08.21 - Histamine (Sweatman) - Questions Flashcards

(47 cards)

1
Q

2 major sites of Histamine Biosynthesis

A

Mast Cells, Basophils

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2
Q

Enzyme that catalyzes Histamine Biosynthesis

A

L-Histidine Decarboxylase

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3
Q

3 Notable Activators of Histamine Synthesis and Release

A

GM-CSF, IL-3, Peptides

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4
Q

2 Notable inhibitors of Histmaine Synthesis and Release

A

Beta-antagonists; Cromolyn

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5
Q

3 Notable Histamine Activating Factors

A

Gastrin, Ca2+, Vancomycin

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6
Q

Ig isotype that causes Histamine

A

IgE

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7
Q

Cytokine that stimulates B cell to produce IgE

A

IL-4

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8
Q

Cytokine that stimulates TH1 to release IFN-g

A

IL-12

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9
Q

Release of histamine from granule matrix occurs by __ exchange

A

Cation

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10
Q

What percent of Mast Cell Granule does Histamine compose?

A

10%

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11
Q

Major actions of H1 receptors

A

SM contraction; Stim of NO formation; Endothelial cell contraction; Incr vascular permeability

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12
Q

Major actions of H2 receptors

A

Simulation of gastric acid secretion

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13
Q

Major actions of H3 receptors

A

Inhibition of NT release

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14
Q

Mediator of H2 signaling

A

AC –> cAMP –> Decr Ca2+, SIRS, PG –> Extracellular

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15
Q

Mediator of H1 signaling

A

GD –> cGMP –> PG, EDRF –> Extracellular

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16
Q

Histamine receptors in lung

A

H1 - Bronchoconstrict; H2 - Bronchodilation

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17
Q

Histamine receptors in heart

A

H1 - Slow AV conduction; H2 - Enhanced constraction

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18
Q

Histamine receptors in vasculature

A

H1, H2 - Microvasodilation; H1 - Permeability, Vasoconstriction

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19
Q

Histamine receptors in neural tissue

A

H1, H3 - Nerve ending stim, wakefullness and sedation

20
Q

Histamine effects on capillaries

21
Q

Histamine effects on venules

A

H1 - Rapid onset short term dilation (cap permeability); H2 - Slow onset persisent dilation

22
Q

Histamine effects on Veins

A

H1 - Constriction of SM, Dilation of Endo; H2 - Dilation of SM

23
Q

Histamine effects on Arteries

A

H1 - Constriction of SM, Dilation of Endo; H2 - Dilation of SM

24
Q

Histamine effects on Arterioles

A

H1 - Rapid onset short term dilation; H2 - Slow onset persistent dilation

25
Effect of Mast Cells and Basophils on Mucus Glands
Diarrhea, Rhinorrhea, Bronchial secretion
26
Effect of Mast Cells/Basophils on Sensory Nerves
Itching
27
Advantages of Second Gen Anti-histamines
Longer, Fewer doses, Non-sedating, Limited anti-cholinergic
28
3 Notable Side Effects of 1st Gen H1-Antags
Impaired cognition, Dystonia, Nasal Congestion
29
1st gen with highest anti-cholinergic
Phenothiazines (promethazine)
30
1st gen with highest sedative effect
Phenothiazines (promethazine)
31
H1 blocker that acts on alpha-adrenergic
Promethazine
32
H1 blockers that act on Cholinergic receptors
Diphenhydramine, Promethazine
33
Experimental application of 2nd gen H1 blocker
Asthma
34
Side effects of 2nd gen H1 antagonists
Mild Cognitive Disturbance; Appetite stimulation
35
For what 2 applications are 1st gens better than 2nd
Atopic Dermatitis, Itching Dermatosis
36
For what 4 applications are only 1st gens effective (over 2nd)
Motion sickness, Antiemetic, Appetite Stimulation, Insomia
37
H4 receptor function
Hematopoeitic Cells: Mast Cell-dependent recruitment of neutrophils during inflammation
38
Locations of H1 receptors other than SM and Endothelium
Adrenal Medulla, Heart, CNS
39
Locations of H3 receptors
CNS, PNS, Endothelium, Enterochromaffin cells
40
Effect of H1 on Heart
Slowed AV conduction
41
Effect of H2 on Heart
Enhanced contraction
42
Effect of H1 on Lungs
Bronchoconstriction
43
Effect of H2 on Lungs
Bronchodilation
44
Effect of H1 on Neural Tissue
Nerve ending stimulation; Wakefullness and Sedation
45
Effect of H1 on Vasculature
Microvasodilation, Cap Permeability, Vasoconstriction
46
1st Gen H1 Antagonists
Diphenhydramine, Dimenhydrinate, Promethazine
47
2nd Gen H1 Antagonists
Fexofenadine, Cetirizine, Loratidine