[The sympathetic neuron: regulation mechanisms for transmitter synthesis, transmitter release, and stimulus response...

A great multitude of factors acting at different sites of the afferent sympathetic nerve are capable to modify the magnitude of its stimulus-induced effects. 1) Specific receptors, located at the ganglionic synapse display inhibitory of facilitatory effects on the ganglionic transmission of the nerve impulse. 2) The rate of synthesis of the neurotransmitter noradrenalin is regulated at the level of the tyrosine hydroxylase. Transsynaptic mechanisms adapt the rate of synthesis of noradrenalin to nerve activity and transmitter release. 3) The amount of transmitter released per nerve impulse is controlled by a variety of receptors located presumably presynaptically at neuronal sites. Inhibitory and facilitatory "auto"-receptors stimulated by the released transmitter itself represent a local feed-back control. Similarly receptors for transmitters of cholinergic or serotoninergic neurons as well as autacoid hormones are involved in the local control of noradrenalin release. In addition, kinines, prostaglandins, or compounds like adenosine, some of them released from the target cells by the sympathetic stimuli or delivered by the blood stream are involved in the modulation of stimulus-evoked noradrenalin release. 4) Stimulus responses of the target cells can be modulated by similar mechanisms.