Introduction to Pharmacology of the autonomic nervous system Flashcards

1
Q

what are some examples of drug targets found in the body?

A

Proteins:

  • Hormone Growth Factor
  • Growth factors
  • Transcription factor receptors
  • Nerurotransmitter receptors
  • Ion channerls
  • Enzymes
  • Transport proteins
  • Enzymes
  • Transport proteins
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2
Q

what are the main neurotransmitters, and receptors for the parasympathetic Nervous system

A

Neurotransmitter: ACh

Receptors: nAChR, mAChR

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3
Q

What are the main neurotransmitters and receptors for the sympatheric nervous system

A

Neurotransmitters: NE>Epi (DA); ACh

receptors: alpha, beta, (D), nAChR, mAChR

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4
Q

where is the Acetylcholine Neurotransmitter found in the ANS

A
  • Major neurotransmitter of the PNS
  • All preganglionic autonomic fibers
  • All postganglionic parasympathetic fibers
  • Few postganglionic sympathetic fibers (sweat glands)
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5
Q

where is the Norepinephrine (adrenergic) neurotransmitter found in the ANS

A
  • Major neurotransmitter of the sympathetic nervous system

- Vast majority of postganglionic sympathetic fibers

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6
Q

where is the Epinephrine neurotransmitter found in the ANS

A

Synthesis only occurs in the adrenal medulla and in a few epinephrine containing neuronal pathways in the brain stem

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7
Q

where is Dopamine found in the ANS

A

NE and Epi precursor

-acts on the CNS and the renal vascular smooth muscle

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8
Q

Review of the cholinergic neurotransmitter

A

1) choline enters the cell and combines with AcCoA
- choline can get blocked by Hemicholinium

2) ACh is packaged into Vesicles for storage and transport
- can be blocked via Vesamicol

3) ACh is released into the synapse via VAMPS and SNAPS when the Action potential comes and an enter of Ca into the cell
- release of ACh can be blocked by Botulinium Toxin

4) Ach destruction via acetylcholinesterase

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9
Q

Receptor, Tissue Location, Function, and Agonists of the nAChR

A

ionotropic,

Tissue Location: CNS

  • Autonomic ganglia (Nn)
  • Adrenal medula for sympathetic NS

Function: Excitatory
-release of catecholamines for SNS

Agonists:
Acetylcholine, Nicotine

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10
Q

Receptor, Tissue Location, Function, and Agonists of the mAChR

A

metabotropic

Tissue Location: CNS

  • Autonomic ganglia
  • Effector organs (cardiac and smooth muscle, gland cells, nerve terminals)
  • Sweat glands for the SNS

Function: Excitatory and inhbitory

Agonists: Acetylcholine
muscarinic

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11
Q

Cholinergic Receptors, Location, Structural Features, Mechanism: M1

A

Receptor Type: M1

Location: CNS, ganglia

Structural Features: GPCR, Gq/11

Mechanism: Activation of Phospholipase C; IP3; DAG cascade

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12
Q

Cholinergic Receptors, Location, Structural Features, Mechanism: M2

A

Receptor Type: M2

Location: Heart, nerves, Smooth muscle

Structural Features: GPCR, Gi/o

Mechanism: Inhibition of adenyl cyclase decrease in cAMP production, activation of K+ channels

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13
Q

Cholinergic Receptors, Location, Structural Features, Mechanism: M3

A

Receptor Type: M3

Location: Glands, Smooth muscle, endothelium

Structural Features: GPCR, Gq/11

Mechanism: Activation of PLC; IP3; DAG cascade

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14
Q

Cholinergic Receptors, Location, Structural Features, Mechanism: M4

A

Receptor Type: M4

Location: CNS

Structural Features: GPCR, Gi/o

Mechanism: Inhibition of AC; decrease in cAMP and activation of K+ channels

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15
Q

Cholinergic Receptors, Location, Structural Features, Mechanism: M5

A

Receptor Type: M5

Location: CNS

Structural Features: GPCR, Gq/11

Mechanism: Activation of PLC; IP3; DAG cascade

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16
Q

Cholinergic Receptors, Location, Structural Features, Mechanism Nm

A

Receptor Type: Nm

Location: Skeletal muscle neuromuscular junction

Structural Features: Ligand gated ion channel

Mechanism: N+, K+ depolarizing ion channel

17
Q

Cholinergic Receptors, Location, Structural Features, Mechanism Nn

A

Receptor Type: Nn

Location: Postganglionic cell body, dendrites, CNS

Structural Features: Ligand gated ion channel

Mechanism: N+, K+ Depolarizing ion channel

18
Q

How does catecholamines synthesis occurs and in what locations?

A

Tyrosine to DOPA to Dopamine
-occurs in the nerve cytoplasm

Dopamine to Norepinephrine to eninephrine
-Occurs in the vesicle

Norepinephrine to epinephrine
-occurs mainly in the adrenal medulla

19
Q

Synthesis, Storage, release, reuptake of Catecholamines

A

Na+ dependant tyrosine transporter
-transports tyrosine into the nerve terminal

Vesicular Monomine transporter (VMAT-2)

  • Transports NE, Epi, DA and serotonin into the vesicles
  • can be blocked via reserpine
  • release upon action potential and Ca+ influx

NE tranporter (NET)

  • IMports NE into the nerve terminal
  • DAT imports DA into the nerve termina
20
Q

Termination of the catecholamine signaling:

A

Reuptake into the nerve terminals

  • Major mechanism that terminates catecholamines
  • NET and DAT
  • After reuptake, catecholamines are stored in vesivles by the VMAT-2

Metabolism of catecholamines (2 main enzymes)

  • Monoamine oxidase (MAO)
  • Catechol-O-methyltransferase (COMT)

degradative enzymes is nonexistent in adrenergic signaling

21
Q

Receptor, G protein and effectors, Agonists, Tissue, Responses of: Alpha 1 adrenergic receptors

A

Receptor: Alpha 1

Gprotein: Gq, increase in phospholipase C; IP3; DAG to increase intracellular Ca

Agonist: Epi>NE

Tissue: Vascular, GU smooth muscle, liver, intestinal smooth muscle, heart

Responses: Contraction, GLycogenolysis, gluconeogenesis, hypepolarization and relaxation, increased contractile force; arrythmias

22
Q

Receptor, G protein and effectors, Agonists, Tissue, Responses of: Alpha 2 adrenergic receptors

A

Receptor: Alpha 2

Gprotein: Gi, decrease in adenyl cyclase, decrease in cAMP

Agonist: Epi>NE

Tissue: Pancreatic islets, platelets, nerve terminals, vascular smooth muscle

Responses: Decreased insulin secretion, aggregation, decreased release of NE, contraction

23
Q

Receptor, G protein and effectors, Agonists, Tissue, Responses of: Beta 1 adrenergic receptors

A

Receptor: Beta 1

Gprotein: Gs, increase adenyl cyclase, increase cAMP, increase of L type Ca channels

Agonist: Epi=NE

Tissue: Juxtaglomerular cells, Heart

Responses: increased renin secretion, increased force and rate of contraction of AV nodal and conduction velocity

24
Q

Receptor, G protein and effectors, Agonists, Tissue, Responses of: Beta 2 adrenergic receptors

A

Receptor: Beta 2

Gprotein: Gs, increase adenyl cyclase, increase cAMP, increase of L type Ca channels

Agonist: Epi»NE

Tissue: Smooth muscle (vascular, bronchial, GI, GU)
Skeletal muscle

Responses: Relaxation
Glycogenolysis, uptake of K+

25
Receptor, G protein and effectors, Agonists, Tissue, Responses of: Beta 3 adrenergic receptors
Receptor: Beta 3 Gprotein: Gs, increase adenyl cyclase, increase cAMP, increase of L type Ca channels Agonist: Epi>NE Tissue: Adipose tissue Responses: Lipolysis
26
what is the preference of Epinephrine and Norepinephrine to adrenergic receptors
Epinephrine (a1 = a2, B1 = B2) Norepinephrine (a1 = a2, B1 >>B2)
27
Rule of thumb for the Alpha 1 receptors
- Stimulate contraction of all smooth muscle - Vascular smooth muscle: vasoconstriction if inhibit theses than the opposite happens
28
Rule of thumb for the Beta 2 receptors
Relax smooth muscle = vasodilation if inhibit these the opposite happens
29
Rule of thumb for the Muscarinic receptors
Contract smooth muscle (different intracellular signal than a1 receptors) inhibit these the opposite will happen
30
How is that there is no Parasympathetic innervation to blood vessels but, parasympathetic activity causes vasodilation?
due to the parasympathetic innervation to the endothelium which releases NO causing vasodilation
31
Response of Blood vessels to autonomic nerve impulses
Sympathetic = constriction parasympathetic: indirectly causues vasodilation by telling endothelium to release NO
32
How is the Adrenal Medulla innervated and what neurotransmitter/ receptor does it?
Sympathetic innervation - Epi and NE release is triggered by the releaseof ACh from the preganglionic fibers - Ach binds to NnAChRs and produce a localized depolarization releases 80 percent Epi and 20 percent NE
33
Cholinomimetic Agents?
drugs that mimic ACh - AChR agonists - Acetylcholinesterase inhibitors
34
Colinoreceptor - blocking drugs
AChR antagonists
35
Sympathomimetic agents
Drugs that mimic or enhance alpha and B receptor stimulation | -Agonists that enhance catecholamine release, drugs that block reuptake
36
Adrenoreceptor-blocking drugs
alpha and beta antagonists