Cell Components and Neurotransmitters Flashcards
Wear and tear
Lipofuschin
Dark brown/black pigmentation
Melanin from tyrosine
MSH from anterior pituitary
ACTH
Lateral membrane cell surface modification
Zonula occludens
Zonula adherens
Desmosome
Gap junctions
Prevents or retards the diffusion of material
Tight or Leaky
Rapidly formed and disassembled
Zonula occludens
Tight junction
BBB
Leaky membrane
Glomerulus
Diuretic that bypasses the BBB
Mannitol
Antiinflammatory agent that penetrates TB meningitis
Dexamethasone
Macula adherens
Attaches 2 adjacent cells
Desmosome
Pathology of pemphigus vulgaris leading to lack of attachment
Pemphigus vulgaris
Slight rubbing of skin results in exfoliation of the outermost layer
Nikolsky sign
Positive Nikolsky in
Pemphigus vulgaris
TEN
SSSS
Ritter’s
Nikolsky is negative in
Bullous pemphigoid
Structure affected in bullous pemphigoid
Hemidesmosome
Hemidesmosome
Negative Nikolsky
Skin but not oral mucosa
Bullous pemphigoid
Desmosome
Positive Nikolsky
Skin and oral mucosa
Pemphigus vulgaris
Cell surface apical modification
Motile (cilia, flagella)
Non-motile (stereocilia, kinocilium, microvilli)
Infertility
Reduced or Absent mucociliary clearance (Chronic sinusitis)
Immotioe cilia
Motile cell process fhat contains microtubule
Flagella
Function to increase cell surface area
Microvilli
Longer than cilia that contain microtubule
Flagella
Found at the apices lining the epididymis Vas Deferens and hair cells of inner ear
Stereocilia
Damages stereocilia or kinocilium in inner ear
Aminoglycoside
Single non motile cilium-like structures in the inner ear
Kinocilium
Functions associated with propelling single cells
Flagella
Functions associated with movement and transport of fluid
Cilia
Absorption
Secretion
Adhesion
Mechanical transduction
Microvilli
Most common cause of villous atrophy
Celiac sprue
Increase or decrease in the variable regulated brings about responses that tend to move the variable in the direction opposite (negative) to of the original change
Negative feedback
the increase or decrease in the variable regulated brings about responses that tend to move the variable in the same direction (“positive”) of the original change
Oxytocin
Estrogen -> LH
Homeostasis is achieved by
Compartmentalization
Intracellular Extracellular (interstitial, intravascular)
ECF cation
ECF anion
Na
Cl
ICF cation
ICF anion
K
Protein
Uphill electrochemical gradient
Primary active transport
Cotransport
Countertransport
Only type of transport not carrier mediated
Simple diffusion
Primary active transport
NaKATPase pump
usual stoichiometry is 3Na/2K
Energy provided by terminal phosphate bond of ATP
Ca ATPase pump- sarcoplasmic ER
HKATPase pump
gastric parietal cells and renal a-intercalated cell
Cardiac drug that inhibits NaK ATPase pump
Digoxin
Gastritis of autoimmune etiology
Type A
Pernicious anemia
Type B gastritis is associated with
H pylori
Movement of molecules from one location to another due to random thermal motion is known as
diffusion
Amount of material crossing a surface in unit time
Powered by the collision of molecules in a compartment
Flux
Opens when a change in membrane potential occurs
Voltage gated
Opens when a specific molecule binds to it
Ligand gated
Net flux: Higher to lower concentration
Does not use ATP
Uses carrier
Facilitated diffusion
Net flux: lower to higher concentration
Uses ATP
Responsible: unequal concentration
Active transport
Movement of water across a semi-permeable membrane
Due to the difference in osmotically active substances across a semi permeable membrane
Osmosis
Process of net movement of water caused by concentration difference of water
Osmosis
Solutes generate a force that attracts water towards it
Osmotic force
Hydrostatic pressure that will prevent movement of water
Osmotic pressure
Major protein responsible for osmotic pressure
Albumin
Total concentration of solute/liter of solution
Osmolarity
Total concentration of solute/kg of solvent
Osmolality
Hypertonic solution
Cell
shrinks
Isotonic solution
Cell
No change in volume
Hypotonic solution
Cell
swells
Specialized RER in neuron
Nissl substance
RMP of cell is because of
K conductance
-70 mV
Nissl staining
Cresyl violet
Ion for neurotransmitter release
Ca
NE metabolites
3,4 Dihydroxymandelic Acid (DOMA)
Normetanephrine (NMN)
3-Methoxy-4-hydroxymandelic acid or Vanillylmandelic Acid (VMA)
More sensitive test for pheochromocytoma
Plasma metanephrine
Tumors with VMA
Neuroblastoma
Pheochromocytoma
Neuroblastoma
Homer-Wright rosette
Retinoblastoma rosettr
Flexner Wintersteiner Rosette
Inhibitory Neurotransmitters
GABA
Glycine
Nitric oxide
Histamine
Glutamate is found in the
Dendrites
Astrocyte
Oligodendrocyte
Serotonin
Midline raphe nuclei
Histamine
excitatory and inhibitory
Acetylcholine
Acetyl coA
Citrate
Glutamine
Glutamate (astrocyte and glial cell)
Glutamate
a- ketoglutarate
GABA
Glutamate (by PLP)
Acetylcholine is associated with
Alzheimer’s
Myesthenia gravis
Dopamine
Parkinsonism
Schizophrenia
Addictive disorder
Norepinephrine
Depression: undersupply of NE
Serotonin
Depressive disorder
OC disorder
Eating disorder
GABA
Anxiety disorder
Seizure/tremors: undersupply
Insomnia: undersupply
Glutamate
Schizophrenia: oversupply
Seizure: oversupply
Migraine: oversupply
Autonomic preganglionic neurons
Parasympathetic post ganglionic neurons
Sympathetic preganglionic neurons
Acetylcholine
NT in sympathetic postganglionic
NE
NE is secreted in
locus ceruleus
NT found in preganglionic and neuromuscular junction
Acetylcholine
Found in postganglionic sympathetic neurons NT
NE
Acetylcholine is an
ester of acetic acid and choline
Acetyl CoA + Choline -> Acetylcholine + CoA by the enzyme
Choline acetyl transferase
ChAT
Acetylcholine -> choline + acetate by
the enzyme
Hydrolysis of acetylcholine
Acetylcholinesterase
AChE
AchE is given in diseases
MG
Alzheimer’s
Main cholinergic receptors
Muscarinic receptor
Nicotinic receptor
Ionotropic receptors permeable to Na, K and chloride ions
Two main types:
muscle type
neuronal typr
Nicotinic acetylcholine receptors
Muscle type nicotinic acetylcholine receptors is blocked by
Curare
Neuronal acetylcholine recetors are blocked by
Hexamethonium
Stimulated by muscarine and acetylcholine
Blocked by atropine
Muscarinic acetylcholine recetors
Organophosphate poisoning symptoms
Increased oral secretions
DUMBELLS
Cholinesterase inhibitors (Reversible) For alzheimer’s
Donepezil - first line
Galantamine
Rivastigmine
Tacrine
Cholinesterase inhibitor for MG
Pyridostigmine (Mestinon)
Crisis: Neostigmine IV
Exacerbation warrants ventilatory support
Drug for carbamate insecticide
Alcarbim
Organophosphates act on acetylcholine through this thereby reducing ability of the enzyme to break down the neurotransmitter
Phosphorylate
Irreversible cholinesterase
Organophosphate insecticides (malathion, parathion)
Organophosphate-containing nerve agent (sarin gas)
Ach has difficulty binding at receptors in MG due to
IgG blockage of the binding site
Ach rarely binds and ach-esterase begins to break it down
Lambert Eaton Myasthenic Syndrome
pathophysiology
Voltage gated Ca channel
Test for MG that shows decremental response
Jolly test (Repetitive Nerve Stimulation)
LEMS Jolly/Repetitive Nerve test response
incremental test
LEMS is a paraneoplastic syndrome of
Small cell Oat cell Lung CA