the autonomic nervous system (schmidt) Flashcards
effector sites of ACh
M receptors on parasympathetic target organs. alpha and beta receptors on skeletal muscle
the cholinergic system
a substance is cholinergic if it is able to release acetylcholine
muscarine
cholinergic substance, causes bradycardia
nicotine
cholinergic substance, causes tachycardia
acetylcholinesterase
most active enzyme, breaks up acetylcholine
presynaptic autoreceptors
present in skeletal muscle, can cause release of acetylcholine or not
botulinum toxin
neurotoxin, proteins that cause vesicles to release its inside are destroyed by this toxin
which receptors does atropine block
blocks M2 and M3 receptors
muscarinic receptors (M)
muscarine has a positive charge, causes sweating and bradycardia
what do nicotinic receptors (N) activate
activates sympathetic nervous system, increasing heart rate via binding to beta receptor. ACh binds to alpha subunit
nicotinic receptor agonist
depolarizing, some muscle relaxants work on nicotinic Ach receptors which tranport Na into the cell
nicotinic receptor antagonist
non-depolarizing, competitive antagonist (D-tubocurarine)
G protein coupled receptors
receptors for hormones, neurotransmitters or mediators
M1
nerve cells (stimulation)
M2
heart (inhibition)
M3
smooth muscle (contraction), exocrine glands (secretion)
M4
striatum and lungs
adrenoceptors
Alpha1, 2 and beta1,2,3
sympathetic activation
increased heart rate by steeper depolarisation via beta 1 receptors
parasympathetic activation
decreased heart rate by less steep depolarisation
bradycardia
heart is less active because M2 receptor is too active
tachycardia
heart is too active
M2 muscarinic receptor
presynaptic autoreceptor, inhibition of adenylyl cyclase, suppression of phosphorylation of ca channels
M3 muscarinic receptor
vasodilator effects via NO release from endothelial cells