16 Neural Integration II: The Autonomic Nervous System and Higher-Order Functions

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Page 1: 16 Neural Integration II: The Autonomic Nervous System and Higher-Order Functions

© 2012 Pearson Education, Inc.

PowerPoint® Lecture Presentations prepared byJason LaPresLone Star College—North Harris

16Neural Integration II: The Autonomic Nervous System and Higher-Order Functions

Page 2: 16 Neural Integration II: The Autonomic Nervous System and Higher-Order Functions

© 2012 Pearson Education, Inc.

An Introduction to the ANS and Higher-Order Functions

• Learning Outcomes

• 16-1 Compare the organization of the autonomic nervous system with that of the somatic

nervous system.

• 16-2 Describe the structures and functions of the sympathetic division of the autonomic

nervous system.

• 16-3 Describe the mechanisms of sympathetic neurotransmitter release and their

effects on target organs and tissues.

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© 2012 Pearson Education, Inc.

An Introduction to the ANS and Higher-Order Functions • Learning Outcomes

• 16-4 Describe the structures and functions of the parasympathetic division of the autonomic

nervous system.

• 16-5 Describe the mechanisms of parasympathetic neurotransmitter release and their effects on

target organs and tissues.

• 16-6 Discuss the functional significance of dual innervation and autonomic tone.

• 16-7 Describe the hierarchy of interacting levels of control in the autonomic nervous system,

including the significance of visceral reflexes.

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© 2012 Pearson Education, Inc.

An Introduction to the ANS and Higher-Order Functions

• Learning Outcomes

• 16-8 Explain how memories are created, stored, and recalled, and distinguish among the levels

of consciousness and unconsciousness.

• 16-9 Describe some of the ways in which the interactions of neurotransmitters influence

brain function.

• 16-10 Summarize the effects of aging on the nervous system and give examples of

interactions between the nervous system and other organ systems.

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An Introduction to the ANS and Higher-Order Functions

• Somatic Nervous System (SNS)

• Operates under conscious control

• Seldom affects long-term survival

• SNS controls skeletal muscles

• Autonomic Nervous System (ANS)

• Operates without conscious instruction

• ANS controls visceral effectors

• Coordinates system functions

• Cardiovascular, respiratory, digestive, urinary, reproductive

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Figure 16-1 An Overview of Neural Integration

CHAPTER 16CHAPTER 15

Higher-Order FunctionsConscious andsubconsciousmotor centers

in brain

Motorpathways

Memory, learning, andintelligence may

influence interpretationof sensory information

and nature of motoractivities

AutonomicNervous

System (ANS)

Visceral effectors(examples: smooth

muscle, glands,cardiac muscle,

adipocytes)

Sensoryprocessingcenters in

brain

Sensorypathways

Generalsensory

receptors

SomaticNervous

System (SNS)

Skeletalmuscles

OVERVIEW OF NEURAL INTEGRATION

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16-1 Autonomic Nervous System

• Organization of the ANS

• Integrative centers

• For autonomic activity in hypothalamus

• Neurons comparable to upper motor neurons in SNS

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16-1 Autonomic Nervous System

• Organization of the ANS

• Visceral motor neurons

• In brain stem and spinal cord, are known as

preganglionic neurons

• Preganglionic fibers

• Axons of preganglionic neurons

• Leave CNS and synapse on ganglionic neurons

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16-1 Autonomic Nervous System

• Visceral Motor Neurons

• Autonomic ganglia

• Contain many ganglionic neurons

• Ganglionic neurons innervate visceral effectors

• Such as cardiac muscle, smooth muscle, glands,

and adipose tissue

• Postganglionic fibers

• Axons of ganglionic neurons

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Figure 16-2a The Organization of the Somatic and Autonomic Nervous Systems

Somatic nervous system

Somaticmotor nucleiof spinal cord

SPINALCORD

Lowermotor

neurons

Skeletalmuscle

Skeletalmuscle

Somatic motornuclei of brain

stem

BRAIN

Upper motorneurons in

primary motorcortex

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Figure 16-2b The Organization of the Somatic and Autonomic Nervous Systems

Autonomic nervous system

Smoothmuscle

Cardiacmuscle

Adipocytes

Glands

Visceral Effectors

Preganglionicneuron

BRAIN

Autonomicganglia

Ganglionicneurons

Preganglionicneurons

Autonomicnuclei inbrain stem

SPINALCORD

Autonomicnuclei inspinal cord

Visceral motornuclei in

hypothalamus

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16-1 Divisions of the ANS

• The Autonomic Nervous System

• Operates largely outside our awareness

• Has two divisions

1. Sympathetic division

• Increases alertness, metabolic rate, and muscular

abilities

2. Parasympathetic division

• Reduces metabolic rate and promotes digestion

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16-1 Divisions of the ANS

• Sympathetic Division

• “Kicks in” only during exertion, stress, or

emergency

• “Fight or flight”

• Parasympathetic Division

• Controls during resting conditions

• “Rest and digest”

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16-1 Divisions of the ANS

• Sympathetic and Parasympathetic Division

1. Most often, these two divisions have opposing effects

• If the sympathetic division causes excitation, the

parasympathetic causes inhibition

2. The two divisions may also work independently

• Only one division innervates some structures

3. The two divisions may work together, with each

controlling one stage of a complex process

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16-1 Divisions of the ANS

• Sympathetic Division

• Preganglionic fibers (thoracic and superior lumbar;

thoracolumbar) synapse in ganglia near spinal cord

• Preganglionic fibers are short

• Postganglionic fibers are long

• Prepares body for crisis, producing a “fight or flight”

response

• Stimulates tissue metabolism

• Increases alertness

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16-1 Divisions of the ANS

• Seven Responses to Increased Sympathetic Activity

1. Heightened mental alertness

2. Increased metabolic rate

3. Reduced digestive and urinary functions

4. Energy reserves activated

5. Increased respiratory rate and respiratory passageways dilate

6. Increased heart rate and blood pressure

7. Sweat glands activated

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16-1 Divisions of the ANS

• Parasympathetic Division

• Preganglionic fibers originate in brain stem and sacral

segments of spinal cord; craniosacral

• Synapse in ganglia close to (or within) target organs

• Preganglionic fibers are long

• Postganglionic fibers are short

• Parasympathetic division stimulates visceral activity

• Conserves energy and promotes sedentary activities

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16-1 Divisions of the ANS

• Five Responses to Increased Parasympathetic

Activity

1. Decreased metabolic rate

2. Decreased heart rate and blood pressure

3. Increased secretion by salivary and digestive glands

4. Increased motility and blood flow in digestive tract

5. Urination and defecation stimulation

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16-1 Divisions of the ANS

• Enteric Nervous System (ENS)

• Third division of ANS

• Extensive network in digestive tract walls

• Complex visceral reflexes coordinated locally

• Roughly 100 million neurons

• All neurotransmitters are found in the brain

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16-2 The Sympathetic Division

• The Sympathetic Division

• Preganglionic neurons located between segments T1

and L2 of spinal cord

• Ganglionic neurons in ganglia near vertebral column

• Cell bodies of preganglionic neurons in lateral gray

horns

• Axons enter ventral roots of segments

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Figure 16-3 The Organization of the Sympathetic Division of the ANS

Sympathetic Division of ANS

Ganglionic NeuronsPreganglionic

Neurons

Target Organs

KEYPreganglionic fibers

Postganglionic fibers

Hormones releasedinto circulation

Lateral grayhorns of spinal

segmentsT1–L2

Sympatheticchain ganglia

(paired)

Collateralganglia

(unpaired)

Adrenalmedullae(paired)

Visceral effectorsin thoracic cavity,head, body wall,

and limbs

Visceral effectorsin abdominopelvic

cavity

Organs and systemsthroughout body

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16-2 The Sympathetic Division

• Ganglionic Neurons

• Occur in three locations

1. Sympathetic chain ganglia

2. Collateral ganglia

3. Suprarenal medullae

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Are on both sides of vertebral column

• Control effectors:

• In body wall

• Inside thoracic cavity

• In head

• In limbs

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Figure 16-4a Sites of Ganglia in Sympathetic Pathways

SYMPATHETIC CHAIN GANGLIA

Preganglionic neuronsGanglionic neurons

KEY

Gray ramus

White ramusGanglionicneuron

Preganglionicneuron

Autonomic ganglion ofright sympathetic chain

Innervatesvisceral

effectors viaspinal nerves

Innervates visceralorgans in thoracic

cavity viasympathetic nerves

Autonomic ganglionof left sympathetic chain

Spinal nerve

Sympathetic nerve(postganglionic

fibers)

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16-2 The Sympathetic Division

• Collateral Ganglia

• Are anterior to vertebral bodies

• Contain ganglionic neurons that innervate tissues and

organs in abdominopelvic cavity

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Figure 16-4b Sites of Ganglia in Sympathetic Pathways

Preganglionic neuronsGanglionic neurons

KEY

COLLATERAL GANGLIA

Splanchnicnerve

(preganglionicfibers)

Postganglionicfibers

Collateralganglion

Innervatesvisceral organs inabdominopelvic

cavity

Whiteramus

Lateralgrayhorn

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16-2 The Sympathetic Division

• Adrenal Medullae (Suprarenal Medullae)

• Very short axons

• When stimulated, release neurotransmitters into

bloodstream (not at synapse)

• Function as hormones to affect target cells throughout

body

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Figure 16-4c Sites of Ganglia in Sympathetic Pathways

Preganglionic neuronsGanglionic neurons

KEY

THE ADRENAL MEDULLAE

Preganglionic fibers Secretesneurotransmitters

into generalcirculation

Endocrine cells(specialized ganglionic

neurons)

Adrenalmedullae

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16-2 The Sympathetic Division

• Fibers in Sympathetic Division

• Preganglionic fibers

• Are relatively short

• Ganglia located near spinal cord

• Postganglionic fibers

• Are relatively long, except at adrenal medullae

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• Organization and Anatomy of the Sympathetic Division

• Ventral roots of spinal segments T1–L2 contain

sympathetic preganglionic fibers

• Give rise to myelinated white ramus

• Carry myelinated preganglionic fibers into sympathetic

chain ganglion

• May synapse at collateral ganglia or in adrenal

medullae

16-2 The Sympathetic Division

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Preganglionic fibers

• One preganglionic fiber synapses on many

ganglionic neurons

• Fibers interconnect sympathetic chain ganglia

• Each ganglion innervates particular body

segment(s)

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Postganglionic Fibers

• Paths of unmyelinated postganglionic fibers

depend on targets

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Postganglionic fibers control visceral effectors

• In body wall, head, neck, or limbs

• Enter gray ramus

• Return to spinal nerve for distribution

• Postganglionic fibers innervate effectors

• Sweat glands of skin

• Smooth muscles in superficial blood vessels

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Postganglionic fibers innervating structures in thoracic

cavity form bundles

• Sympathetic nerves

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Each sympathetic chain ganglia contains:

• 3 cervical ganglia

• 10–12 thoracic ganglia

• 4–5 lumbar ganglia

• 4–5 sacral ganglia

• 1 coccygeal ganglion

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Preganglionic neurons

• Limited to spinal cord segments T1–L2

• White rami (myelinated preganglionic fibers)

• Innervate neurons in:

• Cervical, inferior lumbar, and sacral sympathetic chain

ganglia

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Chain ganglia provide postganglionic fibers

• Through gray rami (unmyelinated postganglionic

fibers)

• To cervical, lumbar, and sacral spinal nerves

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Only spinal nerves T1–L2 have white rami

• Every spinal nerve has gray ramus

• That carries sympathetic postganglionic fibers for

distribution in body wall

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16-2 The Sympathetic Division

• Sympathetic Chain Ganglia

• Postganglionic sympathetic fibers

• In head and neck leave superior cervical

sympathetic ganglia

• Supply the regions and structures innervated by

cranial nerves III, VII, IX, X

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Figure 16-5 The Distribution of Sympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

T1 T1

Gray rami tospinal nerves

Cervicalsympathetic

ganglia

Superior

Middle

Inferior

PONS

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Figure 16-5 The Distribution of Sympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

T1

PONS

Sympathetic nerves

Cardiac andpulmonary plexuses(see Figure 16-10)

Eye

Salivaryglands

Heart

Lung

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Figure 16-5 The Distribution of Sympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

Coccygealganglia (Co1)

fused together

L2

Superiormesenteric

ganglion

Splanchnicnerves

Uterus Ovary

Greatersplanchnicnerve

T1

Celiac ganglion

Inferiormesentericganglion

Penis Scrotum Urinary bladder

Liver and gallbladder

Stomach

SpleenPancreas

Largeintestine

Smallintestine

AdrenalmedullaKidney

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Figure 16-5 The Distribution of Sympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

Spinal cord

Sympatheticchain ganglia

L2

Postganglionic fibersto spinal nerves

(innervating skin,blood vessels,sweat glands,

arrector pili muscles,adipose tissue)

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16-2 The Sympathetic Division

• Collateral Ganglia

• Receive sympathetic innervation via sympathetic preganglionic fibers

• Splanchnic nerves

• Formed by preganglionic fibers that innervate collateral ganglia

• In dorsal wall of abdominal cavity

• Originate as paired ganglia (left and right)

• Usually fuse together in adults

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16-2 The Sympathetic Division

• Collateral Ganglia

• Postganglionic fibers

• Leave collateral ganglia

• Extend throughout abdominopelvic cavity

• Innervate variety of visceral tissues and organs

• Reduction of blood flow and energy by organs not

vital to short-term survival

• Release of stored energy reserves

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16-2 The Sympathetic Division

• Collateral Ganglia

• Preganglionic fibers from seven inferior thoracic

segments

• End at celiac ganglion or superior mesenteric

ganglion

• Ganglia embedded in network of autonomic nerves

• Preganglionic fibers from lumbar segments

• Form splanchnic nerves

• End at inferior mesenteric ganglion

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16-2 The Sympathetic Division

• Collateral Ganglia

• Celiac ganglion

• Pair of interconnected masses of gray matter

• May form single mass or many interwoven masses

• Postganglionic fibers innervate stomach, liver,

gallbladder, pancreas, and spleen

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16-2 The Sympathetic Division

• Collateral Ganglia

• Superior mesenteric ganglion

• Near base of superior mesenteric artery

• Postganglionic fibers innervate small intestine and

proximal 2/3 of large intestine

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16-2 The Sympathetic Division

• Collateral Ganglia

• Inferior mesenteric ganglion

• Near base of inferior mesenteric artery

• Postganglionic fibers provide sympathetic innervation to

portions of:

• Large intestine

• Kidney

• Urinary bladder

• Sex organs

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16-2 The Sympathetic Division

• Adrenal Medullae

• Preganglionic fibers entering adrenal gland proceed

to center (adrenal medulla)

• Modified sympathetic ganglion

• Preganglionic fibers synapse on neuroendocrine cells

• Specialized neurons secrete hormones into

bloodstream

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16-2 The Sympathetic Division

• Adrenal Medullae

• Neuroendocrine cells

• Secrete neurotransmitters epinephrine (E) and

norepinephrine (NE)

• Epinephrine

• Also called adrenaline

• Is 75–80% of secretory output

• Remaining is norepinephrine (NE)

• Noradrenaline

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16-2 The Sympathetic Division

• Adrenal Medullae

• Bloodstream carries neurotransmitters through body

• Causing changes in metabolic activities of different

cells including cells not innervated by sympathetic

postganglionic fibers

• Effects last longer

• Hormones continue to diffuse out of bloodstream

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16-2 The Sympathetic Division

• Sympathetic Activation

• Change activities of tissues and organs by:

• Releasing NE at peripheral synapses

• Target specific effectors, smooth muscle fibers in

blood vessels of skin

• Are activated in reflexes

• Do not involve other visceral effectors

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16-2 The Sympathetic Division

• Sympathetic Activation

• Changes activities of tissues and organs by:

• Distributing E and NE throughout body in bloodstream

• Entire division responds (sympathetic activation)

• Are controlled by sympathetic centers in

hypothalamus

• Effects are not limited to peripheral tissues

• Alters CNS activity

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16-2 The Sympathetic Division

• Changes Caused by Sympathetic Activation

• Increased alertness

• Feelings of energy and euphoria

• Change in breathing

• Elevation in muscle tone

• Mobilization of energy reserves

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16-3 Various Sympathetic Neurotransmitters

• Stimulation of Sympathetic Preganglionic

Neurons

• Releases ACh at synapses with ganglionic neurons

• Excitatory effect on ganglionic neurons

• Ganglionic Neurons

• Release neurotransmitters at specific target organs

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16-3 Various Sympathetic Neurotransmitters

• Ganglionic Neurons

• Axon terminals

• Form branching networks of telodendria instead of synaptic

terminals

• Telodendria form sympathetic varicosities

• Resemble string of pearls

• Swollen segment packed with neurotransmitter vesicles

• Pass along or near surface of effector cells

• No specialized postsynaptic membranes

• Membrane receptors on surfaces of target cells

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Figure 16-6 Sympathetic Varicosities

Preganglionic fiber(myelinated)

Ganglionicneuron

Ganglion

Vesicles containingnorepinephrine

Postganglionic fiber(unmyelinated)

Varicosities

Mitochondrion

5 m

Smooth muscle cells Varicosities

Schwann cellcytoplasm

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16-3 Various Sympathetic Neurotransmitters

• Ganglionic Neurons

• Axon terminals

• Release NE at most varicosities

• Called adrenergic neuron

• Some ganglionic neurons release ACh instead

• Are located in body wall, skin, brain, and skeletal

muscles

• Called cholinergic neurons

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of NE

and E

• Primarily from interactions of NE and E with two

types of adrenergic membrane receptors

1. Alpha receptors (NE more potent)

2. Beta receptors

• Activates enzymes on inside of cell membrane via G

proteins

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of NE

and E

• Alpha-1 (1)

• More common type of alpha receptor

• Releases intracellular calcium ions from reserves

in endoplasmic reticulum

• Has excitatory effect on target cell

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of NE and E

• Alpha-2 (2)

• Lowers cAMP levels in cytoplasm

• Has inhibitory effect on the cell

• Helps coordinate sympathetic and parasympathetic activities

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of NE

and E

• Beta () receptors

• Affect membranes in many organs (skeletal muscles,

lungs, heart, and liver)

• Trigger metabolic changes in target cell

• Stimulation increases intracellular cAMP levels

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16-3 Various Sympathetic Neurotransmitters

• Three Main Types of Beta Receptors

1. Beta-1 (1)

• Increases metabolic activity

2. Beta-2 (2)

• Triggers relaxation of smooth muscles along respiratory tract

3. Beta-3 (3)

• Leads to lipolysis, the breakdown of triglycerides in

adipocytes

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of ACh

and NO

• Cholinergic (ACh) sympathetic terminals

• Innervate sweat glands of skin and blood vessels of

skeletal muscles and brain

• Stimulate sweat gland secretion and dilate blood

vessels

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16-3 Various Sympathetic Neurotransmitters

• Sympathetic Stimulation and the Release of ACh

and NO

• Nitroxidergic synapses

• Release nitric oxide (NO) as neurotransmitter

• Neurons innervate smooth muscles in walls of blood

vessels in skeletal muscles and the brain

• Produce vasodilation and increased blood flow

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16-4 The Parasympathetic Division

• Autonomic Nuclei

• Are contained in the mesencephalon, pons, and

medulla oblongata

• Associated with cranial nerves III, VII, IX, X

• In lateral gray horns of spinal segments S2–S4

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16-4 The Parasympathetic Division

• Ganglionic Neurons in Peripheral Ganglia

• Terminal ganglion

• Near target organ

• Usually paired

• Intramural ganglion

• Embedded in tissues of target organ

• Interconnected masses

• Clusters of ganglion cells

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16-4 The Parasympathetic Division

• Organization and Anatomy of the Parasympathetic

Division

• Parasympathetic preganglionic fibers leave brain as

components of cranial nerves

• III (oculomotor)

• VII (facial)

• IX (glossopharyngeal)

• X (vagus)

• Parasympathetic preganglionic fibers leave spinal cord at

sacral level

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Figure 16-7 The Organization of the Parasympathetic Division of the ANS

Preganglionic fibersPostganglionic fibers

KEYNuclei in

spinal cordsegments

S2–S4

Pelvicnerves

Nuclei inbrain stem

Preganglionic Neurons Ganglionic NeuronsN III

N VII

N IX

N X

Intramuralganglia

Intramuralganglia

Otic ganglion

Pterygopalatineand submandibular

ganglia

Ciliary ganglion

Target Organs

Intrinsic eye muscles(pupil and lens shape)

Nasal glands, tearglands, and salivary

glands

Parotid salivary gland

Visceral organsof neck,

thoracic cavity,and most of

abdominal cavity

Visceral organs ininferior portion of

abdominopelvic cavity

Parasympathetic Division of ANS

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16-4 The Parasympathetic Division

• Oculomotor, Facial, and Glossopharyngeal

Nerves

• Control visceral structures in head

• Synapse in ciliary, pterygopalatine, submandibular,

and otic ganglia

• Short postganglionic fibers continue to their peripheral

targets

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16-4 The Parasympathetic Division

• Vagus Nerve

• Provides preganglionic parasympathetic innervation to

structures in:

• Neck

• Thoracic and abdominopelvic cavity as distant as a distal

portion of large intestine

• Provides 75% of all parasympathetic outflow

• Branches intermingle with fibers of sympathetic division

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16-4 The Parasympathetic Division

• Sacral Segments of Spinal Cord

• Preganglionic fibers carry sacral parasympathetic

output

• Do not join ventral roots of spinal nerves, instead form

pelvic nerves

• Pelvic nerves innervate intramural ganglia in walls of

kidneys, urinary bladder, portions of large intestine, and

the sex organs

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Figure 16-8 The Distribution of Parasympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

N X (Vagus)

N IX

N VII

N III

PONS

Otic ganglion

Ciliary ganglion

Pterygopalatine ganglion

Submandibular ganglion

Lacrimal gland

Eye

Salivary glands

Heart

Lungs

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Figure 16-8 The Distribution of Parasympathetic Innervation

Preganglionic neuronsGanglionic neurons

KEY

Liver andgallbladder

Stomach

Spleen

Pancreas

LargeintestineSmallintestineRectum

Kidney

Uterus Ovary Penis Scrotum

Lungs

Urinary bladder

S2

S3

S4

Spinalcord

Pelvicnerves

Autonomic plexuses(see Figure 16-10)

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16-4 The Parasympathetic Division

• Parasympathetic Activation

• Centers on relaxation, food processing, and

energy absorption

• Localized effects, last a few seconds at most

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16-4 The Parasympathetic Division

• Major Effects of Parasympathetic Division

• Constriction of the pupils

• (To restrict the amount of light that enters the eyes)

• And focusing of the lenses of the eyes on nearby objects

• Secretion by digestive glands

• Including salivary glands, gastric glands, duodenal

glands, intestinal glands, the pancreas (exocrine and

endocrine), and the liver

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16-4 The Parasympathetic Division

• Major Effects of Parasympathetic Division

• Secretion of hormones

• That promote the absorption and utilization of nutrients

by peripheral cells

• Changes in blood flow and glandular activity

• Associated with sexual arousal

• Increase in smooth muscle activity

• Along the digestive tract

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16-4 The Parasympathetic Division

• Major Effects of Parasympathetic Division

• Stimulation and coordination of defecation

• Contraction of the urinary bladder during urination

• Constriction of the respiratory passageways

• Reduction in heart rate and in the force of contraction

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16-5 Parasympathetic Neurons Release ACh

• Neuromuscular and Neuroglandular Junctions

• All release ACh as neurotransmitter

• Small, with narrow synaptic clefts

• Effects of stimulation are short lived

• Inactivated by acetylcholinesterase (AChE) at synapse

• ACh is also inactivated by tissue cholinesterase in

surrounding tissues

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16-5 Parasympathetic Neurons Release ACh

• Membrane Receptors and Responses

• Nicotinic receptors

• On surfaces of ganglion cells (sympathetic and

parasympathetic)

• Exposure to ACh causes excitation of ganglionic

neuron or muscle fiber

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16-5 Parasympathetic Neurons Release ACh

• Membrane Receptors and Responses

• Muscarinic receptors

• At cholinergic neuromuscular or neuroglandular junctions (parasympathetic)

• At few cholinergic junctions (sympathetic)

• G proteins

• Effects are longer lasting than nicotinic receptors

• Response reflects activation or inactivation of specific enzymes

• Can be excitatory or inhibitory

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16-5 Parasympathetic Neurons Release ACh

• Dangerous Environmental Toxins

• Produce exaggerated, uncontrolled responses

• Nicotine

• Binds to nicotinic receptors

• Targets autonomic ganglia and skeletal neuromuscular junctions

• 50 mg ingested or absorbed through skin

• Signs and symptoms:

• Vomiting, diarrhea, high blood pressure, rapid heart rate, sweating, profuse salivation, convulsions

• May result in coma or death

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16-5 Parasympathetic Neurons Release ACh

• Dangerous Environmental Toxins

• Produce exaggerated, uncontrolled responses

• Muscarine

• Binds to muscarinic receptors

• Targets parasympathetic neuromuscular or neuroglandular

junctions

• Signs and symptoms:

• Salivation, nausea, vomiting, diarrhea, constriction of

respiratory passages, low blood pressure, slow heart

rate (bradycardia)

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Table 16-1 Adrenergic and Cholinergic Receptors of the ANS

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16-6 Dual Innervation

• Sympathetic Division

• Widespread impact

• Reaches organs and tissues throughout body

• Parasympathetic Division

• Innervates only specific visceral structures

• Sympathetic and Parasympathetic Division

• Most vital organs receive instructions from both

sympathetic and parasympathetic divisions

• Two divisions commonly have opposing effects

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16-6 Dual Innervation

• Anatomy of Dual Innervation

• Parasympathetic postganglionic fibers accompany

cranial nerves to peripheral destinations

• Sympathetic innervation reaches same structures

• By traveling directly from superior cervical ganglia of

sympathetic chain

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Figure 16-9 Summary: The Anatomical Differences between the Sympathetic and Parasympathetic Divisions

KEYNeurotransmitters

Epinephrine

Norepinephrine

Acetylcholine

Parasympatheticganglion

TARGET

Circulatorysystem

Sympatheticganglion

or

Postganglionicfiber

Ganglionicneurons

Preganglionicneuron

Preganglionicfiber

CNS

PNS

Sympathetic Parasympathetic

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Table 16-2 A Structural Comparison of the Sympathetic and Parasympathetic Divisions of the ANS

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Table 16-3 A Functional Comparison of the Sympathetic and Parasympathetic Divisions of the ANS

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Table 16-3 A Functional Comparison of the Sympathetic and Parasympathetic Divisions of the ANS

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Table 16-3 A Functional Comparison of the Sympathetic and Parasympathetic Divisions of the ANS

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Table 16-3 A Functional Comparison of the Sympathetic and Parasympathetic Divisions of the ANS

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16-6 Dual Innervation

• Anatomy of Dual Innervation

• Autonomic plexuses

• Nerve networks in the thoracic and abdominopelvic

cavities

• Are formed by mingled sympathetic postganglionic

fibers and parasympathetic preganglionic fibers

• Travel with blood and lymphatic vessels that supply

visceral organs

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16-6 Dual Innervation

• Anatomy of Dual Innervation

• Cardiac plexus

• Pulmonary plexus

• Esophageal plexus

• Celiac plexus

• Inferior mesenteric plexus

• Hypogastric plexus

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16-6 Dual Innervation

• Cardiac and Pulmonary Plexuses

• Autonomic fibers entering thoracic cavity intersect

• Contain:

• Sympathetic and parasympathetic fibers for heart and

lungs

• Parasympathetic ganglia whose output affects those

organs

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16-6 Dual Innervation

• Esophageal Plexus

• Contains:

• Descending branches of vagus nerve

• Splanchnic nerves leaving sympathetic chain

• Parasympathetic preganglionic fibers of vagus nerve

enter abdominopelvic cavity with esophagus

• Fibers enter celiac plexus (solar plexus)

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Figure 16-10 The Autonomic Plexuses and Ganglia

Autonomic Plexusesand Ganglia

Right vagus nerve

Aortic arch

Cardiac plexus

Pulmonary plexus

Thoracic sympatheticchain ganglia

Esophageal plexus

Celiac plexusand ganglion

Superior mesentericganglion

Inferior mesentericplexus and ganglia

Pelvic sympatheticchain

Hypogastric plexus

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16-6 Dual Innervation

• Celiac Plexus

• Associated with smaller plexuses, such as inferior

mesenteric plexus

• Innervates viscera within abdominal cavity

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16-6 Dual Innervation

• Hypogastric Plexus

• Contains:

• Parasympathetic outflow of pelvic nerves

• Sympathetic postganglionic fibers from inferior

mesenteric ganglion

• Splanchnic nerves from sacral sympathetic chain

• Innervates digestive, urinary, and reproductive organs

of pelvic cavity

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Figure 16-10 The Autonomic Plexuses and Ganglia

Inferior mesenteric artery

Superior mesenteric artery

Diaphragm

Esophagus

Splanchnic nerves

Thoracic spinal nerves

Left vagus nerve

Trachea

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16-6 Dual Innervation

• Autonomic Tone

• Is an important aspect of ANS function

• If nerve is inactive under normal conditions, can only

increase activity

• If nerve maintains background level of activity, can

increase or decrease activity

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16-6 Dual Innervation

• Autonomic Tone

• Autonomic motor neurons

• Maintain resting level of spontaneous activity

• Background level of activation determines autonomic

tone

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16-6 Dual Innervation

• Autonomic Tone

• Significant where dual innervation occurs

• Two divisions have opposing effects

• More important when dual innervation does not

occur

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16-6 Dual Innervation

• The Heart Receives Dual Innervation• Two divisions have opposing effects on heart function

1. Parasympathetic division

• Acetylcholine released by postganglionic fibers slows heart rate

2. Sympathetic division

• NE released by varicosities accelerates heart rate

• Balance between two divisions

• Autonomic tone is present

• Releases small amounts of both neurotransmitters continuously

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16-6 Dual Innervation

• The Heart Receives Dual Innervation

• Parasympathetic innervation dominates under resting

conditions

• Crisis accelerates heart rate by:

• Stimulation of sympathetic innervation

• Inhibition of parasympathetic innervation

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16-6 Dual Innervation

• Autonomic Tone

• Blood vessel dilates and blood flow increases

• Blood vessel constricts and blood flow is reduced

• Sympathetic postganglionic fibers release NE

• Innervate smooth muscle cells in walls of

peripheral vessels

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16-6 Dual Innervation

• Autonomic Tone

• Background sympathetic tone keeps muscles partially

contracted

• To increase blood flow:

• Rate of NE release decreases

• Sympathetic cholinergic fibers are stimulated

• Smooth muscle cells relax

• Vessels dilate and blood flow increases

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16-7 Visceral Reflexes Regulate the ANS

• Somatic Motor Control

• Centers in all portions of CNS

• Lowest level regulatory control

• Lower motor neurons of cranial and spinal visceral reflex

arcs

• Highest level

• Pyramidal motor neurons of primary motor cortex

• Operating with feedback from cerebellum and basal nuclei

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16-7 Visceral Reflexes Regulate the ANS

• Visceral Reflexes

• Provide automatic motor responses

• Can be modified, facilitated, or inhibited by higher centers, especially hypothalamus

• Visceral reflex arc

• Receptor

• Sensory neuron

• Processing center (one or more interneurons)

• All polysynaptic

• Two visceral motor neurons

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16-7 Visceral Reflexes Regulate the ANS

• Visceral Reflexes

• Long reflexes

• Autonomic equivalents of polysynaptic reflexes

• Visceral sensory neurons deliver information to CNS along dorsal roots of spinal nerves

• Within sensory branches of cranial nerves

• Within autonomic nerves that innervate visceral effectors

• ANS carries motor commands to visceral effectors

• Coordinate activities of entire organ

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16-7 Visceral Reflexes Regulate the ANS

• Visceral Reflexes

• Short reflexes

• Bypass CNS

• Involve sensory neurons and interneurons located within autonomic ganglia

• Interneurons synapse on ganglionic neurons

• Motor commands distributed by postganglionic fibers

• Control simple motor responses with localized effects

• One small part of target organ

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Figure 16-11 Visceral Reflexes

Stimulus

Response

Receptors inperipheral tissue

Afferent (sensory)fibers

Shortreflex

Longreflex

Peripheraleffector

Ganglionicneuron

Preganglionicneuron

Processing centerin spinal cord

(or brain)

Autonomic ganglion(sympathetic orparasympathetic)

CENTRAL NERVOUSSYSTEM

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16-7 Visceral Reflexes Regulate the ANS

• Visceral Reflexes

• Regulating visceral activity

• Most organs

• Long reflexes most important

• Digestive tract

• Short reflexes provide most control and

coordination

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16-7 Visceral Reflexes Regulate the ANS

• Visceral Reflexes

• Enteric nervous system

• Ganglia in the walls of digestive tract contain cell

bodies of:

• Visceral sensory neurons

• Interneurons

• Visceral motor neurons

• Axons form extensive nerve nets

• Control digestive functions independent of CNS

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Table 16-4 Representative Visceral Reflexes

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Table 16-4 Representative Visceral Reflexes

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16-7 Visceral Reflexes Regulate the ANS

• Higher Levels of Autonomic Control

• Simple reflexes from spinal cord provide rapid and automatic responses

• Complex reflexes coordinated in medulla oblongata

• Contains centers and nuclei involved in:

• Salivation

• Swallowing

• Digestive secretions

• Peristalsis

• Urinary function

• Regulated by hypothalamus

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16-7 Visceral Reflexes Regulate the ANS

• The Integration of SNS and ANS Activities

• Many parallels in organization and function

• Integration at brain stem

• Both systems under control of higher centers

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Figure 16-12 A Comparison of Somatic and Autonomic Function

CentralNervousSystem

PeripheralNervousSystem SNS ANS

Cerebral cortex

Thalamus

Somatic sensory

Hypothalamus

Limbicsystem

Visceralsensory

Relay and processing centers in brain stem

Somaticreflexes

Longreflexes

Lower motorneuron

PreganglionicneuronSensory

pathways

Shortreflexes

Ganglionicneuron

Skeletalmuscles

Sensoryreceptors

Visceraleffectors

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Table 16-5 A Comparison of the ANS and SNS

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16-8 Higher-Order Functions

• Higher-Order Functions Share Three Characteristics

1. Require the cerebral cortex

2. Involve conscious and unconscious information processing

3. Are not part of programmed “wiring” of brain

• Can adjust over time

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16-8 Higher-Order Functions

• Memory

• Fact memories

• Are specific bits of information

• Skill memories

• Learned motor behaviors

• Incorporated at unconscious level with repetition

• Programmed behaviors stored in appropriate area of brain stem

• Complex are stored and involve motor patterns in the basal nuclei, cerebral cortex, and cerebellum

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16-8 Higher-Order Functions

• Memory

• Short-term memories

• Information that can be recalled immediately

• Contain small bits of information

• Primary memories

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16-8 Higher-Order Functions

• Memory

• Long-term memories

• Memory consolidation – conversion from short-

term to long-term memory

• Two types of long-term memory

1. Secondary memories fade and require effort

to recall

2. Tertiary memories are with you for life

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Figure 16-13 Memory Storage

Sensoryinput

Repetitionpromotesretention

Consolidation

Permanent loss dueto neural fatigue,shock, interferenceby other stimuli

Temporary loss

Permanent loss

• Cerebral cortex (fact memory)• Cerebral cortex and cerebellar cortex (skill memory)

Short-termMemory

Long-term Memory

SecondaryMemory

TertiaryMemory

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16-8 Higher-Order Functions

• Brain Regions Involved in Memory Consolidation

and Access

• Amygdaloid body and hippocampus

• Nucleus basalis

• Cerebral cortex

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16-8 Higher-Order Functions

• Amygdaloid Body and Hippocampus

• Are essential to memory consolidation

• Damage may cause:

• Inability to convert short-term memories to new long-

term memories

• Existing long-term memories remain intact and

accessible

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16-8 Higher-Order Functions

• Nucleus Basalis

• Cerebral nucleus near diencephalon

• Plays uncertain role in memory storage and retrieval

• Tracts connect with hippocampus, amygdaloid body,

and cerebral cortex

• Damage changes emotional states, memory, and

intellectual functions

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16-8 Higher-Order Functions

• Cerebral Cortex

• Stores long-term memories

• Conscious motor and sensory memories referred to

association areas

• Occipital and temporal lobes

• Special portions crucial to memories of faces, voices, and

words

• A specific neuron may be activated by combination of

sensory stimuli associated with particular individual; called

“grandmother cells”

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16-8 Higher-Order Functions

• Cerebral Cortex

• Visual association area

• Auditory association area

• Speech center

• Frontal lobes

• Related information stored in other locations

• If storage area is damaged, memory will be incomplete

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16-8 Higher-Order Functions

• Cellular Mechanisms of Memory Formation and

Storage

• Involves anatomical and physiological changes in

neurons and synapses

• Increased neurotransmitter release

• Facilitation at synapses

• Formation of additional synaptic connections

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16-8 Higher-Order Functions

• Increased Neurotransmitter Release

• Frequently active synapse increases the amount of

neurotransmitter it stores

• Releases more on each stimulation

• The more neurotransmitter released, the greater

effect on postsynaptic neuron

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16-8 Higher-Order Functions

• Facilitation at Synapses

• Neural circuit repeatedly activated

• Synaptic terminals begin continuously releasing

neurotransmitter

• Neurotransmitter binds to receptors on postsynaptic

membrane

• Produces graded depolarization

• Brings membrane closer to threshold

• Facilitation results affect all neurons in circuit

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16-8 Higher-Order Functions

• Formation of Additional Synaptic Connections

• Neurons repeatedly communicating

• Axon tip branches and forms additional synapses on

postsynaptic neuron

• Presynaptic neuron has greater effect on

transmembrane potential of postsynaptic neuron

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16-8 Higher-Order Functions

• Cellular Mechanisms of Memory Formation and

Storage

• Basis of memory storage

• Processes create anatomical changes

• Facilitate communication along specific neural circuit

• Memory Engram

• Single circuit corresponds to single memory

• Forms as result of experience and repetition

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16-8 Higher-Order Functions

• Cellular Mechanisms of Memory Formation and

Storage

• Efficient conversion of short-term memory

• Takes at least 1 hour

• Repetition crucial

• Factors of conversion

• Nature, intensity, and frequency of original stimulus

• Strong, repeated, and exceedingly pleasant or unpleasant

events likely converted to long-term memories

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16-8 Higher-Order Functions

• Cellular Mechanisms of Memory Formation and

Storage

• Drugs stimulate CNS

• Caffeine and nicotine are examples

• Enhance memory consolidation through facilitation

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16-8 Higher-Order Functions

• Cellular Mechanisms of Memory Formation and Storage

• Drugs stimulate CNS

• NMDA (N-methyl D-aspartate) Receptors

• Linked to consolidation

• Chemically gated calcium channels

• Activated by neurotransmitter glutamate

• Gates open, calcium enters cell

• Blocking NMDA receptors in hippocampus prevents long-term memory formation

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16-8 Higher-Order Functions

• States of Consciousness

• Many gradations of states

• Degree of wakefulness indicates level of ongoing

CNS activity

• When abnormal or depressed, state of wakefulness is

affected

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16-8 Higher-Order Functions

• States of Consciousness

• Deep sleep

• Also called slow-wave or Non-REM (NREM) sleep

• Entire body relaxes

• Cerebral cortex activity minimal

• Heart rate, blood pressure, respiratory rate, and energy

utilization decline up to 30%

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16-8 Higher-Order Functions

• States of Consciousness

• Rapid eye movement (REM) sleep

• Active dreaming occurs

• Changes in blood pressure and respiratory rate

• Less receptive to outside stimuli than in deep sleep

• Muscle tone decreases markedly

• Intense inhibition of somatic motor neurons

• Eyes move rapidly as dream events unfold

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16-8 Higher-Order Functions

• States of Consciousness

• Nighttime sleep pattern

• Alternates between levels

• Begins in deep sleep

• REM periods average 5 minutes in length; increase to

20 minutes over 8 hours

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16-8 Higher-Order Functions

• Sleep

• Has important impact on CNS

• Produces only minor changes in physiological

activities of organs and systems

• Protein synthesis in neurons increases during sleep

• Extended periods without sleep lead to disturbances

in mental function

• 25% of the U.S. population experiences sleep

disorders

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Figure 16-14a Levels of Sleep

EEG from the awake, REM, and deep (slow wave)sleep states. The EEG pattern during REM sleepresembles the alpha waves typical of awake adults.

Awake

REM sleep

Deep (slowwave) sleep

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Figure 16-14b Levels of Sleep

Time

Awake

REM sleep

Transitionperiod

Deep sleep

Typical pattern of sleep stages in a healthy youngadult during a single night’s sleep.

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16-8 Higher-Order Functions

• States of Consciousness

• Arousal and the reticular activating system (RAS)

• Awakening from sleep

• Function of reticular formation

• Extensive interconnections with sensory, motor,

integrative nuclei, and pathways along brain stem

• Determined by complex interactions between reticular

formation and cerebral cortex

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16-8 Higher-Order Functions

• Reticular Activating System (RAS)

• Important brain stem component

• Diffuse network in reticular formation

• Extends from medulla oblongata to midbrain

• Output of RAS projects to thalamic nuclei that

influence large areas of cerebral cortex

• When RAS inactive, so is cerebral cortex

• Stimulation of RAS produces widespread activation of

cerebral cortex

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16-8 Higher-Order Functions

• Arousal and the Reticular Activating System

• Ending sleep

• Any stimulus activates reticular formation and RAS

• Arousal occurs rapidly

• Effects of single stimulation of RAS last less than a

minute

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16-8 Higher-Order Functions

• Arousal and the Reticular Activating System

• Maintaining consciousness

• Activity in cerebral cortex, basal nuclei, and sensory

and motor pathways continue to stimulate RAS

• After many hours, reticular formation becomes less

responsive to stimulation

• Individual becomes less alert and more lethargic

• Neural fatigue reduces RAS activity

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16-8 Higher-Order Functions

• Arousal and the Reticular Activating System

• Regulation of sleep–awake cycles

• Involves interplay between brain stem nuclei that use

different neurotransmitters

• Group of nuclei stimulates RAS with NE and maintains

awake, alert state

• Other group promotes deep sleep by depressing RAS

activity with serotonin

• “Dueling” nuclei located in brain stem

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Figure 16-15 The Reticular Activating System

Reticularformation

RAS

Special sensoryinput

General cranialor spinal nerve input

N VIII

N II

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16-9 Brain Chemistry

• Brain Chemistry

• Changes in normal balance between two or more

neurotransmitters can profoundly affect brain function

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16-9 Brain Chemistry

• Huntington’s Disease

• Destruction of ACh-secreting and GABA-secreting

neurons in basal nuclei

• Symptoms appear as basal nuclei and frontal lobes

slowly degenerate

• Difficulty controlling movements

• Intellectual abilities gradually decline

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16-9 Brain Chemistry

• Lysergic Acid Diethylamide (LSD)

• Powerful hallucinogenic drug

• Activates serotonin receptors in brain stem,

hypothalamus, and limbic system

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16-9 Brain Chemistry

• Serotonin

• Compounds that enhance effects also produce

hallucinations (LSD)

• Compounds that inhibit or block action cause severe

depression and anxiety

• Variations in levels affect sensory interpretation and

emotional states

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16-9 Brain Chemistry

• Serotonin

• Fluoxetine (Prozac)

• Slows removal of serotonin at synapses

• Increases serotonin concentrations at postsynaptic

membrane

• Classified as selective serotonin reuptake inhibitors

(SSRIs)

• Other SSRIs

• Celexa, Luvox, Paxil, and Zoloft

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16-9 Brain Chemistry

• Parkinson’s Disease

• Inadequate dopamine production causes motor

problems

• Dopamine

• Secretion stimulated by amphetamines, or “speed”

• Large doses can produce symptoms resembling

schizophrenia

• Important in nuclei that control intentional movements

• Important in other centers of diencephalon and cerebrum

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16-10 Effects of Aging on the Nervous System

• Effects of Aging

• Anatomical and physiological changes begin after

maturity (age 30)

• Accumulate over time

• 85% of people over age 65 have changes in

mental performance and CNS function

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16-10 Effects of Aging on the Nervous System

• Common Age-related Anatomical Changes in

the Nervous System

• Reduction in Brain Size and Weight

• Reduction in Number of Neurons

• Decrease in Blood Flow to Brain

• Changes in Synaptic Organization of Brain

• Intracellular and Extracellular Changes in CNS Neurons

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16-10 Effects of Aging on the Nervous System

• Reduction in Brain Size and Weight

• Decrease in volume of cerebral cortex

• Narrower gyri and wider sulci

• Larger subarachnoid space

• Reduction in Number of Neurons

• Brain shrinkage linked to loss of cortical neurons

• No neuronal loss in brain stem nuclei

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16-10 Effects of Aging on the Nervous System

• Decrease in Blood Flow to Brain

• Arteriosclerosis

• Fatty deposits in walls of blood vessels

• Reduces blood flow through arteries

• Increases chances of rupture

• Cerebrovascular accident (CVA), or stroke

• May damage surrounding neural tissue

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16-10 Effects of Aging on the Nervous System

• Changes in Synaptic Organization of Brain

• Number of dendritic branches, spines, and

interconnections decreases

• Synaptic connections lost

• Rate of neurotransmitter production declines

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16-10 Effects of Aging on the Nervous System

• Intracellular and Extracellular Changes in CNS

Neurons

• Neurons in brain accumulate abnormal intracellular

deposits

• Lipofuscin

• Granular pigment with no known function

• Neurofibrillary tangles

• Masses of neurofibrils form dense mats inside cell body

and axon

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16-10 Effects of Aging on the Nervous System

• Intracellular and Extracellular Changes in

CNS Neurons

• Plaques

• Extracellular accumulations of fibrillar proteins

• Surrounded by abnormal dendrites and axons

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16-10 Effects of Aging on the Nervous System

• Intracellular and Extracellular Changes in CNS

Neurons

• Plaques and tangles

• Contain deposits of several peptides

• Primarily two forms of amyloid ß (Aß) protein

• Appear in brain regions specifically associated with

memory processing

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16-10 Effects of Aging on the Nervous System

• Anatomical Changes

• Linked to functional changes

• Neural processing becomes less efficient with age

• Memory consolidation more difficult

• Secondary memories harder to access

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16-10 Effects of Aging on the Nervous System

• Sensory Systems

• Hearing, balance, vision, smell, and taste become

less acute

• Reaction times slowed

• Reflexes weaken or disappear

• Motor Control

• Precision decreases

• Takes longer to perform

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16-10 Effects of Aging on the Nervous System

• Incapacitation

• 85% of elderly population develops changes that

do not interfere with abilities

• Some individuals become incapacitated by

progressive CNS changes

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16-10 Effects of Aging on the Nervous System

• Senility

• Also called senile dementia

• Degenerative changes

• Memory loss

• Anterograde amnesia (lose ability to store new

memories)

• Emotional disturbances

• Alzheimer’s disease is most common

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16-10 Nervous System Integration

• The Nervous System

• Monitors all other systems

• Issues commands that adjust their activities

• Like conductor of orchestra

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16-10 Nervous System Integration

• Neural Tissue

• Extremely delicate

• Extracellular environment must maintain homeostatic

limits

• If regulatory mechanisms break down, neurological

disorders appear

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Figure 16-16 System Integrator: The Nervous System

Provides sensations of touch, pressure,pain, vibration, and temperature; hairprovides some protection and insulationfor skull and brain; protects peripheral nerves

Provides calcium for neural function;protects brain and spinal cord

Facial muscles express emotionalstate; intrinsic laryngeal musclespermit communication; musclespindles provide proprioceptivesensations

Body System Nervous System Nervous System Body SystemS Y S T E M I N T E G R A T O R

Controls contraction of arrector pilimuscles and secrection of sweat glands

Controls skeletal muscle contractionsthat results in bone thickening andmaintenance and determine boneposition

Controls skeletal muscle contractions;coordinates respiratory andcardiovascular activities

The Nervous System

The nervous system is closelyintegrated with other body systems.Every moment of your life, billions ofneurons in your nervous systemare exchanging informationacross trillions of synapsesand performing the mostcomplex integrativefunctions in the body. Aspart of this process, thenervous system monitors allother systems and issuescommands that adjust theiractivities. However, thesignificance and impact ofthese commands varies greatly from one system toanother. The normal functions of themuscular system, for example, simplycannot be performed withoutinstructions from the nervous system.By contrast, the cardiovascular systemis relatively independent—the nervoussystem merely coordinates and adjustscardiovascular activities to meet thecirculatory demands of other systems. Inthe final analysis, the nervous system islike the conductor of an orchestra,directing the rhythm and balancing the performances of each section toproduce a symphony, instead of simplya very loud noise.

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