Adrenal Catecholamines Flashcards

1
Q

What is the connection between the brain and the adrenal medulla?

A

There is a direct connection between the hypothalamus and the adrenal medulla

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2
Q

Which cells store catecholamines?

A

Medulla chromaffin cells or pheochromocytes contain secretory vesicles with epi or norepi

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3
Q

What are the interconnected neurons of the sympathetic NS?

A

Brain –> preganglionic neurons –> postganglionic neurons(secrete NE as NT) or innervate adrenal medulla (secrete E into the bloodstream (circulate to tissues targeting alpha or beta adrenergic receptors)

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4
Q

What is E/NE secretion stimulated by?

A

Acetylcholine, uses nicotinic AchR

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5
Q

How are catecholamines synthesized?

A
  1. Tyrosine hydroxylase adds a hydroxyl group to make DOPA
  2. DOPA to dopamine, by DOPA decarboxylase, which removes carboxyl
  3. Dopamine enters storage vesicles
    - hydroxyl added by dopamine-beta0hydroxylase to make norepi –> diffuses into cytoplasm
  4. To make epi, methyl is added by phenylethanolamine n-methyltransferase –> epinephrine
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6
Q

Where is most of the epi made?

A

In chromaffin cells

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7
Q

What is the rate limiting step of catecholamine synthesis?

A

Tyrosine hydroxylase adding a hydroxyl group to make DOPA

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8
Q

What controls PMNT production?

A

gene is induced by cortisol, levels of cortisol stimulate production of epi

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9
Q

What is alpha 1-adrenergic receptor signaling?

A

Agonist binds to the galpha 1 GPCR –> activation of phospholipase C –> IP3 and DAG –> DAG activates PKC, IP3 increases Ca stores in the cell –> Ca dependent protein kinase activation

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10
Q

What is Beta-adrenergic signaling?

A

Agonist binds to beta receptor (alpha s) –> Activation of AC –> cAMP –> activation of R2C2 protein kinase –> 2C –> activates enzyme

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11
Q

What is alpha 2-adrenergic signaling?

A

Agonist binds to alpha 2 receptor (g alpha i) –> inhibition of AC

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12
Q

What are the effects of epinephrine and norepinephrine?

A

Increased alertness due to inc blood flow and glucose metabolism. Increased rate and force of heart contraction (B-AR). Increased peripheral vasoconstriction (a1 and a2-AR). Decreased blood flow to non-essential tissues. Increased O supply by bronchial dilation B-AR. Increased glucose production by glyconeogenesis and glycogenolysis. increased lipolysis (B-AR, inhib by a2-AR), increased glyconeogenesis

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13
Q

What receptor do adrenal catecholamines act on to induce increased heart rate and force of contraction?

A

Beta adrenergic receptors

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14
Q

What receptor do adrenal catecholamines act on to induce vasoconstriction?

A

alpha 1 and alpha 2 adrenergic receptors

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15
Q

What receptor do adrenal catecholamines act on to induce bronchial dilation?

A

beta adrenergic.

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16
Q

What receptor do adrenal catecholamines act on to induce lipolysis?

A

Beta adrenergic receptors, inhibited by alpha 2 adrenergic receptors