Respiratory - Pharmacology Flashcards

1
Q

How do GPCR work?

A

drug/hormone/neurotransmitter binds to a receptor site on GPCR, which causes an alpha subunit of protein to break off and control contractions

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2
Q

What does GPCR?

A

G-protein coupled receptor sites

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3
Q

What two main receptors sites are found in the bronchi?

A

B2 receptor site and muscarinic receptor

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4
Q

What will bind to the B2 receptor site, and what type of receptor process is it?

A

Noradrenaline is a beta 2 agonist that binds to a B2 receptor through a GPCR process

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5
Q

After noradrenaline binds to a B2 receptor site, what happens?

A

The sub-unit activates Adenylyl cyclase, which releases a secondary messenger called cAMP

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6
Q

What does cAMP do in the bronchi?

A

Relaxes the bronchi smooth muscle

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7
Q

How is cAMP limited?

A

An enzyme called PDE turns cAMP into AMP

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8
Q

What two things can a alpha sub-unit do?

A

Activate a secondary messenger

Close or open adrenaline channels

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9
Q

What neurotransmitter typically binds to muscarinic receptor sites in the bronchi, and what type of receptor is it?

A

ACh binds to a muscarinic receptor through a GPCR process

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10
Q

What enzyme is activated when ACh binds to muscarinic receptors in the bronchi, and what does it lead to the production of?

A

PLC enzyme is activated and leads to the production of IP3

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11
Q

What does IP3 do in the bronchi?

A

Binds to, and opens calcium channels. This causes bronchiconstriction

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12
Q

What are cytokines?

A

Small proteins which coordinate immune response, by causing inflammation

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13
Q

What are mast cells and what two things do they release?

A

Part of the immune system, which have an inflammatory response, and releases histamine and leukotrienes

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14
Q

What does histamine do in regards to respiratory and vessels?

A

Vasodilation

Bronchoconstriction

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15
Q

What are leukotrienes?

A
  • Potent Broncho constrictors
  • Microvascular leakage and inflammation
  • swelling
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16
Q

What is the difference between muscarinic receptor antagonists and b2 receptor agonists in terms of there effect on bronchodilation?

A

muscarinic receptor antagonists stop the contraction of the airway

b2 receptor agonists reverse the contraction and actively cause dilation

17
Q

What are phosphodiesterase antagonists?

A

Blocks PDE, to prevent it limiting cAMP. cAMP allows for bronchodilation

18
Q

What are two examples of phosphodiesterase antagonists?

A

Aminophylline

Theophylline

19
Q

What do steroids do?

A

Affect DNA coding

20
Q

What do corticosteroids do for respiratory conditions?

A

Limit DNA coding of inflammatory enzymes such as leukotrienes and cytokines

21
Q

What are anti-histamines?

A

Inverse agonists that reverse production of histamine

22
Q

What is an examples of a anti-histamine?

A

chlorphenamine

23
Q

What is a leukotriene antagonist?

A

Used in adjunctive treatment in steroid-responsive asthma

24
Q

How is montelukast administered and what is it?

A

a tablet that is a leukotriene inhibitor, used for asthma treatment

25
Q

What is prednisolone?

A

A corticosteroid