Autonomic Nervous System Flashcards

1
Q

Parasympathetic division

A
  • Cranial nerves 3, 7, 9, 10
  • Sacral nerves S2 - S4
  • Long preganglionic and short postganglionic fibers
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2
Q

Sympathetic division

A
  • Thoracic nerves T1 - T12
  • Lumbar nerves L1 - L3
  • Short preganglionic and long postganglionic fibers
  • Adrenal medulla: modified sympathetic ganglion; receives preganglionic nerve and releases epinephrine (Epi; about 80%) and norepinephrine
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3
Q

Choline acetyltransferase

A
  • Syntesizes acetylcholine in the cytoplasm from acetyl-CoA and choline
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4
Q

Vesicle-assoc. transporter (VAT)

A
  • Transports acetylcholine into vesicles; driven by proton efflux
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5
Q

Muscarinic M2 cholinoreceptors locations

A
  • Myocardium
  • Smooth muscle
  • Some presynaptic sites; CNS neurons
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6
Q

Muscarinic M2 cholinoreceptors results of ligand binding

A
  • Opening of potassium channels
  • Inhibition of adenylyl cyclase; reduces contractility and electrical conduction
  • Mediates negative impacts on heart function, such as reduce heart rate, atrial contractility and conduction
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7
Q

Muscarinic M3 cholinoreceptors locations

A
  • Exocrine glands
  • Vessels (endothelium)
  • Smooth muscle
  • CNS neurons
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8
Q

Muscarinic M3 cholinoreceptors result of ligand binding

A
  • Like M1 receptor-ligand binding, cause muscle contraction and gland secretion
  • Vessel dilation due to EDRF
  • Mediates smooth muscle contraction, such as bronchial constriction, increase exocrine gland secretion
  • Mediates vasodilation by stimulating vascular endothelial nitric oxide production
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9
Q

Muscarinic M5 cholinoreceptors locations

A
  • Vascular endothelium, especially cerebral vessels
  • CNS neurons
  • Mediates vasodilation by stimulating vascular endothelial nitric oxide production
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10
Q

Muscarinic M5 cholinoreceptors result of ligand binding

A
  • Like M1 receptor-ligand binding, vessel dilation due to EDRF
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11
Q

Nicotinic Nn cholinoreceptors locations

A
  • Postganglionic neurons, some presynaptic cholinergic terminals
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12
Q

Nicotinic Nn cholinoreceptors result of ligand binding

A
  • Opening of Na+, K+ channels, depolarization
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13
Q

Metyrosine (alpha-methyltyrosine)

A
  • Inhibits the rate limiting step (conversion of tyrosine to dopa) in norepinephrine synthesis
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14
Q

Inactivation of NE

A
  • Neuronal uptake (NE transporter; about 50-80% NE) and simple diffusion: major pathway
  • Metabolism by monamine oxidase (MAO) and catechol-o-methyl transferase (COMT): minor pathway
  • MAO and COMT mainly metabolize the circulating catecholamines (NE and Epinephrine)

*determination of the 24-h urine excretion of their metabolites (i.e., metanephrine, normetanephrine, 3-methoxy-4-hydroxymandelic acid [VMA]) provides a measure of the total body production of catecholamines and for diagnosis of pheochromocytoma

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15
Q

Alpha1 adrenorectpros locations

A
  • Smooth muscle
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16
Q

Alpha1 adrenoreceptors result of ligand binding

A
  • Formation of IP3 and DAG, increased intracellular calcium
17
Q

Alpha2 adrenoreceptors locations

A
  • Presynaptic adrenergic nerve terminals
18
Q

Alpha2 adrenoreceptors locations

A
  • Inhibition of adenylyl cyclase, decreased cAMP
19
Q

Beta1 adrenoreceptors locations

A
  • Heart
  • Juxtaglomerular apparatus of renal tubules
20
Q

Beta2 adrenoreptros locations

A
  • Heart
  • Blood vessels (skeletal muscle)
  • 9
21
Q
  • Beta3 adrenoreptors locations
A
  • Lipocytes
22
Q

Adrenoreptors summary slide

A
23
Q

Botulinum toxin autonomic transmission effects

A
  • Prevents transmitter release of cholinergic vesicles
24
Q
  • Tyramine, amphetamine autonomic transmission effects
A
  • Promote transmitter release at adrenergic nerve terminals
25
Q

Bretylium, Guanethidine autonomic transmission effects

A
  • Block transmitter release at adrenergic nerve terminals
26
Q

Hemicholinium autonomic transmission effects

A
  • Blocks uptake of choline and slows synthesis at cholinergic nerve terminals: membrane
27
Q

alpha-Methyltyrosine (metyrosine) autonomic transmission effects

A
  • Blocks synthesis at adrenergic nerve terminals and adrenal medulla: cytoplasm
28
Q

Vesamicol autonomic transmission effects

A
  • Prevents transmitter storage; depletes vesicles at cholinergic terminals
29
Q

Reserpine autonomic transmission effects

A
  • Prevents storage; depletes vesicles at adrenergic terminals
30
Q

Cocaine, tricyclic autonomic transmission effects

A
  • Inhibit uptake; increase transmitter effect at adrenergic nerve
31
Q

Neostigmine autonomic transmission effects

A
  • Inhibits enzyme; prolongs and intensifies transmitter action at cholinergic synapses (acetylcholinesterase)
32
Q

Tranylcypromine autonomic transmission effects

A
  • Inhibits enzyme; increases stored transmitter pool at adrenergic nerve terminals (monamine oxidase)
33
Q

Sympathetic and parasympathetic receptors and their activity on: EYE

A

Sympathetic

  • Iris radial muscle

*receptor: alpha1

*action: constricts

  • Ciliary muscle

*receptor: beta

*action: relaxes

Parasympathetic

  • Iris circular muscle

*receptor: M3

*action: contracts

  • Ciliary muscle

*receptor: M3

*action: contracts

34
Q

Sympathetic and parasympathetic receptors and their activity on: HEART

A

Sympathetic

  • Sinoatrial node

*receptor: beta1, beta2

*action: accelerates

  • Ectopic pacemakers

*same

  • Contractility

*receptor: same

*action: increases

Parasympathetic

  • Sinoatrial node

*receptor: M2

*action: decelerates

  • Contractility

*receptor: M2

*action: decreases

35
Q

Sympathetic and parasympathetic receptors and their activity on: BLOOD VESSELS

A

Sympathetic

  • Skin, splanchnic vessels

*receptor: alpha

*action: contracts

  • Skeletal muscle vessels

*receptor: beta2

*action: relaxes