Quiz 3 Flashcards
Small Molecule NT
Acetylcholine, Norepinephrine, Dopamine,
Serotonin (5-HT), Histamine, Glycine, GABA, Glutamate, Nitric Oxide (NO).
Fast acting and acute responses
Large Molecule NT
LH, ACTH, GH, vasopressin, oxytocin, angiotensin
II, substance P
More potent, slower, and more prolonged
Metabotropic Receptors:
G-protein coupled receptors
GPCR
Ionotropic Receptors:
Regulate Ion Channels
• Opening Na+ channels
• Closing K+ and/or Cl-
channels
EPSPs
Excitatory
Inhibition
• Opening Cl- channels
• Increased K+ conductance
IPSPs
SPATIAL SUMMATION
Simultaneous EPSPs or IPSPs from
multiple pre-synaptic neurons
TEMPORAL SUMMATION
Successive EPSPs or IPSPs from a single presynaptic nerve terminal
What time of effect does GABA have on the post synaptic neuron?
inhibitory transmitter
What time of effect does Glutamate have on the post synaptic neuron?
Excitatory Transmitter
Withdrawal Reflex
Initiated by activation of nociceptors and leads to withdrawal of the affected limb away from the painful stimulus (ex. lifting up foot when you step on something sharp, opening mouth when you bite down on your tongue, etc.).
Pre-Synaptic Inhibition
Inhibition occurs due to increased Cl– conductance (reduces AP size) which decreases the Ca2+ entry and amount of excitatory NT released.
The Axo-axonal neuron decreases the amount of NT released by the excitatory neuron.
Pre-Synaptic Facilitation
Facilitation occurs due to increased AP time so there is increased Ca2+ entry and more NT is released.
More CA in the presynaptic terminal means more NT release from the excitatory neuron.
Same Stimulus with lesser amount of neuronal response. Prolonged Activation
Prolonged Activation
▪ Hyperkalemia (up to 6 mM) ▪ Hypocalcemia ▪ Alkalosis ▪ Caffeine & theophylline ▪ Up-regulation of receptors
Increased Excitability
▪ Hyperkalemia (above 6 mM) ▪ Hypokalemia ▪ Hypercalcemia ▪ Acidosis (ex. Diabetic DKA) ▪ Anesthetics (ex. Lidocaine) ▪ Down-regulation of receptors ▪ Hypoxia ▪ Fatigue
Decrease excitability
Beta 2 receptor results in:
vasodialation and brochilodialation
When administering lidocane with EPI what happens?
the vasoconstriction causes neuonal uptake of lidocane
MonoAmine Oxidase (MAO) or
Catechol-O-Methyl Tr a n s f e r a s e
(COMT)
enzymes that break down NE
– Constrict smooth muscle
– Relax sphincters ‘
– Stimulate glandular secretions
Muscarinic receptors
– Constrict smooth muscle
– Relax sphincters ‘
– Stimulate glandular secretions
Muscarinic receptors
Which Muscarinic Receptor works in the stomach (secretions and contraction), salivary glands (Gq: IP3, IC Ca++)
M1
Which Muscarinic Receptor works in the smooth muscle, myocardium, cardiac autorhythmic cells, CNS (Gi
protein,¯ cAMP)
M2
Which Muscarinic Receptor works in the exocrine glands (ex. salivary), smooth muscle, endothelium, CNS (Gq: IP3,
IC Ca++)
M3