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Pharm-CNS
pharm
55
Veterinary Medicine
Undergraduate 3
05/19/2012

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Glutamate dysfunction =
Definition
epilepsy, schizo, neurodegen disorders

major cause of brain damage after stroke
Term
Glutamate R's
Definition
1) IONOTROPIC: NMDA, AMPA, Kainate
2) METABOTROPIC
Term
NMDA R. ion permeability =
Definition
Ca2+ and Na + in

K+ out
Term
selective agonists of NMDA R. =
Definition
NMDA, glycine

(glycine = necessary co-agonist with NMDA or glutamae)
Term
NMDA R. competitive antagonist =
Definition
D-AP5
Term
subunits of NMDA R. =
Definition
TETROMER

2 x NR1 = glycine binding site
2 x NR2 = glutamate binding site
Term
AMPA R. subunits =
Definition
TETROMER

GluR1-4
Term
AMPA R ion permeability =
Definition
Na+ in
K+ out

Ca2+ perm depends on what subunits make AMPA R.
Term
AMPA R selective agonist =
Definition
AMPA
Term
AMPA R anatgonist
Definition
NBQX
Term
Kainate R subunits
Definition
TETRAMER

GluR5-7, KA1, KA2
Term
Kainate R ion perm
Definition
Na+ in K+ out Ca2+ perm depends on what subunits make kainate R.
Term
Kainate R selective agonists
Definition
Kainate (natural substance in seaweed)
Term
Kainate R competitive antagonist
Definition
NBQX
Term
NMDA R blocked by...
Definition
...Mg2+ at RMP (80mV), and can only block the NMDA channel when the channel is open ( need glycine and glutamate/NMDA to be present and bound to NMDA R.)
Term
Why are activated NMDA R and AMPA R's often expressed together?
Definition
activated AMPA R = depo of mb = remove Mg2+ block of NMDA R = activate NMDA R
Term
activated NMDA R =
Definition
Ca2+ and Na+ influx = EPSP (excitatory post synaptic potential)
Term
NMDA R involved in...
Definition
...synaptic plasticity (imp in learning and memory.
Term
Long term potentiation (LTP) =
Definition
incr. strength/ long term enhancemnt of signal by incr Ca 2+ influx (when NMDA R activated)
Term
Long term depression (LTP) =
Definition
if nerve not activated alot get a decr in Ca2+ influx when NMDA R's are activated = weaker signal
Term
excitotoxicity =
Definition
excessive Ca2+ entry = neuronal cell death/stroke
Term
overactivated NMDA R =
Definition
epilepsy
Term
NMDA R are expressed on sensory neurones and therefore are involved in...
Definition
...transmission of pain responses ( NMDA R anatgonists v. gd at pain relief, better than morphine, but hasnt reached clinic yet)
Term
low affinity uncompetitive NMDA R anatgonists =
Definition
Ketamine

Memantine
Term
mechanism of action of Ket as a NMDA R uncompetitive antagonist
Definition
Like Mg2+ blocks NMDA R when open (blocks NMDA R at high transmission)

Fast dissociation rate = no prolonged blocking effect
Term
Effects of Ket as a NMDA R uncompetitive antagonist =
Definition
Dissociative GA = sedation, immobility and analgesia Used a s an anaesthetic for birds, small animals and large animals SIDE EFFECTS: hallicinergic, loose function of bladder, raised intra-ocular press, mm tremors and involuntary movements, seizures (rare)
Term
Memantine advantage over ket =
Definition
v. low affinity channel blocker = v well tolerated
Term
Memantine used for...
Definition
...tx of memory impairment in modeate to severe alzheimers (alzheimers = no uptake of glutamate by glial cells = over stim of NMDA R's)
Term
high affinity uncompetitive NMDA R anatgonists
Definition
MK-801
Term
adverse effects of MK-801 =
Definition
1. hallicinations
2. memory impairment
3. can bind for so long = channel closes and MK-801 trapped in channel, take a few times of NMDA channel opening and closing for MK-801 to unbind, therfore NMDA R is blocked for a long time, preventing normal synaptic transmission
Term
Mk-801 is v. gd at...
Definition
...blocking pain, but isnt used in vetmed due to its adverse effects
Term
dose of Ket for cat =
Definition
6-11mg/kg IM for restraint or mild sedation (can be sprayed in mouth)

22-33mg/kg IM or 1-2mg/kg IV for GA

Give IM see effects in 10mins, give IV see effects in 1min
Term
Ket transdermal patch to tx...
Definition
...pain in pets
Term
ket dose for horses =
Definition
2mg/kg IV with a mm relxant (eg xylazine)
Term
ket is contraindicated in...
Definition
...1. hypertensive patients
2. eye injurys
3. patients with liver/kidney dz (as cant excrete or metab drug well)
4. known history of seizures
Term
precautions with ket =
Definition
IM is painful

eye remains open so should be lubricated to prevent damage to eyes surface by drying
Term
glutmate activates metabotropic R's =
Definition
Activate PLC = Activate mobilistaion of IC Ca2+
Term
subtypes of
a)group 1
b) group 2
c) group 3

metabotropic glutmate Rs
Definition
a) mGlu 1 & 5
b) mGlu 2 & 3
c) mGlu 4, 6, 7 and 8
Term
signal transduction of metabotropic Rs
a) group 1
b) group 2
c) group 3
Definition
a) + Gq = +PLC = inc IC Ca2+
b) + Gi/Go = - AC = decr cAMP
c) + Gi/Go = - AC = decr cAMP
Term
mGlu Rs (metabotropic Rs) regulate...
Definition
...ionotropic Rs and K+ and Ca2+ channels

(as mGlu autoRs control depo of presynaptic nerve = control release of glutamte)
Term
post synaptic group 1 mGlu R mediate...
Definition
...slow depo
Term
presynaptic group 2 & 3 mGluR's...
Definition
...decr glutamate release = AUTORECEPTERS (block release of own transmitter)
Term
XS L-glutamate =
Definition
necrotic lesions in retina

elevated extracellular glutamate = persistant neuronal depo = excitotoxicity
Term
3 key elements leading to cell death =
Definition
1. NA+ influx (incr water influx = cell lysis = glutamate released = incr neuronal cell death) - reversible if stimulus removed (eg glutmate)

2. Ca2+ influx (release glutamate=incr extracellular glutamate = inr neuronal cell death - primarily responsible for delayed neurodegen)

3. Excocystoiss of glutamate = spread and incr neurodegenerative porcess
Term
SOD (superoxide dismutase) normally...
Definition
...destroys superoxide (superoxide produces free radicals)
Term
oxidative stress=
Definition
=mitochondria mop up XS IC Ca2+ = uncoupling of ATP production =production of free radicals (eg superoxide) instead of ATP
Term
ATP deficiency =
Definition
Failure of ATP dependant NA+/K+ exchanger = loose balance of ions across mb = glutamate transporters reverse ( as need 3Na+ in and 1K+ out for glutamate uptake) = glutamate pumped out of cell.
Term
therapeutic time windoe in stroke is how long?
Definition
3-6hrs (tx should be givin within 3-6hrs after stroke to maximise effectiveness of tx, b4 reperfusion damage has time to take place)
Term
protect neurones from excitotxixity by...
Definition
...txing immediately with glutamate R antagonists or glutamate release inhibitors (NMDA R anatagonists have shown to decr extent of brain lesion in animals but failed to live up to their promise in clinical trials)
Term
side effects of glutmate antagonists
Definition
1. hallucinations
2. amnesia
3. ataxia
4. vacuolation of neurones
Term
name an environmental toxin that causes neurodegen
Definition
DOMoic acid (in sp. of plankton/algae)
Term
domoic acids effect =
Definition
(shell fish eat algae and then mammal eats shell fish) = crosses BBB = incr NA+ and CA2+ into cell = neuronal cell death = amnesic shell fish poisoning
Term
Domoic acid/Domoate mech =
Definition
v. potent AMPA and KAINATE R agonist that can cross BBB
Term
clincial signs of domoic acid poisoning =
Definition
loss of short term memory (activate hippocampus)
motor weakness/lethargy (activate motor neurones)
seizures
=death
Term
is there an antidote for domoic acid poisoning?
Definition
no! :(
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