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18 Cards in this Set

  • Front
  • Back
drugs that affect _____ systems have a prfound effect on the overall excitability of the CNS
hierarchical
the main excitatory and inhibitory NTs in hierarchical systems?
ex: Asp, Glu
inh: GABA, Glycine
main NTs in diffuse systems?
NE, DA, 5HT or peptides that act on metabotropic recepors
what receptor mediates most of the CNS responses to ACh?
muscarinic M1 receptors
what is the mechanism of excitation by M1 receptors?
slow excitation d/t decreased membrane permeability to K+
what is the mechanism of action of DA?
slow inhibitory actions at synapses:
presynaptic inactivation of Ca channels
postsynaptic activation of K+ channels
where are the majority of NE neuron cell bodies located?
brain stem and lateral tegmental area of the pons
which receptors for NE are excitatory and which are inhibitory?
excitatory: α1, β1

inhibitory: α2, β2
where is the origin of most of the serotonin pathways in the CNS?
raphe nucleus or midline regions of pons and upper brain stem
most agents used in treating MDD affect which NT?
serotonin
MOA of phencyclidine (PCP) and ketamine
block NMDA recepors
MOA of GABA-A receptors
opens chloride channels

fast IPSPs
MOA of GABA-B receptors
coupled to G proteins that either open K+ channels or close Ca channels

slow IPSPs
which drugs influence GABA-A receptor systems?
sedative hypnotics (barb's, benzos, zolpidem)

some anticonvulsants (gabapentin, tiagabine, vigabatrin)
MOA of strychnine?
spinal convulsant; blocks glycine receptors (more numberous in SC than in brain)
what are the subtypes of opioid peptides?
beta-endorphin, met-enkephalin, leu-enkephalin, dynorphin
peptide mediator of slow EPSPs in nociceptive neurons in brain stem and SC?
substance P
MOA of endocannabinoid NT's?
synthesized and released postsynaptically after depolarization but travel backward to cause retrograde decrease in NT release