Histamine Agonists Flashcards

1
Q

How are histamine agonists formed

A

Decarboxylation of L-histidine

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2
Q

What kind of receptors do they bind

A

G protein

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3
Q

G protein for H1

A

Gq

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4
Q

G protein for H2

A

Gs

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5
Q

Most prominent effect of histamine agonists

A

Vasodilation (H1 and H2)

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6
Q

Where is H1 located

A

Endothelium, SM, nerve endings

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7
Q

Where is H2 located

A

Gastric mucosa, Cardiac muscle cells, immune cells

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8
Q

What is the action of H3

A

Reduce NT release from histaminergic and other neurons

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9
Q

What is the action of H4

A

Chemotactic for EOS and mast
On WBCs in BM and blood
Inflammation and allergies

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10
Q

Is the histamine receptor constitutive

A

Yes

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11
Q

What is the histamine triple response

A

Localized red spot
Flare
Wheal

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12
Q

What mediates GIT contraction and bronchconstriction

A

H1

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13
Q

CVS action of H2

A

Increase contractility and HR

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14
Q

CVS action of H1

A

Increase capillary permeability
Edema
Urticaria

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15
Q

What H receptor stimulates nerve endings causing pain and itching

A

H1

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16
Q

Which receptor mediates gastric acid secretion

A

H2

17
Q

Clinical use of histamine

A

Pulmonary function testing

18
Q

Histamine Contraindications

A

Asthmatics

Peptic ulcer disease/GI bleed

19
Q

Main AE of histamine

A

Anaphylaxis

20
Q

Immunological method of histamine release

A

Ag → IgE (on mast) → degranulation and release

Ca mediated

21
Q

Chem/Mech method of histamine release

A

Morphine/Tubocurarine (amines) displace histamine from heparin complex