneurons and motor neurons
Responds to changes in tension of walls and
changes in chemical environment
Motor neurons control gut smooth muscle, local blood vessels, secretion.
Plexuses are another name for neural network. Both extend along entire length of gut.
Myenteric and submucous
Myenteric - between 2 muscle layers (longitudinal and circular). Controls
motility
submucous - between circular muscle and mucosa. Controls
secretion
Both plexuses are connected to each other and both contain motor neurons for
secretion and motility, just that myenteric has more for motility and submucous has more for secretion.
Synaptic contacts much less specialized in
autonomic.
Instead of defined terminal you see autonomic
varicosities (swellings).
Varicosities are
transient - they are constantly changing.
Main point here is that axon does not end at a terminal like we covered previously. Instead the neurotransmitter vesicles are all clumped together into
localized swellings called varicosities
There is no defined active zone in these varicosities and it is not entirely clear (at least to me) the steps involved
in vesicle fusion.
Note: because of these differences, it is not strictly appropriate to call this a synapse. Rather we will talk about
prejunctional and postjunctional processes.
The varicosities can change location along the axon fairly easily. Around effector tissue, axons become
varicose, with the varicosities occuring at 2-10 micron intervals. Axons are myelinated but lose their coating in the varicosities.
2. Neurotransmitters more varied, therefore effects
more varied
Old view: sympathetics are
adrenergic,
parasympathetic are
cholinergic
This is still partially correct. In general, both sympathetic and parasympathetic presynaptic fibers release ACh at the
ganglionic synapse
For both this acts on nicotinic receptors at the
postsynaptic dendrite.
Between postsynaptic cell and target tissue the sympathetics tend to release
NE onto adrenergic receptors and parasymps release ACh onto muscarinic receptors.
Norepinephrine
(sympathetic)
acetylcholine
(parasympathetic)
•Norepinephrine (sympathetic) and acetylcholine (parasympathetic) still major players.
Sympathetic also commonly uses _________________________ as cotransmitter
ATP and neuropeptide Y
parasympathetic may use
ATP & vasoactive intestinal polypeptide (VIP).
___________ are also common.
Neuromodulators
For something to be considered a cotransmitter it must have a
specific action on the effector organ itself
Neuromodulators do not have direct actions on effectors but instead
change the activity of the neurotransmitter somehow.
The same substance can also play both roles. Neuromodulators can be directly released from
varicosities or can come from other sources (cytokines, hormones, etc)
The majority of autonomic nerve fibers contain a mix of many different neurotransmitters that
vary in proportion in different tissues and species during development and disease."
Junctional cleft is the space between the
varicosity and the effector muscle.
Spacing can modulate effects of
co-transmitters.
I autoinhibition: example is of vas deferens. Only about 20 nm separates vas deferens from varicosities. Norepi and ATP get
cotransmitted.
I autoinhibition: example is of vas deferens. Only about 20 nm separates vas deferens from varicosities. Norepi and ATP get cotransmitted. If stimulation keeps coming then
then neuropeptide Y is released, inhibiting release of norepi or ATP. (neuromodulation)
II autoinhibition & potentiation: a cleft of 100-500 nm as in many blood vessels. First get release of
norepi/ATP
II autoinhibition & potentiation: a cleft of 100-500 nm as in many blood vessels. First get release of norepi/ATP. As stimulation continues NPY aslo gets released which enhances effects of
NA/ATP.
If stimulation keeps going, NPY builds up in
cleft and eventually inhibits norepi/ATP release
III Potentiation: With large cleft spacing (1000-2000 nm) as is typical of large arteries, NPY only serves a
neuromodulatory role. Essentially concentrations don't build up enough to inhibit release prejunctionally.
Different varicosites can influence each other and their
•effect can vary dependent upon location.
autoinhibition: transmitter X gets released and has some direct effect on
effector muscle/gland.
autoinhibition: transmitter X gets released and has some direct effect on effector muscle/gland. The same substance can also shut down release by binding to a
receptor on the varicosity. Feedback control
Cross-talk: X & Y in separate varicosities can both affect the
muscle (in this case antagonistically) but can also have neuromodulatory role on each other.
Synergism: Both X & Y,whether in the same varicosity or in different ones, can act directly on the muscle but also can have
i.neuromodulatory role on each other postjunctionally to enhance action
Opposite actions: X & Y can have opposite actions on different effector sites or can have a different effect depending on status of
effector organ
Ex of latter: if Uterine artery is "high tone" (stretched), X will make it
relax (inhibit)
If artery is "low tone" (relaxed) Y will make it
tense. Two balance each other to modulate tone.
Effect can also depend on what
co-transmittors are released.
Example: Norepinephrine binds to
α1 receptor for slow contraction,
ATP binds to
P2x receptor for fast contraction.
ATP and norepi are stored in small granular vesicle (SGV), neuropeptide Y is stored in
large granular vesicles (LGV).
ATP binds to P2x receptors (ionotropic) and results in
rapid excitatory junctional potential (EJP).
ATP binds to P2x receptors (ionotropic) and results in rapid excitatory junctional potential (EJP). Causes calcium
releases and a quick contraction.
Norepi (NA) binds to alpha 1 receptor (metabotropic) causing formation of
IP3 which then releases intracellular calcium and a slow contraction
NPY released from LGV can act directly synergistically on both P2x and
alpha 1 to enhance their effects but can also work prejunctionally to inhibit release of ATP and NA.
Effect at the organ depends on how many
muscle bundles get stimulated, directly or indirectly.
The cross-hatched muscle cells get directly stimulated by release of neurotransmitter at the varicosity. The junction potentials will spread quickly from the directly innervated cells to
nearby coupled cells (hatched).
If a large enough area of effector muscle is depolarized, a propagated action potential will spread to the
indirectly coupled cells (Remind them that most smooth muscle consists of cells electrically coupled together)
Notice the difference in pattern. Visceral will have fastest activation in narrow band so can get local
effect. Vascular has it more spread on one surface and then goes deeper with time.
•Ganglionic transmission can be:
Fast EPSP -
-Slow EPSP
-IPSP
Fast EPSP -
-instantaneous
Slow EPSP -
-longer lasting
ACh released from preganglionic binds to nicotinic receptors and causes
large, fast EPSP. Primary synaptic pathway for both symp and parasymp.
Slow EPSP happen when postsynaptic has muscarinic receptors. Smaller than
fast (note scale) but longer lasting. Result from opening of Na+ and Ca2+ channels and closing of K+.
Peptadergic EPSP can last up to a minute or more and works via same mechanism as slow
EPSP. Substance P is a common ligand for peptadergics
IPSP - mediated by muscarinic receptors that cause K+ channels to
open, causing K+ to leave and Em to hyperpolarize.
Visceral sensory inputs travel to nucleus of the
solitary tract (medulla) topographically.
•From there it goes to 3 locations.,
1. Preganglionic neurons
2. integrative areas such as reticular formation and forebrain
3. Various spots in the brain
3. Various spots in the brain
lateral reticular formation
- periaqueductal gray matter
- amygdaloid complex
How does brain regulate autonomic outputs? Direct outputs are found in
hypothalamus, parabrachial nucleus, solitary tract and other brainstem centers
There are also lots of other side connections between these and
autonomic preganglionic fibers.
Hypothalamus is
autonomic integrating center
Hypothalamus, Takes in sensory info, compares it to
set points