Introduction to the Autonomic Nervous System

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Autonomic Nervous System

The autonomic nervous system can sometimes be called the visceral nervous system. This is because neurons of the autonomic nervous system innervate our squishy organs.  The ANS is a motor system including only outgoing neurons from the CNS.  We have previous discovered that motor neurons innervate skeletal muscle and release acetylcholine to excite the muscle.  That was the somatic nervous system.  Here, neurons innervate cardiac muscle, smooth muscle, or glands and excite them using acetylcholine and norepinephrine

You might be thinking that these autonomic neurons fully control these visceral organs.  Untrue.  These organs have their own ways of establishing baseline activity.  For example in the heart there are pacemaker cells that establish a baseline heart rate. A baroreceptor is located in your aorta. It senses the pressure of the blood coming from the heart as it pumps.  This baroreceptor is connected to cranial nerve IX the glossopharyngeal nerve.  This nerve travels to the medulla oblongata to synapse with an interneuron.  This interneuron evaluates the incoming info and determines an output.  This output leaves the medulla oblongata by way of cranial nerve X the vagus nerve.  This nerve travels to the heart where it adjusts the firing of pacemaker cells.


Visceral Reflexes

Just as with somatic reflexes we have visceral reflexes.  These reflexes have a much slower response. The response is slower than the somatic reflexes we’ve previously discussed. These include the withdrawal reflex and the cross extensor reflex.  Somatic reflexes and visceral reflexes can sometimes use the same sensory receptors and unipolar sensory neurons. For example, thermoreceptors in the skin of your hand can detect when you are burning your hand on a hot surface. This detection causes the withdrawal reflex using your skeletal muscles. That is a somatic reflex. A visceral reflex may also use thermoreceptors most likely embedded in a visceral neuron. Instead of activating somatic tissues or skeletal muscle visceral reflexes activate smooth muscle cardiac muscle or glands. These three items are known as the effectors of visceral reflexes. This motor neuron will be a neuron of the autonomic nervous system. It will not be a neuron of the somatic nervous system.


Autonomic Output

Let’s take a moment to review output of the somatic motor system which activates skeletal muscles. There is commonly 1 multipolar neuron that originates in the primary somatic motor cortex. This motor neuron descends the spinal cord in a motor tract. It leaves the spinal cord by way of the ventral root spinal nerve and then the ventral remus. Therefore this one motor neuron then reaches all the way from the brain to the skeletal muscle. At the junction of the neuron and the skeletal muscle, called the neuromuscular junction, the motor neuron uses acetylcholine. This chemical excites the skeletal muscle. There are other examples of somatic motor output that involve 2 neurons. We would have one neuron leaving the primary motor somatic cortex of the brain and descending the spinal cord. At the appropriate level, that motor neuron would synapse with another neuron. This new neuron then leaves the spinal cord and travels all the way to the skeletal muscle. Here, ACH is used to excite it.

Autonomic output uses 2 neurons. In this class, the neurons will not originate in the brain. Instead, they will originate in the lateral horn of the gray matter of the spinal cord. As you might recall the lateral horn was designated as an area of synapse for V several motor neurons. This neuron then leaves the spinal cord by way of the ventral root. It travels through the spinal nerve and a ventral ramus out to a structure called a ganglion. A ganglion is simply an area of synapse. At this ganglion, the first neuron synapses with a second neuron. Then, this second neuron travels all the way to the target cell. As you can see here we have our three targets smooth muscle glands and cardiac muscle cells. The two neurons are given names in reference to their location to the ganglion. The preganglionic fiber occurs in sequence before the ganglion and the post ganglionic fibre occurs in sequence after it.  These can sometimes be referred to the preganglionic and postganglionic neurons.  Either is correct. Before in the nervous system we called these the pre synaptic and the post synaptic neurons. However, in the autonomic system, it’s more appropriate to refer to the ganglion’s location. This location contains the synapse.


What’s a Ganglion?

The gray matter of the spinal cord houses synapses that occur within the CNS. In contrast, a ganglion houses synapses outside it.  These little bubble in these nerves are the ganglia. A ganglion contains the axon terminals of the preganglionic fiber and a cell body of the post ganglionic fiber.  A ganglion can simply be one synapse between fibers, but that is a simplification.  Usually these are nerve plexuses associated with a ganglion housing many synapses. 

There are a lot of ganglia located right next to the spinal cord.  It’s like two extra spinal cords of just gray matter on either side of the real spinal cord.  These structures lateral to the spinal cord are called the sympathetic chain ganglia.  There are also ganglia located further out in the visceral organs.  These are called the celiac ganglion, the superior mesenteric ganglion and the inferior mesenteric ganglion.  The term mesentery refers to this connective tissue of fat, nerves, and vessels that kinda binds together all your intestines. 


Divisions

The autonomic nervous system is an independent system. It is separate and different from the somatic nervous system. Within the autonomic nervous system there are two divisions that have classically been recognized. There is now a third division that is starting to be included among the divisions of the autonomic nervous system. Here is just a summary there are many lectures that go into much more detail for the first two divisions. The sympathetic nervous system is also called the thoracolumbar system. This name is due to the post ganglionic fibers originally originating in the thoracic and lumbar section of your spinal cord. This is the division that takes over when you feel threatened stressed or anxious. This system mobilizes you to either fight or flight. Recently in my courses students have also suggested that this system can make you freeze. The parasympathetic nervous system is also commonly called the cranial sacral nervous system. Ideally, this system is in control for you all the time. It helps you to rest and digest. Stress and anxiety can cause the sympathetic nervous system to override the parasympathetic leading to many of the physical symptoms of stress such as gastrointestinal distress period


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