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Adrenergic vs. Cholinergic — What's the Difference?

By Tayyaba Rehman — Updated on September 26, 2023
Adrenergic pertains to nerve cells releasing adrenaline or noradrenaline, affecting the sympathetic nervous system, while cholinergic relates to cells releasing acetylcholine, impacting the parasympathetic nervous system.
Adrenergic vs. Cholinergic — What's the Difference?

Difference Between Adrenergic and Cholinergic

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Key Differences

Adrenergic and Cholinergic refer to different neurochemical systems within the body, particularly in the context of the autonomic nervous system. Adrenergic neurons release adrenaline (epinephrine) or noradrenaline (norepinephrine) as neurotransmitters, primarily influencing the sympathetic nervous system, which governs the body's 'fight or flight' response. Cholinergic neurons, in contrast, release acetylcholine and predominantly influence the parasympathetic nervous system, responsible for 'rest and digest' functions, promoting relaxation and conservation of energy.
The physiological effects of adrenergic and cholinergic systems are largely contrasting. Adrenergic stimulation typically results in increased heart rate, dilated pupils, and increased blood flow to muscles, preparing the body for rapid action. Cholinergic stimulation usually induces opposite effects such as decreased heart rate, constricted pupils, and increased salivation and digestive activity, maintaining body homeostasis and facilitating recovery and regeneration.
In pharmacology, adrenergic and cholinergic terms are also used to describe drugs that mimic the actions of their respective neurotransmitters. Adrenergic drugs are used for conditions like asthma and hypotension due to their bronchodilator and vasopressor effects. Cholinergic drugs are used for conditions like myasthenia gravis and glaucoma, enhancing neuromuscular transmission and decreasing intraocular pressure, respectively.
Understanding the roles of adrenergic and cholinergic systems is crucial in medicine and physiology for effective therapeutic interventions. While adrenergic pathways primarily modulate stress responses and immediate energy expenditure, cholinergic pathways are essential for recuperation and maintaining internal balance. Targeting these systems with specific agonists or antagonists enables the modulation of numerous physiological processes and the treatment of various conditions, ranging from cardiovascular diseases to neurological disorders.

Comparison Chart

Neurotransmitters

Releases adrenaline or noradrenaline
Releases acetylcholine
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Physiological Effects

Increases heart rate, dilates pupils, prepares the body for action
Decreases heart rate, constricts pupils, promotes relaxation and digestion

Associated System

Influences the sympathetic nervous system
Influences the parasympathetic nervous system

Pharmacological Usage

Used for conditions like asthma and hypotension due to bronchodilator and vasopressor effects
Used for conditions like myasthenia gravis and glaucoma due to enhanced neuromuscular transmission and decreased intraocular pressure

General Function

Modulates stress responses and immediate energy expenditure
Maintains internal balance and facilitates recovery and regeneration

Compare with Definitions

Adrenergic

Pertaining to the actions of adrenaline or drugs that mimic adrenaline.
Adrenergic medications can help relieve asthma symptoms by dilating the bronchi.

Cholinergic

Describes the state or condition in which acetylcholine serves as the primary neurotransmitter.
Cholinergic activity in the brain is critical for memory and learning processes.

Adrenergic

Related to the release of adrenaline or noradrenaline from nerve endings.
Adrenergic neurons activate the body’s 'fight or flight' response to stress.

Cholinergic

Of or relating to a substance or process affecting the parasympathetic nervous system.
Cholinergic pathways facilitate relaxation and digestive activity in the body.

Adrenergic

Associated with the sympathetic nervous system and physiological responses such as increased heart rate and blood pressure.
The adrenergic response to danger prepares the body for rapid action.

Cholinergic

Relating to or denoting nerve cells in which acetylcholine acts as a neurotransmitter.
Cholinergic neurons are essential for muscle contraction and other basic physiological functions.

Adrenergic

Refers to substances that stimulate adrenaline receptors and produce effects similar to adrenaline.
Some adrenergic substances can induce increased alertness and energy.

Cholinergic

Refers to cells and molecules involved in the synthesis, release, or reception of acetylcholine.
Cholinergic agents can help improve neuromuscular transmission in certain medical conditions.

Adrenergic

Adrenergic means "working on adrenaline (epinephrine) or noradrenaline (norepinephrine)" (or on their receptors). When not further qualified, it is usually used in the sense of enhancing or mimicking the effects of epinephrine and norepinephrine in the body.

Cholinergic

Denoting substances that mimic the action of acetylcholine, especially in transmitting nerve impulses.
Cholinergic drugs are instrumental in managing diseases like glaucoma.

Adrenergic

Activated by or capable of releasing epinephrine or a similar substance, especially in the sympathetic nervous system
Adrenergic receptors.

Cholinergic

Cholinergic agents are compounds which mimic the action of acetylcholine and/or butyrylcholine. In general, the word "choline" describes the various quaternary ammonium salts containing the N,N,N-trimethylethanolammonium cation.

Adrenergic

Having physiological effects similar to those of epinephrine
An adrenergic amine.

Cholinergic

Activated by or capable of liberating acetylcholine, especially in the parasympathetic nervous system.

Adrenergic

Having the quality of adrenaline or epinephrine.

Cholinergic

Having physiological effects similar to those of acetylcholine
A cholinergic agent or drug.

Adrenergic

Containing or releasing adrenaline.

Cholinergic

(biochemistry) Of, pertaining to, activated by, producing or having the same function as acetylcholine.

Adrenergic

Activated by an adrenal mechanism

Cholinergic

(biochemistry) Any drug or substance producing or having the same function as acetylcholine.

Adrenergic

Any adrenergic compound

Cholinergic

Releasing or activated by acetylcholine or a related compound

Adrenergic

Producing or activated by epinephrine or adrenaline

Adrenergic

Drug that has the effects of epinephrine

Adrenergic

Relating to epinephrine (its release or action)

Adrenergic

Descriptive of cells, receptors, or agents that produce or are activated by adrenaline or an equivalent compound.
The adrenergic receptors on the heart muscle play a crucial role in cardiovascular response to stress.

Common Curiosities

Are there medications that act on adrenergic receptors?

Yes, there are medications designed to either stimulate or block adrenergic receptors, impacting physiological responses like heart rate and bronchial dilation.

What does adrenergic mean in physiology?

In physiology, adrenergic refers to the release of adrenaline or noradrenaline from nerve endings, primarily affecting the sympathetic nervous system.

How do adrenergic and cholinergic systems contrast in their physiological effects?

Adrenergic stimulation increases heart rate and prepares the body for action, while cholinergic stimulation decreases heart rate and promotes relaxation and digestion.

What is the function of cholinergic neurons?

Cholinergic neurons release acetylcholine as a neurotransmitter, predominantly affecting the parasympathetic nervous system, facilitating relaxation and digestion.

How are cholinergic agents used therapeutically?

Cholinergic agents are used to treat conditions like myasthenia gravis and glaucoma by enhancing neuromuscular transmission and reducing intraocular pressure.

How does cholinergic activity affect learning and memory?

Cholinergic activity, specifically acetylcholine release in the brain, plays a crucial role in cognitive functions like learning and memory.

Can adrenergic and cholinergic terms refer to drugs as well?

Yes, adrenergic and cholinergic terms describe drugs that mimic the actions of adrenaline or acetylcholine, respectively.

Do adrenergic and cholinergic systems operate simultaneously?

While they have contrasting functions, adrenergic and cholinergic systems can operate simultaneously, maintaining a balance in autonomic nervous system activity.

How do cholinergic drugs affect the body?

Cholinergic drugs, by mimicking acetylcholine, affect bodily functions such as muscle contraction, heart rate, and salivation.

Can cholinergic stimulation relieve stress?

Cholinergic stimulation promotes relaxation and conserves energy, potentially aiding in stress relief by activating the 'rest and digest' response.

What role do adrenergic neurons play in the 'fight or flight' response?

Adrenergic neurons release adrenaline or noradrenaline, activating the sympathetic nervous system, and preparing the body for 'fight or flight' in stressful situations.

Are there side effects associated with cholinergic drugs?

Yes, cholinergic drugs can have side effects like muscle cramps, decreased heart rate, and increased salivation and sweating.

Can blocking adrenergic activity reduce anxiety?

Yes, blocking adrenergic activity with beta-blockers can help reduce symptoms of anxiety by decreasing the 'fight or flight' response.

How do adrenergic receptors affect blood pressure?

Adrenergic receptors, when stimulated, can increase heart rate and contractility, and constrict blood vessels, leading to increased blood pressure.

Is the adrenal gland involved in adrenergic activity?

Yes, the adrenal gland releases adrenaline into the bloodstream, amplifying adrenergic activity throughout the body.

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Author Spotlight

Written by
Tayyaba Rehman
Tayyaba Rehman is a distinguished writer, currently serving as a primary contributor to askdifference.com. As a researcher in semantics and etymology, Tayyaba's passion for the complexity of languages and their distinctions has found a perfect home on the platform. Tayyaba delves into the intricacies of language, distinguishing between commonly confused words and phrases, thereby providing clarity for readers worldwide.

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