Exam 1 II Flashcards

1
Q

What are the components of the PNS?

A
  • afferent (somatic and visceral)

- efferent (motor)

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2
Q

What are the components of efferent PNS?

A
  • somatic (skeletal muscle)

- ANS

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3
Q

What are components of ANS?

A
  • symp. nervous system (thoracolumbar)
  • parasymp. nervous system (craniosacral)
  • enteric nervous system
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4
Q

Preganglionic symp. fibers

A

leave through the thoracic and lumbar spinal nerves

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5
Q

Preganglionic parasymp. fibers

A
  • leave through cranial nerves 3,7,9 and 10

- leave sacral spinal nerves 3 and 4

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6
Q

location of symp. ganglia

A

outside the CNS in the paravertebral symp. ganglia chain

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7
Q

location of parasymp. ganglia

A

inside target organs; some in head and neck

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8
Q

What does every pregang. nerve release?

A

ACh

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9
Q

Describe pre and post-ganglionic neurotransmitter release of parasymp. system

A
  • pregang. release ACh and synapse on nicotinic receptors

- postgang. release ACh and synapse on muscarinic receptors

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10
Q

Describe pre and post-ganglionic neurotransmitter release of symp. system

A
  • pregang. release ACh and synapse on nicotinic receptors
  • cardiac, smooth, gland cells: postgang. release NE and synapse on α and β receptors
  • renal: postgang. release dopamine and synapse on D1 receptors
  • sweat glands: postgang. release ACh and synapse on muscarinic receptors
  • adrenal gland: release Epi, NE
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11
Q

Describe ganglionic neurotransmitter release of somatic system

A

release ACh and synapse on nicotinic receptors on muscle cells

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12
Q

What kind of receptor is the muscarinic receptor?

A

GPCR

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13
Q

What kind of receptor is the nicotinic receptor?

A

ligand activated ion channels

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14
Q

What are the receptors that ACh synapse on?

A
  • muscarininc

- nicotinic

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15
Q

What are the receptors that NE and Epi synapse on?

A

α and β receptors

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16
Q

What is the trophotropic system?

A
  • parasymp. system

- rest and digest -> leads to growth

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17
Q

What is the ergotropic system?

A
  • symp. system

- fight or flight -> energy expenditure

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18
Q

Define autoreceptor

A

receptor that inhibits release of its own neurotransmitter; feedback inhibition

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19
Q

Define heteroceptor

A

inhibits synthesis and release of neurotransmitter that’s not its own transmitter

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20
Q

What are types of presynaptic neuromodulation?

A
  • autoreceptor

- hetroceptor

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21
Q

What are types of postsynaptic neuromodulation?

A
  • receptor upregulation

- receptor downregulation

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22
Q

Which steps in neurotransmission can we alter with drug?

A
  • action potential
  • synthesis of NT
  • storage of NT
  • release of NT
  • termination of action of NT
  • receptor binding
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23
Q

Describe the symp. innervation of the eye

A
  • α1 adrenoceptor activation -> contracts radial pupillary dilator muscle to cause mydriasis
  • β adrenoceptor activation -> increase secretion of aqueous humor -> intraocular pressure increases
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24
Q

Describe the parasymp. innervation of the eye

A
  • happens via ACh synapse on M3 receptors
  • contract circular pupillary constrictor muscle -> miosis
  • contract ciliary muscle -> aq. humor flow into canal of Schlemm
  • allows doe accommodation for near vision
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25
What happens in glaucoma?
- injury blocks canal and cannot drain fluid out of eye - increase in intraocular pressure -> damaged optic nerve - can be genetic; canal deteriorates
26
What is the main cause of the predominant tone?
the parasymp. system
27
In which instances does the symp. system determine the predominant tone?
blood vessels and sweat glands
28
What is a cholinergic neuron?
a neuron that synthesizes and release ACh
29
What does it mean when something is innervated?
- when there is a neuron above the location that releases NT - receptors that are not innervated will get a response from that blood flow or drugs
30
How is ACh synthesized?
- CHT transports choline into cell | - AcetylCoA + Choline -> ACh
31
Hemicholinium
blocks the action of CHT -> decreases levels of ACh
32
What happens after synthesis of ACh?
VAT transports it into vesicle for storage
33
Vesamicol
blocks activity of VAT
34
What effect does intracell. Ca have on nerve terminals?
fuses VAMPs and SNAPs -> exocytosis of vesicle -> release of ACh
35
Botulinum Toxin
inhibits fusion of VAMPs and SNAPs
36
What are drugs / toxins that can increase release of ACh?
- Latratoxin | - Carbachol
37
Toxins you should be aware of
- Latrotoxin | - Tetrodotoxin
38
Tetrodotoxin
inhibits action potential of cholinergic neurons
39
Acetylcholinesterase (AChE)
- breaks down ACh into acetate and choline | - located on post-synpt. cell
40
PseudoAChE
in the blood to break down any access ACh into acetate and choline
41
Cholinomimetics
drugs that bind on receptors that act as ACh
42
Anticholinergics
drugs that bind on receptors to block cholin. pathway
43
What are the types of cholinoceptors?
- Muscarinic receptors | - Nicotinic receptors
44
M2 are on which tissues?
- myocardium - smooth muscle - CNS neurons
45
M3 are on which tissues?
- exocrine glands - vessels - CNS neurons
46
Mechanism of M2
- opening of K channels | - inhibit adenylyl cyclase
47
Mechanism of M3
- formation of IP3 and DAG | - increased intracell. Ca
48
Drugs that work on muscarinic receptors do what?
favor parasymp. system
49
nicotinic receptors
ion channel that causes depol. of neurons and muscles
50
nicotinic receptors tissue distribution
- postgang. neurons | - skeletal muscle neoromuscular end plates
51
How many molecules of ACh needs to be bounded to nicotinic receptors?
two; after the first one binds, it is must easier for the second one to bind
52
Myasthenia gravis
- patient develops antibodies against their own receptors | - up to 80% of nicotinic receptors are reduced
53
Alzheimer’s disease
loss of cholinergic neurons in temporal lobe and entorhinal cortex brain
54
Where are nicotinic(m) receptors located?
skeletal muscle
55
Properties of ACh with respect to drug development
- non-selective - hydrolyze quickly - poor bioavailability
56
What is the effect of the acetylated choline in ACh?
quick hydrolysis
57
What is the effect of the quaternary amine in ACh?
poor permeability -> poor absorption
58
properties of muscarine
- cross BBB - natural alkaloid found in mushrooms - used in poison darts in which the antidote is atropine
59
What are the responses to mAChR agonists?
- smooth muscle contraction - vasodilation - increased secretion of exocrine - miosis - decreased heart rate
60
What can you alter in ACh to slow down hydrolysis?
add a carbamyl group at the ester end
61
effect of physostigmine
- Carbamylated AChE increases half life from 0.2ms to 15 min - slows down hydrolysis of ACh - reversible
62
effect of diethylphosphate
- half life is 8 hours - irreversible - phosphorylates AChE
63
What does MAO do?
metabolizes NE
64
How did the classification of alpha and beta come about?
classification based on response to NE, E, or isoproterenol
65
Effects of excessive ACh
- Salivation/ secretion/ sweating - Lacrimation/ low bp - Urination - Defecation - GI distress - Emesis
66
Cholinergic agonists
- can cross BBB - produce arousal and cortical activation affects: - cognitive function - motor control - appetite suppression - nociception
67
ACh as a choline ester
- charged molecule, cannot cross BBB - in low doses, high affinity for M receptors - in high doses, affinity for both M and N receptors - 1% solution in eye to produce miosis during ophth. surgery
68
Bethanechol as a choline ester
- increases GI motiliy and urinary system - tight closure of LES will prevent acid reflux - resistant to activation by AChE
69
Methacholine as a choline ester
- used for diagnostic tool for asthma (back in the day; induces asthma) - partially resistant to AChE inactivation
70
Carbachol as a choline ester
- resistant to AChE inactivation - not selective - releases ACh from nerve endings