Neurohumoral Transmission

Nervous System

  • A network of nerve cells and fibers that transmits nerve impulses between parts of the body.

Classification of the nervous system

Motor: carries neuronal impulses away from the CNS to different parts.

Sensory: Carry impulses from sensory stimuli towards the CNS and Brain.

Sympathetic

Parasympathetic

·         Fight or flight condition.

·         Increase BP, HR, Glucose, perfusion to skeletal muscle, mydriasis, and bronchodilator.

·         Rest and digest

·         Miosis

·         Decrease HR, BP, Bronchial secretion, Insulin release, Digestion, excretion

Introduction to Autonomic Nervous System Drugs

Neurohumoral transmission

  • Neurohumoral transmission implies that nerves transmit their message across synapses and neuroeffector junctions by the release of a humoral (chemical) message.

Steps in Neurohumoral Transmission

  1. Impulse conduction
  • Resting transmembrane potential: -70 mV (inside) (high concentration of K+ ions).
  • Electrical impulse causes an increase in Na+ conductance, so depolarization occurs.
  • Now the voltage becomes +20 mV.
  • K+ ions then move out in the direction of their concentration, and repolarization is achieved.
  • The ionic distribution is normalized during the refractory period by activation of Na+ K+
  • The action potential thus generated sets of local circuit currents, which activate ionic channels at the next excitable part of the membrane.
  1. Impulse release
  • Transmitted stored pre-junctional nerve ending with a synaptic cleft.
  • Entry of Ca2+: all contents of the vesicle are extruded.
  1. Transmitter action on post-junctional member
  • Release transmitter combines with a specific receptor on the postsynaptic membrane and, depending on its nature induce an excitatory postsynaptic potential (EPSP) or inhibitory postsynaptic potential (IPSP)

EPSP

  • Increase permeability of cations, so that Na+ and Ca2+ influx

IPSP

  • Increase permeability of anions (Cl ions move inside)
  • Increase in permeability to K+ ions, which move out carrying positive charges.
  1. Postjunctional activity
  • EPSP: propagated post-junctional AP results in nerve impulse secretions.
  • IPSP: stabilize the post-junctional membrane. It resists depolarization stimuli.
  1. Termination of transmitter action
  • The transmitter is locally degraded or partly taken back into the pre-junctional neuron (e.g., Ach).
  • Specific carrier proteins, e.g., NET (norepinephrine transporter), DAT (dopamine transporter), SERT (serotonin transporter), amino acid transporter, enkephalins, VIP (vasoactive intestinal peptides), and NPY (neuropeptide-y).
  1. Co-transmission
  • The co-transmitter is stored in the pre-junctional nerve terminal along with the primary but in a separate vesicle.
  • Nerve impulse releases both transmissions concurrently.
  • It may also act on pre-junctional receptors and modulate the release of the transmitters.
 

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