Adrenergic System Flashcards
Phosphatidylinositol 4,5-bisphosphate (PIP2) is cleaved into two second messengers:
diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3).
Mechanism of alpha 1 action
•Binding of agonist
•Activation of Gprotein
•Activation of phospholipase C…..cleaving of PIP2 to DAG and IP3
•Release of intracellular Calcium
•Activation of protein kinase C and calcium calmodulin complex which activates MLCK
•MLCK phosphorylate mlc leading to contraction
Beta 1 receptors are primarily found in the
Heart
What is the effect of beta 2 receptor activation in the bronchi
Bronchodilation- relaxation of smooth muscles
Isoprenaline is a ……… receptor agonist and has no effect on ……….. receptor
Beta
Alpha
Examples of a direct acting alpha 1 agonist
Methoxamine
Phenylephrine
Meturamin
Mephenteramine
Use of direct acting alpha 1 agonist
•Nasal decongestion
•Management of hypotension due to overdose
•Blood pressure elevation during spinal anaesthesia
•Combined with local anesthetics to prolong effect
•Mydraitic agents
Example of direct acting alpha 2 agonist
Brimonidine
Apraclonidine
Clonidine
Guanabenz
Guanfacine
A side effect of alpha 2 agonists
Sexual dysfunction
Rebound htn
Bradycardia
An example of a B1 agonist is
Dobutamine
…………….. is a non selective beta agonist
Isoprenaline
Beta 2 agonists Include
Salbutamol
Terbutaline
Fenoterol
Albuterol
Levalbuterol
The indirect acting sympatomimetics are
Amphetamine
Metamphetamine
Methylphenidate
Cocaine
Ephedrine
Example of an alpha 2 selective blocker used to improve sexual performance
Yohimbine
Non selective alpha receptor blockers
Phenoxybenzamine
Phentalamine