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Autonomic & 
Somatic Nervous Systems. 
By 
Syed Abdul Naveed. 
M.Pharm (Pharmacology). 
. 
1
which consists of 
The Nervous System 
is divided into 
that make up 
which is divided into 
Sensory nerves 
Motor nerves 
Autonomic nervous 
system 
Central nervous 
system 
Somatic nervous 
system 
Peripheral nervous 
system 
Sympathetic 
nervous system 
Parasympathetic 
nervous system 
Enteric nervous 
system 
2
Autonomic nervous system 
• The autonomic nervous system is the subdivision of the 
peripheral nervous system that regulates body activities that are 
generally not under conscious control (or) responsible for 
control of involuntary or visceral body functions. 
• The A.N.S composed of efferent neurons that innervates smooth 
muscle of the viscera, cardiac muscle ,vasculators & the exocrine 
gland ,cardiac output, blood flow & glandular secretion. 
3
Autonomic nervous system 
Divisions of the autonomic nervous system: 
• Parasympathetic division 
• Sympathetic division 
Serve most of the same organs but cause opposing or antagonistic 
effects. 
• Parasysmpathetic: routine maintenance “rest &digest”. 
• Sympathetic: mobilization & increased metabolism “fight, flight or 
fright”. 
• Efferent (Motor) Nerve : Carry impulses from cns (brain and spinal 
cord) to muscle or organ (peripheral tissues). 
• Afferent (Sensory)Nerve :Neuron which transmits impulses from sense 
organs (bring information from periphery ) to cns 
4
Introduction (efferent neurons) 
• Efferent (motor)neuron carrier nerve impulse from CNS to the effector organ by 
way of two types of efferant neurons. 
• First nerve is called Preganglionic neuron 
and its cell body is located in the CNS. 
• Preganglionic neurons emerge in the brain stem or spinal cord and makes a 
synaptic connection in the ganglia. 
• The ganglia function as a relay station between a preganglionic neuron and second 
nerve cell (postganglionic neuron) 
• The postganglionic neuron has a cell body originating in the ganglia and terminates 
on effector organ. 
5
Introduction to somatic motor neurons 
• Somatic efferent neurons are involved in the voluntary contol of 
function such as contraction of the skeletal muscle. 
• Input from sense organs & out put to skeletal muscle. 
6
Autonomic and Somatic Motor Systems 
Autonomic motor system 
Chain of two motor neurons 
•Preganglionic neuron 
•Postganglionic neuron 
Conduction is slower due to thinly or unmyelinated axons 
Somatic motor system 
One motor neuron extends from the CNS to skeletal muscle 
Axons are well myelinated, conduct impulses rapidly 
7
Sympathetic Nervous system 
(fight, flight or fright) 
• Also called thoracolumbar system: all its neurons are in lateral horn of gray matter from 
T1-L2 
• Preganglionic neuron of the sympathetic system comes from thoracic and lumbar region of 
the spinal cord and they synapse in the two cord like chain of ganglia that run parallel on 
each side of the spinal cord. 
• Preganglion neurons are short ,. Postganglion neuros are long 
• Axons of the postganglionic neuron extended from these ganglion to the tissue that they 
innervate and regulate. 
• The adrenal medulla (large synaptic ganglion receives preganglion fiber from the 
sympathetic system. 
• The adrenal medulla in response to stimulation secreates epinephrine also know as 
adrenaline, and lesser amount of norepinephrine in to the blood. 
8
Motor Fiber 
Ach NE 
Ganglion 
Ach 
Ach 
Ach 
Ach 
EPI/NE 
Ach Ach 
Somatic 
Sympathetic 
Sympathetic 
Sympathetic 
Para-sympathetic 
Postganglionic Fiber; 
Adrenergic 
Adrenal Gland 
Skeletal 
Muscle 
Smooth 
Muscle 
Cardiac Cells 
Gland Cells 
Sweat 
Glands 
Smooth 
Muscle 
Cardiac Cells 
Gland Cells 
Ganglion 
Ganglion 
Neurotransmitter released by preganglionic axons 
•Acetylcholine for both branches (cholinergic) 
Neurotransmitter released by postganglionic axons 
•Sympathetic – most release norepinephrine (adrenergic) 
•Parasympathetic – release acetylcholine 9
Role of the Sympathetic Division 
• The sympathetic division is the “fight-or-flight” system 
• Involves E activities – exercise, excitement, emergency, 
and embarrassment 
• Promotes adjustments during exercise – blood flow to 
organs is reduced, flow to muscles is increased 
• Its activity is illustrated by a person who is threatened 
– Heart rate increases, and breathing is rapid and 
deep 
– The skin is cold and sweaty, and the pupils dilate 
10
Sympathetic Division of the ANS 
11
The Role of the Adrenal Medulla in the 
Sympathetic Division 
• Adrenalin (also called epinephrine) is produced in 
the medulla of the adrenal glands. 
•The adrenal glands are located on the top of each 
kidney. 
•The sympathetic nervous system stimulates the 
adrenal gland (an effector) to release the hormone 
adrenalin or epinephrine into the bloodstream. 
•Adrenalin is a modified amino acid hormone. 
The target tissue for adrenalin is mainly cardiac 
and skeletal muscle. 
•Adrenalin increases heart rate and blood pressure 
providing more oxygen to working muscles. 
• It also increases blood sugar levels providing 
more energy to cardiac and skeletal muscles. 
12
Role of the Parasympathetic Division 
• Concerned with keeping body energy use low 
• Involves the D activities – digestion, defecation, and 
diuresis 
• Its activity is illustrated in a person who relaxes after 
a meal 
– Blood pressure, heart rate, and respiratory rates 
are low 
– Gastrointestinal tract activity is high 
– The skin is warm and the pupils are constricted 
13
Parasympathetic neurons 
(Rest and Digest) 
 Allow body to function under Rest and digest 
 Pre-ganglionic fiber rises from the cranium(cranium fibers) 
[III , VII, IX, X]and from sacral region of the spinal cord and 
synapse in ganglia near or on the effector organ. 
 Cranial outflow 
 III –oculomotor nerve(- pupils constrict) 
 VII -facial nerve –( tears, nasal mucus 
 IX -gloss-pharyngeal nerve(parotid salivary gland) 
 X –vagus nerve(visceral organs of thorax & abdomen): 
Stimulates digestive glands 
Increases motility of smooth muscle of digestive tract 
Decreases heart rate 
Causes bronchial constriction 
 Sacral outflow (S2-S4): form pelvic splanchnic nerves 
 Innervates organs of the pelvis and lower abdomen 
 Supply 2nd half of large intestine 
 Supply all the pelvic (genitourinary) organs 
 Preganglionic fibers are long 
 Postganglionic fibers are short , with a ganglia 
close or with in the organ. 
14
Summary of parasympathetic neurons 
and synapses 
Preganglionic neurons 
• Long 
• Synapse with postganglionic neurons at ganglia. 
• Release acetylcholine (ACH) to activate nicotinic receptors on postganglionic 
neurons 
Postganglionic neurons 
• Short 
• Synapse on the target organ 
• Release acetylcholine (ACH) to activate muscarinic receptors on the target 
organ 
15
16
INNERVATION BY THE A.N.S 
DUAL INNERVATION 
• Most organs in the body are 
innervated by both divisions of the 
a.n.s. 
• Despite this dual innervation one 
system usually predominates in 
controlling the activity of a given 
organ. 
Ex: In the heart vagus nerve is the 
predominant factor for controlling 
rate. 
ORGAN RECIVING ONLY 
SYMPATHETIC INNERVATION 
• The adrenal medulla pilomotor 
muscle and sweat glands. 
• The control of blood pressure is also 
mainly a sympathetic activity with 
essential no participation by the 
parasympathetic system 
17
18
19
Enteric neurons 
• It is third division of ANS 
• It is collection of nerve fibers that innervates the GIT, Pancreas and Gall 
Bladder 
• This system function independently of the CNS and control the motility 
exocrine and endocrine secretion and micro-circulation of the GIT. 
• It is modulated by both sympathetic and parasympathetic nervous system. 
20
Neurotransmitter in sympathetic and 
parasympathetic nervous system 
21
DIFFERENCES BETWEEN SNS&PNS 
SNS PNS 
ORIGIN DORSO-LUMBAR(T1 TO L2 OR L3) CRANOI SACRAL(III,VII,IX,X AND 
S2-S4) 
DISTRIBUTION WIDE LIMITED 
GANGLIA AWAY FROM ORGANS ON/ CLOSE TO THE ORGANS 
POST GANGLIONIC FIBRES LONG SHORT 
PRE:POST FIBRES RATIO 1:20 TO 1:100 1:1 TO 1:2 
TRANSMITTER NE (MAJOR) 
Ach (MINOR) 
Ach 
STABILITY OF TRANSMITTER NA STABLE Ach (RAPIDLY DESTROYS) 
IMP FUNCTION TACKLING STRESS & 
EMERGENCY 
ASSIMILATION OF FOOD 
,CONSERVATION OF ENERGY 
22
Adrenergic Receptors 
 ι1-receptors: vasoconstriction, relaxation 
of gastrointestinal smooth muscle, salivary 
secretion and hepatic glycogenolysis 
 ι2-receptors: inhibition of transmitter 
release (including noradrenalin and 
acetylcholine release from autonomic 
nerves), platelet aggregation, contraction of 
vascular smooth muscle, inhibition of insulin 
release 
 β1-receptors: increased cardiac rate and 
force 
 β2-receptors: bronchi dilatation, 
vasodilatation, relaxation of visceral smooth 
muscle, hepatic glycogenolysis and muscle 
tremor 
 β3-receptors: lipolysis. 23
Cholinergic Receptors 
• The two types of receptors that bind ACh are nicotinic and muscarinic 
• These are named after drugs that bind to them and mimic ACh effects. 
Nicotinic receptor 
• Nicotinic receptors are found on: 
– Motor end plates (somatic targets) 
– All ganglionic neurons of both sympathetic and parasympathetic divisions 
– The hormone-producing cells of the adrenal medulla 
• The effect of ACh binding to nicotinic receptors is always stimulatory. 
Muscarinic receptor 
• Muscarinic receptors occur on all effector cells stimulated by postganglionic 
cholinergic fibers 
• The effect of ACh binding: 
– Can be either inhibitory or excitatory 
– Depends on the receptor type of the target organ 
24
25
Regulation of ANS 
 Autonomic reflexes control most of activity of visceral organs, glands, 
and blood vessels. 
 Autonomic reflex activity influenced by hypothalamus and higher 
brain centers, but it is the hypothalamus that has overall control of 
the ANS. 
 Sympathetic and parasympathetic divisions influence activities of 
enteric (gut) nervous system through autonomic reflexes. These 
involve the CNS. But, the enteric nervous system can function 
independently of CNS through local reflexes. E.g., when wall of 
digestive tract is stretched, sensory neurons send information to 
enteric plexus and then motor responses sent to smooth muscle of 
gut wall and the muscle contracts. 
• Centers of the hypothalamus control: 
– Heart activity and blood pressure 
– Body temperature, water balance, and endocrine activity 
– Emotional stages (rage, pleasure) and biological drives (hunger, 
thirst, sex) 
– Reactions to fear and the “fight-or-flight” system 26
Levels of ANS Control 
• The hypothalamus is the 
main integration center of 
ANS activity 
• Subconscious cerebral input 
via limbic lobe connections 
influences hypothalamic 
function 
• Other controls come from 
the cerebral cortex, the 
reticular formation, and the 
spinal cord 
27
synapse 
• The junction between two neurons is called a synapse. 
• An action potential cannot cross the synaptic cleft between neurons, and 
instead the nerve impulse is carried by chemicals called 
neurotransmitters. 
• These chemicals are made by the cell that is sending the impulse (the pre-synaptic 
neuron) and stored in synaptic vesicles at the end of the axon. 
• The cell that is receiving the nerve impulse (the post-synaptic neuron) has 
chemical-gated ion channels in its membrane, called neuroreceptors. 
• These have specific binding sites for the neurotransmitters 28
1. At the end of the pre-synaptic neuron there are voltage-gated calcium channels. When an action 
potential reaches the synapse these channels open, causing calcium ions to flow into the cell. 
2. These calcium ions cause the synaptic vesicles to fuse with the cell membrane, releasing their 
contents (the neurotransmitter chemicals) by exocytosis. 
3. The neurotransmitters diffuse across the synaptic cleft. 
4. The neurotransmitter binds to the neuroreceptors in the post-synaptic membrane, causing the 
channels to open. In the example shown these are sodium channels, so sodium ions flow in. 
5. This causes a depolarisation of the post-synaptic cell membrane, which may initiate an action 
potential. 
6. The neurotransmitter is broken down by a specific enzyme in the synaptic cleft; for example the 
enzyme acetylcholinesterase breaks down the neurotransmitter acetylcholine. The breakdown 
products are absorbed by the pre-synaptic neuron by endocytosis and used to re-synthesis more 
neurotransmitter, using energy from the mitochondria. This stops the synapse being permanently 
on. 
29
General Features of Peripheral 
Autonomic Neurotransmission 
Membrane Depolarization of 
Pre- or Postganglionic Fiber 
Calcium Entry into 
Varicosity 
Exocytosis of NT 
Depolarization of Postganglionic 
Fiber or Response of 
Effector Cell 
Activation of NT 
Receptors 
Diffusion of NT Across 
Neuroeffector Junction 
or Synapse 
Nerve Impulse 
30
SYNTHESIS OF NOREPINEPHRINE 
 Nor epinephrine (NE) is the primary 
neurotransmitter 
 For postganglionic sympathetic adrenergic 
nerve. 
It is synthesized inside the nerve axon, 
stored within vesicles, then released by the 
nerve 
when an action potential travels down the 
nerve. 
Synthesis of NE: 
The amino acid tyrosine is transported 
into the sympathetic nerve axon. 
Tyrosine (Tyr) is converted to DOPA 
by tyrosine hydroxylase, 
(rate-limiting step for NE synthesis). 
DOPA is converted to dopamine (DA) 
by DOPA decarboxylase. 
Dopamine is transported into vesicles then 
converted to norepinephrine (NE) by dopamine 
β-hydroxylase (DBH); transport into the vesicle 
can by blocked by the drug reserpine. 
31
An action potential traveling down the axon depolarizes the membrane and causes calcium 
to enter the axon. 
Increased intracellular calcium causes the vesicles to migrate to the axonal membrane and 
fuse with the membrane, which permits the NE to diffuse out of the vesicle into the 
extracellular (junctional) space. DBH, and depending on the nerve other secondary 
neurotransmitters (e.g., ATP), is released along with the NE. 
The NE binds to the postjunctional receptor and stimulates the effector organ response 
32
Synthesis of epinephrine 
 Epinephrine is synthesized from norepinephrine within the adrenal medulla, 
which are small glands associated with the kidneys. 
 Preganglionic fibers sympathetic adrenergic nerves synapse within the adrenals. 
Activation of these fibers releases acetylcholine, which binds to postjunctional 
nicotinic receptors in the tissue. 
 This leads to stimulation of NE synthesis within adenomedullary cells, but unlike 
sympathetic neurons, there is an additional enzyme (phenyl ethanolamine-N-methyltransferase 
) that adds a methyl group to the NE molecule to form 
epinephrine. 
 The epinephrine is released into the blood perfusing the glands and carried 
throughout the body. 
33
Synthesis of acetylcholine 
Acetylcholine Synthesis 
• Acetyl-CoA is synthesized from 
pyruvate by mitochondria within 
cholinergic nerves. 
• This acetyl-CoA combines with 
choline that is transported into the 
nerve axon to form acetylcholine 
(ACh). 
• The enzyme responsible for this is 
choline acetyltransferase. 
• The newly formed ACh is then 
transported into vesicles for storage 
and subsequent release similar to 
what occurs for NE. 
• After ACh is released, it is rapidly 
degraded within the synapse by 
acetylcholineesterase, to form 
acetate and choline. 
34
COTRANSMISSION 
Release of More Than One 
Neurotransmitter from the Same 
Nerve Terminal 
Cotransmitter B 
Cotransmitter A 
Synergistic or Opposite Actions 
35
Many Examples of NANC Neurotransmitters 
36
Many Examples of NANC Neurotransmitters 
37
MODULATION OF NEUROTRANSMISSION 
Modulation of 
Neurotransmisson 
Presynaptic/ 
Prejunctional 
Modulation 
Postsynaptic/ 
Postjunctional 
Modulation 
Presynaptic/ 
Prejunctional 
Inhibition 
Presynaptic/ 
Prejunctional 
Facilitation 
Postsynaptic/ 
Postjunctional 
Inhibition 
Postsynaptic/ 
Postjunctional 
Facilitation 
38
MODULATION OF NEUROTRANSMISSION 
From Nerve 
Terminal Being 
Modulated 
(e.g., 
Autoinhibitory 
Feedback) 
From 
Postsynaptic/ 
Postjunctional 
Site (e.g., Trans-synaptic/ 
Transjunctional 
Inhibitory 
Feedback) 
From 
Nearby 
Nerve 
Terminal 
(Cross-talk) 
From 
Remote 
Site via 
Circulation 
(e.g., Renin 
Release) 
Sources of 
Modulators of 
Neurotransmission 
39
Neuromodulation and presynaptic interactions 
• As well as functioning directly as neurotransmitters, chemical 
mediators may regulate: 
• - presynaptic transmitter release 
• - neuronal excitability. 
• Both are examples of neuromodulation and generally involve second 
messenger regulation of membrane ion channels. 
• Presynaptic receptors may inhibit or increase transmitter release, the 
former being more important. 
• Inhibitory presynaptic autoreceptors occur on noradrenergic and 
cholinergic neurons, causing each transmitter to inhibit its own 
release (autoinhibitory feedback). 
• Many endogenous mediators (e.g. GABA, prostaglandins, opioid and 
other peptides), as well as the transmitters themselves, exert 
presynaptic control (mainly inhibitory) over autonomic transmitter 
release. 
40
Mechanisms of Neuromodulation 
41
SOMATIC NERVOUS SYSTEM 
• The somatic nervous system, or voluntary nervous system, is part of 
the peripheral nervous system that regulates body movement through 
control of skeletal (voluntary) muscles and also relates the organism 
with the environment through the reception of external stimuli, such 
as through the senses of vision, hearing, taste, and smell. 
• The somatic nervous system controls such voluntary actions as walking 
and smiling through the use of efferent motor nerves, in contrast with 
the function of the autonomic nervous system, which largely acts 
independent of conscious control in innervating cardiac muscle and 
exocrine and endocrine glands. 
• It is the somatic nervous system that allows individuals to receive 
sensory information and consciously react to environmental changes. 
42
Overview of somatic nervous system 
• The somatic nervous system consists of cranial and spinal nerves that innervate skeletal muscle 
tissue and are more under voluntary control (as well as the sensory receptors). 
• The somatic nervous system includes all the neurons connected with muscles ,skin , and sense 
organs. 
• The somatic nervous system processes sensory information and controls all voluntary muscular 
systems within the body, with the exception of reflex arcs. 
• The somatic nervous system consists of efferent nerves responsible for sending brain signals for 
muscle contraction. 
• In humans, there are 31 pairs of spinal nerves and 12 pairs of cranial nerves. 
• The 31 pairs of spinal nerves emanate from different areas of the spinal cord and each spinal nerve 
has a ventral root and a dorsal root. 
• The ventral root has motor (efferent) fibers that transmit messages from the central nervous 
system to the effectors, with the cell bodies of the efferent fibers found in the spinal cord gray 
matter. 
• The dorsal root has sensory (afferent) fibers that carry information from the sensory receptors to 
the spinal cord 
• The 12 pairs of cranial nerves transmit information on the senses of sight, smell, balance, taste, 
and hearing from special sensory receptors. 
• They also transmit information from general sensory receptors in the body, largely from the head. 
This information is received and processed by the central nervous system and then the response 
travels via the cranial nerves to the skeletal muscles to control movements in the face and throat, 
such as swallowing and smiling . 
43
Motor Pathway of Somatic Nervous System 
Somatic division: 
•Cell bodies of motor neurons reside in CNS (brain or spinal cord) 
•Their axons (sheathed in spinal nerves) extend all the way to their skeletal 
muscles 
44
Nerve Signal Transmission 
•The nerve signals in the efferent somatic nervous system involves a 
sequence that begins in the upper cell bodies of motor neurons (upper 
motor neurons) within the precentral gyrus (primary motor cortex). 
•Stimuli from the precentral gyrus are transmitted from upper motor 
neurons and down the corticospinal tract, via axons to control skeletal 
(voluntary) muscles. 
•These stimuli are conveyed from upper motor neurons through the ventral 
horn of the spinal cord, and across synapses to be received by the sensory 
receptors of alpha motor neuron (large lower motor neurons) of the 
brainstem and spinal cord. 
•Upper motor neurons release a neurotransmitter, acetylcholine, from their 
axon terminal knobs, which are received by nicotinic receptors of the alpha 
motor neurons. 
•In turn, alpha motor neurons relay the stimuli received down their axons 
via the ventral root of the spinal cord. These signals then proceed to the 
neuromuscular junctions of skeletal muscles. 
•From there, acetylcholine is released from the axon terminal knobs of 
alpha motor neurons and received by postsynaptic receptors (Nicotinic 
acetylcholine receptors) of muscles, thereby relaying the stimulus to 
contract muscle fibers 
45
Sensory neurons 
• General visceral sensory neurons monitor: 
– Stretch, temperature, chemical changes, and irritation 
• Cell bodies are located in the dorsal root ganglia 
1. Pain Receptors. 
2. Thermo receptor 
3. Mechanoreceptor 
4. Chemoreceptor 
5. Photoreceptor 
6. Hearing and balance 
46
Pain Receptors 
• Throughout body; except 
brain 
• Respond to chemical 
released by damaged cells 
• Important to recognize 
– Danger 
– Injury 
– Disease 
Thermoreceptors 
• In skin, body core, 
hypothalamus 
• Detect variations in body 
temperature 
47
Mechanoreceptors 
• Skin, skeletal muscle, and 
inner ears 
• Sensitive to 
– Touch 
– Pressure 
– Stretching of muscles 
– Sound 
– motion 
Chemo receptors 
• Chemoreceptors pick up 
chemical reception in nose 
and mouth 
• Smell – olfactory bulb 
• Taste – taste buds 
– Salty 
– Bitter 
– Sour 
– Sweet 
48
Photoreceptors 
• Eyes 
• Sensitive to Light 
Vision 
• Cornea 
– Helps focus light 
– Filled with aqueous humor 
• Iris 
– Back of cornea 
– Colored part of eye 
• Pupil 
– Tiny muscles regulate the size 
– Regulates amount of light 
• Lens 
– Small muscles change its shape to 
focus on object near and far away 
– Behind lens eye filled with vitreous 
humor 
• Retina 
– Has photoreceptors 
– No photoreceptors where optic nerve 
passes through the back of the eye; 
blind spot 
– Two types 
1. Rods – black and white 
2. Cones – color 
49
Hearing and Balance 
Hearing 
• Ear 
• Two Functions 
– Hearing 
– Detecting Positional change 
to movement. 
• Cochlea 
• Hammer, Anvil, Stirrup 
• Tymapnum 
• Auditory canal 
• Sound 
Balance 
• Semicircular Canals 
– 3 canals that form half circles 
– Filled with fluid and hairs that 
detect motion of head in 
relation to gravity 
50
Differences Between somatic & Autonomic Nervous System 
Differences Somatic Autonomic 
No of neurons in efferent path 
1 2 
way 
Neurotransmitter / receptor 
at neuron target synapse 
Ach/nicotinic Ach/ Muscarinic (or) N.E/ Alpha 
or beta 
Target tissue Skeletal muscle Smooth & cardiac muscle, some 
endocrine & exocrine 
Glands , some adipose tissue. 
Neurotransmitter released 
from 
Axon terminals Varicosities & axon terminals 
Effects on target tissue Excitatory only, 
Muscle contracts. 
Excitory or inhibitory. 
Peripheral components found 
outside the cns 
Axons only Preganglionic axons, ganglia, 
postganglionic neurons. 
Summary of functions Posture & movement Visceral functions , including 
Movement in internal organs & 
secretion , control of 
metabolisium. 51
References 
GOODMAN & GILMAN'S THE PHARMACOLOGICAL 
BASIS OF THERAPEUTICS (11th Ed.) . 
PHARMACOLOGY BY H.P.RANG, M.M.DALE(6th Ed.). 
ESSENTIALS OF MEDICAL PHARMACOLOGY BY 
KD.TRIPATHI(5th Ed.) 
LIPPINCOTT’S ILLUSTRATED REVIEWS 
PHARMACOLOGY. 
52
53

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Autonomic & Somatic Nervous Systems.

  • 1. Autonomic & Somatic Nervous Systems. By Syed Abdul Naveed. M.Pharm (Pharmacology). . 1
  • 2. which consists of The Nervous System is divided into that make up which is divided into Sensory nerves Motor nerves Autonomic nervous system Central nervous system Somatic nervous system Peripheral nervous system Sympathetic nervous system Parasympathetic nervous system Enteric nervous system 2
  • 3. Autonomic nervous system • The autonomic nervous system is the subdivision of the peripheral nervous system that regulates body activities that are generally not under conscious control (or) responsible for control of involuntary or visceral body functions. • The A.N.S composed of efferent neurons that innervates smooth muscle of the viscera, cardiac muscle ,vasculators & the exocrine gland ,cardiac output, blood flow & glandular secretion. 3
  • 4. Autonomic nervous system Divisions of the autonomic nervous system: • Parasympathetic division • Sympathetic division Serve most of the same organs but cause opposing or antagonistic effects. • Parasysmpathetic: routine maintenance “rest &digest”. • Sympathetic: mobilization & increased metabolism “fight, flight or fright”. • Efferent (Motor) Nerve : Carry impulses from cns (brain and spinal cord) to muscle or organ (peripheral tissues). • Afferent (Sensory)Nerve :Neuron which transmits impulses from sense organs (bring information from periphery ) to cns 4
  • 5. Introduction (efferent neurons) • Efferent (motor)neuron carrier nerve impulse from CNS to the effector organ by way of two types of efferant neurons. • First nerve is called Preganglionic neuron and its cell body is located in the CNS. • Preganglionic neurons emerge in the brain stem or spinal cord and makes a synaptic connection in the ganglia. • The ganglia function as a relay station between a preganglionic neuron and second nerve cell (postganglionic neuron) • The postganglionic neuron has a cell body originating in the ganglia and terminates on effector organ. 5
  • 6. Introduction to somatic motor neurons • Somatic efferent neurons are involved in the voluntary contol of function such as contraction of the skeletal muscle. • Input from sense organs & out put to skeletal muscle. 6
  • 7. Autonomic and Somatic Motor Systems Autonomic motor system Chain of two motor neurons •Preganglionic neuron •Postganglionic neuron Conduction is slower due to thinly or unmyelinated axons Somatic motor system One motor neuron extends from the CNS to skeletal muscle Axons are well myelinated, conduct impulses rapidly 7
  • 8. Sympathetic Nervous system (fight, flight or fright) • Also called thoracolumbar system: all its neurons are in lateral horn of gray matter from T1-L2 • Preganglionic neuron of the sympathetic system comes from thoracic and lumbar region of the spinal cord and they synapse in the two cord like chain of ganglia that run parallel on each side of the spinal cord. • Preganglion neurons are short ,. Postganglion neuros are long • Axons of the postganglionic neuron extended from these ganglion to the tissue that they innervate and regulate. • The adrenal medulla (large synaptic ganglion receives preganglion fiber from the sympathetic system. • The adrenal medulla in response to stimulation secreates epinephrine also know as adrenaline, and lesser amount of norepinephrine in to the blood. 8
  • 9. Motor Fiber Ach NE Ganglion Ach Ach Ach Ach EPI/NE Ach Ach Somatic Sympathetic Sympathetic Sympathetic Para-sympathetic Postganglionic Fiber; Adrenergic Adrenal Gland Skeletal Muscle Smooth Muscle Cardiac Cells Gland Cells Sweat Glands Smooth Muscle Cardiac Cells Gland Cells Ganglion Ganglion Neurotransmitter released by preganglionic axons •Acetylcholine for both branches (cholinergic) Neurotransmitter released by postganglionic axons •Sympathetic – most release norepinephrine (adrenergic) •Parasympathetic – release acetylcholine 9
  • 10. Role of the Sympathetic Division • The sympathetic division is the “fight-or-flight” system • Involves E activities – exercise, excitement, emergency, and embarrassment • Promotes adjustments during exercise – blood flow to organs is reduced, flow to muscles is increased • Its activity is illustrated by a person who is threatened – Heart rate increases, and breathing is rapid and deep – The skin is cold and sweaty, and the pupils dilate 10
  • 12. The Role of the Adrenal Medulla in the Sympathetic Division • Adrenalin (also called epinephrine) is produced in the medulla of the adrenal glands. •The adrenal glands are located on the top of each kidney. •The sympathetic nervous system stimulates the adrenal gland (an effector) to release the hormone adrenalin or epinephrine into the bloodstream. •Adrenalin is a modified amino acid hormone. The target tissue for adrenalin is mainly cardiac and skeletal muscle. •Adrenalin increases heart rate and blood pressure providing more oxygen to working muscles. • It also increases blood sugar levels providing more energy to cardiac and skeletal muscles. 12
  • 13. Role of the Parasympathetic Division • Concerned with keeping body energy use low • Involves the D activities – digestion, defecation, and diuresis • Its activity is illustrated in a person who relaxes after a meal – Blood pressure, heart rate, and respiratory rates are low – Gastrointestinal tract activity is high – The skin is warm and the pupils are constricted 13
  • 14. Parasympathetic neurons (Rest and Digest)  Allow body to function under Rest and digest  Pre-ganglionic fiber rises from the cranium(cranium fibers) [III , VII, IX, X]and from sacral region of the spinal cord and synapse in ganglia near or on the effector organ.  Cranial outflow  III –oculomotor nerve(- pupils constrict)  VII -facial nerve –( tears, nasal mucus  IX -gloss-pharyngeal nerve(parotid salivary gland)  X –vagus nerve(visceral organs of thorax & abdomen): Stimulates digestive glands Increases motility of smooth muscle of digestive tract Decreases heart rate Causes bronchial constriction  Sacral outflow (S2-S4): form pelvic splanchnic nerves  Innervates organs of the pelvis and lower abdomen  Supply 2nd half of large intestine  Supply all the pelvic (genitourinary) organs  Preganglionic fibers are long  Postganglionic fibers are short , with a ganglia close or with in the organ. 14
  • 15. Summary of parasympathetic neurons and synapses Preganglionic neurons • Long • Synapse with postganglionic neurons at ganglia. • Release acetylcholine (ACH) to activate nicotinic receptors on postganglionic neurons Postganglionic neurons • Short • Synapse on the target organ • Release acetylcholine (ACH) to activate muscarinic receptors on the target organ 15
  • 16. 16
  • 17. INNERVATION BY THE A.N.S DUAL INNERVATION • Most organs in the body are innervated by both divisions of the a.n.s. • Despite this dual innervation one system usually predominates in controlling the activity of a given organ. Ex: In the heart vagus nerve is the predominant factor for controlling rate. ORGAN RECIVING ONLY SYMPATHETIC INNERVATION • The adrenal medulla pilomotor muscle and sweat glands. • The control of blood pressure is also mainly a sympathetic activity with essential no participation by the parasympathetic system 17
  • 18. 18
  • 19. 19
  • 20. Enteric neurons • It is third division of ANS • It is collection of nerve fibers that innervates the GIT, Pancreas and Gall Bladder • This system function independently of the CNS and control the motility exocrine and endocrine secretion and micro-circulation of the GIT. • It is modulated by both sympathetic and parasympathetic nervous system. 20
  • 21. Neurotransmitter in sympathetic and parasympathetic nervous system 21
  • 22. DIFFERENCES BETWEEN SNS&PNS SNS PNS ORIGIN DORSO-LUMBAR(T1 TO L2 OR L3) CRANOI SACRAL(III,VII,IX,X AND S2-S4) DISTRIBUTION WIDE LIMITED GANGLIA AWAY FROM ORGANS ON/ CLOSE TO THE ORGANS POST GANGLIONIC FIBRES LONG SHORT PRE:POST FIBRES RATIO 1:20 TO 1:100 1:1 TO 1:2 TRANSMITTER NE (MAJOR) Ach (MINOR) Ach STABILITY OF TRANSMITTER NA STABLE Ach (RAPIDLY DESTROYS) IMP FUNCTION TACKLING STRESS & EMERGENCY ASSIMILATION OF FOOD ,CONSERVATION OF ENERGY 22
  • 23. Adrenergic Receptors  Îą1-receptors: vasoconstriction, relaxation of gastrointestinal smooth muscle, salivary secretion and hepatic glycogenolysis  Îą2-receptors: inhibition of transmitter release (including noradrenalin and acetylcholine release from autonomic nerves), platelet aggregation, contraction of vascular smooth muscle, inhibition of insulin release  β1-receptors: increased cardiac rate and force  β2-receptors: bronchi dilatation, vasodilatation, relaxation of visceral smooth muscle, hepatic glycogenolysis and muscle tremor  β3-receptors: lipolysis. 23
  • 24. Cholinergic Receptors • The two types of receptors that bind ACh are nicotinic and muscarinic • These are named after drugs that bind to them and mimic ACh effects. Nicotinic receptor • Nicotinic receptors are found on: – Motor end plates (somatic targets) – All ganglionic neurons of both sympathetic and parasympathetic divisions – The hormone-producing cells of the adrenal medulla • The effect of ACh binding to nicotinic receptors is always stimulatory. Muscarinic receptor • Muscarinic receptors occur on all effector cells stimulated by postganglionic cholinergic fibers • The effect of ACh binding: – Can be either inhibitory or excitatory – Depends on the receptor type of the target organ 24
  • 25. 25
  • 26. Regulation of ANS  Autonomic reflexes control most of activity of visceral organs, glands, and blood vessels.  Autonomic reflex activity influenced by hypothalamus and higher brain centers, but it is the hypothalamus that has overall control of the ANS.  Sympathetic and parasympathetic divisions influence activities of enteric (gut) nervous system through autonomic reflexes. These involve the CNS. But, the enteric nervous system can function independently of CNS through local reflexes. E.g., when wall of digestive tract is stretched, sensory neurons send information to enteric plexus and then motor responses sent to smooth muscle of gut wall and the muscle contracts. • Centers of the hypothalamus control: – Heart activity and blood pressure – Body temperature, water balance, and endocrine activity – Emotional stages (rage, pleasure) and biological drives (hunger, thirst, sex) – Reactions to fear and the “fight-or-flight” system 26
  • 27. Levels of ANS Control • The hypothalamus is the main integration center of ANS activity • Subconscious cerebral input via limbic lobe connections influences hypothalamic function • Other controls come from the cerebral cortex, the reticular formation, and the spinal cord 27
  • 28. synapse • The junction between two neurons is called a synapse. • An action potential cannot cross the synaptic cleft between neurons, and instead the nerve impulse is carried by chemicals called neurotransmitters. • These chemicals are made by the cell that is sending the impulse (the pre-synaptic neuron) and stored in synaptic vesicles at the end of the axon. • The cell that is receiving the nerve impulse (the post-synaptic neuron) has chemical-gated ion channels in its membrane, called neuroreceptors. • These have specific binding sites for the neurotransmitters 28
  • 29. 1. At the end of the pre-synaptic neuron there are voltage-gated calcium channels. When an action potential reaches the synapse these channels open, causing calcium ions to flow into the cell. 2. These calcium ions cause the synaptic vesicles to fuse with the cell membrane, releasing their contents (the neurotransmitter chemicals) by exocytosis. 3. The neurotransmitters diffuse across the synaptic cleft. 4. The neurotransmitter binds to the neuroreceptors in the post-synaptic membrane, causing the channels to open. In the example shown these are sodium channels, so sodium ions flow in. 5. This causes a depolarisation of the post-synaptic cell membrane, which may initiate an action potential. 6. The neurotransmitter is broken down by a specific enzyme in the synaptic cleft; for example the enzyme acetylcholinesterase breaks down the neurotransmitter acetylcholine. The breakdown products are absorbed by the pre-synaptic neuron by endocytosis and used to re-synthesis more neurotransmitter, using energy from the mitochondria. This stops the synapse being permanently on. 29
  • 30. General Features of Peripheral Autonomic Neurotransmission Membrane Depolarization of Pre- or Postganglionic Fiber Calcium Entry into Varicosity Exocytosis of NT Depolarization of Postganglionic Fiber or Response of Effector Cell Activation of NT Receptors Diffusion of NT Across Neuroeffector Junction or Synapse Nerve Impulse 30
  • 31. SYNTHESIS OF NOREPINEPHRINE  Nor epinephrine (NE) is the primary neurotransmitter  For postganglionic sympathetic adrenergic nerve. It is synthesized inside the nerve axon, stored within vesicles, then released by the nerve when an action potential travels down the nerve. Synthesis of NE: The amino acid tyrosine is transported into the sympathetic nerve axon. Tyrosine (Tyr) is converted to DOPA by tyrosine hydroxylase, (rate-limiting step for NE synthesis). DOPA is converted to dopamine (DA) by DOPA decarboxylase. Dopamine is transported into vesicles then converted to norepinephrine (NE) by dopamine β-hydroxylase (DBH); transport into the vesicle can by blocked by the drug reserpine. 31
  • 32. An action potential traveling down the axon depolarizes the membrane and causes calcium to enter the axon. Increased intracellular calcium causes the vesicles to migrate to the axonal membrane and fuse with the membrane, which permits the NE to diffuse out of the vesicle into the extracellular (junctional) space. DBH, and depending on the nerve other secondary neurotransmitters (e.g., ATP), is released along with the NE. The NE binds to the postjunctional receptor and stimulates the effector organ response 32
  • 33. Synthesis of epinephrine  Epinephrine is synthesized from norepinephrine within the adrenal medulla, which are small glands associated with the kidneys.  Preganglionic fibers sympathetic adrenergic nerves synapse within the adrenals. Activation of these fibers releases acetylcholine, which binds to postjunctional nicotinic receptors in the tissue.  This leads to stimulation of NE synthesis within adenomedullary cells, but unlike sympathetic neurons, there is an additional enzyme (phenyl ethanolamine-N-methyltransferase ) that adds a methyl group to the NE molecule to form epinephrine.  The epinephrine is released into the blood perfusing the glands and carried throughout the body. 33
  • 34. Synthesis of acetylcholine Acetylcholine Synthesis • Acetyl-CoA is synthesized from pyruvate by mitochondria within cholinergic nerves. • This acetyl-CoA combines with choline that is transported into the nerve axon to form acetylcholine (ACh). • The enzyme responsible for this is choline acetyltransferase. • The newly formed ACh is then transported into vesicles for storage and subsequent release similar to what occurs for NE. • After ACh is released, it is rapidly degraded within the synapse by acetylcholineesterase, to form acetate and choline. 34
  • 35. COTRANSMISSION Release of More Than One Neurotransmitter from the Same Nerve Terminal Cotransmitter B Cotransmitter A Synergistic or Opposite Actions 35
  • 36. Many Examples of NANC Neurotransmitters 36
  • 37. Many Examples of NANC Neurotransmitters 37
  • 38. MODULATION OF NEUROTRANSMISSION Modulation of Neurotransmisson Presynaptic/ Prejunctional Modulation Postsynaptic/ Postjunctional Modulation Presynaptic/ Prejunctional Inhibition Presynaptic/ Prejunctional Facilitation Postsynaptic/ Postjunctional Inhibition Postsynaptic/ Postjunctional Facilitation 38
  • 39. MODULATION OF NEUROTRANSMISSION From Nerve Terminal Being Modulated (e.g., Autoinhibitory Feedback) From Postsynaptic/ Postjunctional Site (e.g., Trans-synaptic/ Transjunctional Inhibitory Feedback) From Nearby Nerve Terminal (Cross-talk) From Remote Site via Circulation (e.g., Renin Release) Sources of Modulators of Neurotransmission 39
  • 40. Neuromodulation and presynaptic interactions • As well as functioning directly as neurotransmitters, chemical mediators may regulate: • - presynaptic transmitter release • - neuronal excitability. • Both are examples of neuromodulation and generally involve second messenger regulation of membrane ion channels. • Presynaptic receptors may inhibit or increase transmitter release, the former being more important. • Inhibitory presynaptic autoreceptors occur on noradrenergic and cholinergic neurons, causing each transmitter to inhibit its own release (autoinhibitory feedback). • Many endogenous mediators (e.g. GABA, prostaglandins, opioid and other peptides), as well as the transmitters themselves, exert presynaptic control (mainly inhibitory) over autonomic transmitter release. 40
  • 42. SOMATIC NERVOUS SYSTEM • The somatic nervous system, or voluntary nervous system, is part of the peripheral nervous system that regulates body movement through control of skeletal (voluntary) muscles and also relates the organism with the environment through the reception of external stimuli, such as through the senses of vision, hearing, taste, and smell. • The somatic nervous system controls such voluntary actions as walking and smiling through the use of efferent motor nerves, in contrast with the function of the autonomic nervous system, which largely acts independent of conscious control in innervating cardiac muscle and exocrine and endocrine glands. • It is the somatic nervous system that allows individuals to receive sensory information and consciously react to environmental changes. 42
  • 43. Overview of somatic nervous system • The somatic nervous system consists of cranial and spinal nerves that innervate skeletal muscle tissue and are more under voluntary control (as well as the sensory receptors). • The somatic nervous system includes all the neurons connected with muscles ,skin , and sense organs. • The somatic nervous system processes sensory information and controls all voluntary muscular systems within the body, with the exception of reflex arcs. • The somatic nervous system consists of efferent nerves responsible for sending brain signals for muscle contraction. • In humans, there are 31 pairs of spinal nerves and 12 pairs of cranial nerves. • The 31 pairs of spinal nerves emanate from different areas of the spinal cord and each spinal nerve has a ventral root and a dorsal root. • The ventral root has motor (efferent) fibers that transmit messages from the central nervous system to the effectors, with the cell bodies of the efferent fibers found in the spinal cord gray matter. • The dorsal root has sensory (afferent) fibers that carry information from the sensory receptors to the spinal cord • The 12 pairs of cranial nerves transmit information on the senses of sight, smell, balance, taste, and hearing from special sensory receptors. • They also transmit information from general sensory receptors in the body, largely from the head. This information is received and processed by the central nervous system and then the response travels via the cranial nerves to the skeletal muscles to control movements in the face and throat, such as swallowing and smiling . 43
  • 44. Motor Pathway of Somatic Nervous System Somatic division: •Cell bodies of motor neurons reside in CNS (brain or spinal cord) •Their axons (sheathed in spinal nerves) extend all the way to their skeletal muscles 44
  • 45. Nerve Signal Transmission •The nerve signals in the efferent somatic nervous system involves a sequence that begins in the upper cell bodies of motor neurons (upper motor neurons) within the precentral gyrus (primary motor cortex). •Stimuli from the precentral gyrus are transmitted from upper motor neurons and down the corticospinal tract, via axons to control skeletal (voluntary) muscles. •These stimuli are conveyed from upper motor neurons through the ventral horn of the spinal cord, and across synapses to be received by the sensory receptors of alpha motor neuron (large lower motor neurons) of the brainstem and spinal cord. •Upper motor neurons release a neurotransmitter, acetylcholine, from their axon terminal knobs, which are received by nicotinic receptors of the alpha motor neurons. •In turn, alpha motor neurons relay the stimuli received down their axons via the ventral root of the spinal cord. These signals then proceed to the neuromuscular junctions of skeletal muscles. •From there, acetylcholine is released from the axon terminal knobs of alpha motor neurons and received by postsynaptic receptors (Nicotinic acetylcholine receptors) of muscles, thereby relaying the stimulus to contract muscle fibers 45
  • 46. Sensory neurons • General visceral sensory neurons monitor: – Stretch, temperature, chemical changes, and irritation • Cell bodies are located in the dorsal root ganglia 1. Pain Receptors. 2. Thermo receptor 3. Mechanoreceptor 4. Chemoreceptor 5. Photoreceptor 6. Hearing and balance 46
  • 47. Pain Receptors • Throughout body; except brain • Respond to chemical released by damaged cells • Important to recognize – Danger – Injury – Disease Thermoreceptors • In skin, body core, hypothalamus • Detect variations in body temperature 47
  • 48. Mechanoreceptors • Skin, skeletal muscle, and inner ears • Sensitive to – Touch – Pressure – Stretching of muscles – Sound – motion Chemo receptors • Chemoreceptors pick up chemical reception in nose and mouth • Smell – olfactory bulb • Taste – taste buds – Salty – Bitter – Sour – Sweet 48
  • 49. Photoreceptors • Eyes • Sensitive to Light Vision • Cornea – Helps focus light – Filled with aqueous humor • Iris – Back of cornea – Colored part of eye • Pupil – Tiny muscles regulate the size – Regulates amount of light • Lens – Small muscles change its shape to focus on object near and far away – Behind lens eye filled with vitreous humor • Retina – Has photoreceptors – No photoreceptors where optic nerve passes through the back of the eye; blind spot – Two types 1. Rods – black and white 2. Cones – color 49
  • 50. Hearing and Balance Hearing • Ear • Two Functions – Hearing – Detecting Positional change to movement. • Cochlea • Hammer, Anvil, Stirrup • Tymapnum • Auditory canal • Sound Balance • Semicircular Canals – 3 canals that form half circles – Filled with fluid and hairs that detect motion of head in relation to gravity 50
  • 51. Differences Between somatic & Autonomic Nervous System Differences Somatic Autonomic No of neurons in efferent path 1 2 way Neurotransmitter / receptor at neuron target synapse Ach/nicotinic Ach/ Muscarinic (or) N.E/ Alpha or beta Target tissue Skeletal muscle Smooth & cardiac muscle, some endocrine & exocrine Glands , some adipose tissue. Neurotransmitter released from Axon terminals Varicosities & axon terminals Effects on target tissue Excitatory only, Muscle contracts. Excitory or inhibitory. Peripheral components found outside the cns Axons only Preganglionic axons, ganglia, postganglionic neurons. Summary of functions Posture & movement Visceral functions , including Movement in internal organs & secretion , control of metabolisium. 51
  • 52. References GOODMAN & GILMAN'S THE PHARMACOLOGICAL BASIS OF THERAPEUTICS (11th Ed.) . PHARMACOLOGY BY H.P.RANG, M.M.DALE(6th Ed.). ESSENTIALS OF MEDICAL PHARMACOLOGY BY KD.TRIPATHI(5th Ed.) LIPPINCOTT’S ILLUSTRATED REVIEWS PHARMACOLOGY. 52
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