Autonomic Drugs (M1) Flashcards
Does the sympathetic nervous system have long or short preganlionic fibers? 1. Post ganglionic? 2
- short
2. long
What cranial nerves are involved in the parasympathetic nervous system?
III, VII, IX, X
Does the parasympathetic nervous system have long or short preganglionic fibers? 1. Post ganglionic? 2
- long
2. short
Which autonomic nervous system has a high ratio of postganglionic fibers to preganglionic fibers?
sympathetic
What nerve plexi make up the enteric nervous system?
- submucosal
- myenteric
- subserosal
What is the neurotransmitter that is present in all autonomic ganglia?
acetylcholine
What are the NT’s of the enteric nervous system?
- neuropeptide Y
- vasodilate intestinal polypeptide (VIP)
- Enkephalin
- substance P
- serotonin
- adenosine triphosphate
- nitric acid
What is the inhibitor NT found in the synapses of the brain?
Gamma aminobutyric acid (GABA)
Is serotonin an excitatory or inhibitory NT?
excitatory
What causes the release of Ach?
action potential that induces calcium influx
What hydrolyzes Ach?
acetylcholinesterase
What causes the release of NE?
calcium-mediated exocytosis
How is NE remove from the synapse?
neuronal reuptake from catecholamine transporter
What inactivates NE that is not taken up?
COMT and MAO
What are the steps of the Baroreceptor Reflex for increased arterial pressure?
- stretch receptors in aortic arch and carotid sinus
- Sends impulses to vasomotor center (VMC)
- Activates vagal motor nucleus
- Increases vagal (parasym) outflow
- decrease stimulation of spinal intermediolateral neurons that activate sym system
- slows heart
Where are muscarinic receptors found?
parasym jxns of:
- smooth muscle
- cardiac tissue
- glands
- presynaptic sym and para nerves to inhibit NE release
What proteins are M1, M3, and M5 coupled with? 1. What does their activation stimulate? 2. What does this then lead to the formation of? 3.
- Gq
- phospholipase C
- Inositol triphosphate (IP3) and diacylglycerol (DAG)
What increases the release of calcium in muscarinic receptors? 1. What does this release of calcium lead to? 2
- IP3
- smooth muscle contraction, secretion of exocrine glands, and nitric oxide release by vascular endothelial cells (vasc smooth muscle relaxation)
What proteins are M2 and M4 coupled with? 1. What does their activation provide for? 2. What is the mechanism of this? 3
- Gα
- decreases cAMP
- inhibit adenylate cyclase
What type of channels are nicotinic receptors?
ligand-gated sodium channels
What come together to form nicotinic receptors?
5 transmembrane polypeptide subunits
What processes are activated in sympathetic activation for energy production?
- glycogenolysis
2. lipolysis
What is the word for leading to energy expenditure, describing the sym nervous system?
ergotropic
What is the word for leading to growth, describing the para nervous system?
trophotropic