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39 Cards in this Set
- Front
- Back
ANS molecules
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ACh, NE, epinephrine, DA
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Terminal cell body of somatic (voluntary) vs. autonomic (invol)
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Somatic - Within the cns/spinal cord - not in the peripheral ganglia.
Autonomic - in the peripheral ganglia |
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Firing frequency of somatic (voluntary) vs. autonomic (invol)
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Somatic - much more frequent. also faster conduction and recovery
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Pregang autonomic fibers - myelinated?
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yes
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Postgang autonomic fibers - myelinated?
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nope
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Terminal NT for adrenal medulla
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Epinephrine mostly. Some NE
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Terminal NT for sweat glands (sympathetic)
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ACh- Muscuranic
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Renal vasc smooth muscle terminal NT (sympathetic)
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Dopamine
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Peripheral ganglia - NT used in nerve-nerve synapse
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ACh - nicotinic.
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More glycogenolysis in sympathetic or para?
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sympathetic (via chromaffin cells of the adrenal medulla)
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Cells involved in autonomics in the adrenal medulla
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chromaffin cells. remember that the NT is epinephrine.
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More fatty acid release in symp or parasymp?
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sympathetic (via chromaffin cells of the adrenal medulla)
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Dually innervated in resting state are mostly in para or symp tons?
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parasymp.
so a drug inhibiting NE will have little effect. will have more effect in a stressful situation |
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can you live without parasymp nervous system?
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no, but you can without symp.
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Cranial nerves carrying parasympathetics
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CN 3,7,9,10
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Synthesis of ACh
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acetyl coa and choline turned into ACh with coa byproduct via choline acetyltransferase.
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Donepezil
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Tx alzheimer's
cholinesterase inhibitor (increase ACh levels) |
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Distrib of sympathetics
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Thoracolumbar
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Distrib of parasymp
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Craniosacral
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Pregang fibers of symp vs para
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symp - short and myelinated
para - long and myelinated |
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Postgang fibers of symp vs para
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symp - long and unmyelinated (except medulla)
para - short and unmyelinated. |
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End organ receptors for parasymp
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muscuranic
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>50% prescrip drugs targeted against...
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g-protein coupled receptors.
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N terminus of g-coupled prot receptor
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Extracellular - has disulfide bond and glycosylation sites
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C terminus of g-coupled prot receptor
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Intracellular and interacts with G proteins.
Note that g proteins can be desensitized. |
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Mechanism of alpha1 receptors
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Alpha 1a,1b,1d
Increase in PLC and the effector is PKC Only post-synaptic epi, NE bind |
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Mechanism of alpha2 receptors
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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 |
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Mechanism of beta receptors
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Increase cAMP (by upreg adenylyl cyclase) and the effector is PKA
Post synaptic Epi, isoproterenol bind it. NE binds a little bit to beta1. |
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NE can be used to tx...
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septic shock (to cause vasoconstriction)
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Doxazosin can be used to tx...
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BPH - it relaxes SM of the bladder. It is an alpha-adrenergic antagonist.
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Albuterol used to tx...
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Asthma - beta2-adrenergic agonist.
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Metoprolol used to tx....
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Beta-1 adrenergic antagonist.
Tx of angina. |
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Alpha 1 vs. beta 2 for bronchi
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Alpha 1 constricts, beta 2 dilates them.
But there are many more beta2 sites. |
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Beta2 receptor in general...
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dilates and relaxes things.
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Dopamine receptors
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5 subtypes
Mainly in brain, renal vasculature, presynaptic nerve terminals. |
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Dopamine can be used to tx...
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heart failure
(it is a beta1 adrenergic and dopamine receptor agonist) |
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D1 or D5 receptors
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Brain and renal
Activate adenylyl cyclase and increase cAMP |
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D2,3,4 receptors
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Inhibit adenylyl cyclase to decrease cAMP.
D2 - brain and SM D3 - brain D4 - brain and CV system. |
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Ipratropium
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Anticholinergic.
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