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49 Cards in this Set
- Front
- Back
Chromaffin cells
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adrenal medulla --> EPI, NE
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enterochromaffin cells
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intestines --> SERT
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ECL- enterochromaffin like cells
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stomach --> intestine
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platelets
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release SERT
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mast cells, basophils
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release histamine
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prefronal cortex of macaque
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glutamate (90% synapse), GABA (10% synapse)
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Dopamine
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motivation (doer)
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histamine
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anticipation (high hopes)
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ACh
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acquisition
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NE
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escape (non participation)
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serotonin
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cessation (separation)
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mesocortical pathway
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MAM, increased (ADD, Alz, wanting)/decreased activity (HD, Alz, wanting)
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Nigrostriatal pathway
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inh posture, decrease activity (restless legs syndrome, parkinsons)
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tuberoinfundibular pathway
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decreaes PL from anterior pituitary; decrease activity (PL --> dec estroen --> osteoP/infertility
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dopamine periphery
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adrenal medulla, low dose (incr renal flow, diuresis), high dose (incr HR and SV, vasoC, antidiuresis)
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Amphetamines
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reverses transporters (efflux dop/NE, reuptake, incr dop/NE in brain)
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Cocaine
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inh transporters (inh reuptake, incr dop/NE in brain)
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Zyban
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inh transporters (dop only), inh reuptake, increase dop levels in brain
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why is zyban less addictive than cocaine?
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zyban more specific (not incr NE as much as cocaine), can compensate by creating more reuptake (less dop) not cocaine
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Dopamine receptors: D1-like (D1, D5)
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excitatory: agonism - movement, wanting, mood
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Dopamine receptors: D2-like (D2, D3, D4)
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inhibitory: autoreceptors (neg feeback), heteroreceptors (agonist: ing PL rel, antagonist muscle control, antagonist: inc PL secretion, decr motor control)
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Dopamine drugs
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Zyprexa (olanzapine) heteroreceptor antagonist: anti psychotic, inh sertonin release
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Histamine
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CNS (wakefulness), peripheral (WBCs, eating/WCL in stomach -acid, arousal)
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H1
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agonist (wakefulness, dilation, bronchocontriction), antagonist (claritin: low sedation/low entry to CNS)
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promethazine
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H1 antagonist to mus M5 receptor
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H2
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excitatory: agonist (rel HCl, erection), antagonist (tagamet - heartburn)
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H3
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inhibitory (autoreceptor): agonist (inh release of histamine -autoregulation)
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H4
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agonist: increased WBC chemotaxis
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ACh: brain
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nicotinic (excitatory, CNS agonist/dop rel/cigarette), muscarinic (excitatory, CNS agonist/short term memory)
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ACh: peripheral movement (PNS and SNS)
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ACh to nicotinic receptors (direct: sk mus mov't, AM sec; indirect: ACh to musca rec, NE/E to adrenergic)
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NE (SNS): brain
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incr alertness, Memory Attention LEarning (decr ADHD)
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NE (SNS): peripheral movement
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AM --> NE, E (incr fuels, breathing, HR, sweating, circulation)
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NE drugs
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cocaine, Amph, elavil (inh transporters - NE, serotonin: inh reup AND incr NE/Sert), straterra (inh NE only: inh reup AND incr NE in brain)
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Alpha 1
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excitatory: agonist: vasoC sudafed
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Alpha 2
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inhibitory: agonist: decreased NE release from brain and adrenal gland: catapres
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Beta 1
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excitatory: agonist dobutamine (heart failure), antagonist (heart inhibition - lopressor)
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Beta 2
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agonist (airway relex - albuterol)
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Beta 3
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agonist: lipolysis from fat cells
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Serotonin: CNS
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positive mood, sensory input, cessation of appetite/arousal, lung modulation.
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Dysregulation of heart/lung modulation of Serotonin in CNS
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SIDS
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Serotonin: peripheral movement
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GI irritant (EC cells - 85% of serotonin in GI, vomiting, IBS), damage b.v (vasoC, fibroblast)
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reversal of serotonin transporters
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efflux of serotonin from vesc or platelets, incre sert in brain (NMDA - positive mood, fenfluramine - loss appetite)
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inhibition of serotonin reuptake transporter
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incre sert in brain but not in plasma, antagonism (SSRI incre sert, for OCD/dep, paxil)
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what is therapeutic lag
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occurs in inhibition of reuptake transporter. The autoreceptors must 1st desensitize b/f the concentration of extracellular serotonin in the synapse can become elevated appreciably
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5HT1A receptor
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agonist: dec rel of glutamate (less anx - buspar), sub P (pain), ACh (less memories), incr cortisol (less dehydration), incr beta endorphin (less pain), more dop (more association with event), vasoD, incr PL/oxytocin
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5HT1B/1D
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decreased rel of dop (more PL), vasoC in CNS (imitrex)
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5HT2A
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excitatory: agonist (LSD), antagonist (zyprexa), vasoC, platelet aggregation
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5HT3
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excitatory: stimulate vomiting via rec on vagus nerve in GI and rec in brain that are accesible to circulating sero: antagonist: zofran
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5HT4
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excitatory: stimulate peristaltic contractions in GI tract
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