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What Hormones Are Directly Involved With the Sympathetic Response? How Do Target Organs Respond?

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All neurons have several features in common, including a cell body, dendrites, and an axon. These structures are important for transmitting neural impulses, electrical signals that allow neurons to communicate with one another. In a resting neuron, there is a separation of ions in the cell regulated by sodium-potassium pumps. If a neuron receives a large enough signal, the resting potential changes, producing an electrical impulse called an action potential

Once an impulse begins, it moves down the axon until it reaches the axon terminal.

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The nervous system uses two types of intercellular communication—electrical and chemical signaling—either by the direct action of an electrical potential, or in the latter case, through the action of chemical neurotransmitters such as serotonin or norepinephrine. Neurotransmitters act locally and rapidly

When an electrical signal in the form of an action potential arrives at the synaptic terminal, they diffuse across the synaptic cleft (the gap between a sending neuron and a receiving neuron or muscle cell). Once the neurotransmitters interact (bind) with receptors on the receiving (post-synaptic) cell, the receptor stimulation is transduced into a response such as continued electrical signaling or modification of cellular response. The target cell responds within milliseconds of receiving the chemical “message”; this response then ceases very quickly once the neural signaling ends. In this way, neural communication enables body functions that involve quick, brief actions, such as movement, sensation, and cognition.In contrast, the endocrine system uses just one method of communication: chemical signaling. These signals are sent by the endocrine organs, which secrete chemicals—the hormone—into the extracellular fluid. Hormones are transported primarily via the bloodstream throughout the body, where they bind to receptors on target cells, inducing a characteristic response. As a result, endocrine signaling requires more time than neural signaling to prompt a response in target cells, though the precise amount of time varies with different hormones. For example, the hormones released when you are confronted with a dangerous or frightening situation, called the fight-or-flight response, occur by the release of adrenal hormones—epinephrine and norepinephrine—within seconds. In contrast, it may take up to 48 hours for target cells to respond to certain reproductive hormones. In addition, endocrine signaling is typically less specific than neural signaling. The same hormone may play a role in a variety of different physiological processes depending on the target cells involved. For example, the hormone oxytocin promotes uterine contractions in women in labor. It is also important in breastfeeding, and may be involved in the sexual response and in feelings of emotional attachment in both males and females. In general, the nervous system involves quick responses to rapid changes in the external environment, and the endocrine system is usually slower acting—taking care of the internal environment of the body, maintaining homeostasis, and controlling reproduction.

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The efferent nervous activity of the ANS is largely regulated by autonomic reflexes. In many of these reflexes, sensory information is transmitted to homeostatic control centers, in particular, those located in the hypothalamus and brainstem (Rhoades R, Pflanzer R., 2003). Much of the sensory input from the thoracic and abdominal viscera is transmitted to the brainstem by afferent fibers of cranial nerve X, the vagus nerve. Other cranial nerves also contribute sensory input to the hypothalamus and the brainstem

This input is integrated and a response is carried out by the transmission of nerve signals that modify the activity of preganglionic autonomic neurons. Many important variables in the body are monitored and regulated in the hypothalamus and the brainstem including heart rate, blood pressure, gastrointestinal peristalsis and glandular secretion, body temperature, hunger, thirst, plasma volume, and plasma osmolarity. An example of this type of autonomic reflex is the baroreceptor reflex. Baroreceptors located in some of the major systemic arteries are sensory receptors that monitor blood pressure. If blood pressure decreases, the number of sensory impulses transmitted from the baroreceptors to the vasomotor center in the brainstem also decreases. As a result of this change in baroreceptor stimulation and sensory input to the brainstem, ANS activity to the heart and blood vessels is adjusted to increase heart rate and vascular resistance so that blood pressure increases to its normal value. These neural control centers in the hypothalamus and the brainstem may also be influenced by higher brain areas. Specifically, the cerebral cortex and the limbic system influence ANS activities associated with emotional responses by way of hypothalamic-brainstem pathways. For example, blushing during an embarrassing moment, a response most likely originating in the frontal association cortex, involves vasodilation of blood vessels to the face. Other emotional responses influenced by these higher brain areas include fainting, breaking out in a cold sweat, and a racing heart rate (Pappano AJ., 2001).

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Given these points, the pancreas lies in the abdomen between the stomach and the small intestine. Clusters of endocrine cells in the pancreas form the islets of Langerhans, which contain alpha cells that release glucagon and beta cells that release insulin. Some organs possess endocrine activity as a secondary function but have another primary function. The heart produces the hormone atrial natriuretic peptide, which functions to reduce blood volume, pressure, and Na+ concentration. The gastrointestinal tract produces various hormones that aid in digestion. The kidneys produce erythropoietin

The thymus produces hormones that aid in the development of the immune system. The gonads produce steroid hormones, including testosterone in males and estrogen and progesterone in females. Adipose tissue produces leptin, which promotes satiety signals in the brain.

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Pappano AJ. Cholinoceptor-Blocking Drugs. In: Katzung BG, editor. Basic and Clinical Pharmacology. 8th ed. Philadelphia, PA: Lange Medical Books/McGraw Hill; 2001. chapter 8.

Rhoades R, Pflanzer R. Human Physiology. 4th ed. Pacific Grove, Calif: Thomson Learning; 2003.

Sherwood L. Human Physiology from Cells to Systems. 5th ed. Pacific Grove, Calif: Brooks/Cole; 2004.

Silverthorn D. Human Physiology: An Integrated Approach. 4th ed. Upper Saddle River, NJ: Prentice Hall; 2007

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