Autonomic regulation of airways Flashcards

1
Q

Where is V/Q higher - base or apex

A

apex

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2
Q

what regulates smooth muscle tone

A

inflammation and autonomic nervous system

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3
Q

what does parasympathetic stimulation do to the lungs

A

bronchoconstrictor

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4
Q

describe the passage of the vagus nerve relative to airways

A

terminates in parasympathetic gamglia in airway walls

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5
Q

describe the role of vagus nerve on bronchoconstriction/ dilation

A

constriction;
post-synaptic fibres reach muscle, release ACh, acts on muscarinic receptors of M3 subtype to stimulate smooth muscle contraction

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6
Q

what neurotransmitter and receptor is involved in parasympathetic airway control

A

ACh, muscarinic receptor of M3 subtype

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7
Q

what do antimuscarinic drugs do

A

decrease bronchoconstriction

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8
Q

what do anticholinergic drugs do

A

bronchodilator

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9
Q

what do beta-2 antagonists do

A

increase bronchodilation

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10
Q

what does the sympathetic nervous system do for bronchoconstriction/ dilation

A

dilation; release noradrenaline, activates adrenergic receptors leading to relaxation of smooth muscle

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11
Q

what do nicotinic receptors respond to

A

ACh and nicotine

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12
Q

what can stimulate nicotinic receptors

A

sympathetic and mainly parasympathetic

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13
Q

where are nicotinic receptors found

A

post-ganglionic neurons and neuro-muscular junctions

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14
Q

what do nicotinic receptors contain

A

ligand-gated channel that is permeable to Na+ and K+

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15
Q

what nervous system are muscarinic receptors involved in

A

parasympathetic

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16
Q

what type of muscarinic receptor is found in the lungs

A

M3

17
Q

describe the process of M3 receptors in lungs

A
  • ACh binds
  • Receptor couples with Gq protein
  • Gq protein activates phospholipase C (PLC)
  • PLC catalyses breakdown of plasma membrane phospholipid to diacylglyceroil (DAG) and inositol triphosphate (IP3)
  • DAG acts as 2nd messenger and activates protein kinase C (PKC)
  • IP3 binds to and opens ligand-gated Ca2+ receptors on endoplasmic reticulum in bronchial cells, Ca2+ released
  • stimulates bronchoconstriction
18
Q

what is the sympathetic neurotransmitter

A

noradrenaline

19
Q

what does the sympathetic trunk innervate in the lunsg

A

vasculature and glands

20
Q

what does sympathetic action do in the lungs

A

released NAd from adrenal glands which binds to beta-2 receptors on airway muscles leading to relaxation and bronchodilation

21
Q

what is the receptor for NAd in the lungs

A

beta-2 receptors