Nicotine Flashcards

1
Q

What are the 2 major species of tobacco plant

A

1) large leaf form

2) small leaf form

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2
Q

Which is commonly used today and where does it come from

A

Large leaf form is used in modern day tobacco and it originated in South America where Native peoples domesticated it 5000 years ago

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3
Q

Where is the small leaf form from

A

native to eastern North America and the islands of the West Indies. Same plant encoutnered by Columbus in 1492

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4
Q

What is the botanical name of tobacco and where did it originate

A

Nicotiana Tabacum; Nicot’s surname (introduced tobacco in Portugal) and tabaco which means tobacco in spanish and portugese

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5
Q

How was most tobacco use smoked at first

A

through pipe smoking, cigar smoking and chewing and later developed into snuff

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6
Q

When were cigarettes first used

A

in Europe in the mid nineteenth century and their popularity exploded over the next 30 years

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7
Q

What 2 developments occurred once cigarettes gained popularity

A

1) new methods of curing tobacco leaves that improved their flavor
2) the invention of cigarette machines

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8
Q

how many cigarettes are able to be produced per minute on modern day machines

A

4000 to 8000 per minute

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9
Q

In 1828 how much nicotine was in dry tobacco leaves

A

5%

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10
Q

How much nicotine is in the typical cigarette and how much reaches the blood stream

A

between 6 and 11 mg although only 1 to 3 mg reach the bloodstream

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11
Q

How does nicotine enter the smoker’s lungs?

A

tiny particles called tar which is a mixture of hydrocarbons

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12
Q

Why is tar important in cigarettes

A

it contributes to the taste and smell of cigarette smoke

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13
Q

What is the quickest way to get nicotine straight to the brain

A

smoking

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14
Q

what principal metabolite transforms 70-80% of nicotine in the body

A

cotinine

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15
Q

What is the outcome of individuals with low CYP2A6

A

have less nicotine metabolism and are les likely to become smokers. If they are smokers they will smoke less. Therefore, slow breakdown may produce a protective effect against smoking

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16
Q

What are the mechanisms of action of nicotine

A

works by activating nicotinic cholinergic receptors (ionotropic receptors- fast acting)

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17
Q

feelings of calmness and relaxation may actually be caused by what? and why?

A

relief from withdrawal symptoms because nicotine given to nonsmokers = feelings of heightened tension, lightheadedness, dizziness and nausea

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18
Q

What is the outcome of abstinent smokers being given nicotine regarding cognition

A

they show enhanced performance on many cogitive and motor tasks, particularly those showing attentional demands

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19
Q

What has been found of cognitive outcomes of nicotine use for both smokers and non smokers

A

has a positive influence on cognitive and motor functioning

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20
Q

What are the two types of cholinergic receptors

A

nicotinic receptors and muscarinic receptors

21
Q

What do nicotinic receptors do

A

ionotropic
– fast acting receptors that regulate the ability of the neuron the fire
When ACh binds, the channel opens and Na+ and
Ca2+ enter the neuron or muscle cell
(depolarization -> excitatory).

22
Q

What are muscarinic receptors

A

Muscarinic receptors are metabotropic
• Five types: M1 – M5
• Operate via second messengers (G protein) – slow acting

23
Q

What is the function of acetylcholinesterase

A

breaks acetylcholine down to choline and acetic acid.

24
Q

What is the function of CYP2A6

A

metabolizes nicotine, caffeine, estrogen and antidepressants

25
What is the lethal dose of nicotine
60 mg
26
What is the half life of nicotine
2 hours
27
What is the importance of accumbens AD for nicotine reinforcement
lesioning the dopaminergic innervation significantly weakened nicotine self-administration
28
How does nicotine cause a depolarization block
the resting potential of the membrane is lost, and the cell cannot be excited until the agonist is removed and the membrane repolarized.
29
What is the biphasic action of nicotine
– Low doses stimulate receptors | – High doses block receptors
30
How does nicotine stimulate DA release
Stimulation of nAChRs on DA neurons in VTA and causes glutamate release onto VTA neurons
31
What effect does nicotine have on the body
* Increases heart rate * Increases blood pressure * Reduces appetite * Acts as a laxative (in non-tolerant individuals) * Decrease in muscle tone
32
What are the nicotine withdrawal symptoms?
* Severe craving * Irritability * Anxiety * Anger * Concentration issues * Impatience * Increased appetite * Weight gain * Insomnia * Restlessness
33
How long does it take for withdrawal to onset
2 hours
34
What diseases are linked to smoking
Cancer, cardiovascular, and pulmonary diseases (e.g., emphysema) respiratory diseases such as chronic obstructive pulmonary disease, chronic bronchitis
35
How many deaths per year from smoking
6 million
36
What is the leading global cause of preventable death
smoking
37
What are the physician initiated 5 A's of treatment
1. Ask 2. Advise 3. Assess 4. Assist 5. Arrange
38
What are the 3 potential reduced exposure products
1) Nicotine replacement therapy 2) E cigs 3) Vaccine therapy
39
What are examples of nicotine replacement therapies
``` – Nicotine gum – Lozenges – Transdermal patches – Nasal spray – Inhalers ```
40
What is Chantrix
``` Partial nicotine receptor agonists Partially stimulates the receptor – Blocks access of nicotine – Smoking is less satisfying – Maintains a low-level release of dopamine ```
41
How do vaccine therapies work?
Binding nicotine to a carrier protein induces the release of antibodies. Requires repeated doses to remain effective. • Quit rates are highest in those that produce the most antibodies.
42
what effect does nicotine have on metabolism
increases metabolic rate and suppresses the appetite
43
what is acute tolerance of nicotine
desensitization of central nicotinic receptors
44
What do the reinforcing properties of nicotine involve
acitvation of high affinity receptors located in the VTA that stimulate the firing of DA neurons and increase DA release in the Nacc
45
What are the demographics for higher cigarette smoking
Who smokes more: | men, non college graduates, unemployed people american indians and alaskan natives
46
What two benefits have been reported to the smoker from smoking
1) greater mood control | 2) enhancement of concentration
47
What is the model that represents why smokers smoke regarding stress etc
nicotine resource model
48
What 3 premises is nicotine replacement based upon
1) the difficulty associated with smoking cessation is significantly related to nicotine withdrawal symptoms 2) blocking theses symptoms by maintaining a certain circulating level of nicotine is assistive 3) there are safer ways for individuals to obtain nicotine than by smoking