ANS intro Flashcards

Exam 4

1
Q

Two main neurotransmitters

A
  • ACh

- NE

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2
Q

Cholinergic

A

-fibers that secrete ACh

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3
Q

Adrenergic

A

-fibers that secrete NE

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4
Q

Synthesis of ACh

A
  • choline comes in with Na+
  • choline binds to Acetyl-CoA and gets made into ACh
  • calcium comes into cell and causes release of ACh into synaptic cleft
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5
Q

Preganglionic nerve fibers

A

In ANS release ACh

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6
Q

Postganglionic nerve fibers

A
  • only certain release ACh
  • those that activate PNS
  • those that go to the somatic nervous system
  • those that activate sweat glands (only somatic nervous system response activated by ACh)
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7
Q

Norepinephrine

A

released by postganglionic nerve fibers

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8
Q

Epinephrine

A
  • released by adrenal medulla
  • preganglionic sympathetic neurons that release ACh
  • ACh acts on nicotinic receptors of adrenal gland
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9
Q

Dopamine

A
  • released by postganglionic sympathetic neurons

- effect renal vascular smooth muscle

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10
Q

Adrenergic fibers

A

-only found in somatic nervous system

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11
Q

Synthesis of NE

A
  • tyrosine goes through hydroxylation into dopa
  • dopa goes through decarboxylation into dopamine
  • dopamine is transported in a vesicle where the rest of synthesis takes place
  • dopamine goes through hydroxylation into norepinephrine
  • in the adrenal medulla NE goes through methylation into epi
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12
Q

Acetylcholine receptors

A
  • Muscarinic

- Nicotinic

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13
Q

Muscarinic subtypes and location

A
  • M1: nerves
  • M2: heart, nerve, smooth muscle
  • M3: exocrine glands, smooth muscle, endothelium
  • M4: CNS
  • M5: CNS, vascular endothelium
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14
Q

Nicotinic subtypes and location

A
  • N(n) or N1: CNS, postganglionic cell body

- N(m) or N2: skeletal muscle neuromuscular junctions

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15
Q

Cholinergic receptors

A
  • ACh binds equally to N & M receptors, but drugs do not
  • drug that blocked primarily nicotinic receptors would affect everything
  • drug that blocked muscarinic receptors would block the PNS response and sweating
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16
Q

Cholinergic effects - Muscarinic symptoms

A
  • SLUDGE M
  • salivation
  • lacrimation
  • urination
  • defecation
  • gastric emptying
  • emesis
  • miosis
17
Q

Cholinergic effects - nictoinic symptoms

A
  • MTWTF
  • muscle cramps
  • tachycardia
  • weakness
  • twitching
  • fasciculation (like a tremor)
18
Q

Adrenergic receptors

A
  • bind NE and Epi at target organs of the sympathetic nervous system
  • Alpha and beta
19
Q

Alpha 1

A
  • postynpatic effector cells

- smooth muscle constiriction

20
Q

Alpha 2

A
  • presynaptic adrenergic nerve terminals

- decreased sympathetic outflow

21
Q

Beta 1

A
  • postsynpatic cells in heart, lipocytes, brain

- presynaptic cells at renal tubules

22
Q

Beta 2

A

-postynaptic effector cells of smooth muscle

23
Q

Beta 3

A

-postsynaptic effector cells of lipocytes and heart