Lecture 14-16 - Scrogin - Adrenergics (Receptors) Flashcards

1
Q

What are the 5 adrenergic receptor sub-types we should know?

A

Alpha 1 and 2
Beta 1 and 2
Dopamine 1

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2
Q

Where are alpha-1 receptors found?

A

pupillary dilator muscle and most vascular smooth muscle

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3
Q

Where are alpha-2 receptors found?

A

Adrenergic and Cholinergic nerve terminals (pre-synaptic)

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4
Q

Where are dopamine-1 receptors found?

A

Renal and other splanchnic blood vessels

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5
Q

Where are beta-1 receptors found?

A

heart and JG (juxtaglomerular) cells

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6
Q

Where are beta-2 receptors found?

A

Respiratory/Uterine/Vascular smooth muscle

Somatic motor cholinergic nerve terminals (voluntary muscle)

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7
Q

What are the actions of dopamine-1 receptors?

A

relaxation/decreased resistance of renal/splanchnic blood vessels

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8
Q

What are the actions of alpha-1 receptors on the pupillary dilator muscle?

A

Mydriasis (contraction)

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9
Q

What are the actions of alpha-1 receptors on vascular smooth muscle?

A

Vasoconstriction (increased vascular resistance)

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10
Q

What are the actions of alpha-2 receptors on adrenergic/cholinergic nerve terminals?

A

Inhibit NT release

*you can also get some vasoconstriction

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11
Q

What are the 2 actions of beta-1 receptors on the heart and where specifically in the heart do they target?

A

Stimulate HR (chronotropy in SA Node pacemakers)

Increase force (contractility in ventricle myocytes)

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12
Q

What are the actions of beta-1 receptors on JG cells?

A

Stimulate renin release

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13
Q

What are the actions of beta-2 receptors on respiratory/uterine/vascular smooth muscle?

A

Relaxation (bronchodilation, increased blood flow via vasodilation, etc.)

It regulates the degree of airway constriction and peripheral vascular resistance

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14
Q

What are the actions of beta-2 receptors on somatic motor nerve terminals (voluntary muscle)?

A

Stimulates NT release and causes tremor

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15
Q

Alpha-1 receptors are coupled to what signaling pathway?

A

Phospholipase C via G-alpha-q/11 to increase IP3 and DAG

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16
Q

What is the mechanism of effect for vasoconstriction mediated by alpha-1 receptors?

A

Ligand activates G-alpha-q –> activate PLC –> PIP split into IP3 and DAG

IP3 binds IP3 receptor and gives Ca2+ release which binds calmodulin and activates myosin light chain kinase

17
Q

What is the mechanism of effect for inhibited NT release mediated by alpha-2 receptors?

A

Coupled to G-alpha-i –> inhibits adenylyl cyclase –> dec cAMP –> dec PKA activation –> inhibit Ca2+ release/influx –> dec NE release

18
Q

What is the mechanism of effect for + chronotropy mediated by beta-1 receptors?

A

Coupled to G-alpha-s –> activates adenylyl cyclase –> inc cAMP –> PKA activation –> phosphorylate Ca2+ channels –> inc inward Ca2+ current and get faster nodal cell depolarization to firing threshold (faster process and lower threshold)

19
Q

What is the mechanism of effect for + intotropy mediated by beta-1 receptors?

A

Inc cAMP –> PKA activation –> inc phosphorylation of LTCC –> larger trigger for Ca2+ release from SR

*Trigger Ca2+ also enters SR which increases SR storage and gives larger Ca2+ efflux in the next round

20
Q

What is the mechanism of effect for smooth muscle relaxation mediated by beta-2 receptors?

A

cAMP activates PKA which phosphorylates and inactivates MLCK which reduces its affinity for Ca2+-calmodulin and gives decreased phosphorylation of MLC

Get less smooth muscle conraction

21
Q

What is the mechanism of effect for peripheral vasoconstriction mediated by alpha-2 receptors?

A

Inhibition of PKA leads to activation of MLCK and vascular smooth muscle constriction