Watson S2 Flashcards
What does FEV1 stand for
Forced expiratory volume in 1 second
What is a mitogen?
Mitogens are endogenous regulators of growth they are produced and released during inflammation
Name 4 mitogens
Platelet derived growth factors
Endothelin (peptide)
Cytokines
Histamine
What are modulators
They are endogenous regulators of growth that suppress growth of smooth muscle
Name 3 modulators
Heparin
Nitric oxide
Prostaglandins E2
What does PEFR stand for
Peak expiratory flow rate
What are the predominant nerves in airways?
Cholinergic nerves
How does increased cholinergic muscle tone occur?
1) stimulate parasympathetic nerve
2) ACh release
3) stimulates M3 receptors on airway smooth muscle
4) Gq -> PLC -> Ca2+
5) contraction
When a muscarinic receptor is stimulated what ultimately initiates contraction?
Phosphorylation of myosin light chain
Circulating adrenaline works on what receptors
Acts on beta-adrenoceptors on airway smooth muscle
What are the effects of adrenaline on airway smooth muscle
Dilation
What does iNANC stand for
Inhibitory non-adrenergic non-cholinergic transmitters
Name two dilator Neuropeptides
CGRP
Vasoactive intestinal polypeptide (VIP)
What does neuronally derived NO act in and what does it cause
Soluble guanylate cyclase
Dilation of smooth airways
Are there many neuroadrenergic receptors in the airways?
No
Name three ways in which activation of G-alpha s via stimulation of beta2 adrenoreceptors causes bronchodilation
Stimulates PKA which:
1) opens k+ channels
2) inactivates MLCK
3) calcium uptake
Via what is MLC phosphatase activated by when beta 2 adrenoreceptors are stimulated?
G-beta-gamma
Name a short acting beta-2 adrenoceptor agonist?
Salbutamol
Name two long acting beta-2 adrenoceptor agonists
Formoterol
Salmeterol
Name a phosphodiesterase inhibitor
Theophylline
How do phosphodiesterase inhibitors work
Inhibit breakdown of cAMP so more bronchodilation
Name two types of phosphodiesterase in the airway smooth muscle?
PDE III and IV
Name two types of asthma
Extrinsic- atopic
Intrinsic- non-atopic