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PARASYMPATHETIC AGENTS
3/13/07
49
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Not Applicable
03/13/2007

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Term
Name the 3 major components of PNS; where they synapse; what type of neurotransmitters
Definition
1. Autonomic;peripheral ganglia; SEVERAL

2. MOTOR; ventral horn; CHOLINERGIC

3. SENSORY; dorsat root ganglia; NEUROPEPTIDES
Term
Name the 3 divisions of ANS; and neurotransmitters
Definition
1. sympathetic adrenergic + cholinergic

2. parasympathetic: cholinergic

3. enteric: several
Term
all ANS preganglionic fibers are BLANK transmission
Definition
cholinergic
Term
PNS comes out of where
Definition
craniasacral outflow
Term
SNS outflow?
Definition
from entire spinal cord
Term
what is echothiophate used for?
Definition
long lasting AChE inhibition in the treatment of glaucoma
Term
where are SNS preganglionic neurons
Definition
thoracolumbar spinal cord
Term
where do postganglionic PNS neurons reside?
Definition
ganglia adjacent to the tissues they innervate. USE ACh
Term
how is acetylcholine generated?
Definition
one step biosynthetic reaction resulting in the acetylation of choline
Term
what enzyme catalyzes the acetylation of choline?
Definition
ChAT
Term
Where is ChAT specifically expressed?
Definition
in cholinergic neurons
Term
What limits the production of ACh
Definition
the availability of Choline (NOT the activity of ChAT)
Term
How is choline recycled after ACh has been released and degraded?
Definition
Cholinergic neurons express a high affinity choline transporter--thus the more actuve the neurons are, the more choline is generated for reuptake and the mmore ACh is synthesized.
Term
Additional choline may be generated from what?
Definition
phosphatidylcholine
Term
what is hemicholinium?
Definition
a specific blocker of the high affinity choline transporter. It will eventually deplete ACh stores.
Term
Once ACh is synthesized, how is it transported into synaptic vesicles?
Definition
via the vesicular ACh transporter (VAChT) expressed exclusively in cholinergic neurons.
Term
What does vesamicol do?
Definition
it is a specific blocker of VAChT--it depletes ACh stores.
Term
what does botulism do?
Definition
by producing toxins that enter cholinergic nerve terminals, it inactivatees neurotransmission.
Term
Once ACh is released, how is its action terminated?
Definition
via its breakdown into choline and acetate by AChE
Term
Are reversible or irreversible cholinesterase inhibitors used theraputically?
Definition
reversible. irreversible are used as insecticides and nerve gas
Term
What do M1,3,5 receptors do?
Definition
Muscarinic Receptors M1,3,5 stimulate phospholipase C and then protein kinase C via Gq.

EXCITE via M1 class
Term
What do M2, 4 receptors do?
Definition
Muscarinic Receptors M2,4 inhibit via Gi or Go adenylyl cyclase and thus oppose actions of other stimulatory receptors (such as Beta adrenergic receptors in the heart)

ALSO: activate K+ channels via Bgamma subunits to inhibit electrical excitation
Term
what are Nicotinic AChRs?
Definition
pentameric ligan-gated cation channels that mediate fast excitation
Term
How does signaling through receptors that couple Gi/o work?
Definition
they exert dual inhibition on neurons and secretory cells by reducing their firing rate and diminishing the amount of transmitter release per impulse.
Term
what are the parasympathetic (nonsecretory) effects of the EYE? what are the mediators?
Definition
constriction of pupil (miosis) AND visual accommodation;;done by sphincter muscle of iris AND ciliary muscle of iris
Term
what are the parasympathetic (nonsecretory) effects of the HEART? what are the mediators?
Definition
decrease in heart rate;; slowing of SA and AV nodes
Term
what are the parasympathetic (nonsecretory) effects of the LUNG? what are the mediators?
Definition
constriction of the airway;;bronchial smooth muscle
Term
what are the parasympathetic (nonsecretory) effects of the GUT? what are the mediators?
Definition
digestion;; increased motility and tone
Term
what are the parasympathetic (nonsecretory) effects of the PENIS? what are the mediators?
Definition
nitric oxide mediated venous occlusion
Term
what are the parasympathetic (secretory) effects of the EYE? what are the mediators?
Definition
tearing;;lacrimal glands
Term
what are the parasympathetic (nonsecretory) effects of the AIRWAYS? what are the mediators?
Definition
mucous secretion;;nasopharyngeal glands and bronchial glands
Term
what are the parasympathetic (nonsecretory) effects of the MOUTH? what are the mediators?
Definition
mucous secretion;;parotid, sublingual, and submax glands
Term
what are the parasympathetic (nonsecretory) effects of the GUT? what are the mediators?
Definition
digestion' mucous glands and protease secretion
Term
what are the parasympathetic (nonsecretory) effects of the GALL BLADDER? what are the mediators?
Definition
digestion'' secretion of bile acid
Term
what are the parasympathetic (nonsecretory) effects of the RECTUM? what are the mediators?
Definition
defecation;; (colonic contraction (M1)), (sphincter relaxation (M2))
Term
Bladder
Definition
urination;; detrusor contraction (M1), sphincter relaxation (M2)
Term
Signaling at the NMJ iis fast or slow? what is it mediated by?
Definition
fast! mediated by the nicotinic ACh receptor ion channels
Term
What is M2 the predominant receptor of?
Definition
it mediates pSNS regulation of the heart.
Term
What is M3 the predom. receptor of?
Definition
M3 mediates the parasympathetic secretion and smooth muscle contraction
Term
Nicotinic blockade of the EYE will cause what?
Definition
mydriasis, cycloplegia, and dry eye. PSNS
Term
Nicotinic blockade of the HEART will cause what?
Definition
tachycardia (PSNS)
Term
Nicotinic blockade of the vasculature will cause what?
Definition
Hypotension, decreased venous return (SNS) (But not ACh. No ACh ternminals in vasculature)
Term
Nicotinic blockade of the MOUTH will cause what?
Definition
xerostomia (dry mouth); PSNS
Term
Nicotinic blockade of the GUT will cause what?
Definition
reduced motility and constipation (PSNS)
Term
Nicotinic blockade of the Bladder will cause what?
Definition
urinary retention (PSNS)
Term
Nicotinic blockade of the SWEAT GLANDS will cause what?
Definition
Andhidrosis (SNS (ACh))
Term
what are ACh analogs?
Definition
they activate both muscarinic and nicotinic receptors and are resistant to AChE
Term
which ACh analog is most commonly used? What is it used for?
Definition
Bethanechol is a stimulant for the GI tract or the bladder.
Term
Name 2 NICOTINIC Cholinergic Agents, and what they are ued for
Definition
1. Succinylcholine (depolarizes blocker at NMJ)--short term reversiblee paralysis in anesthesia

2. Trimethaphan (neural antagonist at ganglis) reduces AUTONOMIC fuction (BP
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