Nicotine Flashcards

(28 cards)

1
Q

How is nicotine cultivated?

A

dried tobacco leaves contain ~6% nicotine (active alkaloid)

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2
Q

What is in tobacco smoke?

A

nicotine, carbon monoxide and thousands of particulates (many are carcinogenic)

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3
Q

What are the risks of smoking?

A

around 1/4 cancer deaths not caused by genetic factors are attributable to smoking tobacco
half of all lifetime smokers die prematurely because of cigarette-induced disease

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4
Q

What factors can influence smoking?

A
socioeconomic; bachelor degree holders are less likely to smoke
age; highest level of smoking 20-34
men smoke more than women
price
culture
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5
Q

Routes of administration

A

most routes are effective except for ingestion

smoking, snuff, gum, chewing tobacco

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6
Q

Which is the optimal route of administration for peak subjective high?

A

inhaling cigarette smoke allows nicotine to reach the brain in ~ 7 seconds

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7
Q

When can nicotine be poisonous?

A

~60mg is a lethal dose in humans

each cigarette contains ~6-11mg, of which 1-3mg is absorbed

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8
Q

What aversive symptoms can high nicotine doses cause?

A

nausea, dizziness, sweating, heart racing, stomach ache; potent activator of the sympathetic and parasympathetic nervous system

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9
Q

How can nicotine be lethal?

A

very high dose can cause a depolarisation block on the muscles involved in respiration

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10
Q

How is nicotine metabolised?

A

nicotine is metabolised into cotinine by the cytochrome P450 2A6 enzyme and excreted through urine
evidence; methoxsalen inhibits enzyme and creates unpleasant symptoms at lower concs

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11
Q

What are the subjective effects of nicotine?

A

relaxation
stress alleviation
concentration; sustained attention and memory

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12
Q

How can nicotine self-administration be modelled in rodents?

A

IV nicotine SA can be difficult to achieve
behaviour is strongly controlled by conditioned cues
- e.g. humans; smoke, rodents; light/sound etc.
conditioned cues are strong at low doses but not at high doses

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13
Q

What metabolic changes are associated with smoking?

A

reduction in monoamine oxidase B

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14
Q

What is the function of monoamine oxidases?

A

break down monoamine NT’s (DA and NE) into inactive metabolites

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15
Q

What are the implications of reduced MAO?

A

psychiatric disorders

lower rates of Parkinsons Disease

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16
Q

What evidence is there for the role of MAO in nicotine SA?

A

MAO inhibitors greatly facilitate nicotine SA and sensitisation
extended access + MAO inhibition = greatest escalation of nicotine SA

17
Q

What are the withdrawal symptoms of nicotine addiction?

A

irritability, anxiety, difficulty concentrating
disappear after 4 weeks
nicotine replacement therapy can help

18
Q

Where is acetylcholine found?

A

the neuromuscular junction

19
Q

How is ACh synthesised?

A

choline (dietary precursor) + acetyl coenzyme A + choline acetyltransferase = acetylcholine + coenzyme A

20
Q

How is ACh degraded?

A

Ahh + acetylcholinesterase = choline + acetic acid

21
Q

What are the classes of ACh receptor?

A

metabotropic; muscarinic

ionotropic; nicotinic

22
Q

What is the structure of nAChR?

A

pentameric ligand-gated cation channel

alpha and beta subunits (12 types) can combine in various ways

23
Q

What is the structure of nAChR?

A

pentameric ligand-gated cation channel

alpha and beta subunits (12 types) can combine in various ways; usually 3a and 2b

24
Q

What is the structure of mAChR?

A

g-protein coupled receptor that serves various functions in the CNS

25
How do ACh receptors work?
to pass cations and allow rapid depolarisation (EPSPs)
26
What are the peripheral actions of AChRs?
autonomic nervous system to regulate physiological functions - sympathetic; HR, BP, NE and E secretion from adrenal glands - parasympathetic; stomach acid and intestinal motility
27
What are the main neurological actions of nicotine?
increased VTA firing and accumbens dopamine release | accumbal dopamine is required for nicotine SA
28
Which ACh receptor is implicated in nicotine SA?
beta2 K/O mice do not show VTA firing in response to nicotine; b2 nAChR implicated in reinforcing effects of nicotine in VTA