Physiology of the Autonomic Nervous System


Organ system

SNS response

SNS receptor

PSNS response

PSNS receptor

Eye

Iris radial

Dilation

α(alpha)1
  
Iris ciliary

Relaxation

β(beta)2

Miosis (contraction)

M3

Circular
  
Accommodation (contraction)

M3

Heart

Rate of contraction

Increased

β(beta)1

Decrease

M2

Force of contraction

Increased

β(beta)1

Decreased

M2

Coronary artery

Constriction

α(alpha)1
   
Dilation

β(beta)1
  
Blood vessels

Arteries

Constriction

α(alpha)1 (α[alpha]2)
  
Muscle

Vasodilation

β(beta)2
  
Veins

Vasoconstriction

α(alpha)2 (α[alpha]1)
  
Pulmonary

Bronchial tree

Bronchodilation

β(beta)2

Bronchoconstriction

M3

Renal/GU

Kidney

Renin secretion

β(beta)1
  
Bladder detrusor

Relaxation

β(beta)2

Contraction

M3

Trigone

Contraction

α(alpha)1

Relaxation

M3

Ureter

Contraction

α(alpga)1
  
Uterus

Contraction

α(alpha)1

Variable
 
Vas deferens

Contraction

α(alpha)1
  
Gastrointestinal system

Intestines

Relaxation

α(alpha)2

Contraction

M3

Splenic capsule

Contraction

α(alpha)1
  
Liver glycogenolysis

Increase

α(alpha)1 (β[beta]2) (β[beta]3)
  
Glands and cells

Fat cells

Lipolysis

β(beta)1 (β[beta]3)
  
Hair follicles, Smooth muscle

Contraction (piloerection)

α(alpha)1
  
Insulin release from pancreas

Decrease

α(alpha)2
  
Nasal secretion

Decrease

α(alpha)1 (α[alpha]2)

Increase
 
Salivary glands

Increase secretion

α(alpha)1

Increase secretion
 
Sweat glands

Increase secretion

α(alpha)1

Increase secretion
 



19.5.1 Eyes


The eyes are innervated by both the SNS and PSNS, which yield opposing functional results. The systems control two functions related to the eye and sight. First, the pupillary constriction and dilation, which alters the gathering of light. Second, altering the shape of the lens allowing for focal plane adjustments. The pupillary opening is controlled by both the PSNS and SNS in different ways. The PSNS is responsible for putting into effect the constriction of the pupil in response to light hitting the retina. The SNS causes dilation of the pupil to let more light in during times of increased stimulation. Lens shape and focusing is almost exclusively a PSNS function. Stimulation of the PSNS causes excitation and constriction of the ciliary muscle, making the lens convex and suitable for near field vision. SNS stimulation, on the other hand, relaxes the ciliary muscle thinking the lens for distance vision. The aforementioned facts that both SNS and PSNS demonstrate both an excitation and relaxation effect in different areas proves that no generalized statement can be made regarding the final effects of either subsystem of the ANS.


19.5.2 Body Glands


Different glandular systems tend to respond in a different fashion, depending on location, intended function, and primary stimulation system. Nasal, lacrimal, salivary, and gastrointestinal glands are strongly stimulated by the PSNS, almost always resulting in copious quantities of watery secretion. This holds true for the upper part of the alimentary tract, but not the lower part, which is controlled predominantly by the enteric nervous system (to be discussed later). The SNS decreases blood flow to the alimentary glands, decreasing secretion rates, and causes secretion of concentrated, highly enzymatic secretions and mucus. Sweat glands are controlled by the SNS secreting sweat when stimulated by postganglionic cholinergic fibers. The process becomes even more contrary and confusing because the control of the stimulus originates in the hypothalamus, usually considered a PSNS controller. In summary, sweating is parasympathetic, in spite of its SNS distribution. The apocrine glands are purely sympathetic in nature.


19.5.3 Heart


The heart is innervated by both the SNS and PSNS, each acting in opposition to modulate function in three ways. The SNS and PSNS affect cardiac pump function in three ways. First, by changing the rate (chronotropism); SNS increasing the rate and PSNS decreasing it. Second, by changing the strength of contraction (inotropism); SNS increasing the strength and PSNS decreasing it. Finally, both systems modulate coronary blood flow. The PSNS, via the vagus nerve, predominantly innervates the sinoatrial and atrioventricular nodes, affecting choronotropy more than inotropy. Overall the role of PSNS in cardiac contractility is poorly understood. Sympathetic stimulation increases overall activity of the heart, increasing rate and contractility. While the effects of the ANS on coronary artery blood flow are not well understood, it is known that the SNS, via α(alpha) receptors, can cause constriction of the large coronary vessels, which normally have no role in the coronary resistance. The SNS can also cause dilation via β(beta)2 receptor stimulation, providing balance to the effects of SNS stimulation.


19.5.4 Lung


The lungs receive innervation from both the PSNS and SNS. The effect of SNS stimulation leads to bronchial dilation and pulmonary vasoconstriction. The increased pulmonary vascular resistance may be important in maintaining the balance between right and left ventricular output during stress and exercise. PSNS stimulation leads to bronchial constriction with little to no vascular dilation.


19.5.5 Blood Vessels


SNS nerves are the most important regulators of the peripheral circulation and overall systemic vascular tone. Stimulation by the SNS generally causes vasoconstriction in all organs except the heart, brain, and muscle where there are less SNS fibers. PSNS has almost no effects on the blood vessels as far as direct stimulation of relaxation. SNS stimulation results in increased blood pressure via increased cardiac activity and increased flow resistance in the circulation. As stated before, the PSNS has little effect on the overall systemic resistance, but can render a rapid decrease in blood pressure via vagal stimulation of the nodal cardiac conduction for a brief period of time.

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Dec 18, 2017 | Posted by in Uncategorized | Comments Off on Physiology of the Autonomic Nervous System

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