Sympathetic Division Adrenergic Neurons and the Adrenal Medulla

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3–4 minutes

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Sympathetic Summary

Previous mini lecture described three options for a preganglionic fiber to synapse with postganglionic fiber. We realized that pre ganglionic fibers are all myelinated and all cholinergic as they are in the parasympathetic nervous system. Preganglionic fibers all release acetylcholine in order to excite the post ganglionic fiber. There are nicotinic receptors on every post ganglionic fiber in both the sympathetic and parasympathetic nervous system. These nicotinic receptors allow the postganglionic fiber to be excited using acetylcholine and the colinergic preganglionic neuron. What’s different with the sympathetic nervous system is that postganglionic neuron can be either cholinergic or adrenergic. The cholinergic postganglionic neurons will release ACH to connect with muscarinic receptors on their target organ. A adrenergic postganglionic fiber will release norepinephrine to connect with adrenergic receptors on the target organ. There is yet another option for releasing norepinephrine to reach target organs. The adrenal medulla functions somewhat like a postganglionic neuron. The cells of the adrenal medulla have nicotinic receptors. These receptors are capable of being excited by acetylcholine.


Adrenergic Postganglionic fibers

Adrenergic postganglionic fibers can release nor epinephrine. We have not yet discussed this type of release from the post ganglionic neuron. We have discussed how a cholinergic postganglionic neuron uses acetylcholine to connect to nicotinic receptors. More epinephrine can Only Connect to adrenergic receptors and affect their target organ. Depending on the type of adrenergic receptor the effect could be excitatory or inhibitory. These were the receptors that were classified into alpha and beta categories. We discussed alpha and beta blockers.


3 Fates of NE

Nor epinephrine is released into the synapse between the adrenergic postganglionic neuron and its target organ. It stimulates the target organ. It excites the target organ. There are three fates of norepinephrine afterward. Like other neurotransmitters, the preganglionic neuron can reuptake your epinephrine. It can load it back into vesicles for release at another time. Nor epinephrine can also just diffuse away from the synapse and most likely be broken down by an enzyme. But norepinephrine can also enter into the bloodstream where it will circulate for a few minutes. This means that sympathetic effects on target organs can last for minutes. In contrast, acetylcholine is available for only seconds to excite parasympathetic neurons. Your epinephrine can enter the bloodstream. Therefore, norepinephrine can also affect organs not innervated with sympathetic postganglionic neurons. Norepinephrine circulates for a couple of minutes. It connects to any alpha and beta receptors it can find. Eventually, the liver degrades it.


The Adrenal Medulla

We think about how norepinephrine can circulate in the systemic system for a few minutes. This leads us to the special case of the adrenal medulla. The adrenal medulla is made of cells called chromaffin cells. These cells are connected to neurons. They can secrete norepinephrine and epinephrine in a much larger capacity than individual neurons. So the chromaffin cells in the adrenal medulla are like really really big and powerful post ganglionic neurons. Neurons originate in your hypothalamus. They use the descending white columns to travel down the spinal cord. Then, they leave the spinal cord by way of the ventral root, the spinal nerve, and the ventral ramus. Finally, they reach all the way to the adrenal medulla. These neurons reach from the hypothalamus to the adrenal medulla. They are like any other sympathetic preganglionic neuron. They are myelinated. They use the splanchnic nerve root to reach the adrenal medulla. Once they reach the adrenal medulla, the action potentials stimulate the chromaffin cells. This stimulation causes them to release a massive amount of norepinephrine and epinephrine. These hormones will then circulate in your blood for a few minutes before being degraded by the liver. This is what creates that sinking feeling in your stomach is the massive release of epinephrine and nor epinephrine.


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