Lecture 16-18 Flashcards
Curare (5)
From + what + mechanism + wrong usage + high doses
- From tropical american woody plants
- Skeletal muscle relaxant
- Blocks Ach Receptor
- 1942-curare to supplement conventional anaesthesia (used in surgery then discovered wrong usage)
- High dose affects breathing
Acetylcholine in PNS and CNS (2)
- In the PNS it triggers muscle contraction and stimulates the sectretion of hormones (ex: growth hormones)
- In the CNS it works as a NT for wakefulness, anger, aggression, attention, sexuality, thirst, memory
Acts in synapse between motorn neurons and muscles
Neurons that synthezise ACh:
cholinergic
Ach precursors and synthesis enzyme:
- Choline: From fat in diet
- Acetyl CoA: produced by metabolism of sugar and fats
- Catalyzed by choline acetyltransferase (ChAT) enzyme
Acetyltransferase (ChAT) enzyme (2)
What + inhibit
- Transfer acetyl group from acetylcoA to choline
- inhibit CHAT then no acetylcholine
Rate of synthesis for ACh is controlled by (2):
- Availability of precursors
- Rate of cell firing
ACh is loaded into synaptic vesicles by: (3)
what + where + inhibited by
- Vesicular Ach transporter (VAchT)
- In the membrane of vesicles
- Vesamicol inhibits VACht and reduces ACh release. ACh cannot be packaged and gets broken down by enzymes
Black widow spidwer venom (a-latrotoxin) (2)
What + how
- stimulates massive ACh release
- forms pores on membrane in the lipid membrane causing influx of Ca2+ and ACh release
Clostridial bacteria (clostridium botulinum) (5)
o2 + ACh + muscular + lethal dose + treatment/used for
- Anaerobic
- inhibits ACh release
- muscular paralysis: asphyxiation (breating muscles affected)
- Lethal dose 0.3 ug
- Treatment of spasm in eyelid, face and botox (temporarily paralyze muscles to reduce wrinkles by blocking ACh)
ACh breakdown
- Acetylcholinesterase (AChE) breaks down ACh into choline acetic acid
- Choline is taken back into the presynatptic neuron via choline transporter.
AChE inactivation (reversible)
Three exampls
- More acetylcholine remaining at synapse
- Donezepil, rivastigmine, galantamine for treatment of Alzheimers Disease
- Physostigmine for treatment of glaucoma.
- Neostigmine, pyridostigmine do not cross BBB. Used in treatment of autoimmune disorder myasthenia gravis (reduce ACh breakdown so more is at synapse.
AChE inactivation (irreversible)
occurs bc + 2 examples
- Occurs because of colvalent bond between enzyme (AChE) and themself
- organophosphorous compounds: Insecticides such as parathion malathion
- Nerve gases- used in chemical warfare:
Sarin gas was colourless, odourless liquid and causes death from asphixation
Antidote for Sarin gas:
- Atropine: antagonists of muscarinic ACh receptors (blocks receptor, save time)
- Pralidoxime Chloride: breaks covalent bond of sarin to AChE
Potential causes of Gulf War Illness (3):
- Pyridostigmine Bromide: thought to increase efficacy of nerve agent antidote (reversible AChE inhibitor)
- Organophosphates: Pesticides used to keep pest-borne diseases low
- Sarin gas exposure
Cholinergic neuron locations (3)
- Interneurons in striatum (motor control)
- Basal Forebrain cholingergic system (memory and, cognitive function)
- Tegmental nuclei in pons, mesencephalon (sleep/wake/arousual/attention)
The two types of ACh receptors:
- Nicotinic receptors
- Ionotropic
- Ion channels: ACh binds, ion enters, depolarization
- Increaed neuronal firing, muscle contraction - Muscarinic receptors
- Metabotropic
Nicotinic Receptors (6)
subunit + alpha + function + most expressed + enhance + eliminate response
- 5 subunit around a central core
- alpha subunit is the essential one, without it, receptor will not form
- subunit composition affects function.
- a2B2 makes most widely expressed receptor in cortex
- a5 affect function of channel by enhancing. Knockout reduces nicotinic response
- B2 knockout eliminates nicotinic response
Functional states of nicotinic ACh resceptor (3):
- In the abscence of agonist, (ACh/nicotine), receptor is in closed state
- Upon ligand binding, receptor is in open state
- Prolonged exposure leads to desensitized state. Receptor remains closed even though ACh/nicotine is present. lots of agonist bound for a long time, channel has to go through re-sensitization
Depolarization block (2):
what + example (what + receptor kind + resistant + conitnous + depol)
- Persistent depolarization of the cell membrane, cell cannot be excited anymore until you remove the agonist.
- Ex: succinylcholine
1. Nicotinic-ACh receptor agonist
2. powerful muscle relaxant (cant move in surgery)
3. Resistant to AChE
4. Continous stimulation of nicotinic receptor
5. depolarization block of muscle cell
D-tubocurarine (7)
what + ingredient for + muscle + death + treated with + used to treat + BBB
- nicotinic ACh receptor antagonist
- main ingredient of curare
- high affinity for muscle nicotinic receptors
- death by respiratory paralysis
- treated with anti-AChE drugs
- used to treat black widow venom as it block nicorinic receptors
- little BBB penetrance so small affect on CNS cholingeric neuron
Muscarinic receptors (3)
- metabotropic
- 5 different types
- G-protein coupled (Gs/Gi)
PFC neurons (3)
what + the two responses
- have both nicotinc and muscarinic AChRs Give ACh activtes both receptor
- ACh binding to nicotinic receptor causes excitation/depolarization
- ACh binding to muscarinic receptor is a slower response and you need more (g-protein)
Loss of —- rewarding effect of morphine is lost
- M5 receptor function (cannot activate dopamine neurons)
Give me an example of ACh pathway:
mAChR agonist (2)
Examples + symptoms
- muscarine, philocarpine, arecoline
- sweating, tearing, salivation, highly constricted pupils, contraction of smooth muscles, cardiovascular collapse, coma, death
mAChR antagonist
Examples + symptoms
- atropine, scopolamine
- restlessness, irritability, disorientation, hallucinations, delirium, respiratory paralysis, coma, death
inhibit cholinergic transmission
Glutamate (3)
what + abundant in + what makes it
- main excitatory transmitter in CNS
- Most abundant in all neurons and glial cells
- glutamerneurogic neurons and other neurons make glutamate