Nervous system motor neuron

The nervous system is conventionally divided into the central nervous system (CNS the brain and spinal cord) and the peripheral nervous system (PNS neuronal tissues outside the CNS). The motor (efferent) portion of the nervous system can be divided into two major subdivisions autonomic and somatic. The autonomic nervous system (ANS) is largely independent (autonomous) in that its activities are not under direct conscious control. It is concerned primarily with visceral functions such as cardiac output, blood flow to various organs, and digestion, which are necessary for life. The somatic subdivision is largely concerned with consciously controlled functions such as movement, respiration, and posture. Both systems have important afferent (sensory) inputs that provide information regarding the internal and external environments and modify motor output through reflex arcs of varying size and complexity. 

CGRP is widely distributed throughout the peripheral and central nervous systems and is found ia sensory neurons and ia the autonomic and enteric nervous systems. In many iastances CGRP is co-localized with other neuroregulators, eg, ACh ia motor neurons, substance P, somatostatin, vasoactive intestinal polypeptide (VIP), and galanin ia sensory neurons. It is also present ia the CNS, with ACh ia the parabigeminal nucleus and with cholecystokinin (CCK) ia the dorsal parabrachial area. CGRP functions as a neuromodulator or co-transmitter. 

Hydroxy tryptamine, or serotonin, is a neurotransmitter in the central nervous system (CNS). The nerve-cell bodies of the major serotoninergic neurones are in the midline raphe nuclei of the rostral pons, and ascending fibers innervate the basal ganglia, hypothalamus, thalamus, hippocampus, limbic forebrain, and areas of the cerebral cortex. The serotoninergic system plays an important role in the control of mood and behavior, motor activity, hunger, thermoregulation, sleep, certain hallucinatory states, and some neuro-endocrine mechanisms. 

The third component of the nervous system is the motor division. Appropriate signals are transmitted from the CNS to various body parts or effector tissues by way of efferent neuronal pathways. These effector tissues, which include organs, muscles, and glands, carry out the appropriate physiological responses to bring the variable back to within its normal limits. 

The afferent division carries sensory information toward the CNS and the efferent division carries motor information away from the CNS toward the effector tissues (muscles and glands). The efferent division is further divided into two components (1) the somatic nervous system, which consists of motor neurons that innervate skeletal muscle and (2) the autonomic nervous system that innervates cardiac muscle, smooth muscle, and glands. 

Figure 6.1 Types of neurons. Afferent neurons, which transmit impulses toward the CNS and efferent neurons, which transmit impulses away from the CNS, lie predominantly in the peripheral nervous system. Intemeurons, which process sensory input and coordinate motor responses, lie entirely within the central nervous system.

The cell bodies of visceral motor neurons are found in the lateral horn. The axons of these neurons form efferent nerve fibers of the autonomic nervous system (ANS). The ANS innervates cardiac muscle, smooth muscle and glands (see Chapter 9). The axons of these neurons exit the spinal cord by way of the ventral root. 

Release autonomic nervous system all postganglionic neurons of parasympathetic system some sympatheticpostganglionicneurons innervating sweat glands (alpha motor neurons innervating skeletal muscle)b adrenal medulla (20% of secretion) secretion)... 

Skeletal muscle is neurogenic and requires stimulation from the somatic nervous system to initiate contraction. Because no electrical communication takes place between these cells, each muscle fiber is innervated by a branch of an alpha motor neuron. Cardiac muscle, however, is myogenic, or self-excitatory this muscle spontaneously depolarizes to threshold and generates action potentials without external stimulation. The region of the heart with the fastest rate of inherent depolarization initiates the heart beat and determines the heart rhythm. In normal hearts, this "pacemaker region is the sinoatrial node. 

Neuregulins are highly expressed in the nervous system by neuroblasts, cortical neurons, peripheral sensory ganglionic cells and spinal motor neurons as well as myelinforming glia. 

Brady, S. T. Molecular motors in the nervous system. Neuron 7 521-533,1991. 

This chapter provides a short review of peripheral nerve diseases. Diseases that involve motor neurons, the presyn-aptic compartment of neuromuscular junctions, or the enteric nervous system are also discussed. 

Diseases selectively targeting spinal cord and brainstem motor neurons (e.g. amyotrophic lateral sclerosis and the familial spinal muscular atrophies) or the presynaptic component of neuromuscular junctions (e.g. Lambert-Eaton syndrome, botulism and Ixodes tick paralysis) cause weakness without sensory impairment. Disorders involving the enteric nervous system (e.g. Chagas disease and Hirschsprung s disease) impair bowel motility. 

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