Modulators of catecholamine biosynthesis Flashcards

1
Q

What are the 2 drugs that modulate catecholamine biosynthesis?

A

methyl-tyrosine (decr catechol.)
L-Dopa (incr catechol)

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2
Q

What is a similar drug to these, but it doesn’t modulate catecholamine synthesis?

A

methyl-Dopa

Instead it works by making a false NT that binds at Presynaptic A2 to decr catechol.

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3
Q

What is methyl-tyrosine?

A

tyrosine hydroxylase inhibitor

one of the modulators of catecholamine biosynthesis

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4
Q

What is the mechanism of action of methyl-tyrosine?

A

Inhibits tyrosine hydroxylase, decreases production of L-Dopa and thus catecholamines

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5
Q

What condition is treated with methyl-tyrosine?

A

Pheochromocytoma

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6
Q

What is a potential side effect of methyl-tyrosine?

A

Hypotension

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7
Q

What is L-Dopa?

A

A dopamine precursor

one of the modulators of catecholamine biosynthesis

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8
Q

What is the effect of L-Dopa on dopamine production?

A

Increases amount of L-Dopa available for production of dopamine and catecholamines

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9
Q

What condition is L-Dopa used to treat?

A

Parkinsonism

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10
Q

Does L-Dopa pass the blood-brain barrier?

A

Yes

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11
Q

What are some side effects of L-Dopa?

A
  • Dyskinesias
  • Nausea
  • Orthostatic hypotension
  • Psychiatric effects
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12
Q

What is the catecholamine biosynthesis products, down the line?

A
  1. Phenylalanine
  2. tyrosine
  3. L-dopa
  4. Dopamine
  5. norepi
  6. epi
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13
Q

What is the enzyme order for catechol biosynth?

A
  1. phenylalanine hydroxylase
  2. tyrosine hydroxylase
  3. L-aromatic amino acid decarboxylase
  4. dopamine b-hydroxylase
  5. phenylethanolamine N-methyltransferase (PNMT)

tyrosine hydroxylase is what methyl-tyrosine inhibits

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14
Q

Where does dopamine become NE?

A

Inside synaptic vesicle

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15
Q

Where does NE become Epi?

A

chromaffin cell

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16
Q

Where does phenylalanine -> tyrosine -> L-Dopa -> Dopamine?

A

in axon terminal