1. Autonomic Nervous System II Plants that affect the sympathetic nervous system

2. Ganglionic blocking compounds nicotine, lobeline

3. Peripheral Nervous System: Neurotransmitters & Receptors CNS nicotinic receptor muscarinic receptor adrenergic receptor Sympathetic Parasympathetic Somatic Motor nicotinic and muscarinic receptors = cholinergic receptors

4. Ganglionic Blocking Compounds A high dose of nicotine or lobeline (nicotinic cholinergic receptor agonists) can overstimulate ganglionic receptors persistent depolarization of autonomic ganglia: autonomic ganglionic blocade triggers further release of epinephrine by adrenal medulla, which leads to vasoconstriction and potentiation of ganglionic blockade

5. Ganglionic Blocking Compounds Two phases of autonomic ganglionic blocade: Stimulatory phase: – constriction of capillaries and arterioles – increase in blood pressure – sweating Paralytic phase: – decrease in blood pressure …40 mg of nicotine (amount extracted from 2 cigarettes) can cause fatal ganglionic blocade if it is injected (when smoked most nicotine is degraded)

6. Nicotiana tabacum

7. Common name: tobacco Origin: South America Ethnomedical uses by Native Americans: leaves smoked and snorted as sacred enebriant and CNS stimulant

8. Nicotiana tabacum Active compound: nicotine (alkaloid) Mechanisms of action: – CNS stimulant – stimulates acetylcholine release in autonomic ganglia at juncture of pre- and post-ganglionic neurons

9. Therapeutic uses of nicotine (not recommended due to the addictive nature of nicotine) – enhancement of athletic performance – improvement of short-term memory / mental functioning Nicotiana tabacum

10. Lobelia inflata

11. Common name: Indian tobacco Plant family: Lobeliacae Origin: North America Habit: herbaceous plant on forest floor Ethnomedical uses by Native Americans: leaves used as a respiratory expectorant and for chest conditions

12. Lobelia inflata Active compound: α- lobeline (alkaloid) Therapeutic uses: – expectorant – decongestant – smoking deterrant (stimulates same receptors, but has a milder effect than nicotine)

13. Compounds That Target the Sympathetic Nervous System

14. Sympathetic Nervous System (Review) Catabolic system that expends (burns) energy Nerves in this system originate from the thoraco- lumbar regions “Fight or flight” responses to danger: – increase in heart rate & force of ventricular contractions – shunting blood to muscles and heart – increase in sweat gland secretion – dilates pupils – dilates bronchial tubes – inhibits GI motility and secretions, contracts GI sphincters – stimulates secretion of adrenaline from adrenal medulla

15. Sympathetic Nervous System Adrenergic Receptors (Stimulated by Norepinephrine) alpha receptors – – reduce glandular secretions – reduce GI motility – increase constriction of certain arterioles and veins beta receptors – – increase heart rate, contractions – increase kidney renin secretion – relax trachea and bronchioles – dilate some arterioles and veins (not in skin or brain) – increase breakdown of glycogen / fats for energy

16. Adrenergic Agonists Endogenous agonists of α and β adrenergic receptors: Epinephrine (adrenaline) – produced by adrenal medulla – released in increased amounts in response to stress – stimulates heart – dilates blood vessels going to skeletal muscle Norepinephrine – postganglionic adrenergic neurotransmitter – stimulates heart – constricts blood vessels in skin, mucosal surfaces, and kidneys

17. Plant-Derived Adrenergic Agonists (Sympathomimetics) Ephedra Citrus aurantia

18. Ephedra spp.

19. Common names: Ephedra, Mormon tea, Ma Huang Plant family: Ephedraceae Plant parts used: aerial parts Ethnomedical uses: asthma, sinusitis, stimulant Active compound: ephedrine (alkaloid) – stimulates both α and β receptors – releases stored catecholamines (epinephrine, norepinephrine, and dopamine) – CNS stimulant – Bronchodilator

20. Ephedra spp. Chemical derivatives of ephedrine: pseudoephedrine HCl (sudafed, isophedrine) – vasoconstrictor – decongestant – longer bronchial effect & less CNS stimulation than ephedrine phenylpropanolamine – vasoconstrictor – decongestant vaponephrine – bronchiodilator to treat asthma salbutamol (albuterol, proventil) – bronchodilator to treat asthma

21. Citrus aurantium (bitter orange)

22. contains synephrine alkaloids and para- octopamine (typically cited as active ingredients) these compounds have α-adrenergic agonist properties, and may also stimulate β receptors in the sympathetic nervous system

23. Citrus aurantium (bitter orange) effects similar to Ephedra often added to herbal weight loss supplements (in place of banned Ephedra) compound responsible for weight loss is most likely para-synephrine, also called oxedrine

24. Anti-adrenergic Compounds Ephedrine chemical derivatives are also used to create postsynaptic adrenergic receptor blockade used to treat hypertension two classes: β1 receptor specific competitive blockers – lopressor & tenormin β1β2 receptor competitive blockers – corgard, timoptic (also treats glaucoma)

25. Other plant-derived adrenergic antagonists Rauvolfia serpentina Pausinystalia johimbe

26. Rauvolfia serpentina

27. Plant family: Apocynaceae Origin: India, Indomalasia Habit: climbing shrub Plant part used: root Ethnomedical uses in Ayurvedic medicine: – sedative – tranquilizer – antipsychotic – antihypertensive

28. Rauvolfia serpentina Active compounds: – reserpine, rescinnamine, ajmalicine Mechanism of action: – binds storage vesicles in peripheral and central adrenergic neurons – dysfunctional storage vesicles cause nerve endings to lose their ability to concentrate and store catecholamines (norepinephrine and dopamine) – has similar effect on serotonin (in CNS)

29. Rauvolfia serpentina Physiological effects of reserpine: reduced sympathetic effects reduced catecholamine levels in CNS, heart, and PNS reduced serotonin levels lowered blood pressure due to reduced norephinephrine levels

30. Rauvolfia serpentina Therapeutic uses: reserpine & rescinnamine – treat psychosis, mania and hypertension ajmalicine – treats circulatory disorders

31. Pausinystalia johimbe Common name: yohimbe Plant family: Rubiaceae Origin: West Africa Active compound: Yohimbine Plant part used: bark

32. Pausinystalia johimbe Ethnomedical uses: taken orally as an aphrodisiac in West Africa by many different ethnolinguistic groups Mechanism of action: Yohimbine causes competitive blockade on adrenergic receptors Has highest affinity for α2 receptors Therapeutic use: yohimbine taken orally as an aphrodisiac and to treat impotence