Table of neurotransmitter actions in the ANS

This is a table of neurotransmitter actions in the ANS (autonomic nervous system). It includes the circulatory system, the respiratory system, the visual system, the digestive system, the endocrine system, the urinary system, the reproductive system, and the integumentary system. Both effects of the sympathetic nervous system (adrenergic) and parasympathetic nervous system (muscarinic) are included.

Circulatory system

Heart

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
cardiac outputβ1, (β2): increasesM2: decreases
SA node: heart rate (chronotropic)β1, (β2):[1] increasesM2: decreases
Atrial cardiac muscle: contractility (inotropic)β1, (β2):[1] increasesM2: decreases
at AV nodeβ1:
increases conduction
increases cardiac muscle automaticity[1]
M2:
decreases conduction
Atrioventricular block[1]
Ventricular cardiac muscleβ1, (β2):
increases contractility (inotropic)
increases cardiac muscle automaticity[1]
---

Blood vessels

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
vascular smooth muscle in generalα1:[2] contracts; β2:[2] relaxesM3: relaxes[1]
renal arteryα1:[3] constricts---
larger coronary arteriesα1 and α2:[4] constricts[1]---
smaller coronary arteriesβ2: dilates[5]---
arteries to visceraα: constricts---
arteries to skinα: constricts---
arteries to brainα1:[6] constricts[1]---
arteries to erectile tissueα1:[7] constrictsM3: dilates
arteries to salivary glandsα: constrictsM3: dilates
hepatic arteryα: constricts---
arteries to skeletal muscleβ2: dilates---
Veinsα1 and α2:[8] constricts
β2: dilates
---

Other

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
plateletsα2: aggregates---
mast cells - histamineβ2: inhibits---

Respiratory system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
smooth muscles of bronchioles*β2:[2] relaxes (major contribution)
α1: contracts (minor contribution)
M3:[2] contracts

The bronchioles have no sympathetic innervation, but are instead affected by circulating adrenaline[1]

Visual system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
Pupil dilator muscleα1: Dilates
(causes mydriasis)
Iris sphincter muscle-M3: contracts
(causes miosis)
Ciliary muscleβ2: relaxes
(causes long-range focus)
M3: contracts
(causes short-range focus)

Digestive system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
salivary glands: secretionsβ: stimulates viscous, amylase secretions
α1: stimulates potassium secretions
M3: stimulates watery secretions
lacrimal glands (tears)β: stimulates protein secretion[9]secretion of tears by stimulating muscarinic receptors (M3)
juxtaglomerular apparatus of kidneyβ1:[2] renin secretion---
parietal cells---M1: Gastric acid secretion
liverα1, β2: glycogenolysis, gluconeogenesis---
adipose cellsβ1,[2] β3: stimulates lipolysis---
GI tract (smooth muscle) motilityα1, α2,[10] β2: decreasesM3, (M1):[1] increases
sphincters of GI tractα1,[2] α2,[1] β2: contractsM3:[2] relaxes
glands of GI tractno effect[1]M3: secretes

Endocrine system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
pancreas (islets)α2: decreases insulin secretion from beta cells, increases glucagon secretion from alpha cellsM3:[11][12] increases secretion of both insulin and glucagon.[11][12]
adrenal medullaN (nicotinic ACh receptor): secretes epinephrine and norepinephrine---

Urinary system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
Detrusor urinae muscle of bladder wallβ2,[2] β3:[13] relaxesM3:[2] contracts
internal urethral sphincterα1:[2] contractsM3:[2] relaxes

Reproductive system

Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
uterusα1: contracts (pregnant[1])
β2: relaxes (non-pregnant[1])
---
genitaliaα1: contracts (ejaculation)M3: erection

Integumentary system

Target Sympathetic (muscarinic and adrenergic) Parasympathetic
sweat gland secretionsα1: stimulates (minor contribution)M:[2] stimulates (major contribution)
arrector piliα1: stimulates---

References

  1. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 H. P. Rang; M. Maureen Dale (2003). H. P. Rang (ed.). Pharmacology 5th ed. Churchill Livingstone. p. 127. ISBN 978-0-443-07145-4.
  2. 1 2 3 4 5 6 7 8 9 10 11 12 13 Costanzo, Linda S. (2007). Physiology. Hagerstwon, MD: Lippincott Williams & Wilkins. p. 37. ISBN 978-0-7817-7311-9.
  3. Schmitz, JM; Graham, RM; Sagalowsky, A; Pettinger, WA (1981). "Renal alpha-1 and alpha-2 adrenergic receptors: Biochemical and pharmacological correlations". The Journal of Pharmacology and Experimental Therapeutics. 219 (2): 400–6. PMID 6270306.
  4. Woodman, OL; Vatner, SF (1987). "Coronary vasoconstriction mediated by alpha 1- and alpha 2-adrenoceptors in conscious dogs". The American Journal of Physiology. 253 (2 Pt 2): H388–93. doi:10.1152/ajpheart.1987.253.2.H388. PMID 2887122.
  5. Rang, H. P. (2003). Pharmacology. Edinburgh: Churchill Livingstone. p. 270. ISBN 978-0-443-07145-4.
  6. Circulation & Lung Physiology I Archived 2011-07-26 at the Wayback Machine M.A.S.T.E.R. Learning Program, UC Davis School of Medicine
  7. Morton, J S; Daly, C J; Jackson, V M; McGrath, J C (2009). "Α1A-Adrenoceptors mediate contractions to phenylephrine in rabbit penile arteries". British Journal of Pharmacology. 150 (1): 112–20. doi:10.1038/sj.bjp.0706956. PMC 2013850. PMID 17115072.
  8. Elliott, J. (1997). "Alpha-adrenoceptors in equine digital veins: Evidence for the presence of both alpha1 and alpha2-receptors mediating vasoconstriction". Journal of Veterinary Pharmacology and Therapeutics. 20 (4): 308–17. doi:10.1046/j.1365-2885.1997.00078.x. PMID 9280371.
  9. Mauduit, P; Herman, G; Rossignol, B (1984). "Protein secretion induced by isoproterenol or pentoxifylline in lacrimal gland: Ca2+ effects". The American Journal of Physiology. 246 (1 Pt 1): C37–44. doi:10.1152/ajpcell.1984.246.1.C37. PMID 6320658.
  10. Sagrada, A; Fargeas, M J; Bueno, L (1987). "Involvement of alpha-1 and alpha-2 adrenoceptors in the postlaparotomy intestinal motor disturbances in the rat". Gut. 28 (8): 955–9. doi:10.1136/gut.28.8.955. PMC 1433140. PMID 2889649.
  11. 1 2 Poretsky, Leonid (2010). "Parasympathetic Nerves". Principles of diabetes mellitu. New York: Springer. p. 47. ISBN 978-0-387-09840-1.
  12. 1 2 Duttaroy, A.; Zimliki, C. L.; Gautam, D.; Cui, Y.; Mears, D.; Wess, J. (2004). "Muscarinic Stimulation of Pancreatic Insulin and Glucagon Release is Abolished in M3 Muscarinic Acetylcholine Receptor-Deficient Mice". Diabetes. 53 (7): 1714–20. doi:10.2337/diabetes.53.7.1714. PMID 15220195.
  13. Kullmann, F. A.; Limberg, B. J.; Artim, D. E.; Shah, M.; Downs, T. R.; Contract, D.; Wos, J.; Rosenbaum, J. S.; De Groat, W. C. (2009). "Effects of 3-Adrenergic Receptor Activation on Rat Urinary Bladder Hyperactivity Induced by Ovariectomy". Journal of Pharmacology and Experimental Therapeutics. 330 (3): 704–17. doi:10.1124/jpet.109.155010. PMC 2729793. PMID 19515967.