BMS03-1022 Pharmocology of the ANS Flashcards

1
Q

What can cause change in gene expression?

A

Hormones
Neurotransmitters
Growth factors
Cytokines

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2
Q

What does the ANS act on?

A

Cardiovascular system

Other organs

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3
Q

What does the somatic nervous system act on?

A

Skeletal muscles

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4
Q

Which division of the NS is voluntary?

A

Somatic

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5
Q

What are visceral organs?

A

Organs containing smooth muscle

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6
Q

Whats the difference between muscarinic and nicotinic receptors?

A

Both respond to acetylcholine but nicotinic act as sodium channels while muscarinic phosphorylate second messenger models

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7
Q

Describe the path of a somatic motor neuron

A

Straight to the muscle fibre

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8
Q

Which NT acts on the salivary gland?

A

Acetylcholine

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9
Q

Which NT acts on blood vessels?

A

Acetylcholine and then noradrenaline

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10
Q

What NT acts on the sweat gland?q

A

Acetylcholine

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11
Q

What NT acts on the adrenal medulla?

A

Acetylcholine

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12
Q

Which NS has a longer presynaptic neurons?

A

Parasympathetic

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13
Q

What type of receptors do muscles and the adrenal medulla have?

A

Nicotinic

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14
Q

Which receptor is at the synapse half way through the path to the salivary glad, blood vessels and sweat gland?

A

Nicotinic

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15
Q

Which receptor is at the end of the neuronal path of the sweat and salivary gland?

A

Muscarinic

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16
Q

What kind of receptor is the muscarinic?

A

GPCR

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17
Q

Describe the structure of the nicotinic receptor

A

In a circle, alpha, beta, alpha and then 2 more subunits

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18
Q

What are the subtypes of the muscarinic receptors?

A

M1-M5

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19
Q

Which subtype acts on cardiac muscle and how does it work?

A

M2 slows down the heart rate by decreasing cAMP

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20
Q

Which subtype acts on smooth muscle and how does it work?

A

M3 raises IP3 to increase Ca so they can work faster

21
Q

Name all types of the adrenergic receptors

A
a1 1
a1 2
a1 3
a2 1
a2 2
a2 3

b1
b2
b3

22
Q

What does a1 do?

A

Make IP3 and use a second messenger model to make Ca

23
Q

What does a2 do?

A

Decrease the amount of cAMP so noradrenaline release is decreased

24
Q

What do the b1, 2 and 3 do?

A

Increase cAMP

25
Where is b1 mainly found?
Cardiac tissue
26
Where is b2 mainly found?
Airways
27
Where is b3 mainly found?
Adipose
28
What's it called if 2 NT are released together?
Co-transmission
29
If the ANS is neither adrenergic or cholinergic what is it?
Non adrenergic non cholinergic
30
How do we get differential control of target cell function?
Stronger levels of stimulation result in different patterns of NT release
31
Where can NANC transmission occur?
In ganglionic and post-ganglionic synapses
32
Give an example of postganglionic sympathetic using NANC
Release neuropeptide Y and ATP with noradrenaline for vasoconstriction
33
Give an example of postganglionic parasympathetic using NANC
Release nitric oxide and acetylcholine for vasodilation
34
Describe sympathetic output when not in stress?
Organ specific
35
What can the parasympathetic NS affect?
Arteries Metabolism Renin secretion
36
What is the only gland the sympathetic NS affects?
Salivary
37
What is the brain of the gut?
Enteric nervous system
38
Describe the GI tract innveration?
Plexus of sensory, motor and interneurons forming 2 layers in the walls
39
Which type of receptor is used?
NANC
40
What NT are used?
Acetylcholine Vasoactive intestinal polypeptide Nitric oxide
41
What does the ENS control?
Blood flow Fluid transport Peristalsis (muscle contraction) Glandular secretion
42
How is the para and sym NS used?
Affects are exerted indirectly and modified by ENS
43
How do you treat MI and related disorders?
Block sympathetic through b1
44
How do you treat asthma?
Block B2 or M receptors
45
How do you treat an over active bladder?
Block M3/A1 or activate B3
46
How can you treat hypertension?
Block A1 to stop symp vasocontriction
47
How can you delay premature labour?
Block B2
48
What do M antagonists do?
Speed up the heart, treat glaucoma and stimulate GI motility
49
What does botox do?
Reduces acetylcholine release