Exam #02 (General Info) Flashcards

1
Q

Major peripheral effects for alpha-1 receptor

A

vasoconstriction, mydriasis (constricting the muscle dilates the pupil)

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2
Q

Major peripheral effects for alpha-2 receptor

A

inhibit ACh, NE release (this inhibits sympathetic tone)

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3
Q

Major peripheral effects for beta-1 receptor

A

stimulate HR and force of contraction

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4
Q

Major peripheral effects for beta-2 receptor

A

relax respiratory, uterine, vascular skeletal muscle, stimulate glycogenolysis and insulin release

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5
Q

Major peripheral effects for beta-3 receptor

A

stimulate lipolysis

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6
Q

Major peripheral effects for D-1 receptor

A

dilation of renal blood vessels

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7
Q

Synthesis pathway and release of NE at adrenergic synaptic junction

A
  1. Tyrosine cotransported into cell with Na+
  2. Tyrosine hydroxylase converts tyrosine to L-DOPA (rate-limiting step)
  3. Dopa decarboxylase converts L-DOPA to DA
  4. DA is transported into vesicle via VMAT (this would be the last step if this was a dopaminergic neuron)
  5. DA hydroxylase converts DA into NE in the vesicle
  6. AP traveling down the neuron, opens Ca+2 channels
  7. Ca+2 causes vesicle to bind to presynaptic membrane and dump NE into synaptic cleft
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8
Q

Fate of NE once dumped in synaptic cleft

A
  1. It can bind to adrenergic 7TM-GPCR (alpha or beta)
  2. it is metabolized by MAO and COMT
  3. transported back into the neuron via NET (reuptake)
  4. bind to autoreceptor
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9
Q

NE Autoreceptor mechanism (include autoreceptor type)

A

Major negative feedback mechanism for NE. Autoreceptor is an alpha-2 receptor. NE binding to autoreceptor reduces NE release. NE is an agonist at the auto receptor, but has indirect antagonistic effects

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10
Q

Main way NE is cleared from synaptic cleft

A

reuptake via NET

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11
Q

2 drugs that block the NET and the effects it causes

A

cocaine and tricyclic-antidepressants
these drugs block the NET increasing NE conc. in synaptic cleft thereby increasing NE activity
So, these drugs are acting like indirect agonists

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12
Q

Heteroceptor

A

binds different NT than one being released. Helps regulate the NT being released

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13
Q

% of NE and Epi stored within the adrenal medulla

A

80% Epi

20% NE

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14
Q

Where in adrenal medulla Epi and NE are stored

A

chromaffin granules (similar to vesicles)

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15
Q

Where is NE methylated to form Epi?

A

in the cytoplasm

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16
Q

Would NE released from adrenal medulla into blood be considered a NT or hormone?

A

hormone

17
Q

The rate of synthesis (NE –> Epi) is tightly tied to what steroid hormones secreted by the adrenal cortex?

A

glucocorticoids

18
Q

Stimulation of alpha-1 receptor by catecholamines leads to the activation of what G-protein?

A

Gq coupling protein

19
Q

Describe what the Gq protein goes on to activate once stimulated by binding of catecholamine to alpha-1 receptor and the 2nd messengers involved

A

the activated alpha-q subunit of the G-protein goes on to activate Phospholipase C which leads to the release of IP3 and DAG

20
Q

What function do the 2nd messengers released from alpha-1 receptor activation from catecholamine binding?

A
  1. IP3 stimulates release of sequestered Ca+2 increasing cytoplasmic [Ca+2] which may activate Ca+2 dependent protein kinases
  2. DAG activates protein kinase C (PKC)
21
Q

Binding of catecholamines to beta receptors leads to the activation of what G-protein?

A

Gs (stimulatory G-protein)

22
Q

Binding of catecholamines to alpha-2 receptor leads to the activation of what G-protein?

A

Gi (inhibitory G-protein

23
Q

Explain the cascade of events after activation of Gs?

A
  1. Activation of Gs leads to dissociation of the G-protein’s alpha subunit charged with GTP
  2. GTP-alpha subunit directly activates adenylyl cyclase which INCREASES [cAMP]
24
Q

Explain the cascade of events after activation of Gi?

A
  1. Activation of Gi leads to dissociation of the G-protein’s alpha-i subunit charged with GTP
  2. GTP-alpha-i subunit inhibits adenylyl cyclase which DECREASES [cAMP]
25
Q

Describe how activation of dopamine receptors (D1 - D5) affect 2nd messengers involved in each specific cascade?

A

Activation of D1 = INCREASE [cAMP]

Activation of D2 - DECREASE [cAMP], INCREASE K+ channels, DECREASE [Ca+2]

Activation of D3 - DECREASE [cAMP], INCREASE K+ channels, INCREASE [Ca+2]

Activation of D4 - DECREASE [cAMP]

Activation of D5 - INCREASE [cAMP]

26
Q

Would you mainly see vasoconstriction or vasodilation from activation of alpha-2 receptors?

A

you’ll mostly see vasodilation. However, some vasoconstriction can be observed but would occur ONLY if you inject a alpha-2 agonist into the veins and bypass the CNS and you would need a very high dose

27
Q

——— are drugs that mimic the actions of NE and Epi

A

Sympathomimetics