Lecture 2: Basic Pharmacology Flashcards

0
Q

What are the 3 main types of physiological mediators?

A

Neurotransmitters such as NA, ACh
Hormones such as adrenaline which is released from the adrenal medulla and acts on the heart.
Local hormones/autacoids which are hormones which are released and act upon the same/nearby tissue e.g. Prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What are receptors?

A

Recognition molecules for soluble physiological mediators.

Normally membrane bound although there are some exceptions e.g. …

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the process of ligand gated ion channel receptor signalling?

A

Ligand binds to the ionotropic receptor causing the receptor to change its shape resulting in either hyperpolarisation or depolarisation as a result of allowing or inhibiting ion movement. This results in cellular effects.

Ionotropic receptor signalling occurs within milliseconds. E.g. Nicotinic ACh receptor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the process of a g-protein coupled receptor?

A

Ligand binds to the metatrobic receptor, activating a secondary messenger (such as cAMP). This results in calcium release, protein phosphorylation and other effects resulting in cellular effects.

Metabotropic signalling occurs within seconds e.g. Muscarinic ACh receptor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the process of kinase linked receptor signalling?

A

Ligand binds to kinase receptor causing a protein phosphorylation. This leads to gene transcription, resulting in protein synthesis and cellular effects.

Kinase linked receptor signalling occurs within hours e.g. Cytokine receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the process of nuclear receptor signalling?

A

Ligand binds to receptor in the nucleus resulting in gene transcription, protein synthesis and cellular effects.
This occurs within hours e.g. Oestrogen receptor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the types of G-protein coupled receptors?

A

Gs
Gi/o
Gq

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are receptors for each mediator divided into?

A

Subtypes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How are subtypes determined?

A

By structural differences and therefore transduction differences, and location

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 3 main different muscarinic subtypes?

A

M1 ( neural)
M2 (cardiac)
M3 (glandular/smooth muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the main locations of M1 (neural) muscarinic receptors?

A

1) Autonomic ganglia glands: gastric, salivary etc.

2) Cerebral cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the main locations of M2 (cardiac) muscarinic receptors?

A

Heart: Atria
CNS: widely distributed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the main locations of M3 (glandular/smooth muscle) muscarinic receptors ?

A

Exocrine glands: gastric, salivary etc.
Smooth muscle: GIT, eye, airways, bladder
Blood vessels: endothelium, CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the cellular responses resulting from M1 (neural) muscarinic receptors?

A

Increased IP3, DAG
Depolarisation
Excitation (slow epsp)
Decreased K+ conductance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the cellular responses resulting from M2 (cardiac) muscarinic receptors?

A

Decreased cAMP
Inhibition
Reduced Ca2+ conductance
Increased K+ conductance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the cellular responses resulting from M3 (glandular/smooth muscle) muscarinic receptors?

A

Increased IP3,
Stimulation
Increased Ca2+ concentration

16
Q

What is the functional response of M1 (neural) muscarinic receptors?

A

CNS excitation
Memory
Gastric secretion

17
Q

What are the functional responses of M2 (cardiac) muscarinic receptors?

A

Cardiac inhibition
Neural inhibition
Centra Muscarinic effects like tremor, hypothermia

18
Q

What are the functional responses of M3 (glandular/smooth muscle) muscarinic receptors?

A

Gastric and salivary secretion
Gastrointestinal smooth muscle contraction
Ocular accomodation
Vasodilation

19
Q

What is the result of lack of selectivity of a drug?

A

Side effects

E.g. Isoprenaline acts at β1 (resulting in heart contraction) AND β2 (resulting in lung relaxation) receptors

20
Q

What does β2 receptors in the heart causing contraction but relaxation in the lungs, blood vessels and uterus exemplify?

A

That the location of receptors is also important in determining physiological effect