acetylcholine Flashcards
(30 cards)
ACh function in PNS
used at all neuromuscular junctions and parasympathetic nervous systeml used to move
ACh function in CNS
multiple cell body regions enervate cortical / subcortical regions and ACh interneurons in the stratum
ACh is made from
Choline and acetyl coenzyme A (acetyl CoA), catalyzed by choline acetyltransferase (ChAT) (which is only in neurons that use ACh
rate of ACh synthesis is controllled by
availability of precursors (get both choline and acetyl CoA from die), rate of cell firing (upregulation for frequent)
ways to target ACh levels
cannot inhibit synthesis - no selective inhibitors of ChAT yet
can target packaging
can target degredation (no direct reuptake)
ACh packaging
ACh packaged into vesicles via vesicular ACh transporters (VAChT), can be inhibited with vesamicol
ACh release
can be ^ massively with black widow spider venom(in PNS) and inhibited by botulism toxin (at neuromuscular junctions)
vesamicol:
blocks VAChT, reduces ACh levels
black widow spider venom
causes massive ACh release in PNS: cholinergic overactivity causes muscle pain, tremors, nausea, vomiting, salivation, copious sweating
botulism toxin
actually trumps black widow venom (locally)
inhibits ACh relase selectively in neuromuscular junction, inhibition of cholinergic activity can be deadly because of muscular paralysis
acetylcholine degredation
levels controlled by acetycholinesterase (AChE), they are stuck to closeby postsynaptic membranes, rapidly breaks down ACh into choline9recycled) and Acetic acid
hemicholinium-3 (HC-3)
blocks choline transporters, reduces rate of ACh production (by blocking the choline recycled at the terminal)
blocking AChE (Ach inactivation) causes
increase in postsynaptic effects of the transmitter;
weak version: pesticide
strong version: nerve gas (like Sarin) (antidote is probably going to be cholinergic antagonists that block the excess cholinergic effects)
other pharmacological use: physostigmine: crosses BBB and offset some cognitive decline associated with Alzheimers
physostigmine:
crosses BBB (works in periphery AND brain), increases Ach essentially, useful for Alzheimers (because you’re losing cholinergic neurons in the brain)
2 postsynaptic acetycholine receptors
nicotinic receptor and muscarinic receptors
nicotinic receptors
- responds to nicotin; ligand gated ion channels; allows sodium and calcium to enter the cell and depolarize; similiar to AMPA;
continuous activation fo nicotinic receptors 1) initially causes desensitization (closed channels even with bond agonist), recovers after a short time with no stimulation, and 2)prolonged activation leads to epolarization block - persistent depolarization causes resting potential to be lost; cell can’t be excited until agonist is removed and membrane repolarizez
nicotinic agonists
succinylcholine; muscle relaxant - resistant to breakdown by AchE (depolarization block), locally used for surgical procedures
nitonitic antagonists
mecamylamine: blocks nicotinic receptors both in CNS and autonomic ganglia; antidote for nicotine poisoning
D-tubocurarine: blocks muscle nicotinic receptors; relatively little effect on CNS, low BBB passing; paralyses for hunting
nicotinic partial antagonists
selective to particular pathways, like DA system (for quitting smoking)
muscarinic receptors - responds to muscarine
all metabotropic, 5 main subtypes; all found in brain; not all inhibitory, operate via second messengers and/or enhance K+ channel opening
M2 receptors
PNS: cardic; slows heart rate when activated, but also act as presynaptic autoreceptor in CNS
M3
on smooth muscles (PNS), activation results in contraction of digestive tract and ++fluids (rest and digest)
muscarinic agonists
pilocarpine: parasympathomimetic agent; leads to SLUDGE: exaggerated parasympathetic responses
SLUDGE
Salivation, Lacrimation, Urination, Diarrhea, Gastrointestinal distress, and Emesis (vomiting); exaggerated parasympathetic responses, overactivation of M3