Introduction To Autonomic Pharmacology Flashcards

1
Q

What is the major neuroxmitter of the SNS

A

NE

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2
Q

Where is Epi usually found and where is it made

A

Found in general circulation, made in adrenal medulla from AcH to nAChR on chroffamin cells

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3
Q

What is the precursor to NE and Epi and where is it synthesized

A

Dopamine (DA) which is synthesized in the cytoplasm of neurons

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4
Q

What is the role of choline transporter

A

Transports choline from the extracellular space into neurons for use as precursor of ACh

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5
Q

What enzyme catalyzes the synthesis of ACh? And what does it combine

A

Choline acetyltransferase (ChAT) by cmobinging acetyl co A with choline

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6
Q

What stores ACh

A

ATPase dependent ACh vesicular transporter which puts ACh into vesicles

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7
Q

What protein complex is responsible for the binding of the vesicle to the presynaptic membrane

A

SNARE

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8
Q

What pre-synaptic membrane interacts with the vesicle via snare to open into the synaptic cleft

A

VAMPS and SNAPS

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9
Q

What destroys ACh in the synaptic cleft

A

acetylcholinesterase (AChE)

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10
Q

What signaling methods do muscarinic receptors use

A

GPCRs

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11
Q

Where are M2 receptors located and what do they do

A

Heart, nerves, SM

Through Gi, they inhibit AC which causes a decrease in cAMP and in activation of K channels which will slow HR and effect phase 0 of SA AP as well as faster repol. For myocytes

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12
Q

Where are MS receptors located and what do they activate

A

Located in SM and the endothelium

Activate PLC, IP3, and DAG which causes an increase in Ca

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13
Q

Nicotinic Receptors are what type of channels

A

Ligand gated channels

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14
Q

DA is the predominant transmitter of what

A

The mammalian extrapyramidal system

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15
Q

What transports DA, Ne, and Epi into the vesicle during de novo synethesis

A

VMAT - 2

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16
Q

Inhibiting VMAT - 2 will do what

A

Inhibit amount of catecholamines from synthetic nerve endings

17
Q

The conversion of tyrosine to DOPA and DOPA to DA occurs where

A

In the nerve cytoplasm

18
Q

What two proteins reuptake NE and DA from the synaptic cleft

A

NET and DAT

19
Q

What do a1 receptors do

What about a2?

A

Muscle contraction (a1)

Vascular SM contraction, decreased insulin secretion, and decreases NE

20
Q

What do B1 receptors do and where are they found

A

Found in the myocardium

Increased inotropy and chronotropy and AV nodal conduction dromotropy

21
Q

What do B2 receptors do when activated and where are they found

A

Found on other smooth muscle besides the vasculature

Causes bronchial and gastrointestinal SM relaxation

22
Q

All beta receptors use what type of signaling which causes what

A

Gs which increases AC and cAMP

23
Q

DA receptors are what type of receptors

24
Q

What does D1 activate

A

Increases cAMP and causes vasodilation, and diuresis via renal smooth muscle

25
In general, what does a1 and B2 do to smooth muscle
A1 - vasoconstriction | B2 - relaxation
26
Which mAChR is found mostly in the heart
M2
27
Is the smooth muscle of blood vessels innervated by PSNS
NO
28
What does vascular relaxation occur from
ACh and mAChR activation via release of NO
29
What two enzymes break down catecholamines in the synaptic cleft
``` Monoamine oxidase (MAO) Catechol - O - methyltransferase (COMT) ```
30
Parasympathetic activity in the M3 receptors of the endothelium activate what
NO which causes vasodilation
31
What happens in CHF
Decreased decreased baroreceptor firing which causes an increased SNS and thus an increased HR and contraction and preload and water retention which makes the problem worse