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Chapter 4

                 In the SNS and other components of the peripheral nervous system, these synapses are made at
            sites called ganglia. The cell that sends its fiber is called a preganglionic cell, while the cell whose fiber
            leaves the ganglion is called a postganglionic cell. As mentioned previously, the preganglionic cells of
            the SNS are located between the first thoracic segment and the second or third lumbar segments of the
            spinal cord. Postganglionic cells have their cell bodies in the ganglia and send their axons to target
            organs or glands.

                 The ganglia include not just the sympathetic trunks but also the superior cervical ganglion (which
            sends sympathetic nerve fibers to the head), and the celiac and mesenteric ganglia (which send
            sympathetic fibers to the gut).



            Information transmission


                 Messages travel through the SNS in a bidirectional flow. Efferent messages can trigger changes in
            different parts of the body simultaneously. For example, the sympathetic nervous system can accelerate
            heart rate; widen bronchial passages; decrease motility (movement) of the large intestine; constrict
            blood vessels; increase peristalsis in the esophagus; cause pupil dilation, piloerection (goose bumps)
            and perspiration (sweating); and raise blood pressure. Afferent messages carry sensations such as heat,
            cold, or pain.


                 The first synapse (in the sympathetic chain) is mediated by nicotinic receptors physiologically
            activated by acetylcholine, and the target synapse is mediated by adrenergic receptors physiologically
            activated by either noradrenaline or adrenaline. An exception is with sweat glands which receive
            sympathetic innervation but have muscarinic acetylcholine receptors which are normally characteristic
            of PNS. Another exception is with certain deep muscle blood vessels, which have acetylcholine
            receptors and which dilate (rather than constrict) with an increase in sympathetic tone. The sympathetic
            system cell bodies are located on the spinal cord excluding the cranial and sacral regions. The
            preganglonic neurons exit from the vertebral column and synapse with the postganglonic nerouns in the
            sympathetic trunk.

                 The parasympathetic nervous system is one of three divisions of the autonomic nervous system.
            Sometimes called the rest and digest system, the parasympathetic system conserves energy as it slows
            the   heart   rate,   increases   intestinal   and   gland   activity,   and   relaxes   sphincter   muscles   in   the
            gastrointestinal tract.



            Relationship to sympathetic


                 While an oversimplification, it is said that the parasympathetic system acts in a reciprocal manner
            to the effects of the sympathetic nervous system; in fact, in some tissues innervated by both systems,
            the effects are synergistic.


            Receptors


                 The parasympathetic nervous system uses only acetylcholine (ACh) as its neurotransmitter. The
            ACh   acts   on   two   types   of   receptors,   the   muscarinic   and   nicotinic   cholinergic   receptors.   Most
            transmissions occur in two stages: When stimulated, the preganglionic nerve releases ACh at the


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