ANS 3 Flashcards

1
Q

Tyrosine Hydroxylase is inhibited by this substrate and is also the rate limiting step

A

Norepinephrine

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2
Q

A non-specific enzyme not confined to catecholamine synthesising cells

A

Dopa decarboxylase

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3
Q

A non-specific enzyme but is restricted to catecholamine synthesizing cells

A

Dopamine B-Hydroxylase

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4
Q

Main location is in the adrenal medulla and production is induced by a steroid hormone

A

Phenylethanolamine N-methyltransferase (PNMT)

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5
Q

Major factor that controls the rate of synthesis of epinephrine by increasing PNMT

A

Glucocorticoid

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6
Q

Storage of NE is contained in?

A

Vesicles

Maintained by VMAT

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7
Q

75% of NE is recaptured and repackaged mediated by?

A

Norepinephrine Transporter (NET)

25% by EMT

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8
Q

This enzyme degrades NE and is found in Mitochondria and abundant in Noradrenergic nerve terminals

A

Monoamine oxidase (MAO)

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9
Q

Degrades NE but absent in Noradrenergic nerve terminals but present in adrenal medulla

A

Catechol-O-Methyltransferase (COMT)

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10
Q

End product NE metabolism

A

Vanillylmandelic acid (VMA)

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11
Q

Synapse where the 2nd messenger is cAMP?

A

Presynaptic adrenergic receptors

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12
Q

Type of receptors found in the presynaptic membrane

A

a2, B2

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13
Q

Postsynaptic receptor where the 2nd messenger is phospholipase C?

A

a1

The rest is cAMP mediated

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14
Q

What type of presynaptic receptor decreases cAMP when activated?

A

a2

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15
Q

Main neurotransmitter found in postganglionic sympathetic fiber?

A

Norepinephrine

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16
Q

Main catecholamine secreted by the adrenal medulla?

A

Epinephrine

17
Q

NT in the CNS?

18
Q
  • Can pass the BBB
  • CNS stimulant action
  • Longer Duration (COMT resistant)
A

Non-Cathecolamine

19
Q

Direct acting Adrenergic agonist

A
Norepinephrine 
Epinephrine 
Isoproterenol 
Phenylephrine
Dobutamine
Terbutaline

(DirectT EPIN)

20
Q

Rank of order for a1 potency

A

Epinephrine≥ Norepinephrine» Isoproterenol

21
Q

Effects of NE stimulation to a1

A

Vasoconstriction (also for a2)
Pupil Dilation
Ejaculation

22
Q

Effects of NE stimulation to a2

A

Decrease activation of cAMP
Inhibits release of NE and Ach
Decreases aqueous humor
Low insulin

23
Q

Activation of B1

A

Heart: Inc Contraction, Inc HR
Kidney: Renin Release = Angiotensin

(Contraction)

24
Q

Rank of order of potency for B1

A

Isoproterenol > Epinephrine ≥ Norepinephrine

25
Receptors which also activates adenylyl cyclase leading to inc cAMP but inactivates MLCK having relaxation
B2 | Bronchodilation, Uterine Relaxation, Inc Metabolic effects
26
Rank of order of potency for B2
Isoproterenol > Epinephrine >> Norepinephrine
27
Has (+++) activity for A1 and B1
Norepinephrine
28
A non-catecholamine which has (+++) for A1, B1 and B2
Ephedrine
29
Has minimal activity for B2
Norepinephrine
30
(+++) activity for a2
Clonidine
31
Action of B3 stimulation
Increase Lipolysis
32
Inhibits secretion of aqueous humor
a2 | B inc secretion of aqueous humor
33
Acidic urine enhances its excretion
Ephedrine
34
Has higher central than peripheral effects than Amphetamine and CNS actions is attributed by release of Dopamine and Norepinephrine
Metamphetamine
35
Proven efficacy in children with Attention deficit hyperactivity disorder (ADHD)
Methylphenidate
36
Used as nasal decongestant and appetite suppresant
Phenylpropanolamine Adverse Effect: Stroke
37
High concentrations in fermented food which causes to release stored catecholamines
Tyramine