Mod 3 - Site of Drug Action Flashcards

1
Q

two categories of drugs that affect synaptic transmission

A

antagonists and agonists

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2
Q

drugs that block or inhibit the postsynaptic effects

A

antagonists

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3
Q

drugs that facilitate postsynaptic effects

A

agonists

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4
Q

how do some psychoactive drugs produce their affects?

A

by altering the production of neurotransmitters

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5
Q

most neurotransmitters are produced from -

A

precursors

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6
Q

how do some drugs act as precursors

A

increase the amount of neurotransmitter a cell can synthesize and release into the synapse

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7
Q

precursor drugs are considered -, because administering them increases activity of the neurotransmitter system

A

agonists

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8
Q

a precursor for dopamine; involved in Parkinson’s disease treatment

A

L-DOPA

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9
Q

neurotransmitter synthesis is controlled by -

A

enzymes

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10
Q

how does a drug affect enzymes?

A

if a drug deactivates one of the enzymes that synthesize neurotransmitters, it will prevent the neurotransmitter from being produced; decreases amount of neurotransmitter

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11
Q

drugs that deactivate enzymes are -

A

antagonists

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12
Q
  • inhibits an enzyme necessary for the synthesis of serotonin
A

p-chlorophenylalanine (PCPA)

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13
Q
  • pump molecules of the neurotransmitter across the vesicle membrane, filling the vesicles
A

vesicle transporters

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14
Q

true or false. the vesicle transporters are not different from the transporters found on the terminal membrane

A

false. it is different

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15
Q

how are terminal membrane transporters and vesicle transporters different?

A

terminal membrane transporters move the molecules form the synapse into the cytoplasm of the presynaptic cell; the vesicle transporters then move the molecules into the vesicles

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16
Q

how do drugs act as antagonists in terms of vesicle transporters

A

they block them, binding with a particular site on the transporter and inactivating it; because the synaptic vesicles remain empty, nothing is released when the vesicles eventually release their contents into the synapse

17
Q

ex. of a drug that blocks vesicle transporters for monoamine neurotransmitter systems; sometimes used to reduce blood pressure

A

reserpine

18
Q

how do drugs act as antagonists in terms of the proteins at terminal buttons?

A

by preventing the release of neurotransmitters from the terminal button; deactivate the proteins that cause docked synaptic vesicles to fuse with the presynaptic membrane and expel their contents into the synaptic cleft

19
Q

ex. of drugs that act as antagonists at the terminal button; prevents the release of acetylcholine

A

botulinum toxin (botox)

20
Q

effects on receptors depend on -

A
  1. where the receptor is located
  2. what its normal effects are
  3. whether the drug activates the receptor or blocks its actions
21
Q

a drug that mimics the effects of a neurotransmitter act as -

A

direct agonists

22
Q

drugs that bind with receptors and block their activation act as -

A

direct antagonists/receptor blockers

23
Q

how do drugs act as direct antagonists/receptor blockers?

A

they occupy the the receptor’s binding site, preventing the neurotransmitter from activating the receptor

24
Q

some receptors have multiple binding sites… binding of a molecule with an alternative site is referred to as -

A

noncompetitive binding

25
Q

if a drug attaches to an alternative site and prevents the ion channel from opening, it’s called a -

A

indirect antagonist

26
Q

if a drug attaches to an alternative site and facilitates the opening of the ion channel, it is called a -

A

indirect agonist

27
Q

drugs that selectively activate presynaptic receptors act as -

A

antagonists

28
Q

drugs that bock presynaptic autoreceptors, increasing the release of the neurotransmitters, act as -

A

agonists

29
Q

how do drugs affect reuptake?

A

some drug molecules attach to the terminal membrane transporter molecules responsible for reuptake and inactivate them; blocking reuptake

30
Q

how do drugs affect deactivation of enzymes?

A

bind the with the enzymes that normally destroy the neurotransmitter and prevent them from working

31
Q

drugs that affect either reuptake and enzymatic deactivation are -

A

agonists, because they both prolong the presence of molecules of the neurotransmitter in the synaptic cleft

32
Q

effects of drugs on storage of neurotransmitters in the synaptic vesicles? (antagonist)

A

block vesicle transporters, decreasing neurotransmitters available

33
Q

how do drugs affect the release of neurotransmitters through vesicles (antagonist)

A

bind to and deactivate the proteins that allow the fusion of vesicles to the membrane

34
Q

when drugs mimic neurotransmitters, they act as

A

direct agonists

35
Q

when drugs bind to the same site at neurotransmitter and blocks the receptor from being activated, it acts as

A

a direct antagonist

36
Q

when drugs bind to different site on receptor than neurotransmitter and prevent ion channels from opening, they act as

A

indirect antagonist

37
Q

when drugs bind to different site on receptor than neurotransmitter and causes ion channels to open, they act as

A

indirect agonist

38
Q

drugs that activate autoreceptors are

A

antagonists; because they stimulate the decrease of neurotransmitters released

39
Q

drugs that block autoreceptors are

A

agonists; because they block the regulation of neurotransmitters produced, producing more