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Block 4: Unit 1
Clinical Focus on the Role of Nicotinic Receptors in Nicotine Addiction
31
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Undergraduate 4
12/11/2016

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Term
Is nicotine a natural ligand (natural ligand = made in the body)?
Definition
no!
Term
1 cigarette drag = nicotine will get to your brain in ______ seconds
Definition
10 - 20
Term
Nicotine addiction deals with the ______ pathway
Definition
reward
Term
Does nicotine addiction deal with ionotropic receptors or mAChRs?
Definition
ionotropic
Term
two types of central nAChRs
Definition
1. alpha 4, beta 2 combination
2. alpha 7
Term
Do you need a higher concentration of ACh to activate muscles or neuronal nAChRs?
Definition
muscles (because those ones have a lower affinity)
Term
presynaptic nAChR passing potassium out & sodium/calcium in --> ?
Definition
depolarization of the neuron (increasing the amount of calcium in the cell which overall increases the amount of neurotransmitter being released)
Term
postsynaptic nAChR passing potassium out & sodium/calcium in --> ?
Definition
alteration of plasticity (when the receptors open, calcium influx --> neuronal depolarization --> NMDA receptors opening which strengthens the synapse again)
Term
What type of synapses does the VTA (ventral tegmental area) have?
Definition
dopaminergic
Term
main VTA target = ?
Definition
nucleus accumbens (NAc)
Term
Nucleus accumbens projects to the ______
Definition
prefrontal cortex
Term
two main interactions in the reward pathway
Definition
1. glutamate --> VTA
2. dopamine from VTA --> nucleus accumbens
Term
experiment using the self-administration paradigm in rats: infuse a nicotine antagonist into various areas of the brain...putting a cannula (tube) down into the VTA with a nicotine antagonist --> ?
Definition
no self administration of nicotine (nicotine antagonist blocks these VTA receptors causing no addiction...proves that there are nAChRs in the VTA)
Term
experiment using the self-administration paradigm in rats: infuse a nicotine antagonist into various areas of the brain...nicotine antagonist in the nucleus accumbens --> ?
Definition
rats will self-administer nicotine (addiction still happens...no nAChRs in the NAc for the antagonist to block to block addiction)
Term
self administration
Definition
rats can press a bar & get a water drip that has nicotine in it --> how you can see that they are addicted
Term
experiment: DA antagonist in the NAc --> ?
Definition
no self-administration of nicotine or cocaine (blocking the dopaminergic input in the nucleus accumbens --> stop of addiction)
Term
experiment: lesioning nucleus accumbens --> ?
Definition
no self-administration of nicotine or cocaine (proof that NAc is very important for addiction)
Term
question: which type of nicotinic receptor is involved in the VTA (VTA has both alpha 4 beta 2 subunits & alpha 7 subunits)?

experiment: knocked out the beta 2 subunits (called beta 2 KO mice) --> ?
Definition
no self-administration of nicotine, but will do so for cocaine
Term
When talking about the VTA, what is the presynaptic input?
Definition
glutamatergic input to the VTA
Term
When talking about the VTA, what is the postsynaptic neuron?
Definition
VTA neuron
Term
The VTA receives paracrine ACh input from neurons in the ______
Definition
lateral dorsal tegmentum
Term
Are alpha 7 nAChRs in the presynaptic neuron (talking about VTA glutamatergic inputs) sufficient for nicotine addiction?
Definition
no!
Term
4 steps in alpha 2 beta 4 nAChRs in the postsynaptic VTA neuron to induce synaptic plasticity
Definition
1. activation by ACh
2. depolarization/excitation of the cell
3. NMDA receptor activation due to removal of the magnesium block
4. calcium in through both of these channels
Term
intermittent nicotine administration --> ?
Definition
VTA neuron excitation
Term
constant administration of nicotine --> ?
Definition
VTA neuron activity goes down
Term
If nicotine receptors are getting activated too much, then they will ______
Definition
desensitize
Term
2 ways the neurons desensitize
Definition
1. ability of the channel to open changes
2. cell will pull out some of the nAChR
Term
sensitization
Definition
if neurons are not getting enough input, more receptors can be put into the membrane
Term
nicotine cycle: smoke cigarette --> high nicotine --> nAChRs activated --> ? (single step option)
Definition
increased VTA neuron activity (reward pathway)
Term
nicotine cycle: smoke cigarette --> high nicotine --> nAChRs activated --> ? (7 step cycle)
Definition
1. decrease in # of nAChRs & neuron desensitization
2. lower nicotine
3. increase in # of nAChRs & receptor sensitization
4. very low nicotine
5. receptors recover from desensitization
6. withdrawal symptoms
7. smoke cigarette
Term
As you smoke more & more cigarettes throughout the day, your blood nicotine level due to that cigarette ______
Definition
goes up & up throughout the day
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