Neurotransmitters Flashcards

1
Q

What are neurotransmitters?

A

Neurotransmitters are endogenous chemicals released extracellularly by neurons. They are used to signal to other neurons, myocytes (muscle cells), endocrine cells, and other target cells under physiological conditions.

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2
Q

How are dopamine, noradrenaline, and adrenaline synthesized?

A

Dopamine, noradrenaline, and adrenaline share the same synthesis pathway. The synthesis process stops depending on the enzymes present in the neuron or cell. Noradrenaline is released by sympathetic nerve terminals, while adrenaline is secreted by chromaffin cells in the adrenal medulla.

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3
Q

How are neurotransmitters stored and released?

A

Neurotransmitters are stored in synaptic vesicles within the presynaptic neuron. When an action potential reaches the presynaptic terminal, it triggers the release of neurotransmitters into the synaptic cleft through exocytosis. The neurotransmitters then bind to receptors on the postsynaptic cell, initiating a response.

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4
Q

What are adrenoceptors?

A

Adrenoceptors are receptors that respond to neurotransmitters such as noradrenaline (NA) and adrenaline (Adr). They are classified into two main types: α-adrenoceptors and β-adrenoceptors.

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5
Q

What are the subtypes of α-adrenoceptors?

A

The subtypes of α-adrenoceptors include α1 and α2. They can be found in both post-synaptic and pre-synaptic locations. α1-adrenoceptors are present in the blood vessels of organs and tissues (except skeletal muscle vessels).

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6
Q

What are the agonists and antagonists for α-adrenoceptors?

A

Agonists for α-adrenoceptors include noradrenaline (NA), adrenaline (Adr), and isoprenaline. An antagonist for α-adrenoceptors is phentolamine.

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7
Q

What are the subtypes of β-adrenoceptors?

A

The subtypes of β-adrenoceptors include β1, β2, and β3. β1-adrenoceptors are found in the myocardium (heart muscle), β2-adrenoceptors are found in bronchi, uterus, muscle, and coronary vessels, and β3-adrenoceptors are found in adipose tissue, bladder, and gallbladder.

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8
Q

What are the agonists and antagonists for β-adrenoceptors?

A

Agonists for β-adrenoceptors include isoprenaline, adrenaline (Adr), and noradrenaline (NA). An antagonist for β-adrenoceptors is propranolol.

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9
Q

Are β-adrenoceptors sensitive to up/down regulation?

A

Yes, β-adrenoceptors are sensitive to up/down regulation, meaning their expression and sensitivity can be altered based on various factors.

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10
Q

What are the second messenger systems associated with α1-adrenoceptors and α2-adrenoceptors?

A

The second messenger system associated with α1-adrenoceptors is Gαq coupled, which activates phospholipase C. This leads to an increase in IP3 (inositol triphosphate) and DAG (diacylglycerol) levels. The second messenger system associated with α2-adrenoceptors is Gαi coupled, which inhibits adenylyl cyclase. It also modulates Ca2+ and K+ channels.

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11
Q

What is the second messenger system associated with β1/β2/β3-adrenoceptors?

A

The second messenger system associated with β1/β2/β3-adrenoceptors is Gαs coupled, which activates adenylyl cyclase. This leads to an increase in cAMP (cyclic adenosine monophosphate) levels.

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12
Q

How does the final effect of adrenoceptor activation vary?

A

The final effect of adrenoceptor activation, such as dilation, contraction, and ion alterations, depends on the specific tissue or cells involved. The response will vary based on the expression and distribution of adrenoceptors in different tissues.

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13
Q

Where are α1-adrenoceptors located, and what effects do they mediate?

A

α1-adrenoceptors are located in blood vessels, gastrointestinal (GI) smooth muscle, and GI sphincteric muscle/bladder sphincter. They mediate smooth muscle contraction, leading to vasoconstriction in blood vessels, relaxation in GI smooth muscle, and contraction in GI sphincteric muscle and bladder sphincter.

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14
Q

Where are α2-adrenoceptors located, and what effects do they mediate?

A

α2-adrenoceptors are located on presynaptic sympathetic neurons. Activation of α2-adrenoceptors leads to decreased neurotransmitter release, providing a negative feedback mechanism.

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15
Q

Where are β1-adrenoceptors located, and what effects do they mediate?

A

β1-adrenoceptors are located in the heart. Activation of β1-adrenoceptors increases heart rate and the force of contraction, leading to increased cardiac output.

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16
Q

Where are β2-adrenoceptors located, and what effects do they mediate?

A

β2-adrenoceptors are located in bronchi and blood vessels. Activation of β2-adrenoceptors leads to bronchial dilation and relaxation of blood vessels.

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17
Q

Where are β3-adrenoceptors located, and what effects do they mediate?

A

β3-adrenoceptors are located in adipose tissue and the bladder. Activation of β3-adrenoceptors promotes lipolysis (breakdown of fat) in adipose tissue and relaxation of the bladder, preventing urination.

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18
Q

What is the main mechanism for regulating noradrenaline (NA) levels in the synaptic cleft?

A

The main mechanism for regulating NA levels in the synaptic cleft is reuptake via the plasma membrane noradrenaline transporter (NAT or NET). This transporter is located in the membrane of the presynaptic neuron and is responsible for removing NA from the synaptic cleft. The reuptake process limits the duration of NA action and allows for its recycling.

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19
Q

Besides neuronal cells, where else is NA taken up by?

A

In addition to neuronal cells, a minority of NA uptake occurs in non-neuronal cells.

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20
Q

What are the enzymes involved in the metabolism of endogenous and exogenous NA and Adr?

A

The metabolism of endogenous and exogenous NA and Adr involves two main enzymes: monoamine oxidase (MAO) and catechol-O-methyl transferase (COMT). MAO has different isoforms, and both enzymes play a role in the breakdown of NA and Adr.

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21
Q

What are the steps involved in the synthesis, storage, release, and termination of NA action?

A

Synthesis in the cytosol.
Storage in vesicles.
Vesicle transport and fusion with the membrane.
Release into the synaptic cleft.
Diffusion across the synaptic cleft.
Action on post-synaptic cells via receptors.
Termination of the signal through metabolism by cholinesterase enzymes, specifically acetylcholinesterase (AChE) and butyrylcholinesterase (BuChe).

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22
Q

What are the subtypes of muscarinic receptors (mAChR)?

A

The subtypes of muscarinic receptors are M1, M2, M3, M4, and M5. They are metabotropic receptors, belonging to the G protein-coupled receptor (GPCR) family.

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23
Q

Where are muscarinic receptors (mAChR) located and what are their agonists and antagonists?

A

Muscarinic receptors are located postsynaptically in smooth muscle, cardiac muscle, and glands. Their agonists include acetylcholine (ACh) and muscarine, while their antagonist is atropine (belladonna).

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24
Q

What are the subtypes of nicotinic receptors (nAChR)?

A

Nicotinic receptors have multiple subtypes, but the main classification is ionotropic and pentameric cation channels.

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25
Q

Where are nicotinic receptors (nAChR) located and what are their agonists and antagonists?

A

Nicotinic receptors are found in autonomic ganglia, motor endplates, and the central nervous system (CNS). Their agonists include acetylcholine (ACh) and nicotine, while their antagonist is curare (tubocurarine).

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26
Q

What are the subtypes of muscarinic receptors (mAChR)?

A

The subtypes of muscarinic receptors are M1, M2, M3, M4, and M5. They are metabotropic receptors, belonging to the G protein-coupled receptor (GPCR) family.

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27
Q

Where are muscarinic receptors (mAChR) located and what are their agonists and antagonists?

A

Muscarinic receptors are located postsynaptically in smooth muscle, cardiac muscle, and glands. Their agonists include acetylcholine (ACh) and muscarine, while their antagonist is atropine (belladonna).

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28
Q

What are the subtypes of nicotinic receptors (nAChR)?

A

Nicotinic receptors have multiple subtypes, but the main classification is ionotropic and pentameric cation channels.

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29
Q

Where are nicotinic receptors (nAChR) located and what are their agonists and antagonists?

A

Nicotinic receptors are found in autonomic ganglia, motor endplates, and the central nervous system (CNS). Their agonists include acetylcholine (ACh) and nicotine, while their antagonist is curare (tubocurarine).

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30
Q

What is the second messenger system associated with nicotinic receptors?

A

Nicotinic receptors are ion channels that allow the flow of Na+ and K+ ions. They do not have a direct second messenger system like G protein-coupled receptors.

31
Q

What is the second messenger system associated with muscarinic M1 receptors?

A

Muscarinic M1 receptors are coupled to the Gαq protein, which activates phospholipase C. This leads to an increase in IP3 (inositol triphosphate) and DAG (diacylglycerol) levels. It also results in reduced K+ conductance (gK+).

32
Q

What is the second messenger system associated with muscarinic M2 receptors?

A

Muscarinic M2 receptors are coupled to the Gαi protein, which inhibits adenylyl cyclase. This leads to a decrease in cyclic adenosine monophosphate (cAMP) levels and increased K+ conductance (gK+).

33
Q

What is the second messenger system associated with muscarinic M3 receptors?

A

Muscarinic M3 receptors are coupled to the Gαq protein, which activates phospholipase C. This leads to an increase in IP3 (inositol triphosphate) and DAG (diacylglycerol) levels, as well as an increase in intracellular Ca2+ levels. It also results in increased K+ conductance (gK+).

34
Q

Which muscarinic receptor subtypes are primarily found in the central nervous system (CNS)?

A

Muscarinic receptor subtypes M4 and M5 are primarily found in the CNS.

35
Q

What are the effects of activating muscarinic receptors in the airway smooth muscle?

A

Activation of muscarinic receptors in the airway smooth muscle leads to bronchoconstriction.

36
Q

What are the effects of activating muscarinic receptors in the heart?

A

Activation of muscarinic receptors in the heart leads to a decreased heart rate.

37
Q

What are the effects of activating muscarinic receptors in the gut smooth muscle?

A

Activation of muscarinic receptors in the gut smooth muscle leads to contraction.

38
Q

What are the effects of activating muscarinic receptors in the salivary glands?

A

Activation of muscarinic receptors in the salivary glands leads to increased salivation.

39
Q

What are the effects of activating muscarinic receptors in the bladder smooth muscle?

A

Activation of muscarinic receptors in the bladder smooth muscle leads to contraction.

40
Q

What is the efferent pathway of the parasympathetic division of the autonomic nervous system (ANS)?

A

The efferent pathway of the parasympathetic division of the ANS involves two neurons: the preganglionic neuron (long) and the postganglionic neuron (short).

41
Q

Where does the synapse between the preganglionic and postganglionic neurons occur in the parasympathetic pathway?

A

The synapse between the preganglionic and postganglionic neurons occurs in the autonomic ganglia.

42
Q

What neurotransmitter is released by the preganglionic neuron in the parasympathetic pathway?

A

The preganglionic neuron releases acetylcholine (ACh).

43
Q

What type of receptors are present on the postganglionic neuron in the parasympathetic pathway?

A

The postganglionic neuron has nicotinic receptors that are activated by acetylcholine (ACh) released by the preganglionic neuron.

44
Q

What neurotransmitter is released by the postganglionic neuron in the parasympathetic pathway?

A

The postganglionic neuron releases acetylcholine (ACh), which acts on muscarinic receptors in the effector organ (smooth muscle, cardiac muscle, and glands).

45
Q

What neurotransmitter is released by the postganglionic neuron in the parasympathetic pathway?

A

The postganglionic neuron releases acetylcholine (ACh), which acts on muscarinic receptors in the effector organ (smooth muscle, cardiac muscle, and glands).

46
Q

Where are the cell bodies of preganglionic neurons located in the parasympathetic division of the autonomic nervous system (ANS)?

A

The cell bodies of preganglionic neurons in the parasympathetic division are located in the grey matter of the brain stem or in the lateral horn of spinal cord grey matter from S2-4, giving rise to the term “cranio-sacral.”

47
Q

What is the characteristic of the preganglionic neurons in terms of their length and synapse location?

A

Preganglionic neurons in the parasympathetic pathway have long axons and synapse with postganglionic neurons at or near the target organ.

48
Q

What neurotransmitter is released by the preganglionic neurons in the parasympathetic pathway, and what type of receptors do they activate?

A

The preganglionic neurons release acetylcholine (ACh), which activates nicotinic receptors on the postganglionic neurons.

49
Q

Where are the cell bodies of postganglionic neurons located in the parasympathetic division?

A

The cell bodies of postganglionic neurons in the parasympathetic division are located in indistinct ganglia near or on their final target organ, further away from the spinal cord.

50
Q

What is the characteristic of the postganglionic neurons in terms of their length and synapse location?

A

Postganglionic neurons in the parasympathetic pathway have short axons and synapse directly on the target organ.

51
Q

What neurotransmitter is released by the postganglionic neurons in the parasympathetic pathway, and what type of receptors do they activate?

A

The postganglionic neurons release acetylcholine (ACh), which activates muscarinic receptors on the target organ.

52
Q

What is the efferent pathway of the sympathetic division of the autonomic nervous system (ANS)?

A

The efferent pathway of the sympathetic division of the ANS involves two neurons: the preganglionic neuron (short) and the postganglionic neuron (long).

53
Q

Where does the synapse between the preganglionic and postganglionic neurons occur in the sympathetic pathway?

A

The synapse between the preganglionic and postganglionic neurons occurs in the autonomic ganglia.

54
Q

What neurotransmitter is released by the preganglionic neuron in the sympathetic pathway?

A

The preganglionic neuron releases acetylcholine (ACh).

55
Q

What type of receptors are present on the postganglionic neuron in the sympathetic pathway?

A

The postganglionic neuron has nicotinic receptors that are activated by acetylcholine (ACh) released by the preganglionic neuron.

56
Q

What neurotransmitter is released by the postganglionic neuron in the sympathetic pathway?

A

The postganglionic neuron releases noradrenaline (also known as norepinephrine), which acts on adrenoceptors in the effector organ (such as the heart, blood vessels, and skeletal muscle).

57
Q

Where are the cell bodies of preganglionic neurons located in the sympathetic division of the autonomic nervous system (ANS)?

A

The cell bodies of preganglionic neurons in the sympathetic division are located in the lateral horn of spinal cord grey matter from T1-L2, giving rise to the term “thoracolumbar.”

58
Q

What is the characteristic of the preganglionic neurons in terms of their length and synapse location?

A

Preganglionic neurons in the sympathetic pathway have short axons and synapse with postganglionic neurons near the spinal cord.

59
Q

What neurotransmitter is released by the preganglionic neurons in the sympathetic pathway, and what type of receptors do they activate?

A

The preganglionic neurons release acetylcholine (ACh), which activates nicotinic receptors on the postganglionic neurons.

60
Q

Where are the cell bodies of postganglionic neurons located in the sympathetic division?

A

The cell bodies of postganglionic neurons in the sympathetic division are located in the sympathetic chain, other named ganglia, or in the adrenal medulla, closer to the spinal cord.

61
Q

What is the characteristic of the postganglionic neurons in terms of their length and synapse location?

A

Postganglionic neurons in the sympathetic pathway have long axons and synapse directly on the target organ.

62
Q

What neurotransmitter is released by the postganglionic neurons in the sympathetic pathway, and what type of receptors do they activate?

A

The postganglionic neurons release noradrenaline (also known as norepinephrine), which activates adrenergic receptors on the target organs.

63
Q

What is the special case of sympathetic supply in the adrenal medulla?

A

In the adrenal medulla, the postganglionic axons never develop, and the cells (known as chromaffin cells) take on an endocrine role. They release adrenaline and noradrenaline directly into the bloodstream, contributing to the “fight or flight” response.

64
Q

What hormones are released by the chromaffin cells in the adrenal medulla?

A

The chromaffin cells in the adrenal medulla release adrenaline (epinephrine) and noradrenaline (norepinephrine) into the bloodstream, with approximately 80% being adrenaline.

65
Q

How are the effects of the sympathetic nervous system on sweat glands mediated?

A

The effects of the sympathetic nervous system on sweat glands are mediated by muscarinic receptors. In this special case, the postganglionic neurons that innervate the sweat glands are also cholinergic, meaning they release acetylcholine (ACh) as a neurotransmitter.

66
Q

Which branch of the nervous system regulates involuntary functions?

A

The branch of the nervous system that regulates involuntary functions is the autonomic nervous system (ANS).

67
Q

What are some examples of functions regulated by the autonomic nervous system?

A

The autonomic nervous system regulates functions such as heart rate, secretion from exocrine and certain endocrine glands, and contraction and relaxation of smooth muscle. It also plays a role in certain steps of intermediary metabolism.

68
Q

What are the therapeutic uses of muscarinic receptor agonists?

A

Muscarinic receptor agonists are used therapeutically to mimic the effects of the parasympathetic nervous system. They can be used to decrease heart rate, increase smooth muscle contraction, promote gastrointestinal motility, and increase salivation. Examples of muscarinic agonists include acetylcholine and carbachol.

69
Q

What are the therapeutic uses of muscarinic receptor antagonists?

A

Muscarinic receptor antagonists, also known as anticholinergic drugs, are used therapeutically to block the effects of acetylcholine at muscarinic receptors. They can be used to reduce excessive sweating, dilate the pupils, decrease gastrointestinal motility, and treat certain respiratory conditions. However, they may also cause adverse effects such as dry mouth, blurred vision, and urinary retention.

70
Q

What are the therapeutic uses of alpha-adrenoceptor agonists?

A

Alpha-adrenoceptor agonists are used therapeutically to stimulate alpha-adrenergic receptors, leading to vasoconstriction, nasal decongestion, and increased blood pressure. They are commonly used in the treatment of nasal congestion, hypotension, and as adjuncts in local anesthesia.

71
Q

What are the therapeutic uses of beta-adrenoceptor agonists?

A

Beta-adrenoceptor agonists are used therapeutically to stimulate beta-adrenergic receptors, leading to bronchodilation, increased heart rate, and increased contractility of the heart. They are commonly used in the treatment of asthma, chronic obstructive pulmonary disease (COPD), and as cardiac stimulants.

72
Q

What are the potential adverse drug reactions (ADRs) of muscarinic receptor agonists?

A

Muscarinic receptor agonists can cause adverse effects such as bronchoconstriction, increased lacrimation and salivation, visual disturbances, and urinary incontinence. These effects result from excessive stimulation of the parasympathetic nervous system.

73
Q

What are the potential adverse drug reactions (ADRs) of alpha-adrenoceptor antagonists?

A

Alpha-adrenoceptor antagonists, such as phentolamine, can cause a decrease in peripheral resistance, which may lead to orthostatic hypotension. However, they have no direct effect on heart rate.

74
Q

What are the potential adverse drug reactions (ADRs) of non-selective beta-adrenoceptor antagonists?

A

Non-selective beta-adrenoceptor antagonists, like propranolol, can cause adverse effects such as bronchoconstriction, postural hypotension, bradycardia, muscle weakness/fatigue, and cold extremities. These effects result from the inhibition of sympathetic beta receptors, leading to a decrease in heart rate, peripheral resistance, and bronchodilation.