Introduction to Autonomic Pharm Flashcards

1
Q

What is some of the main processes regulated by the ANS

A
  • Contraction and relaxation of smooth muscle
  • All exocrine and certain endocrine secretions
  • The heartbeat
  • Certain steps in intermediary metabolism.
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2
Q

What are the effects of stimulation of the sympathetic system?

A
  • Increase in heart rate and blood pressure
  • Mobilization of energy stores (glycogen and fat)
  • Diversion of blood from skin and internal organs: Increase in blood flow to skeletal muscles and heart
  • Dilation of pupils
  • Dilation of bronchioles
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3
Q

What are the main functions of the parasympatheic system?

A
  • Maintains essential bodily functions: digestive processes, elimination of wastes.
  • Usually acts to oppose or balance the actions of the sympathetic system.
  • It is generally dominant over the sympathetic system in rest and digest situations.
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4
Q

What are CHOLINERGIC FIBERS and where do they release their effects?

A
  • Synthesize and release acetylcholine:
  • All preganglionic efferent autonomic fibers.
  • All parasympathetic postganglionic fibers.
  • All somatic motor fibers to skeletal muscle.
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5
Q

What are ADRENERGIC FIBERS?

A

Synthesize and release norepinephrine.
• Most postganglionic sympathetic fibers are adrenergic.

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6
Q

What are the main exceptions of ADRENERGIC FIBERS?

A
  • The sympathetic fibers supplying the sweat glands release acetylcholine.
  • The adrenal medulla releases epinephrine and norepinephrine.
  • Dopamine is released by some sympathetic fibers.
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7
Q

What is the mechanism behind CHOLINERGIC TRANSMISSION

A
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8
Q

What is the adrenergic transmission?

A
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9
Q

What are the functions/subtypes of NICOTINIC RECEPTORS

A
  • Nicotinic receptors fall into two classes that require ACH:
  • Muscle type (Nm) • Neuronal type (Nn)
  • Muscle nicotinic receptors are found at the skeletal neuromuscular junction (NMJ).
  • Neuronal nicotinic receptors are found in autonomic ganglia and in the brain.
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10
Q

Where are muscarinic receptors located?

A
  • On the plasma membranes of cells in the CNS
  • In organs innervated by parasympathetic nerves
  • On some tissues that are not innervated by these nerves, e.g., endothelial cells
  • On tissues innervated by cholinergic postganglionic sympathetic nerves
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11
Q

What are the 3 subtypes of muscarinic receptors, what is there signals, locations, and effects?

A
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12
Q

What are endothelial receptors and how to they illict their effect?

A
  • There are uninnervated M3 receptors on the endothelial cells that line blood vessels.
  • These endothelial cells contain NO synthase.
  • NO synthase catalyzes formation of NO from arginine.
  • Activation of endothelial M3 receptors leads to a rise in intracellular calcium.
  • Calcium activates NO synthase, leading to formation of NO.
  • NO diffuses from the endothelial cells into the adjacent smooth muscle cells in the blood vessel
  • cGMP activates cGMP-dependent protein kinase, which phosphorylates proteins leading to relaxation of the smooth muscle wall, resulting in vasodilation.
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13
Q

What 3 B-ADRENERGIC RECEPTORS? What is their signaling, location and effect?

B1

A
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14
Q

What 3 B-ADRENERGIC RECEPTORS? What is their signaling, location and effect?

B2

A
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15
Q

What is the effect of a1 -ADRENERGIC RECEPTORS? what is the signaling, location, and effect?

A
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16
Q

What is the effect of a2 -ADRENERGIC RECEPTORS? what is the signaling, location, and effect?

A
17
Q

What is the signaling,location, and effect of DOPAMINERGIC RECEPTORS

A
18
Q

What receptor predominates where?

A