| Term 
 | Definition 
 
        | AChE - an enzyme breaks down acetylcholine into choline and acetate |  | 
        |  | 
        
        | Term 
 
        | acetylcholinesterase's structural classes |  | Definition 
 
        | 1. Alcohol with quat 2. Carbamic Acid Esters
 3. Organophosphates
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | rapid, reversible bloc bc non-covalent drug-enz bond e.g. Edrophonium
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -longer inhibition -labile covalent bond after HOH and AChE
 -quat and tert amines use
 e.g. Neostigmine (quat), Physostigmine (tert)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -irrev inhibition -very stable complex after HOH and aging
 e.g. nerve gas, insectisized usages
 e.g. Isoflurophate, pralidoxime
 |  | 
        |  | 
        
        | Term 
 
        | muscarinic receptor agonists's structural classes |  | Definition 
 
        | 1. Choline Esters 2. Alkaloids
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -ACh aka aminoalc ester -All quats
 -Little CNS penetration
 -Poor oral absorp
 e.g. Acetylcholine, Methachline, Carbachol, Bethaechol
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Atropine & Scopolamine (both alkaloids and tert) -Ipratropium (Atrovent)
 -Tiotropium (Spirivia)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Glycopyrrolate -Oxybutynin
 |  | 
        |  | 
        
        | Term 
 
        | muscarinic receptor antagonists |  | Definition 
 
        | *All are aminoacohol esters: -Tropanes (most common is Atropine)
 -Non-Tropanes
 (also see Foye fig 12.19)
 *synthetic agent (circle's structure of Atropine)
 -Anticholinergics Aminoalcohols (e.g. Tolterodine -amine)
 -Anticholinergics Aminoethers (Benzotropine, Cogentin-for Parkinson)
 -Misc Anticholinergics
 . Propantheline
 . Solifinacin
 . Darifenacin
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | structure-activity relationship |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | absorption, distribution, metabolism, and excretion |  | 
        |  | 
        
        | Term 
 
        | nicotinic receptor antagonists |  | Definition 
 
        | -Ganglionic Blockers -Neuromuscular Blockers (NMJ Blockers)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Trimethaphan & Mecamylamine -Hexamethonium SAR
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Curare & Steroid-base (Pancuronium, vacuronium, pipecuronium, rocuronium) -Succinylcholine & Decamethonium SAR
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Do not cross membrane barriers -GI, BBB absorption impaired
 -Typically no CNS effect
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Good CNS penetration e.g. Physostigmine-agent of choice to tx CNS effects of anticholinergic overdose (e.g. tubocurare poisoning)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lambert Eaton Myasthenic Syndrome: (NMJ disease) autoimmune disorder that affects (blocked) voltage gated channel -> less transmitter released -> no contraction due to inhibition of vescicle fusing at presynaptic |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Transport ACh into vesicle (requires transport ATP energy) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | an esperimental drug acting presynaptically inhibiting ACh (against ACh storage) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a drug which blocks the reuptake of choline |  | 
        |  | 
        
        | Term 
 
        | video of action of mAChR M1,M2,M3 |  | Definition 
 
        | http://www.bio.davidson.edu/courses/immunology/Flash/IP3.html |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Phospholipase C, an ezyme cleaves phospholipid to produce IP3 and DAG; consequently produce Ca++ and PKC |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | excitatory postsynaptic potential (EPSP) is a graded depolarization of a postsynaptic membrane in response to stimulation by a neurotransmitter |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | end plate potentials are the depolarizations of the skeleton muscle fibers caused by neurotransmitters binding to the postsynaptic membrane in the NMJ |  | 
        |  | 
        
        | Term 
 
        | mechanism of ionotropic receptor (e.g. nAChR) or ligand-gated ion channel (LGIC) |  | Definition 
 
        | When activated, it opens a channel that allows ions such as Na+, K+, or Cl- to flow |  | 
        |  | 
        
        | Term 
 
        | mechanism of G protein-linked receptor (e.g. mAChR) |  | Definition 
 
        | Gq/11 mechanism (EPSP) or Beta Gamma of G protein |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | PLC->increase IP3 and increase DAG -> increase Ca++ and increase PKC (e.g. M1, M3, M5 - excitatory) |  | 
        |  | 
        
        | Term 
 
        | Beta Gamma of G protein mechanism |  | Definition 
 
        | inhibit AC and increase K+ channel opening (e.g. M2, M4 - inhibitatory) |  | 
        |  |