Drugs Flashcards
What is acetylcholine?
- neuromodulator in the CNS, often at axoaxonic synapses
- primary neurotransmitter released by motor neurons at the neuromuscular junction
- activates excitatory ionotropic receptors on muscle cells, causing fast EPSPs and muscle contraction
What do motor neurons generally release as their main neurotransmitter?
- acetylcholine
What do sensory neurons generally release as their main neurotransmitter?
- glutamate
What is black widow spider venom?
- Poison produced by the black widow spider that triggers the release of acetylcholine from motor neurons
- causes muscle cramps, spasms, pain, nausea
What is botulunim toxin?
- botox
- Produced by bacteria that grow in improperly canned food
- prevents acetylcholine release from motor neurons, causing muscle paralysis
What do many natural toxins target?
- the vesicle release machinery
What is neostigmine?
- Drug that inhibits acetylcholinesterase, which is the enzyme that breaks down acetylcholine in the synapse
- causes acetylcholine to stay around longer in the synapse, causing prolonged muscle contraction, spams
What is Myasthenia Gravis?
- autoimmune disorder in which a person’s immune system attacks healthy acetylcholine receptors
- weaker over time
- neostigmine keep acetylcholine in the synapse for longer periods of time
What is a receptor agonist?
- drug that directly or indirectly increases the activity of postsynaptic receptor proteins
What is a receptor antagonist?
- drug that directly or indirectly decreases the activity of postsynaptic receptor proteins
What are direct agonists/antagonists?
- bind directly to postsynaptic receptors
What are indirect agonists/antagonists?
- affect the activity of postsynaptic receptors in an indirect manner
- agonist: neostigmine, black widow venom
- antagonist: botox
What are antipsychotics (neuroleptics)?
- Class of drugs used to treat psychosis
- mostly dirty drugs, which means they bind to more than one type of receptor
- the one action they all have in common is they directly block the dopamine D2 receptor, which is an inhibitory metabotropic receptor expressed by neurons all over the brain
- direct dopamine receptor antagonists (dopamine receptor blockers)
What are drugs that cause hallucinations?
- most popular ones directly activate serotonin 2A receptors, which are expressed by neurons all over the brain
- Direct serotonin receptor agonists (serotonin receptor activators)
- not all serotonin 2A receptor agonists cause hallucinations
What 4 drugs directly activate the serotonin receptor 5HT-2A?
- mescaline
- psilocybin
- LSD
- lisuride
Which serotonin receptor activators are not hallucinogens?
- lisuride
How do hallucinogens work?
- the drugs activate the 5HT-2A receptor, which is metabotropic, they launch an intracellular signaling cascade that starts with the g protein Gq/11
- also trigger the receptor to activate a different g protein: Gi/o
- Hallucinations seem to result from 5HT-2A receptor activation of Gi/o proteins
What is biased agonism?
- when a ligand causes a metabotropic receptor to preferentially activate one type of intracellular g protein, whereas another ligand at the same receptor might preferentially activate a different g protein
- way receptor activates biases which g protein inside cell gets turned on