Page 242 - Anatomy and Physiology of Farm Animals, 8th Edition
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Physiology of the Nervous System / 227

                      Table 11-3.  Location of Muscarinic Receptors and the Effects of Stimulation by
                                    Neurotransmitters of the Autonomic Nerves
  VetBooks.ir  Location                       Effect

               Heart
                 Sinoatrial node              Reduce heart rate
                 Atrioventricular node        Reduce impulse conduction velocity
               Salivary glands                Increase secretion
               Gastrointestinal tract         Increase motility of smooth muscle in wall and secretion of lining
                                              epithelium
               Urinary bladder                Contract smooth muscle to empty bladder
               Circular muscle of iris of eye  Constrict smooth muscle to reduce pupil
               Ciliary muscle controlling lens of eye  Contract muscle for lens accommodation
               Endothelial cells lining blood vessels  Stimulate release of nitric oxide to relax smooth muscle
               Smooth muscle of lung airways   Contract smooth muscle to shrink airways
               (bronchiolar)



               neurons. There are a number of subtypes of   they mediate the sympathetic nervous sys­
               mAChRs, and stimulation of them brings   tem’s cardiac effects. Table 11‐4 lists the key
               about diverse cellular responses ranging   subtypes of adrenergic receptors, their sites,
               from hyperpolarization of sinoatrial nodal   and the effects of their stimulation.
               cells to slow heart rate to contraction of uri­
               nary bladder smooth muscle for urination.
               Table  11‐3 lists the organs where mus­  Regeneration and Repair
               carinic receptors are found and the organ   in the Nervous System
               response to the stimulation of those recep­
               tors by parasympathetic nerves.          In mammals most neurons are fully dif­
                  Parasympathetic stimulation increases   ferentiated at birth, although division of
               salivary gland secretion, stimulates gas-  glial cells (including those that myelinate
               trointestinal motility, slows heart rate,   axons) continues postnatally. With only a
               and  tends  to  reduce cardiac output.   very few exceptions, neurons are incapa­
               These are often undesirable during sur-  ble of mitosis, and therefore nerve cells
               gery. Muscarinic receptor  antagonists   lost to injury or disease are not replaced.
               (such as atropine) are often used as pre-  Axons, however, may regenerate follow­
               anesthetic agents to block peripheral    ing injury if the neuronal cell body is
               muscarinic receptors and reduce these    healthy.
               potentially harmful effects of parasym-     Axonal regeneration in the CNS does
               pathetic stimulation.                    not usually result in recovery of function.
                  Adrenergic receptors bind norepineph­  It is believed that the glial environment
               rine (and  also  the  hormone,  epinephrine)   prevents regrowth and re‐establishment
               and also fall into two general classes, α‐  of  meaningful neuronal  connections.
               receptors and  β‐receptors. However,     This is why spinal cord injuries that tran­
               because of their physiologic and clinical   sect axons are generally irreversible. The
               importance, the subtypes of α‐ and β‐recep­  partial  recovery  of  function  seen  over
               tors also must be considered. Stimulation of   time with some CNS injuries is mostly
               α ‐receptors causes contraction of smooth   attributable to recruitment of remaining
                 1
               muscle,  while  stimulation  of  β ‐receptors   uninjured connections and to the indi­
                                           2
               causes smooth muscle relaxation. β ‐recep­  vidual’s ability to  learn to use  those
                                              1
               tors are found exclusively in the heart where   remaining connections.
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