Norepinephrine Termination of Action Flashcards

1
Q

What is the PRIMARY mechanism for the termination of action of norepinephrine in the synaptic cleft?

A

Let’s go to study!!!

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2
Q

The primary mechanism that removes NE from the synaptic cleft is —– into the presynaptic nerve

A

Reuptake

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3
Q

Up to —–% of the NE released undergoes reuptake into the presynaptic nerve

A

80%

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4
Q

Most NE is —– and —– into vesicles to be used again

A

recycled and repackaged

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5
Q

Most NE is recycled and repackaged into vesicles to be used again, however, some NE is metabolized by —– in the nerve terminal

A

MAO

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6
Q

NE reuptake is blocked by —– and —–.

A

Tricyclic antidepressants, and

Cocaine

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7
Q

Reuptake can also be accomplished by certain extra-neural tissues. These tissues contain —– and —– to metabolize NE

A

MAO and COMT

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8
Q

NE may also diffuse away from the synaptic cleft, enter the circulation, and be metabolized in which two organs?

A

Liver and Kidney

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9
Q

NE may also diffuse away from the synaptic cleft, enter the circulation, and be metabolized in the liver and kidney

by —– and —–.

A

MAO and COMT

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10
Q

What is the PRIMARY mechanism for the termination of action of norepinephrine in the synaptic cleft?

A

Reuptake

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11
Q

Approximately —– % of the NE released into the synaptic cleft undergoes reuptake into the presynaptic neuron

A

80%

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12
Q

Approximately 80% of the NE released into the synaptic cleft undergoes reuptake into the presynaptic neuron. This explains why —— is the primary mechanism of NE’s termination of action.

A

Reuptake

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13
Q

Most of the NE that doesn’t undergo reuptake diffuses into the ——.

A

Systemic circulation

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14
Q

Most of the NE that doesn’t undergo reuptake diffuses into the systemic circulation, where it is subject to metabolism by —– and —–.

A

COMT and MAO

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15
Q

Most of the NE that doesn’t undergo reuptake diffuses into the systemic circulation, where it is subject to metabolism by COMT and MAO in which organs?

A

liver and kidneys.

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16
Q

A small amount of NE undergoes reuptake into —– tissue

A

extra-neural tissue

17
Q

References**:

A
  • Barash. Clinical Anesthesia. 8th ed. 2017. p. 341-342.*
  • Hemmings. Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application. 1st ed. 2013. p.* 212 & 221-222. Flood. Stoelting’s Pharmacology & Physiology in Anesthetic Practice. 5th ed**. 2015. p. 82-83.