Neural Integration II: The Autonomic Nervous System and Higher-Order Functions
Operates under conscious control Seldom affects long-term survival SNS controls skeletal muscles
Operates without conscious instruction ANS controls visceral effectors Coordinates system functions: cardiovascular, respiratory, digestive, urinary, reproductive
Integrative centers
For autonomic activity in hypothalamus Neurons comparable to upper motor neurons in SNS
Visceral motor neurons
In brain stem and spinal cord, are known as preganglionic neurons Preganglionic fibers:
– axons of preganglionic neurons – leave CNS and synapse on ganglionic neurons
Contain many ganglionic neurons Ganglionic neurons innervate visceral effectors:
– such as cardiac muscle, smooth muscle, glands, and adipose tissue
Operates largely outside our awareness Has two divisions
Sympathetic division
– increases alertness, metabolic rate, and muscular abilities
Parasympathetic division
– reduces metabolic rate and promotes digestion
“Kicks in” only during exertion, stress, or emergency
Parasympathetic Division
Controls during resting conditions “Rest and digest”
Two divisions may work independently
Some structures innervated by only one division
Two divisions may work together
Each controlling one stage of a complex process
Sympathetic Division
Preganglionic fibers (thoracic and superior lumbar; thoracolumbar) synapse in
Preganglionic fibers are short Postganglionic fibers are long Prepares body for crisis, producing a “fight or flight” response
Stimulates tissue metabolism Increases alertness
Seven Responses to Increased Sympathetic Activity
Heightened mental alertness Increased metabolic rate Reduced digestive and urinary functions Energy reserves activated Increased respiratory rate and respiratory passageways dilate Increased heart rate and blood pressure Sweat glands activated
Parasympathetic Division
Preganglionic fibers originate in brain stem and sacral segments of spinal cord;
Synapse in ganglia close to (or within) target organs Preganglionic fibers are long Postganglionic fibers are short Rest and repose
Parasympathetic division stimulates visceral activity Conserves energy and promotes sedentary activities Decreased metabolic rate, heart rate, and blood pressure Increased salivary and digestive glands secretion Increased motility and blood flow in digestive tract Urination and defecation stimulation
Enteric Nervous System (ENS)
Third division of ANS Extensive network in digestive tract walls Complex visceral reflexes coordinated locally Roughly 100 million neurons All neurotransmitters are found in the brain
Preganglionic neurons located between segments T1 and L2 of spinal
Ganglionic neurons in ganglia near vertebral column Cell bodies of preganglionic neurons in lateral gray horns Axons enter ventral roots of segments Ganglionic Neurons
Sympathetic chain ganglia Collateral ganglia Suprarenal medullae
Sympathetic chain ganglia
Are on both sides of vertebral column Control effectors:
– in body wall – inside thoracic cavity – in head – in limbs
Collateral ganglia
Are anterior to vertebral bodies Contain ganglionic neurons that innervate tissues and organs in
Suprarenal (adrenal) medullae
Very short axons When stimulated, release neurotransmitters into bloodstream (not at synapse) Function as hormones to affect target cells throughout body
Are relatively short Ganglia located near spinal cord
Are relatively long, except at suprarenal medullae
Organization and Anatomy of the Sympathetic Division
Ventral roots of spinal segments T1–L2 contain sympathetic preganglionic
Give rise to myelinated white ramus Carry myelinated preganglionic fibers into sympathetic chain ganglion May synapse at collateral ganglia or in suprarenal medullae
One preganglionic fiber synapses on many ganglionic neurons Fibers interconnect sympathetic chain ganglia Each ganglion innervates particular body segment(s)
Paths of unmyelinated postganglionic fibers depend on targets
Postganglionic fibers control visceral effectors
In body wall, head, neck, or limbs Enter gray ramus Return to spinal nerve for distribution
Postganglionic fibers innervate effectors
Sweat glands of skin Smooth muscles in superficial blood vessels
Postganglionic fibers innervating structures in thoracic cavity form bundles
Each sympathetic chain ganglia contains
3 cervical ganglia 10–12 thoracic ganglia 4–5 lumbar ganglia 4–5 sacral ganglia 1 coccygeal ganglion Preganglionic neurons
Limited to spinal cord segments T1–L2
White rami (myelinated preganglionic fibers) Innervate neurons in
– cervical, inferior lumbar, and sacral sympathetic chain ganglia
Chain ganglia provide postganglionic fibers
Through gray rami (unmyelinated postganglionic fibers) To cervical, lumbar, and sacral spinal nerves
Only spinal nerves T1–L2 have white rami
That carries sympathetic postganglionic fibers for distribution in body wall
In head and neck leave superior cervical sympathetic ganglia Supply the regions and structures innervated by cranial nerves III, VII, IX, X
Collateral Ganglia
Receive sympathetic innervation via sympathetic preganglionic fibers Splanchnic nerves
Formed by preganglionic fibers that innervate collateral ganglia In dorsal wall of abdominal cavity Originate as paired ganglia (left and right) Usually fuse together in adults
Leave collateral ganglia Extend throughout abdominopelvic cavity Innervate variety of visceral tissues and organs:
– reduction of blood flow and energy by organs not vital to short-term survival – release of stored energy reserves
Preganglionic fibers from seven inferior thoracic segments
End at celiac ganglion or superior mesenteric ganglion
Ganglia embedded in network of autonomic nerves
Preganglionic fibers from lumbar segments
Form splanchnic nerves End at inferior mesenteric ganglion
Pair of interconnected masses of gray matter May form single mass or many interwoven masses Postganglionic fibers innervate stomach, liver, gallbladder, pancreas, and
Near base of superior mesenteric artery Postganglionic fibers innervate small intestine and proximal 2/3 of large
Near base of inferior mesenteric artery Postganglionic fibers provide sympathetic innervation to portions of large
intestine, kidney, urinary bladder, and sex organs
Suprarenal Medullae
Preganglionic fibers entering suprarenal gland proceed to center (suprarenal
Modified sympathetic ganglion Preganglionic fibers synapse on neuroendocrine cells Specialized neurons secrete hormones into bloodstream Neuroendocrine cells of suprarenal medullae
Secrete neurotransmitters epinephrine (E) and norepinephrine (NE) Epinephrine:
– also called adrenaline – is 75–80% of secretory output
Bloodstream carries neurotransmitters through body Causing changes in metabolic activities of different cells including cells not
innervated by sympathetic postganglionic fibers
Hormones continue to diffuse out of bloodstream
Change activities of tissues and organs by
Releasing NE at peripheral synapses:
– target specific effectors: smooth muscle fibers in blood vessels of skin – are activated in reflexes – do not involve other visceral effectors
Distributing E and NE throughout body in bloodstream:
– entire division responds (sympathetic activation) – are controlled by sympathetic centers in hypothalamus
– effects are not limited to peripheral tissues – alters CNS activity
Increased alertness Feelings of energy and euphoria Change in breathing Elevation in muscle tone Mobilization of energy reserves
Stimulation of Sympathetic Preganglionic Neurons
Releases ACh at synapses with ganglionic neurons Excitatory effect on ganglionic neurons
Release neurotransmitters at specific target organs
Form branching networks of telodendria instead of synaptic knobs Telodendria form sympathetic varicosities:
– resemble string of pearls – swollen segment packed with neurotransmitter vesicles – pass along or near surface of effector cells – no specialized postsynaptic membranes – membrane receptors on surfaces of target cells
Some ganglionic neurons release ACh instead:
– are located in body wall, skin, brain, and skeletal muscles – called cholinergic neurons
Sympathetic Stimulation and the Release of NE and E
Primarily from interactions of NE and E with two types of adrenergic membrane
Alpha receptors (NE more potent) Beta receptors
Activates enzymes on inside of cell membrane via G proteins Alpha-1 (α1)
More common type of alpha receptor Releases intracellular calcium ions from reserves in endoplasmic reticulum Has excitatory effect on target cell
Alpha-2 (α2)
Lowers cAMP levels in cytoplasm Has inhibitory effect on the cell Helps coordinate sympathetic and parasympathetic activities
Beta (β) receptors
Affect membranes in many organs (skeletal muscles, lungs, heart, and liver) Trigger metabolic changes in target cell Stimulation increases intracellular cAMP levels
Beta-1 (β1)
Beta-2 (β2)
Triggers relaxation of smooth muscles along respiratory tract
Beta-3 (β3)
Leads to lipolysis, the breakdown of triglycerides in adipocytes
Sympathetic Stimulation and the Release of ACh and NO
Cholinergic (ACh) sympathetic terminals
Innervate sweat glands of skin and blood vessels of skeletal muscles and brain Stimulate sweat gland secretion and dilate blood vessels
Release nitric oxide (NO) as neurotransmitter Neurons innervate smooth muscles in walls of blood vessels in skeletal
Produce vasodilation and increased blood flow
Are contained in the mesencephalon, pons, and medulla oblongata
associated with cranial nerves III, VII, IX, X
In lateral gray horns of spinal segments S
Ganglionic Neurons in Peripheral Ganglia
Terminal ganglion
Near target organ Usually paired
Intramural ganglion
Embedded in tissues of target organ Interconnected masses Clusters of ganglion cells
Organization and Anatomy of the Parasympathetic
Parasympathetic preganglionic fibers leave brain as components of cranial nerves
III (oculomotor) VII (facial) IX (glossopharyngeal) X (vagus)
Parasympathetic preganglionic fibers leave spinal cord at sacral level
Oculomotor, Facial, and Glossopharyngeal Nerves
Control visceral structures in head Synapse in ciliary, pterygopalatine, submandibular, and otic ganglia Short postganglionic fibers continue to their peripheral targets
Provides preganglionic parasympathetic innervation to structures in
Neck Thoracic and abdominopelvic cavity as distant as a distal portion of large intestine Provides 75% of all parasympathetic outflow Branches intermingle with fibers of sympathetic division
Preganglionic fibers carry sacral parasympathetic output Do not join ventral roots of spinal nerves, instead form pelvic nerves
Pelvic nerves innervate intramural ganglia in walls of kidneys, urinary bladder, portions of
Centers on relaxation, food processing, and energy absorption Localized effects, last a few seconds at most
Major effects of parasympathetic division include
Constriction of pupils
Secretion by digestive glands
Secretion of hormones
Changes in blood flow and glandular activity
Major effects of parasympathetic division include
Increase in smooth muscle activity along digestive tract Defecation: stimulation and coordination Contraction of urinary bladder during urination Constriction of respiratory passageways Reduction in heart rate and force of contraction
Stimulation increases nutrient content of blood Cells absorb nutrients
Neuromuscular and Neuroglandular Junctions
All release ACh as neurotransmitter Small, with narrow synaptic clefts Effects of stimulation are short lived
Inactivated by AChE at synapse ACh is also inactivated by pseudocholinesterase (tissue cholinesterase) in surrounding
Nicotinic receptors
On surfaces of ganglion cells (sympathetic and parasympathetic):
– exposure to ACh causes excitation of ganglionic neuron or muscle fiber
Muscarinic receptors
At cholinergic neuromuscular or neuroglandular junctions (parasympathetic) At few cholinergic junctions (sympathetic) G proteins:
– effects are longer lasting than nicotinic receptors – response reflects activation or inactivation of specific enzymes – can be excitatory or inhibitory
Dangerous environmental toxins
Produce exaggerated, uncontrolled responses Nicotine:
– binds to nicotinic receptors – targets autonomic ganglia and skeletal neuromuscular junctions – 50 mg ingested or absorbed through skin – signs:
ª vomiting, diarrhea, high blood pressure, rapid heart rate, sweating, profuse salivation,
Dangerous Environmental Toxins (cont’d)
Produce exaggerated, uncontrolled responses Muscarine
Binds to muscarinic receptors Targets parasympathetic neuromuscular or neuroglandular junctions Signs and symptoms:
– salivation, nausea, vomiting, diarrhea, constriction of respiratory passages, low blood pressure, slow
Widespread impact Reaches organs and tissues throughout body
Innervates only specific visceral structures
Most vital organs receive instructions from both sympathetic and parasympathetic
Two divisions commonly have opposing effects
Parasympathetic postganglionic fibers accompany cranial nerves to
Sympathetic innervation reaches same structures by traveling directly
from superior cervical ganglia of sympathetic chain
Nerve networks in the thoracic and abdominopelvic cavities:
– are formed by mingled sympathetic postganglionic fibers and parasympathetic
Travel with blood and lymphatic vessels that supply visceral organs
Cardiac plexus Pulmonary plexus Esophageal plexus Celiac plexus Inferior mesenteric plexus Hypogastric plexus
Autonomic fibers entering thoracic cavity intersect Contain
Sympathetic and parasympathetic fibers for heart and lungs Parasympathetic ganglia whose output affects those organs
Descending branches of vagus nerve Splanchnic nerves leaving sympathetic chain
Parasympathetic preganglionic fibers of vagus nerve enter abdominopelvic cavity
Fibers enter celiac plexus (solar plexus)
Associated with smaller plexuses, such as inferior mesenteric
Innervates viscera within abdominal cavity
Parasympathetic outflow of pelvic nerves Sympathetic postganglionic fibers from inferior mesenteric ganglion Splanchnic nerves from sacral sympathetic chain
Innervates digestive, urinary, and reproductive organs of pelvic cavity
Autonomic Tone
Is an important aspect of ANS function
If nerve is inactive under normal conditions, can only increase activity If nerve maintains background level of activity, can increase or decrease
Maintain resting level of spontaneous activity Background level of activation determines autonomic tone
Significant where dual innervation occurs
More important when dual innervation does not occur
The heart receives dual innervation Two divisions have opposing effects
Acetylcholine released by postganglionic fibers slows heart rate
NE released by varicosities accelerates heart rate
Autonomic tone is present Releases small amounts of both neurotransmitters continuously
The heart receives dual innervation
Parasympathetic innervation dominates under resting conditions Crisis accelerates heart rate by
Stimulation of sympathetic innervation Inhibition of parasympathetic innervation
Blood vessel dilates and blood flow increases Blood vessel constricts and blood flow is reduced Sympathetic postganglionic fibers release NE
Innervate smooth muscle cells in walls of peripheral vessels
Background sympathetic tone keeps muscles partially contracted To increase blood flow
Rate of NE release decreases Sympathetic cholinergic fibers are stimulated Smooth muscle cells relax Vessels dilate and blood flow increases
Visceral Reflexes Regulate Autonomic Function
Centers in all portions of CNS Lowest level regulatory control
Lower motor neurons of cranial and spinal visceral reflex arcs
Pyramidal motor neurons of primary motor cortex Operating with feedback from cerebellum and basal nuclei
Provide automatic motor responses Can be modified, facilitated, or inhibited by higher centers, especially
Receptor Sensory neuron Processing center (one or more interneurons):
Autonomic equivalents of polysynaptic reflexes Visceral sensory neurons deliver information to CNS along dorsal roots of spinal nerves:
– within sensory branches of cranial nerves – within autonomic nerves that innervate visceral effectors
ANS carries motor commands to visceral effectors Coordinate activities of entire organ
Bypass CNS Involve sensory neurons and interneurons located within autonomic ganglia Interneurons synapse on ganglionic neurons Motor commands distributed by postganglionic fibers Control simple motor responses with localized effects One small part of target organ
– short reflexes provide most control and coordination
Ganglia in the walls of digestive tract contain cell bodies of:
– visceral sensory neurons – interneurons – visceral motor neurons
Axons form extensive nerve nets Control digestive functions independent of CNS
Simple reflexes from spinal cord provide rapid and automatic responses Complex reflexes coordinated in medulla oblongata
Contains centers and nuclei involved in:
– salivation – swallowing – digestive secretions – peristalsis – urinary function
The Integration of SNS and ANS Activities
Many parallels in organization and function Integration at brain stem
Both systems under control of higher centers
Require the cerebral cortex Involve conscious and unconscious information processing Not part of programmed “wiring” of brain Can adjust over time Memory
Fact memories
Skill memories
Learned motor behaviors Incorporated at unconscious level with repetition Programmed behaviors stored in appropriate area of brain stem Complex are stored and involve motor patterns in the basal nuclei, cerebral cortex, and
Short–term memories
Information that can be recalled immediately Contain small bits of information
Long-term memories
Memory consolidation: conversion from short-term to long-term memory:
– secondary memories fade and require effort to recall – tertiary memories are with you for life
Brain Regions Involved in Memory Consolidation and Access
Amygdaloid body and hippocampus Nucleus basalis Cerebral cortex
Amygdaloid body and hippocampus
Are essential to memory consolidation Damage may cause
Inability to convert short-term memories to new long-term memories Existing long-term memories remain intact and accessible
Nucleus Basalis
Cerebral nucleus near diencephalon Plays uncertain role in memory storage and retrieval Tracts connect with hippocampus, amygdaloid body, and cerebral cortex Damage changes emotional states, memory, and intellectual functions
Cerebral cortex
Stores long-term memories Conscious motor and sensory memories referred to association areas
Special portions crucial to memories of faces, voices, and words A specific neuron may be activated by combination of sensory stimuli associated with particular
individual; called “grandmother cells”
Visual association area Auditory association area Speech center Frontal lobes Related information stored in other locations
If storage area is damaged, memory will be incomplete
Cellular Mechanisms of Memory Formation and Storage
Involves anatomical and physiological changes in neurons and
Increased neurotransmitter release Facilitation at synapses Formation of additional synaptic connections
Increased Neurotransmitter Release
Frequently active synapse increases the amount of neurotransmitter it
Releases more on each stimulation The more neurotransmitter released, the greater effect on postsynaptic
Facilitation at Synapses
Neural circuit repeatedly activated Synaptic terminals begin continuously releasing neurotransmitter Neurotransmitter binds to receptors on postsynaptic membrane Produces graded depolarization Brings membrane closer to threshold Facilitation results affect all neurons in circuit
Formation of Additional Synaptic Connections
Neurons repeatedly communicating Axon tip branches and forms additional synapses on postsynaptic neuron Presynaptic neuron has greater effect on transmembrane potential of postsynaptic
Cellular Mechanisms of Memory Formation and Storage
Basis of memory storage
Processes create anatomical changes Facilitate communication along specific neural circuit
Memory Engram
Single circuit corresponds to single memory Forms as result of experience and repetition
Cellular Mechanisms of Memory Formation and Storage
Efficient conversion of short-term memory
Takes at least 1 hour Repetition crucial
Factors of conversion
Nature, intensity, and frequency of original stimulus Strong, repeated, and exceedingly pleasant or unpleasant events likely converted to long-term
Caffeine and nicotine are examples:
– enhance memory consolidation through facilitation
NMDA (N-methyl D-aspartate) Receptors:
– linked to consolidation – chemically gated calcium channels – activated by neurotransmitter glycine – gates open, calcium enters cell – blocking NMDA receptors in hippocampus prevents long-term memory formation
Many gradations of states Degree of wakefulness indicates level of ongoing CNS activity When abnormal or depressed, state of wakefulness is affected Deep sleep
Also called slow-wave sleep Entire body relaxes Cerebral cortex activity minimal Heart rate, blood pressure, respiratory rate, and energy utilization decline up to
Rapid eye movement (REM) sleep
Active dreaming occurs Changes in blood pressure and respiratory rate Less receptive to outside stimuli than in deep sleep Muscle tone decreases markedly Intense inhibition of somatic motor neurons Eyes move rapidly as dream events unfold
Nighttime sleep pattern
Alternates between levels Begins in deep sleep REM periods average 5 minutes in length; increase to 20 minutes over 8 hours
Has important impact on CNS Produces only minor changes in physiological activities of organs and systems Protein synthesis in neurons increases during sleep Extended periods without sleep lead to disturbances in mental function 25% of U.S. population experiences sleep disorders Arousal and the reticular activating system (RAS)
Awakening from sleep Function of reticular formation:
– extensive interconnections with sensory, motor, integrative nuclei, and pathways along brain stem
Determined by complex interactions between reticular formation and cerebral cortex
Reticular Activating System (RAS)
Important brain stem component Diffuse network in reticular formation Extends from medulla oblongata to mesencephalon Output of RAS projects to thalamic nuclei that influence large areas of cerebral
When RAS inactive, so is cerebral cortex Stimulation of RAS produces widespread activation of cerebral cortex
Arousal and the Reticular Activating System
Any stimulus activates reticular formation and RAS Arousal occurs rapidly Effects of single stimulation of RAS last less than a minute
Activity in cerebral cortex, basal nuclei, and sensory and motor pathways continue to stimulate
– after many hours, reticular formation becomes less responsive to stimulation – individual becomes less alert and more lethargic – neural fatigue reduces RAS activity
Involves interplay between brain stem nuclei that use different neurotransmitters Group of nuclei stimulates RAS with NE and maintains awake, alert state Other group promotes deep sleep by depressing RAS activity with serotonin “Dueling” nuclei located in brain stem
Destruction of ACh-secreting and GABA-secreting neurons in basal nuclei Symptoms appear as basal nuclei and frontal lobes slowly degenerate Difficulty controlling movements Intellectual abilities gradually decline
Powerful hallucinogenic drug Activates serotonin receptors in brain stem, hypothalamus, and limbic
Compounds that enhance effects also produce hallucinations (LSD) Compounds that inhibit or block action cause severe depression and
Variations in levels affect sensory interpretation and emotional states Fluoxetine (Prozac)
Slows removal of serotonin at synapses
Increases serotonin concentrations at postsynaptic membrane Classified as selective serotonin reuptake inhibitors (SSRIs) Other SSRIs:
Inadequate dopamine production causes motor problems Dopamine
Secretion stimulated by amphetamines, or “speed” Large doses can produce symptoms resembling schizophrenia Important in nuclei that control intentional movements Important in other centers of diencephalon and cerebrum
Anatomical and physiological changes begin after maturity (age
Accumulate over time 85% of people over age 65 have changes in mental
Decrease in volume of cerebral cortex Narrower gyri and wider sulci Larger subarachnoid space
Brain shrinkage linked to loss of cortical neurons No neuronal loss in brain stem nuclei
Fatty deposits in walls of blood vessels Reduces blood flow through arteries Increases chances of rupture
Cerebrovascular accident (CVA), or stroke
May damage surrounding neural tissue
Changes in Synaptic Organization of Brain
Number of dendritic branches, spines, and interconnections decreases Synaptic connections lost Rate of neurotransmitter production declines
Intracellular and Extracellular Changes in CNS Neurons
Neurons in brain accumulate abnormal intracellular deposits Lipofuscin
Granular pigment with no known function
Masses of neurofibrils form dense mats inside cell body and axon
Intracellular and Extracellular Changes in CNS Neurons
Extracellular accumulations of fibrillar proteins Surrounded by abnormal dendrites and axons
Contain deposits of several peptides Primarily two forms of amyloid ß (Aß) protein Appear in brain regions specifically associated with memory processing
Linked to functional changes Neural processing becomes less efficient with age Memory consolidation more difficult Secondary memories harder to access
Hearing, balance, vision, smell, and taste become less acute Reaction times slowed Reflexes weaken or disappear
Precision decreases Takes longer to perform
85% of elderly population develops changes that do not interfere with
Some individuals become incapacitated by progressive CNS changes
Also called senile dementia Degenerative changes
Memory loss Anterograde amnesia (lose ability to store new memories) Emotional disturbances
Monitors all other systems Issues commands that adjust their activities Like conductor of orchestra Neural Tissue
Extremely delicate Extracellular environment must maintain homeostatic limits If regulatory mechanisms break down, neurological disorders appear
Parkinson disease, Alzheimer disease
Physicians trace source of specific problem Evaluate sensory, motor, behavioral, and cognitive functions of
Course Information and Outline PHRM 409: Advanced Pharmaceutical Analysis [Credit: 4] Fall, 2012 Department of Pharmacy Instructor: Dr. Chowdhury Faiz Hossain, Professor and Dean, FSE. Section 2 Class Hours: 12:40 1:40 (Room-304) Course Objective: To give some ideas on advanced level about the principles and applications of NMR spectroscopy and Mass spect
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