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39 Cards in this Set

  • Front
  • Back
ANS molecules
ACh, NE, epinephrine, DA
Terminal cell body of somatic (voluntary) vs. autonomic (invol)
Somatic - Within the cns/spinal cord - not in the peripheral ganglia.

Autonomic - in the peripheral ganglia
Firing frequency of somatic (voluntary) vs. autonomic (invol)
Somatic - much more frequent. also faster conduction and recovery
Pregang autonomic fibers - myelinated?
yes
Postgang autonomic fibers - myelinated?
nope
Terminal NT for adrenal medulla
Epinephrine mostly. Some NE
Terminal NT for sweat glands (sympathetic)
ACh- Muscuranic
Renal vasc smooth muscle terminal NT (sympathetic)
Dopamine
Peripheral ganglia - NT used in nerve-nerve synapse
ACh - nicotinic.
More glycogenolysis in sympathetic or para?
sympathetic (via chromaffin cells of the adrenal medulla)
Cells involved in autonomics in the adrenal medulla
chromaffin cells. remember that the NT is epinephrine.
More fatty acid release in symp or parasymp?
sympathetic (via chromaffin cells of the adrenal medulla)
Dually innervated in resting state are mostly in para or symp tons?
parasymp.
so a drug inhibiting NE will have little effect. will have more effect in a stressful situation
can you live without parasymp nervous system?
no, but you can without symp.
Cranial nerves carrying parasympathetics
CN 3,7,9,10
Synthesis of ACh
acetyl coa and choline turned into ACh with coa byproduct via choline acetyltransferase.
Donepezil
Tx alzheimer's

cholinesterase inhibitor (increase ACh levels)
Distrib of sympathetics
Thoracolumbar
Distrib of parasymp
Craniosacral
Pregang fibers of symp vs para
symp - short and myelinated
para - long and myelinated
Postgang fibers of symp vs para
symp - long and unmyelinated (except medulla)
para - short and unmyelinated.
End organ receptors for parasymp
muscuranic
>50% prescrip drugs targeted against...
g-protein coupled receptors.
N terminus of g-coupled prot receptor
Extracellular - has disulfide bond and glycosylation sites
C terminus of g-coupled prot receptor
Intracellular and interacts with G proteins.

Note that g proteins can be desensitized.
Mechanism of alpha1 receptors
Alpha 1a,1b,1d

Increase in PLC and the effector is PKC

Only post-synaptic

epi, NE bind
Mechanism of alpha2 receptors
Alpha 2a,2b,2c

Decrease in cAMP (by inhibiting adenylyl cyclase), effector is PKA mostly, some PKC

Pre (feedback to shut off NE response) and post-synaptic

epi, NE bind
Mechanism of beta receptors
Increase cAMP (by upreg adenylyl cyclase) and the effector is PKA

Post synaptic

Epi, isoproterenol bind it.
NE binds a little bit to beta1.
NE can be used to tx...
septic shock (to cause vasoconstriction)
Doxazosin can be used to tx...
BPH - it relaxes SM of the bladder. It is an alpha-adrenergic antagonist.
Albuterol used to tx...
Asthma - beta2-adrenergic agonist.
Metoprolol used to tx....
Beta-1 adrenergic antagonist.

Tx of angina.
Alpha 1 vs. beta 2 for bronchi
Alpha 1 constricts, beta 2 dilates them.

But there are many more beta2 sites.
Beta2 receptor in general...
dilates and relaxes things.
Dopamine receptors
5 subtypes

Mainly in brain, renal vasculature, presynaptic nerve terminals.
Dopamine can be used to tx...
heart failure

(it is a beta1 adrenergic and dopamine receptor agonist)
D1 or D5 receptors
Brain and renal

Activate adenylyl cyclase and increase cAMP
D2,3,4 receptors
Inhibit adenylyl cyclase to decrease cAMP.

D2 - brain and SM
D3 - brain
D4 - brain and CV system.
Ipratropium
Anticholinergic.