Unit 2 - Autonomics I Flashcards

1
Q

length of fibers in the sympathetic division

A

thoracocolumbar

  • preganglionic are short
  • postganglionic are long
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2
Q

length of fibers in parasympathetic division

A

scraniosacral

  • preganglionic are long
  • postganglionic are short
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3
Q

what are generalizations you can make about:

  • all preganglionic
  • postganglionic parasympathetic nt
  • postganglionic sympathetic nt
A
  • pregang: ALL use ACh to nicotinic receptors
  • postgang para: ALL use ACh with little/no branching (1:1 chlinergic fibers) to muscarinic ACh receptors
  • postgang symp: NOT ALL use NE with more branching (1:20 adrenergic fibers)
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4
Q

what are the different nt postganglionic sympathetic can use?

A
  1. NE to alpha/beta (cardiac and smooth muscle, gland, nerve terminals) –> classical
  2. ACh to muscarinic (sweat glands)
  3. D to D1 (renal vascular smooth muscle)
  4. ACh to neurologic nicotinic (chromaffin cells)
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5
Q

what are skeletal muscle ganglions?

A

straight from spinal cord via voluntary motor nerve to muscarnic nicotinic ACh

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6
Q

describe ACh

A

primary nt at ANS ganglia, somatic neuromuscular junction, and at parasympathetic postganglionic nerve endings

  • primary excitatory transmitter to smooth muscle and secretory cells in ENS
  • major neuron-to-neuron (“ganglionic”) transmitter in ENS
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7
Q

describe norepineNE

A

primary transmitter at most sympathetic postganglionic nerve endings

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8
Q

how is neurotransmission at cholinergic VS noradrenergic nerve terminals different?

A

in terms of their handling after release (esp. drugs inhibiting synthesis, storage, and release)

  1. for ACh, non-specific and not generally useful (except botulinum toxin)
  2. for NE, specific and useful (b/c release blockers for HTN, uptake blockers, or releasers as stimulants)
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9
Q

what are the best drug targets? why?

A

target tissue receptors

-allow for selectivity

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10
Q

how do subunit arrangement and molecular structure of nictonic ACh receptors differ?

A

are all different in regards to muscarinic, neuronal, etc.

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11
Q

are Nn ACh receptors good drug targets? response time?

A

poor drug targets, but fast responses

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12
Q

are alpha/beta adrenergic receptors good drug targets? response time?

A

good drug targets, but slow responses to NE (different tissues express different receptors)

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13
Q

are M1-M5 ACh adrenergic receptors good drug targets? response time?

A

good drug targets, but slow responses (different tissues express different receptors)

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14
Q

what are the steps of response for M1/3/5

A

Gq –> PLC+ –> DAG increases + IP3 (Ca) increases

like alpha1

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15
Q

what are the steps of response for M2/4

A

Gi –> AC- –> cAMP (decreases)
Gi –> Kchan+ –> hyperpolarization
(like alpha2)

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16
Q

what are the steps of response for alpha1 adrenergics??

A

Gq –> PLC+ –> DAG (increase) + IP3 (Ca) increases

like M1/3/5

17
Q

what are the steps of response for alpha2 adrenergics?

A

Gi –> AC- –> cAMP (decreases)
Gi –> Kchan+ –> hyperpolarization
(like M2/4)

18
Q

what are the steps of response for beta1/2/3 adrenergics?

A

Gs –> AC (increase) –> cAMP (increase)

opposite of M2/4 and alpha2

19
Q

what are major M1/3/5 effects?

A
  • smooth muscle contraction by M3
  • neuroregulation by M1

due to increased IP3 (Ca++) + DAG

20
Q

what are major M2/4 effects

A
  • slowing of heartbeat and inhibition of nt release due to hyperpolarization
  • smooth muscle contraction by opposing cAMP-mediated relaxation due to lower cAMP
21
Q

what are major alpha1 adrenergic effects?

A

smooth muscle contraction

due to increased IP3 (Ca++) + DAG

22
Q

what are major alpha2 adrenergic effects?

A

inhibition of neurotransmitter release

due to both decreased cAMP and increased hyperpolarization

23
Q

what are major beta1 adrenergic effects?

A

increase in force/rate of contraction of heart due to increased cAMP

24
Q

what are major beta2 adrenergic effects?

A

smooth muscle relaxation via increased cAMP

25
Q

what are major beta3 adrenergic effects?

A

lipolysis via increased cAMP

26
Q

what are sympathetic VS parasympathetic effects on SA node?

A

symp: accelerates via beta1/2
para: decelerates via M2

27
Q

what are sympathetic VS parasympathetic effects on bronchiolar smooth muscle?

A

symp: relaxes via B2
para: contracts via M3

28
Q

what are sympathetic VS parasympathetic effects on bladder wall?

A

symp: relaxes via B2
para: contracts via M3

29
Q

does NE have a stimulatory or inhibitory effect on alpha2, AII, and M2 receptors?

A

inhibitory: a2, M2
stimulatory: AII

30
Q

does ACh have a stimulatory or inhibitory effect on M2 receptors?

A

inhibit NE release