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.