Final Flashcards
Is acetylcholine (ACh) excitatory or inhibitory?
excitatory
What is the function of ACh in the PNS?
activates skeletal muscles via ionotropic
inhibits muscles via metabotropic
helps w/autonomic NS (release adrenaline etc)
WHat is the function of the ACh in the CNS?
invoved w/synapses in short term memory
What is AChE inhibitors?
enhance ACh levels, used in elderly patients w/memory issues
What enzyme synthesizes ACh?
choline acetyltransferase (CAT)
What does CAT use to make ACh?
choline and acetate (from acetyl CoA)
How is choline transported back to presynaptic?
Na+ depedent choline co-transporter (ChT)
What breaksdown ACh?
acetylcholinesterase (AChE)
What is Sarin? How does it work??
nerve gas
inhibits AChE, causes muscle spasms + neuromuscular paralysis
What is atropine?
works as antidote to nerve gas (Sarin, insecticides)
blocks ACh muscarinic receptors
What are the two types of ACh receptors?
nicotinic (ionotropic) and muscarinic (metabotropic)
What inhibits nicotinic ACh receptors?
curare
Where are nicotonic receptors found?
neuromuscular junctions of skeletal muscles
Where are muscarinic receptors found?
neuromuscular junctions of smooth and cardiac muslce, glands
Is nicotonic receptors selective?
no, non selective channels
Where does ACh bind on nicotonic receptors?
on both of the alpha subunits
need both
What does black widow venom do?
stimulates release of ACh, causes muslce spasms and cramps
What does alpha-bungarotoxin do?
irreversibly binds to nAChR
What is the structure of nicotine similar to?
ACh
What does nicotine cause changes in?
number of cholinergic receptos and sensitivity of these receptors
How does nicotine trigger reward?
stimulates release of dopamine, directly and indirectly
What is myasthenia gravis?
autoimmune disease that disrupts nerve muscle signal transmission
attacks acetylcholine receptors
Myasthenia gravis most often affects?
women under 40 and men over 60
What are the symptoms of myasthenia gravis?
weakness and rapid fatigue in muscles that control the eye/eyelid, facial expressions, chewing, talking, swallowing, breathing, neck/limb movement
What gland is abnormal 75% of the time in myasthenia gravis patients?
thymus gland
What damage is seen in cells of person w/myathenia gravis?
lymphocyte aggregates, widening of synaptic cleft
What can cause myasthenia gravis?
some drugs, some viruses/infections
How can you diagnose myasthenia gravis?
blood tests, edrophonium test, nerve conduction studies
What are the treatments for myasthenia gravis?
AChE inhibitors, immunosuppresants, plasmaphersis, thymectomy
What is the main inhibitory neurotransmitter in brain?
GABA
Are GABAergic synapses or glutamergic synapses formed first?
gaba-ergic
Early in development GABA is?
main excitatory NT
In immature neurons the intracellular concentration of chloride is?
relatively high
The activation of GABA receptors in mature neurons generates?
an influx of chloride
in immature its oppossite
NKCC1 is?
Na/K/Cl co transporter
in immature neurons
KCC2 is?
K/Cl co-transpoer
in mature neurons
What is GABA synthesized from?
from glutamate
What syntehsizes GABA?
glutamic acid decarboxylase (GAD)
What is GAD’s cofactor?
pyridoxal phosphate
form of B6 vitamnin
What types of GABA receptors are ionotropic?
GABAa and GABAc
What GABA receptor is metabotropic?
GABAb
GABA receptors are found where on neuron?
soma
Glutamate receptors are found where on neuron?
on denrdrites
Where do benzodiazepines bind?
outside the pore (GABA)
What do benzodiazepines do?
increase GABA binding, reduces anxiety
Where do barbituates bind?
inside the pore (GABA)
What are barbituates used for?
anaesthesia, treatment for epilepsy
What does alcohol do? (GABA)
increases the effects of the inhibitory GABA ligand
WHat is GHP?
date rape drug
naturally produced in CNS in small amounts, GABA derivitive, acts on GABAb
What is GHP used to treat?
insomnia, clinical depression, narcolepsy, alcoholism
How is glycine synthesized?
from serine by transhyrdroxy-methylase
What is major inhibitory neurotransmitter in CNS?
glycine
What is hyperglycinemia xaused by?
mutation in glycine reuptake transporter
What are symptoms of hyperrglycinemia?
lethargy, seizures, mental retardation
Can glutamate cross thee BBB?
no
How is glutamate syntehsized?
in neurons from glutamine, also could be from glucose
by glutaminase
What are the ionotropic gluatmate receptors?
AMPA, NMDA, kainate
What pushes Mg2+ out of NMDA receptors?
depolarization
NMDA receptors open when?
glutamate binds, and strong depolarization of postsynaptic membrane
Where are metabotropic glutamate receptors found?
hippocampus, cerebellum, cerebral cortex
What is serotonin synthesized from?
tryptophan
What is SERT?
serotonin reuptake transporter
Serotonin receptors are all?
metabotropic receptors
What does raphe nucleu regulate?
mood, sleep, emotions, body temp, appetite, mempry processing
What is the biosynthetic pathway of catecholamines?
tyrosine -> L-DOPA -> Dopamine -> Norepinephrine -> Epinephrine
What is tyrosine made from?
phenylalanine
What enyme makes l-dopa?
tyrosine hydroxylase
What produces norepinehprine?
locus coeruleus
What is the fight or flight hormone?
epinephrine
Where does epinephrine go in the brain?
medulla, hypothalamus, thalamus