Pharmacology - autonomic Flashcards

1
Q

t/f sympathetic preganglionic neurones are ACh

A

true

post - usually noradrenaline

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2
Q

4 cranial parasympathetic nerves

A

3,7,9,10

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3
Q

for neurochemical transmission, the first 4 steps are
precursor taken up
transmitter synthesised and stored
action potential depolarises
calcium influx through voltage-activated channels
what does this lead to 3

A

calcium induced release of transmitter

activates receptor

enzyme-mediated inactivation/reuptake of transmitter

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4
Q

chemical transmission for sympathetic system initiated by release of ACh, how is this done (2)

A

action potential from cns reached

travels to presynaptic terminal, triggers calcium entry and releases ACh

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5
Q

ACh opens ligand-gated ion channels in the postganglioinic neurone, what does this cause

A

calcium is able to enter and release noradrenaline

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6
Q

what type of receptor does noradrenaline activate

A

G-protein coupled receptors (adrenoceptors)

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7
Q

what are the receptors in target cell membranes that are activated by ACh in parasympathetic chemical transmission

A

muscarinic acetylcholine

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8
Q

strucure of ligand-gated ion channels, what do they do, what does this cause

A

several glycoprotein subunits - channel

rapid changes in permeability of membrane to certain ions (Ca,K)

rapidly changes membrane potential, allows action potential to be reached and transmission of neurones

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9
Q

G-protein coupled receptors can be broken down to the receptor and protein constituents, outline strucutre of each

A

receptor - integral membrane protein
-7 transmembrane spans - joined by 3extrac,3intrac loops

G-protein - 3polypeptide subunits (alpha,beta gamma)
- alpha = binding site of GDP/GT
P

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10
Q

prior signal, GPTR’s have GDP binded, no receptor occupied, and so no effector modulatioin. WHat happens when the signal is turned on (6)

A

agonist activates receptor

Gprotein couples with receptor

GDP dissociates,

GTP binds to alpha

Gprotein dissociates (beta,gamma)

alpha binds to effector

agonist dissociates

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11
Q

t/f after agonist dissociates, signalling can persist

A

true

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12
Q

how is the signal of a GPTR turned off

A

alpha subunit hydrolyses GTP - GDP

alpha recombines with rest of Gprotein (beta,gamma)

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13
Q

what type of receptor are nicotinic acetylcholine receptors? structure

A

ligand-gated
5 glycoproteins
lots of subunits

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14
Q

cholinergic transmission is for what neurotransmitter

A

acetylcholine

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15
Q

outline cholinergic transmission

A
uptake of choline 
ACh synthesised and stored
Depolarisation - calcium influx, releases ACh 
ACh receptors activated
ACh degraded via reuptake
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16
Q

what terminates cholinergic transmission

A

AChE

17
Q

examples of agonist for ACh

A

nicotine

18
Q

at parasympathetic neuroeffector junctions,name of receptors activated

A

Muscarinic ACh receptors 1-3

19
Q

what is ACh degraded to

A

Choline

Acetate

20
Q

Muscarinic ACh receptors at parasympathetic neuroeffector junctions are g proteins, what is the function/effect of each

A

M1 - stimulates phospholipase C - incr stomach acid secretion

M2- inhibits adenylyl cyclase, opening of K+ channels, decr HR

M3 - stimulates phospholipase C , incr saliva secretion and bronchoconstriction

21
Q

what two enzymes metabolise noradrenaline

A

MAO

COMT

22
Q

`Noradrenergc transmission through B1,B2,A1,A2

A

B1 - inhibition of adenylyl cyclase - incr HR and force

B2- stimulation adenylyl cyclase - relaxation of bronchial and vascular smooth muscle

A1 - stimulation of phospholipase C, smooth muscle contraction

A2 - inhibition of adenylyl cyclase - inhibits NA release

23
Q

prazosin is a selective antagonist of A1, explain effect and when used

A

vasodilation

antihypertensive

24
Q

drug which is a competitive antagonist for B1, what is it used for

A

Atenolol (beta-blocker)

antianginal, antihypertensive

25
Q

salbutamol is an agonist for

A

B2

26
Q

t/f atropine is competitive antagonist of nicotonic ACh receptors, yet does not block muscarinic ACh receptors

A

false

antagonist for muscarinic, not nicotonic

27
Q

effect of atropine , when is it used

A

blocks parasympathetic activity
post MI bradycardia
AChE poisoning