Autonomic Pharmacology Flashcards

1
Q

Which direction do efferent signals go?

A

Away from the CNS

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2
Q

What is somatic efferent?

A

Voluntary contraction

Neurones leaving spinal cord and innervating muscle

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3
Q

What direction do afferent signals go?

A

Towards the CNS

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4
Q

What is somatic afferent?

A

Nerves supplying skin, joints, muscles

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5
Q

What are the myenteric plexus and submucosal plexus part of and where do they supply?

A

They are part of the enteric nervous system, a mesh-like system of neutrons which governs the function of the GI system

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6
Q

What is a ganglion?

A

A collection of nerve cell bodies that lie outside the CNS

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7
Q

Where do preganglionic neurones of the sympathetic system originate from?

A

From the thoracolumbar region of the spinal cord: T1 to L2

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8
Q

What is the sympathetic neurotransmitter:
A) pre-ganglionic
B) post-ganglionic

A

A) Acetycholine

B) Noradrenaline

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9
Q

What does parasympathetic originate from?

A

Craniosacral (CN III, VII, IX, X)

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10
Q

What is a G-protein made up of?

A

3 polypeptide subunits (alpha, beta and gamma)

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11
Q

Where is the binding site on the G-protein and what can it hold?

A

The guanine nucleotide binding site is in the alpha subunit and can hold GDP or GTP

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12
Q

When there is no signal, what is the state of the receptor, G-protein and effector?

A

Receptor: unoccupied
G-protein: GDP bound to alpha subunit
Effector: not modulated

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13
Q

What happens when an agonist activates the receptor?

A

G-protein couples with the receptor; GDP diossicates from, and GTP binds to, the alpha subunit

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14
Q

What happens when GTP binds to the alpha subunit

A

G-protein dissociates into separate alpha and beta-gamma subunits; G-protein alpha subunit combines with and modifies the activity of the effector

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15
Q

How is the signal turned off?

A

the alpha subunit acts as a GTPase enzyme to hydrolyse gap to GDP and Pi

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16
Q

How is the G-protein cycle completed?

A

The G-protein alpha-subunit recombines with the beta-gamma subunit

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17
Q

What are the receptors for the parasympathetic system and what G protein does each one couple to?

A

M1 - Gq
M2 - Gi
M3 - Gq

18
Q

What is the transmitter for the parasympathetic system?

A

Acetylcholine

19
Q

What does stimulation of M1 receptor do?

A

Increase stomach acid secretion due to stimulation of phospholipase C

20
Q

What does stimulation of M2 receptor do?

A

Decreases HR, opening of K+ channels, inhibition of adenyl cyclase: Decreased cAMP

21
Q

What does stimulation of M3 receptor do?

A

Contraction of airways + relaxation of vasculature

22
Q

What are the receptors for the sympathetic system and what G protein does each one couple to?

A

B1 - Gs
B2 - Gs
A1 - Gq
A2 - Gi

23
Q

What does stimulation of B1 receptor do?

A

Causes increased heart rate and force

24
Q

What does stimulation of B2 receptor do?

A

Relaxation of airways and vasculature

25
What does stimulation of A1 receptor do?
Contraction of vasculature
26
What does stimulation of A2 receptor do?
Decreased noradrenaline release
27
How many glycoprotein subunits do ligand gated-ion channels contain
5
28
What do ligand gated-ion channels allow?
Rapid changes in membrane permeability Rapidly alter membrane potential (-90mV in myocytes) Normally 2 binding sites for Ach --> causes opening of sodium channels, depolarisation
29
What does nicotine mimic the affects of?
Acetylcholine
30
Where are U1 and U2 located?
U1 - post-ganglionic neurone (recognises noradrenaline) | U2 - effector cell
31
What does cocaine block?
U1, increase noradrenaline in sympathetic cleft, increases adrenoceptor stimulation
32
What does adrenoceptor stimulation by cocaine cause?
A1 stimulation - vasoconstriction | B1 stimulation - arrhythmias
33
Atropine is a competitive antagonist of what receptors?
M1, M2 and M3
34
What is an increase in heart rate caused by?
Sympathetic | Noradrenaline acting on B1
35
What is constriction of the bronchi caused by?
Parasympathetic | Acetycholine acting on M3
36
What is erection caused by?
Parasympathetic
37
What is ejaculation caused by?
Sympathetic
38
Which system causes reduced GI motility + sphincter contraction?
Sympathetic
39
Which system causes increased GI motility + sphincter relaxation?
Parasympathetic
40
What causes a decrease in heart rate?
Parasympathetic | Ach acting on M2
41
What causes decreased mucous secretion?
Sympathetic
42
What causes relaxation of the bronchi?
Sympathetic | Adrenaline acting on B2