L7: Cholinergic Transmission Flashcards

1
Q

What is the definition of a synapse?

A

It is the functional connection between a neuron and a second cell (neuron or muscle or glands)

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2
Q

What is the structure of a synapse?

A

is formed of 3 parts:

a) Presynaptic portion→ transmits impulse towards the synapse
b) Postsynaptic portion→ transmits impulse away from the synapse.
c) Synaptic cleft β†’is full of interstitial fluid which separates the nerve ending from the next neuron or effector organ.

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3
Q

What is the definition of the electrical synapse?

A

Is a gap junction between the presynaptic membrane

and postsynaptic membrane.

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4
Q

Is the electrical synapse common or rare?

A

Rare

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5
Q

What is the function of electrical synapses?

A

It allows direct transmission of the electrical depolarization waves from the presynaptic to the postsynaptic neuron

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6
Q

What is the definition of chemical synapses?

A

It is a junction between the presynaptic and postsynaptic membrane which is chemically mediated.

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7
Q

Are chemical synapses common or rare?

A

Common

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8
Q

What is the function of chemical synapses?

A

A chemical substance is released at the nerve endings which allows the transmission of nerve impulses from one neuron to another neuron.

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9
Q

What are the types of chemical transmitters?

A

-Types of chemical transmitters:

chemical transmitters released by autonomic nerve endings include :
a) acetylcholine. b) noradrenaline

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10
Q

What are the types of nerve endings?

A

a) Cholinergic nerve fibers: secrete acetylcholine.

b) Adrenergic nerve fibers: secrete noradrenaline

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11
Q

What are the sites of the release of acetylcholine?

A

a) All preganglionic sympathetic and parasympathetic nerve endings.
b) Preganglionic sympathetic nerve fibers to the suprarenal medulla.
c) All postganglionic parasympathetic nerve ending.
d) Sympathetic postganglionic fibers supplying skeletal ms blood vessels and sweat glands.
e) Somatic motor nerve ending to skeletal muscle (motor endplate).
f) Some synapses at CNS (brain and spinal cord).

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12
Q

How is ach biosynthesized?

A

Ach is formed by a reaction between choline and acetyl CoA as follow;
ATP
Acetyl CoA + choline β€”β€”β€”β€”β€”β€”β€” > acetylcholine + CoA

NB:-

  • CAT (choline acetyltransferase)
  • ATP and glucose are required to form acetyl CoA.
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13
Q

Where is ach stored?

A
  • Ach is stored inside the nerve terminals in minute vesicles
  • Each vesicle contains more than one thousand Ach molecules (5000-10000 molecules)
  • Some molecules of Ach are found free in the cytoplasm.
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14
Q

How is ach released?

A

The arrival of action potential (depolarization) to nerve ending β†’ open Ca2+ channels →↑ed Ca2+ influx to inside nerve endings β†’ interact with the vesicles adjacent to the membrane causing them to fuse with the membrane β†’ rupture of vesicles emptying their contents outside the nerve fibers by exocytosis

  • Released Ach which passes rapidly over the gap (10-30 nm) between nerve terminals β†’ Ach binds to receptors on the effector organs.
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15
Q

What is the mechanism of action of ach?

A

Ach binds with its receptors on the postsynaptic membrane which might be;

i) Ligand-gated ion channels β†’ Na+ and Ca2+ influx β†’ depolarization (stimulation) or K+ and Cl_ influx β†’ hyperpolarization (inhibition).
ii) G-protein coupled receptors β†’ activate membrane enzymes such as adenyl cyclase β†’ formation of 2nd messenger called cyclic AMP from ATP β†’ intracellular signal

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16
Q

How is ach removed?

A

A-Hydrolysis of Ach by cholinesterase enzyme
B- Diffusion
C- Reuptake of Ach

17
Q

-Hydrolysis of Ach by cholinesterase enzyme:

A

Acetylcholine choline is hydrolyzed by cholinesterase to give acetic acid and Choline

18
Q

What is the action of choline?

A

Choline has a similar action to acetylcholine but is weaker.

19
Q

Which of choline and the acetate ion and choline is reputakable and which one diffuses?

A

Acetate ions diffuse into the blood, while the choline base is reuptake back into the nerve ending to be recycled to form new acetylcholine.

20
Q

-diffusion of ach

A
  • Small part of Ach escapes to the surrounding tissues→↓ed Ach concentration.
21
Q

-Reuptake of ach

A
  • is not yet definite
22
Q

What is the function of cholinesterases?

A

-is to keep the action of acetylcholine localized in the site of liberation, so prevent its diffusion to the blood causing generalized parasympathetic effects.

23
Q

What are the function of anticholinesterases and an example for them?

A

e.g. neostigmine are drugs that block the action of cholinesterase, so prolong the action of Ach and are used to treatment of some diseases such as myasthenia gravis

24
Q

What is the action of acetylcholine?

A

Ach has two main types of actions: Muscarinic and Nicotinic

25
Q

comparison between muscarinic and nicotinic actions

A

Acc to SSODA

  • Similar to the action of
  • Site
  • Onset
  • Duration
  • Antagonist
26
Q

What is the muscarinic action of acetylcholine similar to?

A

Muscarine, an alkaloid, derived from poisonous Mushroom

27
Q

What is the site of the muscarinic action of acetylcholine?

A

On smooth ms and glands

  • supplied by parasympathetic and Sympathetic cholinergic nerve fibers
28
Q

What is the onset of their muscarinic action of acetylcholine?

A

Slow

29
Q

What is the duration of the muscarinic action of acetylcholine?

A

Prolonged

30
Q

What is the antagonist of the muscarinic action of acetylcholine?

A

Atropine

31
Q

What is the nicotinic action of acetylcholine similar to?

A

Nicotine which is derived from Tobacco

32
Q

What is the site of the nicotinic action of acetylcholine?

A
  • autonomic ganglia and neuromuscular junction

- (contraction of skeletal ms, stimulation of ganglia, secretion of adrenaline and noradrenaline from

33
Q

What is the onset of the nicotinic action of acetylcholine?

A

Rapid

34
Q

What is the duration of the nicotinic action of acetylcholine?

A

Short

35
Q

What is the antagonist of the nicotinic action of acetylcholine?

A

ganglion and neuromuscular blockers

36
Q

What are cholinergic receptors?

A

They are the receptors that respond to Ach.

37
Q

Compare between muscarinic and nicotinic receptors

A

Acc to NSSAA

  • Nature
  • Site
  • Subtypes
  • Agonist
  • Antagonist

Muscarinic:-

  • Ligand-gated ion channels
  • Present on the effector organs at all postganglionic cholinergic nerve terminals.

-M1β†’ in the brain and autonomic ganglia.
M2β†’ in the heart
M3β†’ in the smooth ms and secretory glands.
M.4 β†’ in the pancreas. M5 β†’ under investigation

  • Muscarine alkaloid.
  • Atropine

Nicotinic:-

  • G-protein coupled receptors
  • Present in autonomic ganglia (either sympathetic or parasympathetic), suprarenal medulla, and motor endplate
  • i-Neuronal Nicotinic (Nn)
  • At autonomic ganglia.
  • At suprarenal medulla.
    ii-Muscle Nicotinic (Nm)
  • at motor end plated
  • Nicotine (small dose).
  • Nicotine (large dose).