Acetylcholine Flashcards
(39 cards)
How is acetylcholine synthesised?
(3 marks)
- Formed from choline and acetyl coenzyme A (acetyl CoA)
- Catalysed by choline acetyltransferase (ChAT)
choline acetyltransferase
- choline + acetyl CoA ⇔acetylcholine + CoA
What can happen if you block cholinergic activity?
Can cause muscular paralysis
Where is ChAT found?
In cholinergic neurons and is released as ACh
How can you experimentally identify cholinergic neurons?
Stain fo ChAT
What is the rate of ACh controlled by?
(2 marks)
Availability of precursors and rate of cell firing
Direct correlation between levels of ChAT and ACh
How is ACh released?
(3 marks)
- ACh is stored in vesicles and moves inot vesicles by vesicular ACh transporters (VAChT)
- VAChT is blocked by drug vesamicol which may reduce amount of ACh in vesicles to be released when neurons fire
- But ACh in cytoplasm increases as it doesn’t affect rate of ACh synthesis

What is botulinum?
Toxin that inhbits ACh release - can grow anaerobically and can be present in out of date canned food
Outline the mechanism of Botulinum
- Inhibits ACh release at neuromuscular junction by preventnig fusion of synaptic vesicles w/ nerve terminal membrane
What are some of the dangerous effects of botulinum?
(2 marks)
- Muscle paralysis
- Produced by anaerobic bacterium Clostridium botulinura
What are some of the benefits of botulinum?
(3 marks)
- Can be used to treat disorders characterised by involuntary muscle contractions
- Used by dermatologists as ‘Botox’:
- treats facial wrinkles as it casuses localised paralysis and reduces wrinkles for a few months
How is ACh inactivated?
(3 marks)
- Acetylcholinesterase enzyme (AChE) degrades it post-synaptically into choline and acetic acid
- AChE in presynaptic cells can metabolise excess ACh that may have been synthesised
- AChE located on post synaptic membrane
What happens to choline after it has been reduced?
- Considered biologically inactive and can be recycled and brought back to presynaptic region by choline transporter
What drugs block the choline transporter and what is seen in mutant mice with no choilne transporter at birth?
(3 marks)
- Hemicholinium-3 (HC-3) - blocks it and reduces ACh production
- Mutant mice - will die an hour after birth
- Lack of ACh synthesis and release at NT junctions causes breathing difficulties
Does ACh bind to metabotropic or ionotropic receptors?
Both x
How and what drugs prevent the activation of ACh?
(4 marks)
- Done by blocking AChE
- Physoltigmine - crosses blood brain barrier and affects CNS
- Neostigmine and pyridostigmine - synthetic analogues of physotigmine that DO NOT cross blood brain barrier
- ^^^ reversible AChE inhibitors
What can some varities of ‘nerve gas’ do?
- Cause ACh accumulation and overstimulation of cholinergic synapses, throughout CNS and PNS causing msucle paralysis and death by asphyxiation
Where is ACh present in the sympathetic and parasympathetic nervous system respectively?
(2 marks)
- Sympathetic: ACh present only preganglionically (uses NE from ganglion to target)
- Parasympathetic: ACh present only in preganglionically and on target organ
How many regions does ACh provide cholinergic innervation to in the brain?
8 x
What kind of drugs are prescribed in the early stages of PD?
(2 marks)
Anticholinergic drugs - as need balance of DA and ACh
e.g. Benztropine mesylate
Where do the cholinergic neurons found in the nucleus basalis project to?
Rostrally to neocortex and invovled in positive effect of ACh
What is the basal forebrain cholinergic system and what does 192 IgG do to it?
(5 marks)
- Origin of cholinergic innervation of cerebral cortex, hippocampus and other limbic structures
- Uses selective neurotoxin 192 IgG - saporin:
- 192 IgG monoclonal antibody binds specifically to surface protein on basal forebrain cholinergic neurons
- When injected into BFCS, cholinergic interneurons take up the toxin
- Causes those neurons to be destroyed and neighbouring non-cholinergic cells are spared
What do the cholinergic neurons in the dorsal lateral pons influence?
(2 marks)
- Excitatory influence on midbrain DA neuron firing
- Mediated by post synaptic nicotinic cholinergic receptor
What are the two types of cholinergic receptor?
(2 marks)
Nicotinic receptor: agonist is nicotine - an alkaloid (found on muscle cells at neuromuscular junction)
Muscarinic receptor - respond to muscarine - an alkaloid (some inhibit cAMP and stimulate K+)
What do nicotinic receptors do?
(3 marks)
- Ionotropic
- ACh binds and channel opens Na+ and Ca2+ flood into neuron or muscle cell and membrane is depolarised
- Nicotinic receptors mediate post excitatory responses in both CNS and PNS
