6- Cholinergic Physiology Review Flashcards

1
Q

choline is transported from the extracellular fluid into the neuron terminal by ….

A

choline transporter CHT

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2
Q

what inhibits CHT?

A

hemicholiniums

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3
Q

in the cytoplasm, Ach is synthesized from choline and acetyl Co A by …

A

choline acetyltransferase ChAT

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4
Q

Ach is transported into storage vesicle by …

A

vesicle associated transporter VAT

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5
Q

what inhibits VAT

A

vesamicol

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6
Q

vesicles full of ACH are concentrated on the inner surface of n. terminals by the actions of _________ on vesicle and _________ on cell membrane

A

v-SNAREs (synaptobrevin)

t-SNAREs (syntacin and SNAP-25)

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7
Q

are vesamicol and hemicholiniums prescription drugs?

A

No - too strong for clinical use. but they are used in research

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8
Q

where do botulinum toxins work?

A

prevent the release of the Ach vesicle

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9
Q

Ach’s action is terminated rapidly via metabolism by _______

A

acetylcholinesterase AchE

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10
Q

AchE inhibitors

A

anticholinesterases

ex: neostigmine enhances effects of Ach

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11
Q

two different cholinoreceptors

A
  • muscarinic M (gprtn receptors)

- nicotinic N (ion channels - alpha subunit)

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12
Q

signal transduction of M1 and M3 receptors

A

Phospholipase C pathway with IP3 and DAG leading to increase in calcium and Prtn kinase C

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13
Q

signal transduction of M2 receptors

A

adenyly cyclase to decrease cAMP and decrease PKA

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14
Q

effects of muscarinic receptors on sphincter muscle of eye

A

binds to M3 receptor

causes contraction and opening of canal of Schlemm

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15
Q

effects of muscarinic receptors of ciliary muscle of eye

A

binds to M3 receptor

accomodation for near vision

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16
Q

effects of muscarinic receptors on SA node

A

binds to M2 receptor

decreases HR via negative chronotropy

17
Q

effects of muscarinic receptors on AV node

A

binds to M2 receptor

decrease conduction velocity via negative dromotropy

18
Q

what happens to ventricular contraction with muscarinic receptor activation?

A

decreased ventricular contraction

no effects on ventricles of purkinje system

19
Q

effects of muscarinic receptors on bronchioles

A

binds to M3 receptor

causes contraction - bronchospasm

20
Q

effects of muscarinic receptors on glands in lungs

A

secretion (narrows lumen)

21
Q

effects of muscarinic receptors in stomach

A

binds to M3 receptor

increases motility, cramps

22
Q

effects of muscarinic receptors in glands of GI tract

A

binds to M1/3

increases secretion

23
Q

effects of muscarinic receptors in intestine

A

binds to M3 receptors

causes contraction - diarrhea, involuntary defecation

24
Q

effects of muscarinic receptors on bladder

A

binds to M3 receptors

contraction (detrusor) and relaxation of trigone/sphincter –> voiding, urinary incontinence

25
effects of muscarinic receptors on sphincters
binds to M3 receptors causes relaxation
26
what is the only sphincter which contracts with activation of M3 receptors?
lower esophageal sphincter
27
effects of muscarinic receptors on glands
binds to M3 receptors secretion - sweat (thermoregulatory), salivation, and lacrimation
28
effects of muscarinic receptors on blood vessels
binds M3 receptors dilation (EDRF)
29
how do M1 and M3 work in glands of GI tract
M3 receptors are on parietal cells are directly activates to secrete acid M1 receptors activated histamine secretion which also stimulates acid secretion
30
when the endothelium is damaged... drect effect of M3 activation on VSMC causes...
vasoconstriction normally M3 causes vasodilation
31
adrenal medulla response to nicotinic receptor activation
Nn receptor secretion of epinephrine and Ne
32
autonomic ganglia response to nicotinic receptor activation
Nn receptor stimulation - net effects dependent of PANS/SANS innervation and dominance
33
neuromuscular junction response to nicotinic receptor activation
Nm receptor stimulation - twitch/hyperactivty of skeletal muscle