12A. Cholinergic neurotransmission Flashcards

1
Q

6 important Neurotransmitters

A
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2
Q

The main processes involved in synthesis, storage and release of neurotransmitters
-> identify 1 - 4

A

1, uptake of precursors;
2, synthesis of transmitter;
3, uptake/transport of transmitter into vesicles;
4, degradation of surplus transmitter;

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3
Q

The main processes involved in synthesis, storage and release of neurotransmitters
-> identify 5 - 8

A

5, depolarisation by propagated action potential;
6, influx of Ca2+ in response to depolarisation;
7, release of transmitter by exocytosis;
8, diffusion to postsynaptic membrane;

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4
Q

The main processes involved in synthesis, storage and release of neurotransmitters
-> identify 9 - 13

A

9, interaction with postsynaptic receptors;
10, inactivation of transmitter;
11, reuptake of transmitter or
degradation products by nerve terminals;
12, uptake and release of transmitter by non-neuronal cells;
13, interaction with presynaptic receptors

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5
Q

What is Molecular Model of an Average SV>

A
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6
Q

How do Vesicular Neurotransmitter Transporters work?

A

1/ Transmitter uptake into vesicles
2/ Antiporters
3/ Secondary active transporters
4/ Proton gradient is generated by V-ATPases (proton pumps)

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7
Q

Proteins are involved in exocytosis
-> several bacterialvtoxins known to cause neurologic symptoms were proven to inhibit exocytosis by ____

A

cleaving specific SNARE proteins

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8
Q

Proteins are involved in exocytosis
-> mutation of yeast homologs of the ____ causes defects in membrane trafficking.

A

SNAREs

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9
Q

Proteins are involved in exocytosis
-> _____ spontaneously form a thermodynamically stable 1:1:1 complex.

A

syntaxin, synaptobrevin, and SNAP-25

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10
Q

What is synaptotagmin?

A

major calcium-binding protein

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11
Q

What does SNARE proteins include?

A

“SNAP REceptor”

Soluble NSF attachment proteins (SNAP)

N-ethylmaleimide-sensitive factor (NSF) ATPase

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12
Q

How do SNARE proteins work?

A

1/ Assembly of pre-fusion SNARE/SM protein complex
2/ Activation of pre-fusion SNARE/SM protein complex by complexin
3/ Ca2+-triggering of fusion-pore opening
4/ Fusion-pore expansion + NSF- & SNAP binding
5/ NSF-mediated SNARE-complex disassembly & vesicle recycling

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13
Q

What are 2 types of Neurotransmitter receptors

A

1/ Ligand-gated ion channels
2/ G protein-coupled receptors

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14
Q

Major neurotransmitters of the Autonomic nervous system
-> Where do we find cholinergic neurons?

A

1/ Neuromuscular junction
2/ Autonomic preganglionic fibers
3/ Parasympathetic postganglionic fibers - heart, glands, smooth muscle

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15
Q

2 important types of receptors binding to neurotransmitters in central nervous system?

A
  • nicotinic receptors
  • muscarinic receptors
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16
Q

Model of a cholinergic synapse

A
  1. High affinity choline uptake („low- affinity” choline uptake in all tissues, phospholipid synthesis)
  2. ACh synthesis: choline acetyltransferase
  3. ACh storage: a specific transporter
  4. ACh release
  5. ACh inactivation: ACh esterase
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17
Q

What is the inhibitor of the choline transporter?

A

Hemicholinium

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18
Q

An example of muscarinic agonist

A

Arecoline

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19
Q

2 examples of muscarinic antagonist

A

Atropine and benzotropine

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20
Q

What is the inhibitor of vesicular acetylcholine transporter?

A

Vesamicol

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21
Q

2 inhibitors of ACh release

A

Botulinus and tetanus toxins

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22
Q

What is the molecule stimulating ACh release

A

black window spider toxin

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23
Q

What are the 3 inhibitors of AChE?

(Acetylcholinesterase (AChE) is a cholinergic enzyme primarily found at postsynaptic neuromuscular junctions, especially in muscles and nerves)

A

Tacrine, galantamine and physostigmine

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24
Q

What are the 2 nicotinic antagonists?

A

Curare and mecamylamine

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25
Q

Model of a cholinergic synapse
-> What is the partial agonist at nicotinic receptors?

A

Vareniciline

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26
Q

What is the enzyme involving in ACh synthesis?

A

Choline acetyltransferase

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27
Q

What is the enzyme involving in ACh synthesis?

A

Choline acetyltransferase

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28
Q

What is the enzyme involving in ACh inactivation?

A

ACh esterase

29
Q

What is the equation for synthesis of acetylcholine?

A
30
Q

What are some characteristics of Synthesis of acetycholine?

A

*(66 – 70 Kda)
*Immunohistochemical mapping of cholinergic neurons *Cytoplasmic
*Not rate–limiting

31
Q

What is the enzyme for Hydrolysis of acetylcholine?

A

Acetylcholineesterase

32
Q

What is the equation for the Hydrolysis of acetylcholine?

A
33
Q

What are characteristics of for hydrolysis of acetylcholine?

A

It’s catalytic efficiency (kcat/Km) approaches the diffusion limit, the enzyme cannot catalyze the reaction any better and is said to have reached ‘catalytic perfection.’

34
Q

What are the 5 Cholinergic muscarinic receptors?

A

1/ M1(neural) Gq
2/ M2 (cardiac) Gi
3/ M3 (glandular/smooth muscle) Gq
4/ M4 Gi
5/ M5 Gq

35
Q

Cholinergic muscarinic receptors
-> What are main locations of M1(neural) Gq?

A

1/ Autonomic ganglia (hydrochloric acid and intrinsic factor secretion)
2/ Glands: salivary, lacrimal, etc. Cerebral cortex

36
Q

Cholinergic muscarinic receptors
-> What is Cellular response of M1(neural) Gq?

A

PLC = Phosphalipase C
IP3 = inositol 1,4,5-trisphosphate

37
Q

Cholinergic muscarinic receptors
-> What are main locations of M2
(cardiac) Gi?

A

Heart: atria
CNS: widely distributed

38
Q

Cholinergic muscarinic receptors
-> What is cellular response of M2
(cardiac) Gi?

A
39
Q

Cholinergic muscarinic receptors
-> What are main locations of M3
(glandular/ smooth muscle) Gq?

A

1/ Exocrine glands: salivary, etc.
2/ Smooth muscle: gastrointestinal tract, eye, airways, bladder
3/ Blood vessels: endothelium

40
Q

Cholinergic muscarinic receptors
-> What is cellular response of M3
(glandular/ smooth muscle) Gq?

A
41
Q

Cholinergic muscarinic receptors
-> What are main locations of M4 Gi?

A

CNS

42
Q

Cholinergic muscarinic receptors
-> What is cellular response of M4 Gi?

A
43
Q

Cholinergic muscarinic receptors
-> What are main locations of M5 Gq?

A

1/ CNS: very localised expression in substantia nigra
2/ Salivary glands
3/ Iris/ciliary muscle

44
Q

Cholinergic muscarinic receptors
-> What is the cellular response of M5 Gq?

A
45
Q

Cholinergic muscarinic receptors
-> What is functional response of M2 (cardiac) Gi?

A

1/ Cardiac inhibition
2/ Neural inhibition
3/ Central muscarinic effects (e.g. tremor, hypothermia)

46
Q

Cholinergic muscarinic receptors
-> What is functional response of M3 (glandular/ smooth muscle) Gq?

A

1/ Gastric, salivary secretion
2/ Gastrointestinal smooth muscle contraction
3/ Ocular accommodation
4/ Vasodilatation

47
Q

What is an atropine?

A

Atropine is a naturally-occurring alkaloid isolated from the plant Atropa belladonna

48
Q

The role of Nicotinic receptors

A

nausea, vomiting, headache, dizziness weakness, tremor pale face, collapsus

49
Q

The role of Muscarinic receptors

A

S- Salivation
L- Lacrimation
U -Urinary frequency
D-Diarrhea
G- Gastrointestinal cramping
E- Emesis
M- Miosis

50
Q

What happen if there is “Atropin overdose”?

A
  • increased antimuscarinic side effects:
    dilated pupils, warm, dry skin, tachycardia, tremor, ataxia, delirium, and coma
51
Q

What is myasthenia gravis?

A

A neuromuscular junction disease that has autoantibodies to postsynaptic ACh receptor

52
Q

What is dihydropyridine receptor (DHPR)?

A

L-type voltage-dependent calcium channel, functions in skeletal muscle as a voltage sensor

53
Q

What is the mechanism of ryanodin receptor mutation?

A

altered kinetics of Ca2+ channels persistent large increase in [Ca+]I
-> malignant hyperthermia

54
Q

What are the symptoms of malignant hyperthermia?

A

rare, life-threatening condition in which inhaled anesthetics or succinylcholine induce severe muscle contractions and hyperthermia.

55
Q

What is the treatment of malignant hyperthermia?

A

dantrolene (a ryanodine receptor antagonist)

56
Q

Excitation– contraction in the ventricular muscles
->

A

Dihydropyridine (DHP) receptor (L-type channel)

57
Q

What is the treatment for Dihydropyridine (DHP) receptor (L-type channel)?

A

Antiarrhythmic antihypertensive drugs („calcium
channel blockers”)

58
Q

What is the mechanism for Excitation– contraction in the ventricular muscles?

A

Depolarization
-> L-type Ca2+- channel (DHP receptor) activation
-> Ca2+ entry
-> Ca2+ induced Ca2+ release from sarcoplasmic reticulum
-> contraction

59
Q

What is an Acetylcholine effect on atrial GIRK (G protein-gated inwardly rectifying K+ ) channels?

A

The binding of acetylcholine to its receptor causes the release of G protein βγ subunits, which diffuse to a site on neighboring GIRK channels to activate their opening.

The resulting increase in outward K+ current hyperpolarizes the cardiac cell, thereby lowering the heart rate.

60
Q

What are the 2 types of cholinomimetic (cholinergic) drugs)?

A

1/ Direct-acting
2/ Indirect-acting (cholinesterase inhibitors)

61
Q

Identify

A

1 - Muscarinic
2 - Nicotinic

62
Q

Identify 1 - 2

A

1/ Choline esters (acetylcholine)
2/ Alkaloids (pilocarpine)

63
Q

Identify 1 - 3

A
64
Q

Importance of acetylcholinesterase in 3 areas

A

Physiological
Pharmacological – reversible inhibition
Toxicological – irreversible inhibition

65
Q

Where can we find Reversible cholinesterase inhibitors?

A

-Therapy of Myasthenia gravis
-Therapy of Alzheimer disease
-Eye drops (Glaucoma)

66
Q

Some Irreversible cholinesterase inhibitors?

A

Cholinergic Crisis

Organic phosphate molecules
for example: Diisopropyl-flurophosphate (DFP)

67
Q

What is the treatment for Irreversible cholinesterase inhibitors?

A

Cholinesterase reactivators (pralidoxime [PAM])

68
Q

Pseudocholinesterase

A
  • Intheplasma
    – Produced by the liver
  • Hydrolysisofotheresters
    –Short-lasting muscle relaxants (longer effect than acetylcholine)
69
Q

What is Pseudocholinesterase deficiency?

A

a condition that makes you sensitive
to certain drugs used during anesthesia.

(The drugs are designed to briefly relax your muscles during a medical procedure.
With PD, the muscles stay relaxed for a longer time, which can lead to medical complications.
Genetic testing)