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CNS
CNS
29
Pharmacology
Professional
11/01/2012

Additional Pharmacology Flashcards

 


 

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Term
medulla
Definition
autonomic functions
includes centers for controlling respiration, cardiac function, vasomotor responses, reflexes (coughing)
part of the reticular system
part of the brain stem
Term
pons
Definition
"bridge"
relays signals from the forebrain to the cerebellum
part of the brain stem
Term
cerebellum
Definition
"little brain"
governs motor coordination for producing smooth movement
Term
SN pars compacta
Definition
provides input to the basal ganglia, supplies dopamine to the striatum
involved in voluntary motor control ('movement with intention') and some cognitive functions (e.g. spatial learning)
Term
SN pars reticulata
Definition
output function, relays signals from the basal ganglia to the thalamus
Term
cortex
Definition
cerebrum
involved in processing and interpreting information
Term
basal ganglia
Definition
voluntary motor control, some cognitive functions
Term
limbic system
Definition
emotions (amygdala)
memory (hippocampus)
Term
diencephalon
Definition
thalamus: 'relay station' to and from the cortex
hypothalamus: regulates internal homeostasis, emotions, hormonal control (through the pituitary gland) and direct neuronal regulation
Term
bipolar neurons
Definition
sensory neurons (sight, smell, taste, hearing, vestibular functions)
Term
multipolar neurons
Definition
majority of neurons in the CNS, (e.g. motor neurons, interneurons); designed for integration
Term
GABA (gamma aminobutyric acid)
Definition
major inhibitory neurotransmitter in the brain
depresses neuronal excitability by increasing the flux of Cl- ions into the neuron
there are GABA--A and GABA-B receptors
drugs that interact with GABA pathways are generally CNS depressants and include: sedative hypnotics (benzodiazepines, barbituates), anticonvulsants, anxiolytics
Term
glycine
Definition
inhibitory neurotransmitter released by interneurons in the spinal cord
like GABA, induces hyperpolarization by allowing the inward flow of Cl-
antagonized by the toxic alkaloid strychnine
Term
glutamate
Definition
major excitatory aa neurotransmitter in the brain
excess glutamate can cause neuronal damage by allowing excessive Ca2+ influx into the neuron
glutamate receptors are metabotropic (GPCRs) or ionotropic (NMDA and AMPA)
Term
acetylcholine
Definition
both muscarinic (M1-M5) and nicotinic receptors (as in the periphery)
examples of drugs targeting this form of neurotransmission are cholinesterase inhibitors (e.g. Aricept, used to treat Alzheimers)
Term
dopamine (DA)
Definition
drug targets include the D1-D5 receptors (GPCRs) and the dopamine transporter (DAT)
DA neurons arise from the ventral tegmental area (VTA) and the SN
drugs that block DAT and thus increase extracellular DA (e.g. amphetamine or cocaine) can produce euphoria and lead to addiction
excessive dopaminergic signaling may be involved in schizophrenia
loss of DA neurons in the SN is responsible for PD
drugs that interact with DA pathways include: antipsychotics (D2 receptor antagonists) and D2/D3 and D1 receptor agonists for PD
Term
norepinephrine
Definition
drug targets include the alpha and beta adrenergic receptors (GPCRs) and the norepinephrine transporter (NET)
NE axons arise from the locs coeruleus in the brain stem
NET inhibitors are used to treat depression
Term
serotonin; 5-HT
Definition
drug targets are serotonin receptors (14 GPCRs and one gated ion channel) and the serotonin transporter (SERT)
5-HT axons arise from a group of cell bodies in the brain stem called the raphe (rah-fay) nuclei
serotonin systems are involved in sleep, vigilance, mood, and sexual function
5-HTa1 receptors are thought to be involved in anxiety
drugs that interact with 5-HT receptors include: 5-HT2a antagonists as atypical antipsychotics, 5-HT1d agonists for migraines, SERT uptake inhibitors for depression, 5-HT2a agonists are hallucinogenic (e.g. LSD)
Term
PD symptoms
Definition
resting tremor
rigidity
bradykinesia
impaired balance, coordination
mask-like appearance
speech difficulties, cognitive deficits
Term
challenges associated with L-DOPA therapy
Definition
1. limitations associated with prodrug conversion
2. on/off oscillations (after several years of L-DOPA treatment)
*one way to address these challenges is to use dopamine receptor analogs-this is reasonable because the postsynaptic dopamine receptors are still present in the striatum
Term
hallucinogen
Definition
substance that alters sensory processing in the brain upon administration of a single dose, causing changes in thought, mood, and perception
Term
depersonalization
Definition
loss of identity, self-awareness, control
Term
psychosis
Definition
loss of contact with reality
Term
psychomimetic
Definition
psychosis-mimicking
Term
psychedelic
Definition
mind or soul manifesting; altered senses
Term
classical hallucinogens
Definition
tryptamines: psilocin, psilocybin, DMT, LSD
phentylamines: mescaline, DOM, DOB
Term
non-classical hallucinogens
Definition
cannabinoids: THC
others: PCP, ketamine, MDMA
Term
psychostimulants are used clinically to...
Definition
treat narcolepsy
treat ADHD
as appetite suppressant (anorectics)
Term
undesired effects of psychostimulants
Definition
prolonged use or large doses result in depression and fatigue after the acute stimulation
cardiovascular side effects (increase in diastolic and systolic pressure, heart rate reflexively slows)
high doses can elicit psychotic behavior
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