Sensory afferent nerves relay impulses from the airways to the central
nervous system so that appropriate changes in bronchomotor tone and b
reathing patterns may occur. The dominant efferent control of airways
smooth muscle is exerted via bronchoconstrictor parasympathetic cholin
ergic nerves. In some species this is opposed by bronchodilator sympat
hetic noradrenergic nerves. In addition, there exist both excitatory b
ronchoconstrictor and inhibitory bronchodilator non-adrenergic, non-ch
olinergic pathways. This review examines the role of the different bra
nches of the autonomic nervous system in the control of airways smooth
muscle tone with particular reference to modulation of these branches
and the interactions which may exist between them.