autonomic pharmacology intro Flashcards
What are the types of muscarinic receptors?
M1, M2, M3, M4, M5
What are the types of nicotinic receptors?
Nn, Nm
What does CNS stand for?
Central Nervous System
What does PNS stand for?
Peripheral Nervous System
What is the main function of the Parasympathetic Nervous System (PSNS)?
Rest and digest
What is the main function of the Sympathetic Nervous System (SNS)?
Fight or flight
Which systems mediate opposing responses in effector organs?
PSNS and SNS
(with some exceptions!!)
Where does the PSNS begin?
Cranial and sacral spinal cord
Where does the SNS begin?
Thoracic and lumbar spinal cord
What type of neurons are involved in the 2-neuron system of the autonomic nervous system?
Pre- and postganglionic fibers
What neurotransmitter do cholinergic neurons release?
Acetylcholine (ACh)
What neurotransmitter is most commonly released by postganglionic SNS neurons?
Norepinephrine (NE)
What is the effect of epinephrine (EP) secreted by the adrenal gland?
Acts as adrenaline
What are the two main types of autonomic receptors?
- Adrenergic
- Cholinergic
What is the primary action of alpha receptors (α1)?
Contraction
What is the primary action of beta receptors (β1, β2, β3)?
Relaxation
What is the role of acetylcholinesterase (AChE)?
Degrades acetylcholine
Fill in the blank: The PSNS and SNS are generally considered _______ in their physiological effects.
Antagonists
True or False: Most tissues have both PSNS and SNS innervation.
True
What are adrenergic neurons characterized by?
Release of norepinephrine
What is the primary function of nicotinic receptors?
Excitation
What enzyme synthesizes acetylcholine?
Choline acetyltransferase (ChAT)
What is the effect of M2 receptors on the heart?
Decreases heart rate
What neurotransmitter is primarily involved in adrenergic transmission?
Norepinephrine
What is the main action of β1 receptors?
Increases heart rate and force of contraction
What does the term ‘physiological antagonists’ refer to in the context of the PSNS and SNS?
Opposing effects on effector organs
What is the primary action of β2 receptors?
Smooth muscle relaxation
(including vasodialation)
What is the result of activation of α1 receptors?
Vasoconstriction and constriction of sphincters
What are the two main types of cholinergic receptors?
- Muscarinic
- Nicotinic
What is the termination mechanism for norepinephrine?
- Re-uptake
- Diffusion away from synapse
- Metabolism via MAO and COMT
Fill in the blank: The adrenal medulla secretes ____ into the bloodstream.
Epinephrine
What are the three steps in the synthesis of norepinephrine?
- Tyrosine hydroxylase
- Dopa decarboxylase
- Dopamine β-hydroxylase
What receptors are activated by norepinephrine and epinephrine?
Adrenergic receptors
What is the action of α2 receptors?
Inhibits norepinephrine release
What type of receptors are found on postganglionic neurons?
Nicotinic receptors
True or False: Muscarinic agonists can stimulate similar physiological responses as AChE inhibitors.
True
The nervous system is made up of the ____ and the ____.
CNS, PNS
The CNS can be divided into the ____ and the ____.
brain, spinal cord
The PNS can be divided into the ____ and the ____.
efferent, afferent
The efferent nervous system can be divided into the ____ and the ____.
autonomic, somatic
the autonomic nervous system can be divided into the ____, ____, and ____.
PSNS, SNS, enteric
What are the key characteristics of SNS signal transmission?
(in terms of anatomy)
- ganglia near spinal cord (i.e. short pre-galgionic and long post-ganglionic)
- one preganglionic to many post-ganglionic fibers
What are the key characteristics of PSNS signal transmission?
(in terms of anatomy)
- ganglia close to/within target tissue (i.e. long pre-galgionic and short post-ganglionic)
- one preganglionic to one post-ganglionic fiber
Why do the blood vessels vary from the norm in terms of message transduction in the SNS/PSNS?
- There is no PSNS in blood vessels.
- They only respond to NE release by symapthetic nerve fibers!
- Vasoconstriction and vasodilation are entirely controlled by the SNS.
Why does the adrenal medula vary from the norm in terms of message transduction in the SNS/PSNS?
- SNS communication invloves no post-ganglionic neuron!!
- Pre-ganglionic neuron directly stimulates the adrenal medulla by releasing ACh.
- The adrenal medulla then releases epinephrine (E) and norepinephrine (NE) into the bloodstream, acting as hormones.
Why do the sweat glands vary from the norm in terms of message transduction in the SNS/PSNS?
- SNS post-ganglionic neurons release ACh (instead of NE) onto muscarinic (M) receptors.
- This is unique because most SNS post-ganglionic neurons release NE, but sweat glands are an exception.
Where are Nn found?
in all ganglia (PSNS and SNS)
Where are Nm found?
skeletal muscle (somatic nervous system)
M2 and M3 are found…
(common characteristic)
on organ innervated by the PSNS
M1 can be found…
(common characteristic)
some ganglia
endothelial cells contain ____ receptors.
M3 and M5
acetylcholine (ACh) activates…
muscarinic receptors
(M1, M2, M3, M4, M5)
Which M receptors are stimulatory? Why?
- M1, M2, and M3
- they increase IP3 and DAG levels
(G-protein gets activated, which activates phospholipase – it cleaves PIP2, which then activates DAG. DAG activates PKC, which then activates IP3)
Which alpha (a) receptors are stimulatory? Why?
- a1
- it increases IP3 and DAG levels
(G-protein gets activated, which activates phospholipase – it cleaves PIP2, which then activates DAG. DAG activates PKC, which then activates IP3)
Which N receptors are stimulatory?
all of them!
Which N receptors are inhibitory?
none of them!
Which M receptors are inhibitory? Why?
- M2 and M4
- they decrease cAMP levels
(G-protein is activated, which inhibits adenylyl cyclase, then enzyme responsible for converting ATP into cAMP)
Which beta (b) receptors are inhibitory? Why?
none of them!
Which alpha (a) receptors are inhibitory? Why?
- a2
- it decreases cAMP levels
(G-protein is activated, which inhibits adenylyl cyclase, then enzyme responsible for converting ATP into cAMP)
Which beta (b) receptors are stimulatory? Why?
- b1, b2, b3
- they increase cAMP levels
(G-protein is activated, which activates adenylyl cyclase, then enzyme responsible for converting ATP into cAMP)
muscarinic receptors are…
(structure-wise, what are they?)
G protein-coupled receptors
nicotinic receptors are…
(structure-wise, what are they?)
ion channels