Autonomics Flashcards
acetylcholine synthesis
in nerve terminal
acetyl CoA + choline by acetyltransferase
where is acetyl CoA made?
mitochondria
where does the choline come from?
transported in
-RATE LIMITING STEP
what inhibits transport of choline? blocks synthesis
hemicholinium
-blocks uptake of choline and slows synthesis of acetylcholine
what does vesamicol block?
storage or packaging of Acetylcholine into vesicles by VAT
-depletes
what breaks down acetylcholine?
acetylcholinesterase in synaptic cleft
-products recycled back into body
substance that blocks release of acetylcholine
botulinum toxin
norepinephrine causes
vasoconstriction
similarity between NE and D and acetylcholine release?
use SNARE’s and synaptobrevin
what is the difference between acetylcholine and NE/D metabolism?
NE/D NOT metabolized in synaptic cleft, diffusion and reuptaken by NET and DAT transporters
-metabolized outside the cleft, by MOA and COMT , products excreted
drug that blocks synthesis of NE/D
metyrosine
- blocks tyrosine hydroxylase
- slows synthesis of NE
drug that blocks catecholamine storage
reserpine
-depletes adrenergic
drug that blocks catecholamine release?
guanethidine
drug that blocks NE reuptake
cocaine, TCA
-inhibit reuptake, increase transmitter effect on postsynpatic receptors
why are drugs that block synthesis, storage and release catecholamines good for treating hypertension?
because block sympathetic but not parasympathetic functions
Muscarinic receptors
respond to acetylcholine
M1 receptors
nerve endings
- Gq coupled receptor
- increases IP3, DAG cascade
M2
heart (some nerve endings)
Gi coupled receptor
*decreases cAMP, activated K channels
M3
smooth muscle, glands, endothelium
- Gq coupled receptor
- increases IP3, DAG cascade
nicotinic receptors
respond to acetylcholine and nicotine
Nn
ANS ganglia
- Na-K ion channel
- depolarizes, evokes an action potential
Nm
neuromuscular end plate
Na-K ion channel
-depolarizes, evokes an action potential
adrenoceptors: alpha receptors
are located on vascular smooth muscle, presynaptic nerve terminals, blood platelets, fat cells, neurons in brain