Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

download Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

of 73

Transcript of Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    1/73

    AUTONOMIC NERVOUS SYSTEMHYPOTHALAMUSLIMBIC SYSTEM

    Lecturer: assoc. prof. P. Kupenov a

    Dept. Physio log y, Medic al Universit y-Sofia, 2010

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    2/73

    Autonomic nervous system:

    regulates internal organ functions is not under voluntary control participates in homeostatic control via reflex mechanismsand complex behavioural responses

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    3/73

    S2-S4

    Lymbic

    system

    III

    VII

    IX

    X

    H

    Th1-L2

    Brain stem

    Internal organs

    eyes

    heart

    bronchi.

    .

    Extramural ganglia

    Paravertebral

    ganglia

    Prevertebral

    ganglia

    Intramural

    ganglia

    Peripheral

    (local)

    neural

    circuits

    Interoreceptors

    -mechanoreceptors

    -chemoreceptors- osmoreceptors

    -thermoreceptors

    From interoceptorsFrom exteroceptors

    Spinal and

    cranial nerves

    Spinal

    ganglia

    Spinal nerves

    Special senses(vision, taste,olfaction, hearing

    )

    Somatosensory

    Skin

    -pilomotor

    muscles

    -sweat glands

    Skeletal muscles-blood vessels

    ORGANIZATION OF THE AUTONOMIC NERVOUS SYSTEMAfferent part Efferent p art

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    4/73

    CHARACTERISTICS OF THE AUTONOMIC NERVOUS SYSTEM

    Afferent part somatosensory intero- and exteroceptors via spinal and cranialnerves, special senses

    Visceral and somatic afferents project to differentlocations in the spinal cord

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    5/73

    Higher level afferents

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    6/73

    Some afferents do notreach c.n.s and participate in local peripheralresponses or give collaterals to the autonomic ganglia, where they exert

    modulatory effects

    Modulation of the efferent signal by collaterals of a sensory neuron,

    releasing substance

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    7/73

    Branches of visceral afferentsmay participate in axon reflexes.(e.g. bronc hoco nstr ic t ion up on st imulat ion of bron chop ulmonary receptors)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    8/73

    . LEVELS OF INTEGRATION:

    1. Peripheral level (local neural networks, out of c.n.s)

    entericnervous system, lung networks, etc.

    2. Spinal cord and cranial nerve nuclei (III, VII, IX, X).

    Sympathetic and parasympatheticdivision.

    3. Brain stemother(vardio-vascular center,

    vomiting center, etc.)

    4. Hypothalamuscomplex adaptive responses, stress reactions, feeding

    behaviour, body fluid balance, thermoregulation, circadian rhythms,sleep and wakefulness, endocrine control.

    5. Limbicsystemautonomic and behavioural responses,

    motivation, emotions, learning and memory.

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    9/73

    Efferent part Motoneuron is always out of c.n.s. and is unmyelinated

    - somatic motor neuron autonomic motor neurons

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    10/73

    Complex synaptic transmission in the autonomic ganglia

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    11/73

    Characteristics of the peripheral synapses of the autonomic

    nerves

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    12/73

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    13/73

    Variety of receptors:

    - adrenergic : 1, 2, b1, b2 b3- cholinergic: N, 1, 2, 3, 4, 5

    - tachikinin: NK1q NK2, NK3

    - neuropeptide Y: Y1Y5- cholecystokinin: CCK A(CCK1) CCK (CCK2)

    - purinergic: P1, P2y, P2x

    http://content.nejm.org/content/vol334/issue17/images/large/07t1.jpeghttp://content.nejm.org/content/vol334/issue17/images/large/07t1.jpeghttp://content.nejm.org/content/vol334/issue17/images/large/07t1.jpeghttp://content.nejm.org/content/vol334/issue17/images/large/07t1.jpeg
  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    14/73

    Autonomic effects are often only modulatory They can be excitatory or inhibitory

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    15/73

    Organization of the enteric nervous system

    1.Peripheral level

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    16/73

    +

    .

    Example of a peripheral integration peristalsis

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    17/73

    2.Spinal and cranial nerve level III, VII, IX, X).Sympatheticand parasympatheticdivision.

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    18/73

    Spinal autonomic reflexes - defecation

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    19/73

    Cardiovascular system

    Heart:

    -excitability

    -conduction

    -heart rate

    -contractility

    Arterioles

    -heart

    -skin

    -skeletal muscle

    -brain

    -lung

    -gut

    -salivary

    Systemic veins

    Effector organ Sympathetic effect Receptors

    SYMPATHETIC PERIPHERAL EFFECTS

    Increase +++

    Increased velocity +++

    Increase +++

    Increase +++

    Constriction+/dilation ++ (in situ

    dilation dominating)

    Constriction +++

    Constriction ++

    Dilation (working mm.) ++Constriction (week)

    Constriction +

    Constriction +++

    Constriction ++

    Constriction +++

    b1b1b1b11 /b211b211111

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    20/73

    Respiratory system

    -bronchial muscle

    -bronchial glands

    Gastrointestinal system

    -motility

    -sphincters

    -gallbladder

    -secretion(overall)

    -salivary glands

    -pancreas

    -liver

    Eye

    - m dilatator pupillae

    - m sphincter upillae

    - m ciliaris

    Effector organ Sympathetic effect Receptors

    SYMPATHETIC PERIPHERAL EFFECTS (continued)

    Bronchodilation+

    Decreased secretion +

    Decrease

    Contraction+++

    Relaxation

    Decrease

    Increased secretion (rich in

    amylase) +

    Exocrine secretion decrease

    Insuline secr. increse/decreaseGlycogenolysis, glyconeogenesis

    Contraction ++

    b2 (via circul CA)

    b21, 2b21,b1,b22 / b2b21

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    21/73

    Urinary system

    -kidney

    -ureter

    -urinary bladder

    -sphincter-detrusor

    Skin

    -pilomotor muscles

    -sweat glands

    Male reproductive system

    Adipose tissue

    Uterus

    Effector organ Sympathetic effect Receptors

    Increased renin secretion++

    Contraction ++Relaxation +

    Contraction ++

    Increased secretion +++

    Ejaculation +++

    Lipolysis

    Contraction / relaxation

    b1

    1b21 cholino-R, b1b2, b31 / b2

    SYMPATHETIC PERIPHERAL EFFECTS (continued)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    22/73

    Cardiovascular system

    Heart

    -excitability

    -conduction

    -heart rate

    -contractility

    Arterioles

    -heart

    -skin

    -skeletal muscles

    -brain

    -lungs

    -gastrointestinal

    -salivary glands

    Systemic veins

    Effector organ Parasympathetic effect Receptors

    decrease +++

    decrease+++

    decrease +++

    decrease(atria)

    Dilation(?)

    Dilation

    Dilation +++

    2

    2

    2

    2

    (NANC)

    1,3(NOdependent)

    NANC (VIP)

    PARASYMPATHETIC PERIPHERAL EFFECTS

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    23/73

    Respiratory system

    -bronchial muscle

    -bronchial glands

    Gastrointestinal system

    -motility

    -sphincters

    -gallbladder

    -secretion (overall)

    -salivary glands

    -pancreas

    -liver

    Eye

    - m dilatator pupillae

    - m sphincter upillae

    - m ciliaris

    Effector organ Parasympathetic effect Receptors

    Constriction/dilation

    Increased secretion

    IncreasedRelaxation

    Contraction +++

    Increase +++

    Secretion increase +++

    Exocrine secretion increase

    Insuline secretion increase

    Contraction +++

    Contraction+++

    3; NANC (SP,N-)/NANC (VIP,NO)

    3

    3

    3

    1, 3

    3,VIP, NO

    1, 3

    1, 3

    3

    3

    PARASYMPATHETIC PERIPHERAL EFFECTS(continued)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    24/73

    Urinary system

    -kidney

    -ureter

    -urinary bladder

    -sphincter-detrusor

    Skin

    -pilomotor muscles

    -sweat glands

    Male reproductive system

    Adipose tissue

    Uterus

    Effector organ Parasympathetic effect Receptors

    Contraction +++

    Erection

    3

    NO

    PARASYMPATHETIC PERIPHERAL EFFECTS(continued)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    25/73

    3. HIGHER INTEGRATIVE CENTERS

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    26/73

    HYPOTHALAMUS

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    27/73

    Hypothalamic connections with the brain stem, limbic system

    and neocortex through the medial forebrain bundle

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    28/73

    Hypothalamic connections with limbic structures

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    29/73

    Hypothalamic connections with the thalamus, subthalamus and corpus striatum

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    30/73

    Circumventricular organs

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    31/73

    Receptor-mediated transport across the blood-brain barrier (leptin)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    32/73

    HYPOTHALAMIC FUNCTIONS- Endocrine function- Control of pituitary secretion- Higher authonomic center- Thermoregulation- Food intake control- Water intake control- Metabolic function- Circadian rhythm regulation- Emotions, behaviour

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    33/73

    Endocrine regulation

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    34/73

    Hypothalamic hormones

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    35/73

    THERMOREGULATION

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    36/73

    -

    -.

    -

    - . -

    -

    -

    -

    -

    - . -

    -

    -

    -

    -

    :

    -

    -

    -

    (, )

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    37/73

    Hypothalamic areas contributing to thermoregulation during bodyheating and cooling

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    38/73

    0 7 14 21 28

    370

    360

    380

    Diurnal variations of the body temperature left) andvariations during the ovarian cycle right)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    39/73

    Schematic drawing showing major pathways of the temperature control

    center. Heat sensors in the median preoptic hypothalamus (MnPO) project to

    neurons in the hypothalamic paraventricular nucleus (PVN) and dorsomedial

    nucleus (DMN) or directly to the raphe pallidus (RPa) in the brainstem to control

    autonomic responses mediated through preganglionic neurons in the spinal cord.

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    40/73

    REGULATION OF FOOD INTAKE

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    41/73

    Regulation of food intake depends on the coordinated

    activity of several hypothalamic nuclei, which are in

    turn regulated by:

    1) Adipose tissue peptides

    2) Gastrointestinal peptides

    3) Blood glucose concentration and glucose utilization

    4) Body temperature

    5) Concentration of 3

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    42/73

    Hypothalamic structures involved in the control of food intake

    OREXIGENIC FACTORS ANOREXIGENIC FACTORS

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    43/73

    Neuropeptide Y

    Agouti-related protein (AgRP)

    Orexin

    MCH

    Endocannabinoids (anandamine, 2-arachidonyl glycerol)

    Ghrelin

    -MSH (POMC)

    CART

    Brain-derived neurotrophic

    factor (BDNF)

    Leptin

    Adiponectin

    Insulin

    Incretins

    PYY (colon)Cholecystokinin

    Glucagon-like peptide

    Pancreatic polypeptide

    Oxyntomodulin

    Amylin

    Hypothalamus

    Adipose tissue

    Gastro0intestinal system

    OREXIGENIC FACTORS ANOREXIGENIC FACTORS

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    44/73

    Stomach bypass to prevent appetite stimulation by ghrelin

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    45/73

    Regulation with feedback but

    without setpoint

    Regulation with and without feedback

    (partially opened system)

    Models of food intake regulation

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    46/73

    Change in the set point in a case of lateral hypothalamus damage

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    47/73

    Water intake regulation

    ADH secretion depends on both osmolarity and extracellular fluid volume

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    48/73

    ADH secretion regulation

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    49/73

    Thrust stimuli

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    50/73

    The positron emission tomography (PET) image at top, taken after subjects received an

    infusion of a concentrated saline solution into the blood to stimulate thirst, shows regions of

    activity in the left side of the brain in thirsty subjects. This activity changed dramatically after

    their thirst was quenched. In particular, the yellow and orange areas above indicate activity

    along the cingulate cortex that was extinguished later.

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    51/73

    Sleep-wake cycle

    ++

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    52/73

    (VLPO)

    ()(DM, PF)

    (TM)

    SCN

    ++

    +

    +

    + (PPN/LdT)

    (LC)

    (NR)

    REM-on

    REM-off

    D2

    (IL1)

    t02

    +

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    53/73

    Daily rhythms in restactivity,body temperature, potassium

    excretion, computation speed

    (number of computations

    performed per minute), and timeestimation (accuracy with which

    short intervals of time are

    assessed). From Wever (1974)

    with permission.

    Circadian rhythm regulation

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    54/73

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    55/73

    Suprachiasmatic nucleus

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    56/73

    When the suprachiasmatic nuclei are destroyed, the circadian rhythm is lost

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    57/73

    Cyclic changes in activity of the suprachiasmatic (SCN) nucleus (left).

    When the SCN and its connections are preserves, 24h rhythms of many body

    functions such as sleep-wake cycle and body temperature are observes (right, a). If

    the SCN is destroyed, the 24 h rhythmicity of the same body functions is lost.

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    58/73

    Features ofpertiminteractions. (A) Profiles of PER and TIM mRNA and protein levels across a light (open bar)dark (filled bar) cycle.

    The shaded area shows when PERTIM heterodimers are present in the nucleus. (B) Structures of PER and TIM proteins. Theconnecting lines indicate areas of each protein thought to be involved in PERTIM dimerization. A, acidic region; B, basic region. (C)

    Interdependent negative feedback control loops of per and tim. See text for description. From Reppert and Sauman (1995).

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    59/73

    SCN structure

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    60/73

    Melatonin secretion

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    61/73

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    62/73

    Sexual function and sexual dimorphism of some hypothalamic nuclei

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    63/73

    HYPOTHALAMUS AND LIMBIC SYSTEM

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    64/73

    Structures of the limbic system

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    65/73

    Circuits in the limbic system

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    66/73

    Emotional reaction - anxiety

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    67/73

    Experiments proving the existence of reward and avoidance centers

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    68/73

    The pleasure centers

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    69/73

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    70/73

    Behavioural responses

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    71/73

    (.;

    . )

    (, )

    ? ?

    Learning and memory - types

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    72/73

    Long-term potentiation (LTP) and depression (LTD)

  • 8/13/2019 Autonomic Ner Sys Hypothalamus Limbic MedEng 1010

    73/73