Functional aspects of ANS Flashcards

1
Q

What are the dopamine receptors?

A

D1-D5

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2
Q

What are the cholinergic receptors?

A

Muscarinic. M1,3,5, are Gq, M2,4 are Gi

Nicotinic Nm and Nn

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3
Q

What are the adrenergic receptors

A

a1,2, B1,2,3

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4
Q

How is acetylcholine degraded?

A

quickly by acetylcholine esterase and reuptake by autoreceptors

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5
Q

How does botox work?

A

in interferes with VAMPs and SNAPs in the release of Ach

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6
Q

What is the role of heteroreceptors in cholinergic neurons?

A

these are receptors for cotransmitters ATP and P. They function in modulation

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7
Q

Muscarinic receptors are ____tropic.

A

metabotropic- this means that they function through a secondary messenger (G)

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8
Q

What cholinergic metabotropic receptors are inhibitory and what are activating?

A

M1,3,5 are Gq coupled–> activate by increasing calcium

M2,4 are Gi coupled–> inhibit

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9
Q

What do cocaine and tricyclic antidepressants do to NE response?

A

exaggerate it by inhibiting reuptake

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10
Q

How does reserpine affect NE response?

A

inhibits packaging, so decreased

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11
Q

Compare and contrast the affinity of NE and EPI for their receptors.

A

Both have equal affinity for a1 and a2. Epi has equal affinity for B1 and B2. NE has greater affinity for B1.

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12
Q

T or F, Cotransmittors have inhibitory effects.

A

False, they have both inhibitory and excitatory effects

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13
Q

What 2 enzymes are important regarding the biosynthetic and degradation pathways for NE?

A

COMT, MAO

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14
Q

How is pheochromocytome diagnosed? What is this disease?

A

Elevated metanephrine and vanillymandelic acid in urine; excess catecholamines

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15
Q

What happens if you give a MAO inhibitor?

A

Can’t break down tyramine.

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16
Q

What is tachyphylaxis? How does this happen with BB

A

Chronic administration of a drug can cause down regulation/desenstization. Accumulation of B-arrestins due to receptor binding takes in receptors and decreases drug effectivness.

17
Q

What pancreas related off target effect results from taking BB?

A

hypoglycemia. and mask counter-regulatory effects and signs of hypoglycemia. This is typically with T1D.

18
Q

What does a2 activation do to insulin secretion?

A

decreases

19
Q

What does b2 activation do to insulin secretion?

A

increases

20
Q

What happens to insulin sensitivity when you take BB?

A

decreases

21
Q

What do non-selective BB do to lipid profile?

A

decrease HDL-C and increase TG. B receptors normally mediate activation of HSL.

22
Q

What are off target effects associated with a1 receptor?

A

orthostatic hypotension, relieve BPH symptoms, sexual dysfunction, persistent priaprism.

23
Q

What do exogenous muscarinic agonsits do to blood vessels?

A

release of NO, vasodilate

24
Q

What are NO and sildenafil contraindicated?

A

NO increase cGMP and sil prevents degradation of cGMP, so you have way too much cGMP