Final answer:
Direct acting cholinergic agents mimic acetylcholine by binding to cholinergic receptors and activating postganglionic fibers, which then release ACh onto the target organ, mimicking the natural parasympathetic response.
Step-by-step explanation:
Direct acting cholinergic agents mimic the effect of the neurotransmitter acetylcholine (ACh) by binding to cholinergic receptors at preganglionic synapses. This action causes the activation of postganglionic fibers, leading to the release of ACh onto the target organ. This is similar to how the body's parasympathetic nervous system operates. Parasympathomimetic drugs are a class of drugs that enhance cholinergic effects, increasing parasympathetic activity.
On the other hand, anticholinergic drugs work to suppress parasympathetic effects on organs. Atropine, for instance, acts as an antagonist to muscarinic acetylcholine receptors, efficiently blocking the overwhelming effects of excess acetylcholine as would be found in cases of nerve agent poisoning. Therefore, direct acting cholinergic agents can be understood as mimicking ACh to stimulate a response similar to natural parasympathetic activation, while anticholinergic agents block this action.