Autonomic pharm Flashcards

1
Q

All preganglionic neurons are

A

Ach – synapsing on nicotininc

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2
Q

Craniosacral

A

para

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3
Q

Thoracolumbar

A

symp

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4
Q

Post ganglionic of para

A

Ach – muscarinic

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5
Q

Parasympathetic organs

A

cardiac .. SM.. gland cells ,, nerve terminals

Controlled by Ach muscarinic

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6
Q

Para post ganglionic

A

these are cholinergic that releases Ach that interacts with muscarininc receptors .. Cardiac ..SM .. glands .. nerve terminals

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7
Q

Sympathetic post ganglionic

A

these are monoamine neurons mostly releasing NE and some dopamine.

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8
Q

Para has long neurons in the

A

pre

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9
Q

Para has short neurons in the

A

post

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10
Q

Sympathetic has short neurons in the

A

pre

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11
Q

Sympathetic has long neurons

A

in post

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12
Q

Cardiac and SM, gland cells , nerve terminals in parasympathetc innervated by

A

Ach– muscarinic

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13
Q

Sweat glands in sympathetic are innervated by

A

Ach M

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14
Q

Cardiac and smooth muscle, gland cells and nerve terminals in sympathetic innervated by

A

NE alpha and beta

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15
Q

Renal vascular and SM in sympathetic are innervated by

A

NE and D

alpha and D1

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16
Q

Adrenal medulla

A

Epi, NE

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17
Q

Somatic skeletal muscle

A

Ach N

18
Q

Enteric nervous system

A

Controls GI

myenteric plexus

submucous plexus

19
Q

NE can act as

A

locally or a hormone

20
Q

Certain drugs such as Hemicholiniums can do what ?

A

Affect the transport of choline, but its not used in clinic s cause it would react with other things.

21
Q

Ach choline synthesis requires

A

choline and AcCoA

22
Q

After Ach is synthesized, it is stored in vesicles, but it has to to be what ?

A

transported into those vesicles

23
Q

The vesicles that Ach are transported into

A

Have protein transporters which are responsible for transporting Ach from the cytoplasm into the vesicles. But, there are drugs that can block this process, so if the molecule is not being stored, it will be excreted by the presynaptic.

24
Q

Drugs that block the Ach transporters are

A

Extacy and Amphetamines

25
Q

In order to excrete molecules, Ca is required. There are molecules that prevent degranulation of these vesicles, such as

A

Botulinum Toxin

26
Q

Botulinium Toxin only acts where

A

on cholinergic neurons. It interacts with receptors on the surface of cholinergic neurons to prevent degranulation.

27
Q

Bot Toxin prevents degranulation how

A
  1. Gets transported into the cell via endocytosis ‘

2. Prevents association of proteins on vesicles with the neural cell membrane.

28
Q

Bot tox does not do what ?

A

Cross the BBB

29
Q

BOt toxin block sweat glands because they are

A

muscarininc innervated by Ach neurons.

30
Q

After degrenulation, Ach interacts with its receptors

A

miscairininc and inotropic

31
Q

Term for agonist

A

cholinomimetics

32
Q

term for antagonist or deactivator

A

cholinolytics

33
Q

Excess Ach

A

Choline can be recycled and then there is also acetate

34
Q

NE and dopamine are synthesized from

A

AA and are transported into the cell by transporters

35
Q

regarding NE and Dopa mine .. compare their storage to Ach

A

Similar to Ach, these NT are stored in vesicles and there is active transport involved from the cytoplasm to the vesicles. works by calcium dependent degranulation. Proteins associate with cell membranes to degranulate.

36
Q

Excess of NE and dop are being degraded differently than Ach … how ?

A

They are actively transported back to the presynaptic (reuptake). Knowing this mechanism of reuptake is often used in treating depression.

37
Q

How to increase adrenergic transmission?

A

Find drugs that can interact with enzymes involved in the metabolism of monoamines. Such as :

  1. MAO-A and B inhibitors and COMT inhibitors. If these enzymes are inhibited, it will increase neural transmission.
38
Q

Two types of receptors that respond to nicotine.

A

Nicotinic- 5 subunits around the pore for opening of Na and Ca ions. Ach binds at alpha, so if the receptor is homomeric and nicotine binds, they are all alpha.

Muscarinic - GPCRs receptors 5 subtypes associated with G proteins. Depending on the type of G protein, it might use different second messengers, such as cAMP, DAG, or IP3.

39
Q

Which drug effects DAG and IP3

A

Lithium

40
Q

In terms of adrenergic receptors of the sympathetic nervous system .. which types

A

All are metabotropic… there are alpha and beta. There are two major types of alpha receptor .. alpha one and alpha two and at least three types of beta receptors.