21: Autonomic Pharmacology Flashcards

1
Q

Major nt of the parasymp system vs symp system

A

Parasymp: Ach
Symp: NE

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2
Q

Where is NE found?

A

Vast majority of post-ganglionic symp fibers

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3
Q

Where does Epi synthesis occur?

A

Adrenal medulla, few epi containing neuronal pathways in brainstem

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4
Q

Where in a neuron is dopamine synthesized?

A

Cytoplasm

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5
Q

Name some co-transmitters

A

ATP, neuropeptide Y, VIP, substance P

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6
Q

What enzyme forms ACh?

A

ChAT

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7
Q

What transports ACh into vesicles?

A

ATPase-dependent ACh vesicular transporter

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8
Q

Release of ACh into synaptic terminal

A

AP -> Ca enters cells -> Ca promotes. Fusion of vesicular membrane with cell membrane via SNARE proteins

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9
Q

What happens when ACh binds nAChRs

A

Binding -> Na entry -> depol and AP in post-ganglionic fiber

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10
Q

Main way ACh signaling is terminated?

A

ACHe (acetylcholinesterase)

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11
Q

Adrenergic neurotransmission

A

Neurotransmission of catecholamines (NE, Epi, DA)

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12
Q

End result of a1 receptor activation vs a2

A

A1: muscle contraction
A2: vascular SM contraction, decreased NE, decreased insulin

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13
Q

B1, B2, and B3 activation results

A

B1: cardiac increases
B2: SM relaxation
B3: lipolysis in adipose

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14
Q

Which DA receptor is relevant in this material and what does it cause?

A

D1 in renal SM -> vasodilation, natriuresis, diuresis

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15
Q

General rule for muscarinic receptor stimulation

A

Stimulates contraction of all SM

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16
Q

How does vascular relaxation occur if arteries are not innervated with parasymps?

A

MAChR activation via NO from endothelial cells

17
Q

Other name for NO

A

EDRF; endothelium-derived relaxing factor

18
Q

Where is ACh found? 3 locations

A
  1. All preganglionic Autonomics
  2. All post-ganglionic parasymps
  3. Few post-ganglionic symp fibers (sweat glands)
19
Q

Cholinomimetic agents and two examples

A

Drugs that mimic Ach; AChR agonists, AChE inhibitors

20
Q

Example of cholinoceptor-blocking drugs

A

AChR antagonists

21
Q

Sympathomimetic agents

A

Drugs that mimic or enhance a- or B-receptor stimulation