Adrenal Medulla: catecholamines Flashcards

1
Q

what is catecholamine release associated with

A

cortisol

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2
Q

what catecholamine is mostly in blood

A

norepinephrine

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3
Q

what catecholamine is mostly in the adrenal medulla

A

epinephrine

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4
Q

primary action of dopamine

A

neurotransmitter - very little in plasma

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5
Q

how are catecholamines metabolized

A

adrenal medulla (recycled), CNS, liver, and kidneys

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6
Q

4 stimuli of catecholamine

A

fight, flight, fear, reproduction

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7
Q

how is epi released

A

sympathetic nerve stimulates adrenal medulla via Ach to release epi to act on distant target cells

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8
Q

how is norepi released

A

sympathetic nerve stimulates Ach at the needed area to release norepi for action on target cells at point of release

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9
Q

how is tyrosine made into L dopa

A

tyrosine hydroxylase with copper cofactor (O2, NADH tetrahydropteridine

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10
Q

how is L dopa made into dopamine

A

L-aromatic AA decarboxylase and pyridoxal phosphate

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11
Q

how is dopamine made into norepi

A

dopamine beta hydroxylase, O2, NADH or NADPH

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12
Q

how is norepi made into epi

A

SAM and phenylethanolamine N methyltransferase

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13
Q

what stimulates dopamine formation into norepi

A

sympathetic activity

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14
Q

what stimulates norepi formation into epi

A

cortisol

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15
Q

what inhibits tyrosine formation into L dopa

A

negative sympathetic feedback and small negative feedback from norepi

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16
Q

where is epi made

A

cytoplasma of chromaffin cells

17
Q

how is catecholamine release acutely regulated

A

Ach binding to adrenal medulla chromaffin cell triggers Ca cascade which promotes exocytosis of epinephrine from secretory granules

18
Q

how is catecholamine release chronically regulated

A

stress triggers hypothalamus to release ACTH which releases cortisol. cortisol induces PNMT (enzyme) and SAM to convert norepi to epi. epi is packaged in neurosecretory granules and released

19
Q

what adrenergic receptor dilates pupil

20
Q

adrenergic receptor activates salivary glands

21
Q

adrenergic receptor increases HR and contractility

22
Q

adrenergic receptor dilates airways

23
Q

adrenergic receptor decreases motility

24
Q

adrenergic receptor decreases motility

A

alpha 2 and beta 2

25
adrenergic receptor increases sphincter contraction
alpha 1
26
adrenergic receptor for ejaculation
alpha
27
2nd msgr alpha 1 adrenergic
IP3
28
2nd msg alpha 2 adrenergic
cAMP
29
how do a1 and a2 receptors differ
if a1 is triggered, increase IP3 to increase Ca in the cell to cause smooth muscle contraction and gland cell secretion (cutaneous and GI vasoconstiction, urethral sphincter contraction) if a2 is triggered, cAMP reduces and inhibits the cell
30
inhibitory or excitatory alpha receptros
usually excitatory
31
inhibitory of excitatory beta receptors
inhibitory
32
2nd msgr beta receptors
all act through cAMP through different effects and tissues
33
what if beta1 receptor triggered
cardiac muscle stimulated and increased tissue metabolism
34
beta2 receptor triggered
relaxation of muscle in respiratory passages and in blood vessels of skeletal muscle if camp increase, constriction of gut sphincter if decrease, muscle vessel dilation and detrusor relaxation
35
beta 3 receptor triggered
release of FA by adipose tissue for metabolic use in other tissues
36
what degrades catecholamines
monoamine oxidase and other stuff
37
what is the final metabolic product of catecholamine breakdown?
regardless of degradation pathway, is vanillymandelic acid (VMA)
38
plasma profile epinephrine
increase glucose, increase FFA, not much change of AA
39
how is a2 receptor special
only one that inhibits (decrease cAMP and inhibit cell activity)