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Table of neurotransmitter actions in the ANS
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    Table of neurotransmitter actions in the ANS

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    Circulatory system

    Heart

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

    Blood vessels

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    vascular smooth muscle in general α1: contracts; β2: relaxes M3: relaxes
    renal artery α1: constricts ---
    larger coronary arteries α1 and α2: constricts ---
    smaller coronary arteries β2: dilates ---
    arteries to viscera α: constricts ---
    arteries to skin α: constricts ---
    arteries to brain α1: constricts ---
    arteries to erectile tissue α1: constricts M3: dilates
    arteries to salivary glands α: constricts M3: dilates
    hepatic artery α: constricts ---
    arteries to skeletal muscle β2: dilates ---
    Veins α1 and α2: constricts
    β2: dilates
    ---

    Other

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    platelets α2: aggregates ---
    mast cells - histamine β2: inhibits ---

    Respiratory system

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

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

    Visual system

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    Pupil dilator muscle α1: Dilates
    (causes mydriasis)
    Iris sphincter muscle - M3: contracts
    (causes miosis)
    Ciliary muscle β2: relaxes
    (causes long-range focus)
    M3: contracts
    (causes short-range focus)

    Digestive system

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    salivary glands: secretions β: stimulates viscous, amylase secretions
    α1: stimulates potassium secretions
    M3: stimulates watery secretions
    lacrimal glands (tears) β: stimulates protein secretion secretion of tears by stimulating muscarinic receptors (M3)
    juxtaglomerular apparatus of kidney β1:renin secretion ---
    parietal cells --- M1: Gastric acid secretion
    liver α1, β2: glycogenolysis, gluconeogenesis ---
    adipose cells β1, β3: stimulates lipolysis ---
    GI tract (smooth muscle) motility α1, α2, β2: decreases M3, (M1): increases
    sphincters of GI tract α1, α2, β2: contracts M3: relaxes
    glands of GI tract no effect M3: secretes

    Endocrine system

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    pancreas (islets) α2: decreases insulin secretion from beta cells, increases glucagon secretion from alpha cells M3: increases secretion of both insulin and glucagon.
    adrenal medulla N (nicotinic ACh receptor): secretes epinephrine and norepinephrine ---

    Urinary system

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    Detrusor urinae muscle of bladder wall β2, β3: relaxes M3: contracts
    internal urethral sphincter α1: contracts M3: relaxes

    Reproductive system

    Target Sympathetic (adrenergic) Parasympathetic (muscarinic)
    uterus α1: contracts (pregnant)
    β2: relaxes (non-pregnant)
    ---
    genitalia α1: contracts (ejaculation) M3: erection

    Integumentary system

    Target Sympathetic (muscarinic and adrenergic) Parasympathetic
    sweat gland secretions α1: stimulates (minor contribution) M: stimulates (major contribution)
    arrector pili α1: stimulates ---

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