Role of the parasympathetic cholinergic system in normal and obstructed airways. 1986

J G Widdicombe

The cholinergic motor component of the parasympathetic nervous system supplies several structures which may be important in determining the resistance of normal and diseased airways. Lower airway smooth muscle. Here the nervous control is predominantly cholinergic and vagal, as shown by nerve and field stimulation experiments, and by inhibition of contraction by atropine. The cholinergic motor system can be driven reflexly, and most bronchoconstrictor reflexes have been established as vagal and cholinergic. The importance of other innervations, adrenergic and non-adrenergic, non-cholinergic, has not been established. Mucus secretion. As for smooth muscle, this has multiple innervation but, at least in health, the dominant control is vagal and cholinergic, and blocked by atropine. The importance of mucus secretion in causing airway obstruction has yet to be quantified. Sub-mucosal tissues. The effect of cholinergic nerves on the airway vasculature, and on associated structures such as mast cells, is a possibility requiring study. The larynx. Several recent studies have shown that laryngeal constriction occurs in lower airways disease, and must contribute to the changes in total airway resistance. This constriction would be cholinergic but atropine-resistant. The nose. Cholinergic parasympathetic nerves cause nasal congestion and secretion, and therefore changes in nasal airflow resistance. This is a potentially important factor in changing the balance between nasal and oral breathing and thus affecting the conditioning of inspired air.

UI MeSH Term Description Entries
D007823 Laryngeal Nerves Branches of the VAGUS NERVE. The superior laryngeal nerves originate near the nodose ganglion and separate into external branches, which supply motor fibers to the cricothyroid muscles, and internal branches, which carry sensory fibers. The RECURRENT LARYNGEAL NERVE originates more caudally and carries efferents to all muscles of the larynx except the cricothyroid. The laryngeal nerves and their various branches also carry sensory and autonomic fibers to the laryngeal, pharyngeal, tracheal, and cardiac regions. Laryngeal Nerve, Superior,Laryngeal Nerve,Laryngeal Nerves, Superior,Nerve, Laryngeal,Nerve, Superior Laryngeal,Nerves, Laryngeal,Nerves, Superior Laryngeal,Superior Laryngeal Nerve,Superior Laryngeal Nerves
D008173 Lung Diseases, Obstructive Any disorder marked by obstruction of conducting airways of the lung. AIRWAY OBSTRUCTION may be acute, chronic, intermittent, or persistent. Obstructive Lung Diseases,Obstructive Pulmonary Diseases,Lung Disease, Obstructive,Obstructive Lung Disease,Obstructive Pulmonary Disease,Pulmonary Disease, Obstructive,Pulmonary Diseases, Obstructive
D009092 Mucous Membrane An EPITHELIUM with MUCUS-secreting cells, such as GOBLET CELLS. It forms the lining of many body cavities, such as the DIGESTIVE TRACT, the RESPIRATORY TRACT, and the reproductive tract. Mucosa, rich in blood and lymph vessels, comprises an inner epithelium, a middle layer (lamina propria) of loose CONNECTIVE TISSUE, and an outer layer (muscularis mucosae) of SMOOTH MUSCLE CELLS that separates the mucosa from submucosa. Lamina Propria,Mucosa,Mucosal Tissue,Muscularis Mucosae,Mucous Membranes,Membrane, Mucous,Membranes, Mucous,Mucosae, Muscularis,Mucosal Tissues,Propria, Lamina,Tissue, Mucosal,Tissues, Mucosal
D009130 Muscle, Smooth Unstriated and unstriped muscle, one of the muscles of the internal organs, blood vessels, hair follicles, etc. Contractile elements are elongated, usually spindle-shaped cells with centrally located nuclei. Smooth muscle fibers are bound together into sheets or bundles by reticular fibers and frequently elastic nets are also abundant. (From Stedman, 25th ed) Muscle, Involuntary,Smooth Muscle,Involuntary Muscle,Involuntary Muscles,Muscles, Involuntary,Muscles, Smooth,Smooth Muscles
D009666 Nose A part of the upper respiratory tract. It contains the organ of SMELL. The term includes the external nose, the nasal cavity, and the PARANASAL SINUSES. External Nose,External Noses,Nose, External,Noses,Noses, External
D010275 Parasympathetic Nervous System The craniosacral division of the autonomic nervous system. The cell bodies of the parasympathetic preganglionic fibers are in brain stem nuclei and in the sacral spinal cord. They synapse in cranial autonomic ganglia or in terminal ganglia near target organs. The parasympathetic nervous system generally acts to conserve resources and restore homeostasis, often with effects reciprocal to the sympathetic nervous system. Nervous System, Parasympathetic,Nervous Systems, Parasympathetic,Parasympathetic Nervous Systems,System, Parasympathetic Nervous,Systems, Parasympathetic Nervous
D012137 Respiratory System The tubular and cavernous organs and structures, by means of which pulmonary ventilation and gas exchange between ambient air and the blood are brought about. Respiratory Tract,Respiratory Systems,Respiratory Tracts,System, Respiratory,Tract, Respiratory
D001808 Blood Vessels Any of the tubular vessels conveying the blood (arteries, arterioles, capillaries, venules, and veins). Blood Vessel,Vessel, Blood,Vessels, Blood
D001980 Bronchi The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI. Primary Bronchi,Primary Bronchus,Secondary Bronchi,Secondary Bronchus,Tertiary Bronchi,Tertiary Bronchus,Bronchi, Primary,Bronchi, Secondary,Bronchi, Tertiary,Bronchus,Bronchus, Primary,Bronchus, Secondary,Bronchus, Tertiary
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

J G Widdicombe
January 1986, Bulletin europeen de physiopathologie respiratoire,
J G Widdicombe
August 2008, Histochemistry and cell biology,
J G Widdicombe
April 2002, American journal of respiratory and critical care medicine,
J G Widdicombe
January 1986, Bulletin europeen de physiopathologie respiratoire,
J G Widdicombe
February 1992, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
J G Widdicombe
January 1987, Advances in prostaglandin, thromboxane, and leukotriene research,
J G Widdicombe
March 1973, The New England journal of medicine,
J G Widdicombe
January 2006, Journal of biomechanics,
Copied contents to your clipboard!