The Autonomic Nervous System

The organs (the "viscera") of our body, such as the heart, stomach and intestines, are regulated by a part of the nervous system called the autonomic nervous system (ANS). The ANS is part of the peripheral nervous system and it controls many organs and muscles within the body. In most situations, we are unaware of the workings of the ANS because it functions in an involuntary, reflexive manner. For example, we do not notice when blood vessels change size or when our heart beats faster. However, some people can be trained to control some functions of the ANS such as heart rate or blood pressure. The ANS is most important in two situations: In emergencies that cause stress and require us to "fight" or take "flight" (run away) and In nonemergencies that allow us to "rest" and "digest.".

The ANS regulates: Muscles in the skin (around hair follicles; smooth muscle) around blood vessels (smooth muscle) in the eye (the iris; smooth muscle) in the stomach, intestines and bladder (smooth muscle) of the heart (cardiac muscle) Glands The ANS is divided into three parts: The sympathetic nervous system The parasympathetic nervous system The enteric nervous system.

The Sympathetic Nervous System It is a nice, sunny day...you are taking a nice walk in the park. Suddenly, an angry bear appears in your path. Do you stay and fight OR do you turn and run away? These are "Fight or Flight" responses. In these types of situations, your sympathetic nervous system is called into action - it uses energy - your blood pressure increases, your heart beats faster, and digestion slows down. Notice in the picture on the left that the sympathetic nervous system originates in the spinal cord. Specifically, the cell bodies of the first neuron (the preganglionic neuron) are located in the thoracic and lumbar spinal cord. Axons from these neurons project to a chain of ganglia located near the spinal cord. In most cases, this neuron makes a synapse with another neuron (post-ganglionic neuron) in the ganglion. A few preganglionic neurons go to other ganglia outside of the sympathetic chain and synapse there. The post-ganglionic neuron then projects to the "target" - either a muscle or a gland. Two more facts about the sympathetic nervous system: the synapse in the sympathetic ganglion uses acetylcholine as a neurotransmitter; the synapse of the post-ganglionic neuron with the target organ uses the neurotransmitter called norepinephrine. (Of course, there is one exception: the sympathetic post-ganglionic neuron that terminates on the sweat glands uses acetylcholine.)

The Parasympathetic Nervous System It is a nice, sunny day...you are taking a nice walk in the park. This time, however, you decide to relax in comfortable chair that you have brought along. This calls for "Rest and Digest" responses. Now is the time for the parasympathetic nervous to work to save energy - your blood pressure decreases, your heart beats slower, and digestion can start. Notice in the picture on the left, that the cell bodies of the parasympathetic nervous system are located in the spinal cord (sacral region) and in the medulla. In the medulla, the cranial nerves III, VII, IX and X form the preganglionic parasympathetic fibers. The preganglionic fiber from the medulla or spinal cord projects to ganglia very close to the target organ and makes a synapse. This synapse uses the neurotransmitter called acetylcholine. From this ganglion, the post-ganglionic neuron projects to the target organ and uses acetylcholine again at its terminal. Here is a summary of some of the effects of sympathetic and parasympathetic stimulation. Notice that effects are generally in opposition to each other.

The Autonomic Nervous System
Structure	Sympathetic Stimulation	Parasympathetic Stimulation
Iris (eye muscle)	Pupil dilation	Pupil constriction
Salivary Glands	Saliva production reduced	Saliva production increased
Oral/Nasal Mucosa	Mucus production reduced	Mucus production increased
Heart	Heart rate and force increased	Heart rate and force decreased
Lung	Bronchial muscle relaxed	Bronchial muscle contracted
Stomach	Peristalsis reduced	Gastric juice secreted; motility increased
Small Intestine	Motility reduced	Digestion increased
Large Intestine	Motility reduced	Secretions and motility increased
Liver	Increased conversion of glycogen to glucose
Kidney	Decreased urine secretion	Increased urine secretion
Adrenal medulla	Norepinephrine and epinephrine secreted
Bladder	Wall relaxed Sphincter closed	Wall contracted Sphincter relaxed