Sympathetic Nervous System Functions

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Questions and Answers

What is the primary purpose of the sympathetic nervous system's fight-or-flight response?

  • To enhance cognitive functions during stress
  • To initiate sleep and recovery processes
  • To promote relaxation and digestion
  • To prepare the body for life-threatening situations (correct)

Which of the following responses is NOT typically associated with the sympathetic nervous system during a fight-or-flight reaction?

  • Increased blood glucose levels
  • Increased heart rate
  • Bronchial dilation
  • Decreased blood pressure (correct)

What happens to parasympathetic output during the sympathetic nervous system's fight-or-flight response?

  • It fluctuates continuously
  • It remains unchanged
  • It ceases (correct)
  • It increases to balance sympathetic activity

Which of the following best describes the nature of sympathetic output during the fight-or-flight response?

<p>Coordinated and massive across the body (B)</p> Signup and view all the answers

What is meant by the term 'chemical coding' in the context of sympathetic neurons?

<p>The distribution of various neurotransmitters among sympathetic neurons (A)</p> Signup and view all the answers

What neurotransmitters are released by guinea pig postganglionic sympathetic neurons during depolarization?

<p>Norepinephrine, ATP, and neuropeptide Y (C)</p> Signup and view all the answers

In Walter Cannon’s proposal about sympathetic division activity, what is stated about its effects on target organs?

<p>It produces uniform effects on all target organs. (C)</p> Signup and view all the answers

Which physiological change occurs as a result of sympathetic nervous system activation?

<p>Sweating and piloerection (D)</p> Signup and view all the answers

Which brain region is primarily responsible for coordinating autonomic output?

<p>Hypothalamus (A)</p> Signup and view all the answers

What role does the forebrain have regarding the brainstem in autonomic regulation?

<p>It modulates and coordinates activities of the brainstem. (C)</p> Signup and view all the answers

Which of the following structures is NOT involved in maintaining autonomic homeostasis?

<p>Cerebellum (A)</p> Signup and view all the answers

Which feature distinguishes forebrain regions in relation to autonomic control?

<p>They have direct connections to brainstem nuclei for autonomic control. (B)</p> Signup and view all the answers

What is one of the primary functions of the hypothalamus concerning autonomic output?

<p>It initiates and coordinates integrated responses. (C)</p> Signup and view all the answers

Which physiological processes does the hypothalamus integrate with autonomic function?

<p>Circadian rhythms, thermoregulation, and feeding. (A)</p> Signup and view all the answers

Which brain region primarily initiates the fight-or-flight response?

<p>Hypothalamus (B)</p> Signup and view all the answers

Which component is responsible for influencing autonomic output alongside the hypothalamus?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary function of feedback loops in the ANS?

<p>To maintain physiological parameters within an optimal range (A)</p> Signup and view all the answers

How do the sympathetic and parasympathetic divisions of the ANS typically function?

<p>They usually act in opposite ways to make physiological adjustments (A)</p> Signup and view all the answers

What is an example of a visceral feedback loop mentioned in the content?

<p>Blood pressure control (C)</p> Signup and view all the answers

What happens to sympathetic output when blood pressure increases?

<p>It decreases (A)</p> Signup and view all the answers

How does the ANS respond when a person begins to exercise?

<p>Sympathetic output increases before metabolic need arises (D)</p> Signup and view all the answers

What effect does anticipatory sympathetic output have on blood levels of CO2 at the onset of exercise?

<p>It leads to a decrease in CO2 levels (B)</p> Signup and view all the answers

What type of feedback does the ANS primarily rely on for maintaining homeostasis?

<p>Negative feedback (D)</p> Signup and view all the answers

Which organ system is primarily adjusted by the CNS during blood pressure feedback?

<p>Cardiovascular system (C)</p> Signup and view all the answers

What type of fibers does the vagus nerve contain that contributes to its effect on cortical function?

<p>Parasympathetic preganglionic motor and sensory fibers (A)</p> Signup and view all the answers

What is the primary action of the vagus nerve stimulator used in epilepsy treatment?

<p>To electrically stimulate the vagus nerve for 30 seconds every 5 minutes (D)</p> Signup and view all the answers

What effect can visceral input have on cortical neurons?

<p>It can sometimes overwhelm cortical function (D)</p> Signup and view all the answers

What is a significant side effect of vagus nerve stimulation?

<p>Hoarseness, coughing, and breathlessness (C)</p> Signup and view all the answers

How much does the vagus nerve stimulation typically reduce the number of seizures?

<p>By about one in four patients can achieve a 50% reduction (A)</p> Signup and view all the answers

What remains uncertain regarding the vagal afferent input and its effects on seizures?

<p>The specific pathways that produce the anticonvulsant effect (B)</p> Signup and view all the answers

In what instance can patients manually activate the vagus nerve stimulator?

<p>When experiencing a seizure aura (A)</p> Signup and view all the answers

Why is the impact of visceral input on cortical function significant?

<p>It highlights the interconnectedness of body signals and brain activity (D)</p> Signup and view all the answers

What role do postganglionic sympathetic neurons in the inferior mesenteric ganglion primarily play?

<p>They control gut motility and secretion. (A)</p> Signup and view all the answers

Which statement accurately describes the function of parasympathetic neurons?

<p>They function in a discrete, organ-specific, and reflexive manner. (B)</p> Signup and view all the answers

Which reflex is mediated by preganglionic parasympathetic neurons in the dorsal motor nucleus of the vagus?

<p>Baroreceptor reflex (C)</p> Signup and view all the answers

Which of the following reflexes is NOT associated with the parasympathetic nervous system?

<p>Increased heart rate during exercise (D)</p> Signup and view all the answers

What is a key feature of sympathetic neurons compared to parasympathetic neurons?

<p>They adapt to support long-lasting effects in organs. (C)</p> Signup and view all the answers

Which of the following is an example of an involuntary parasympathetic reflex?

<p>Pupillary light reflex (A)</p> Signup and view all the answers

In sympathetic control, what effect does depolarization of neurons induce?

<p>Vasoconstriction and release of neuromodulators. (D)</p> Signup and view all the answers

How do sympathetic neurons differ in their effects on targets compared to parasympathetic neurons?

<p>They produce different effects based on the target's function. (B)</p> Signup and view all the answers

What primary role do autonomic ganglia play in the nervous system?

<p>They integrate autonomic activity at peripheral sites. (A)</p> Signup and view all the answers

Which part of the brain is critical for coordinating visceral control and is vital for survival?

<p>Medulla (A)</p> Signup and view all the answers

What occurs in individuals with transection of the low cervical spinal cord?

<p>They are capable of autonomic hyper-reflexia. (A)</p> Signup and view all the answers

What is the significance of the spinal cord in the context of chordate evolution?

<p>It coordinates activities across different root levels. (B)</p> Signup and view all the answers

Which structure would lead to instant death if destroyed, assuming no life support is provided?

<p>Medulla (D)</p> Signup and view all the answers

What is NOT a characteristic of autonomic ganglia?

<p>They strictly function in one-way signal transmission. (B)</p> Signup and view all the answers

How do the spinal cord and lower autonomic ganglia contribute to homeostasis in humans?

<p>They assist in maintaining homeostasis even without cranial nerve involvement. (C)</p> Signup and view all the answers

What neurotransmitter action primarily influences the integration of autonomic activity at peripheral sites?

<p>Release from interneurons in autonomic ganglia. (C)</p> Signup and view all the answers

Flashcards

Fight-or-flight response

The simultaneous activation of the entire sympathetic division, leading to a coordinated response in all target organs.

Chemical coding

The release of different neurotransmitters by different postganglionic sympathetic neurons, leading to specific effects on target organs.

Sympathetic activation

A series of physiological changes that prepare the body for a stressful situation, including increased heart rate, blood pressure, and breathing.

Cannon's proposal

The original idea that the sympathetic division always produces a uniform effect on all target organs.

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Selective sympathetic output

The use of the sympathetic division to respond to specific stimuli, by targeting only certain organs.

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Electrophysiological properties

The ability of postganglionic sympathetic neurons to fire different types of action potentials and release different neurotransmitters.

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Panic attack

A sudden onset of intense fear or discomfort, often accompanied by physical symptoms like rapid heartbeat and dizziness.

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Norepinephrine

A neurotransmitter released by postganglionic sympathetic neurons, responsible for various physiological responses.

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Sympathetic Neuron Variability

Sympathetic neurons control a variety of organs and functions, and their responses can vary based on the target organ. For example, they can induce vasoconstriction in arteries and regulate gut motility and secretion.

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Parasympathetic Neuron Function

Parasympathetic neurons work in a specific and reflexive manner to control organ function. They are involved in simple involuntary reflexes that are often triggered by sensory input.

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Baroreceptor Reflex

The baroreceptor reflex, which helps regulate blood pressure, is mediated by preganglionic parasympathetic neurons in the dorsal motor nucleus of the vagus.

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Urination Reflex

Urination in response to a full bladder is an example of a parasympathetic reflex.

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Salivation Reflex

Salivation, triggered by the sight or smell of food, is a parasympathetic reflex.

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Vagovagal Reflexes

Vagovagal reflexes are parasympathetic reflexes occurring within the gastrointestinal tract. An example is the contraction of the colon in response to food in the stomach.

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Bronchoconstriction Reflex

Bronchoconstriction, the narrowing of the airways, can be triggered by parasympathetic reflexes in response to stimuli in the lungs.

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Pupillary Light Reflex

The pupillary light reflex, which controls the size of the pupil in response to light, is a parasympathetic reflex that can be tested clinically.

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Hypothalamic Autonomic Integration

The hypothalamus coordinates autonomic responses affecting functions like feeding, temperature control, sleep-wake cycles, fluid balance, emotions, sexual drive, reproduction, motivation, and other brain functions, aligning these brain activities with autonomic control.

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Hypothalamus and "Fight or Flight"

The hypothalamus can trigger the "fight or flight" response, preparing the body for immediate action in response to perceived threats.

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Hypothalamus Projections

The hypothalamus, a key region in the forebrain, sends signals to various brainstem areas, including the parabrachial nucleus, medullary raphé, NTS, central gray matter, locus coeruleus, dorsal motor nucleus of the vagus, nucleus ambiguus, and the intermediolateral cell column of the spinal cord, to coordinate autonomic outputs.

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Hypothalamus in Autonomic Function

The hypothalamus has a significant role in regulating autonomic functions, integrating them with other brain activities and coordinating responses to the body's needs.

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Forebrain-Brainstem Connections

While the hypothalamus is the primary mediator, other forebrain regions, particularly those involved in the limbic system, directly project to brainstem nuclei involved in autonomic control.

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Limbic System and Autonomic Control

The limbic system, a network of brain structures involved in emotions, motivation, and memory, plays a significant role in influencing autonomic responses. Many of its structures have direct connections to brainstem nuclei involved in autonomic control.

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Brainstem's Influence on Forebrain

Visceral sensory information integrated in the brainstem can influence or even override the forebrain's control over autonomic output.

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Forebrain Modulation of Autonomic Output

Although the brainstem can function independently to maintain homeostasis, forebrain regions play a crucial role in coordinating and modulating autonomic activity.

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Visceral Feedback Loop

The process by which the ANS monitors internal conditions, compares them to a set-point, and adjusts organ function to maintain balance.

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Feed-Forward Response

The ANS's ability to anticipate future needs and adjust organ function proactively.

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Set-point

The internal target value that the ANS strives to maintain for a specific physiological parameter (e.g., blood pressure).

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Visceral Receptors

Sensory receptors located in visceral organs that provide information to the CNS about internal conditions.

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Afferent Fibers

Nerves that transmit information from the visceral receptors to the CNS.

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Central Autonomic Control Centers

The central nervous system's control centers for the ANS, responsible for processing information and sending out commands to organs.

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Anticipatory Response to Exercise

The ability of the ANS to adjust organ function in anticipation of exercise, preventing a metabolic imbalance.

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Visceral input and brain activity

Sensory input from internal organs, like the heart or stomach, can influence the activity of brain regions responsible for thinking and awareness.

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Vagus nerve role

The vagus nerve, a crucial part of the autonomic nervous system (ANS), carries sensory information from internal organs to the brain.

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Vagus nerve stimulation

Electrical stimulation of the vagus nerve, delivered through an implanted device, can reduce seizures in some individuals.

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Visceral input importance

The effectiveness of vagus nerve stimulation suggests that visceral input plays a crucial role in regulating brain function, potentially impacting seizures.

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Vagus nerve sensory input

The vagus nerve carries sensory information from internal organs, including the lungs, heart, and digestive system.

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Selective vagus nerve stimulation

Stimulating different parts of the vagus nerve might have a targeted effect on brain activity, potentially leading to fewer side effects.

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Identifying specific pathways

Investigating specific pathways within the vagus nerve might reveal more effective and targeted treatments for conditions like epilepsy.

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Future of vagus nerve research

Research into the effect of vagus nerve stimulation on brain activity may lead to the development of new medications that target specific pathways, reducing the need for invasive stimulation.

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Spinal Cord Function

The spinal cord is the central nervous system in some primitive chordates, and it plays a crucial role in coordinating activity among different root levels in vertebrates.

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Medulla Function

The medulla is the most vital part of the brain, responsible for coordinating all visceral control and optimizing it for survival.

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Autonomic Ganglia Integration

Autonomic ganglia are not just simple relays, they integrate autonomic activity at peripheral sites. This integration is enhanced by the variety of neurotransmitters released by interneurons.

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Spinal Cord Transection Effects

Transection of the low cervical spinal cord can disrupt complex responses but does not affect basic homeostasis.

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Autonomic Hyper-reflexia

Autonomic hyper-reflexia is a maladaptive reflex that can occur with spinal cord injuries, leading to hypertension and sweating in response to stimuli like a full bladder.

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Evolution of Brain Structure

The brain's evolution involved the development of a three-part structure, with the more rostral (forward) parts taking on a dominant role over time.

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Medulla's Importance for Life

Destruction of the medulla leads to instant death, highlighting its crucial role in maintaining life support.

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Essential Structures for Homeostasis

Humans can continue to live indefinitely with only a medulla, spinal cord, and peripheral ANS, demonstrating the importance of these structures for basic homeostasis.

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Study Notes

Sympathetic Output

  • Walter Cannon proposed (1915) that the entire sympathetic division is activated uniformly for fight-or-flight responses.
  • This massive, coordinated output prepares the body for life-threatening situations.
  • Parasympathetic output ceases during these situations.
  • Responses include increased heart rate, cardiac contractility, blood pressure, and lung ventilation; bronchial dilation; sweating; piloerection; glucose release; insulin inhibition; faster blood clotting; and blood cell mobilization.
  • The fight-or-flight response is a survival mechanism; panic attacks can be triggered spontaneously or with minimal provocation.

Sympathetic Output (Specificity)

  • The sympathetic division can also be discrete and organ-specific under normal conditions.
  • Different postganglionic sympathetic neurons have varying electrophysiological properties.
  • They release different neurotransmitters, besides norepinephrine—this is chemical coding.
  • Example: Depolarization in guinea pig lumbar sympathetic chain neurons causes a brief action potential burst (95%) with norepinephrine and ATP & neuropeptide Y release, potentially inducing vasoconstriction.
  • Other neurons (inferior mesenteric ganglion) sustain firing (80%) and release norepinephrine and somatostatin, potentially controlling gut motility and secretion.
  • This variability allows different effects on specific organs based on their function.

Parasympathetic Neurons

  • Unlike sympathetic neurons, parasympathetic neurons function in discrete, organ-specific, and reflexive manners.
  • They're involved in simple reflexes like urination (bladder distension), salivation (food sight/smell), vagovagal reflexes (e.g., colon contraction due to stomach food), and bronchoconstriction (lung receptor activation).
  • The pupillary light reflex is a bedside testable parasympathetic reflex.

Brainstem Nuclei

  • Various brainstem nuclei (nucleus tractus solitarii, area postrema, ventrolateral medulla, medullary raphe, reticular formation, locus coeruleus, and parabrachial nucleus) control visceral function .
  • Some nuclei play specific roles (e.g., rostral ventrolateral medulla increases sympathetic output to the cardiovascular system).
  • Others modulate general autonomic tone.
  • The nucleus tractus solitarii (NTS) is a crucial medulla structure receiving input from peripheral chemoreceptors, baroreceptors, and afferent nerves, ultimately integrating visceral information.

Forebrain Influence on ANS

  • The hypothalamus, including the paraventricular nucleus, substantially coordinates autonomic output, initiating and coordinating responses to body needs & modulating autonomic output, pituitary, feeding, thermoregulation, etc.
  • Forebrain regions interact with brainstem nuclei for autonomic control, although the neocortex has limited direct control.
  • Emotional states, stress, fear, etc. strongly modulate autonomic responses mediated through the ANS.
  • Specific forebrain regions can't control all aspects of autonomic functions; the ANS has its own feedback loops.

Descending Cortical Control

  • Fear, panic attacks, emotional stress, painful stimuli, seizures, chronic stress, and sleep deprivation can influence autonomic function.
  • These stimuli trigger activation of the sympathetic division, leading to increased breathing, vasodilation (potentially hypotension), and stress responses.

Visceral Afferent's Influence

  • Visceral afferents can powerfully influence the cortex; their lack of viscerotopic representation limits precise localization.
  • Overwhelming visceral input can block processing of other information.

Vagus Nerve Stimulation

  • The vagus nerve plays a significant role in ANS function and is involved in seizures treatment via a vagus nerve stimulator.
  • It significantly influences cortical function in several ways and could be helpful in anticonvulsive treatments.

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