Parasympathetic Nervous system Flashcards

1
Q

What is the role of the parasympathetic systam?

A

Role in keeping body energy use low

  • Lowers heart rate, blood presure and respiratory rates
  • Gastronomical activity is high
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2
Q

Where do the cell bodies of the preganglionic neurones lie?

A

Either in the cranial or the sacral area of the CNS

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3
Q

What nerves come from the cranial region?

A
  • Oculomotor (smooth muscles of the eye)
  • Facial (facial glands)
  • Glossopharyngeal (salivary glands)
  • Vagus (Main organs in body)
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4
Q

What nerves come from the sacral region?

A

Nerves that affect:

  • Large intestine
  • Bladder
  • Reproductive organs
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5
Q

What type of receptors are on the ganglion?

A

Nicotinic receptors

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6
Q

What type of receptors are on the effector cells?

A

Muscarinic cells

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7
Q

How is acetylcholine synthesised?

A

Acetyl CoA + Choline (with use of enzyme Choline Acetyltransferase (CAT)) = Acetylcholine

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8
Q

What makes a nicotinic receptor ionotropic?

A

It regulates the transport of charged ions

-2 ACh are needed to bind to receptor allowing the movement of charged ions to continue action potential

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9
Q

What makes a muscarinic receptor metabotropic?

A

G-protein coupled to second messenger alters K+/Ca+
-The protein winds in and out of the membrane 7 times, so when ACh is bound it changes shape and the secondary messenger is activated

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10
Q

What are the different types of muscarinic receptors?

A

M1: Neural/gut (increases gastric acid secretion)
M2: Cardiac (Lowers heart rate and force)
M3 Glandular (increases secretion)

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11
Q

What are the different types of parasympathetic drugs?

A

Parasympathomimetic (increase PNS effects) eg. Nicotine

Parasympatholytic (reduces PNS effects) eg. Atropine

Cholinesterase inhibitors (block enzyme that breakdowns ACh so ACh concentration increases PNS effects0

Ganglionic blocking drugs (blocks both PNS and SNS effects) eg. Nicotinic antagonists

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12
Q

How is parasympathetic control of the heart achieved? What receptors are in the heart?

A

Postganglionic vagal nerves release ACh which decreases heart function depending on binding point:

  • SA Node (Decrease HR)
  • Atrial muscle (decrease contractility)
  • AV Node (decreased rate of conduction)

M2 muscarinic receptors
-Atropine can be used as a muscarinic antagonist to bind to M2 after cardiac arrest to promote cardiac function

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13
Q

How is parasympathetic control of the eye achieved?

A

Circular and ciliary muscle is stimulated due to ACh binding to M3 receptors.

Circular muscle contracts and reduces pupil diameter (MIOSIS)
Blocking of the receptors by Atropine will block contraction so pupil dilation (MYDRIASIS) will occur

Ciliary muscle contracts and moves in which relaxes suspensory ligaments. This causes the lense to become fatter so vision will be clearer at a shorter distance.

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14
Q

What is VIP? How does it help ACh?

A

Vasoactive Intestinal Polypeptide (VIP) - 28 amino acid peptide

During high stimulation, ACh and VIP are released which caused:

  • Dilatation of the blood by VIP
  • VIP to act as a neuromodulator to enhance effect of ACh on acinar cells
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