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Pharm2 intro

QuestionAnswer
What does the somatic motor neuron release and what type of receptor does it bind to? ACh, Nm
What are 4 pathways of NE once it has been released from the post synaptic neuron? 1.Binds to Alpha2 receptors causing inhibition of further NE release (always). 2.Bind to effector cell receptor. 3.Diffuse out of synapse. 4.Re-uptake into pre-snaptic neuron cleft/terminal bouton via NET (either reused or degraded by MAO).
What is the main mechanism of NE inactivation? Re-uptake by NET (NE Transporter) and degraded in the post-ganglionic pre-synaptic nerve terminal by Monoamine oxidase (MAO).
Phenylethanolamine-N-methyltransferase (PNMT) Enzyme in the adrenal medulla that converts NE to Epi. **this explains the 9:1 Epi:NE ratio.
Greater affinity to NE: Alpha1 or Alpha2s? SAME AFFINITY
Greater affinity to NE: Beta1 or Beta2s? Beta1 have a much greater affinity.
Greater affinity to Epi: Alpha1 or Alpha2s? SAME AFFINITY
Greater affinity to EPI: Beta1 or Beta2s? SAME AFFINITY
Enzyme responsible for ACh breakdown in the synaptic cleft? AChE
if ACh diffuses out of the synaptic cleft and enters into the BL, what is it converted into? 1.Choline. 2.Acetate.
Locations of Nicotinic Receptors? 1.Parasymp ganglion. 2.Sympathetic ganglion. 3.Skeletal muscle (need the fast response N receptors, not the slower responding M receptors).
Which ACh receptor is a fast response Na+/K+ ligand gated channel? Nicotinic: 1.Nn: Neuron (firing). 2.Nm: Muscle (contraction). **Na+ influx causes depolarization
Which ACh receptor is a slower response G-protein receptor? Muscarinic
What mechanism is used by all adrenergic receptors? G-protein coupled receptors.
G-proteins: Gs Activates adenylyl cyclase (Inc cAMP and PKA). See with: 1.Beta1 (Heart & Kidney). 2.Beta2 (Smooth muscle & liver). 3.Beta3 (adipose)
G-proteins: Gq activates phospholipase CB (Inc [Ca+] and PKC). See in: 1.Alpha 1 (smooth muscle, secretory glands). 2.M3 (smooth muscle, secretory glands)
What would an increase in intracellular [Ca+] as a result of Gq? 1.Smooth muscle contraction. 2.Inc secretion
G-proteins: Gi Inhibits adenylyl cyclase (Dec cAMP, Inc K+ permeability). See in: 1.Alpha2 (Pre-synaptic symp clefts, inhibits further NE release). 2.M2 (Dec HR in Heart)
B1 affect on heart & Kidney (juxtaglomerular cells) 1.Heart: Inc HR and contractility. 2.Kidney: Renin release. **Gs
B2 affect on smooth muscle and liver? 1.Smooth muscle: relaxation. 2.Liver: glycogenolysis, gluconeogenesis.. **Gs
B3 affect on adipose Lipolysis. **Gs
How many molecules of ACh are required to open Nicotinic ligand-gated Na+/K+ channels? 2
What happens if you activate an Gi in the SA node? Inc K+ permeability, causes hyperpolarization (via GIRK channels) which will prolong the diastolic depolarization phase.
Chronic exposure to an Antagonist? Receptor Up-regulation.
Chronic exposure to an Agonist? Receptor Down-regulaiton.
Created by: WeeG
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