Pharmacology Flashcards

1
Q

Give an example of a paracrine hormone

A

Histamine

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2
Q

What receptor do the hormones modified amino acids act on?

A

G protein coupled receptors like Gs, Gi and Gq located at the cell surface

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3
Q

What a Gs GPCR is activated what enzyme does it act on to do?

A

Enhances the effects of adenylyl cyclaseto procuse cAMP from ATP

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4
Q

When a Gq GPCR is activated what enzyme does it act on to do?

A

Acts on phospholipase C to positively increase the production of IP3 that causes release of calcium from the endoplasmic reticulum.

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5
Q

Give an example of a hormone under the class of modified amino acids

A
Adrenaline
Thyroid hormones (t3/ 4)
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6
Q

Hormones of the modified amino acid class require a carrier to act on their receptor. T/F?

A

FALSE

Since they are hydrophillic substances they are highly soluble in the blood so dont require a carrier to act of the GPCR

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7
Q

What enzyme is responsible for the phosphorylation of glucose in the beta cells

A

Glucokinase

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8
Q

What happens to the phosphorylated glucose within the beta cell?

A

It then enters glycolysis and then the TCA cycle to produce 36 ATP. This ATP will then block the atp sensitised potassium channel causing depolarisation from the intracellular potassium hence opening the calcium channel to allow insulin to be released.

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9
Q

What type of receptor does insulin act on ?

A

Tyrosine kinase receptor that causes dimerisation of the beta subunits then activates the receptor that autophosphorylates

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10
Q

What receptors do steroids act on?

A

Nuclear receptors class 1 present inthe cytoplasm

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11
Q

Steroids are stored in vesciles ready for release T/F?

A

FALSE

Once formed immediately released no storage.

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12
Q

Steroids are hydrophobic molecules so must be bound to specialised proteins in plasma. T/f

A

TRUE

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13
Q

What are steroids synthesised from ?

A

Cholesterol

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14
Q

Where are steroids metabolisted?

A

By the liver

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15
Q

What are the receptors that peptides and proteins act on?

A

Receptor kinases located at the cell surface

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16
Q

How does orlistat work?

A

Inhibits lipase action so dont absorb the energy of fat

17
Q

What are some of the complications from diabetes?

A

Peripheral pain

Autonomic neuropathy (leading to constipation, gastric slowing, vomiting, sweating)

Diabetic nephropathy (kidney disease causing proteinuria in the urine)

Retinopathy (cataract, glaucoma, acute hyperglucaemia)

Erectile dysfunction

18
Q

What are some of the side effects of glucocorticoids?

A

May cause skin atrophy and delayed wound healing by acting on the mineralocorticoid receptor

19
Q

How can the side effects of glucocorticoids be minimised?

A

Add a mineralocorticoid like spironolactone to inhibit glucocorticoid activity on the mineralocorticoid receptor