| Term 
 
        | Presynaptic inhibition (CNS,PNS)? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Inhibition of platelet aggregation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Types of purine receptors? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Gi-couple purine receptors? |  | Definition 
 
        | A1, A3, P2Y12,P2Y13,P2Y14 |  | 
        |  | 
        
        | Term 
 
        | Gq-coupled GPCR activation effect? |  | Definition 
 
        | Increase in Phospholipase C |  | 
        |  | 
        
        | Term 
 
        | P2X receptors bind what purine over all others? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Nucleoside vs. Nucleotide? |  | Definition 
 
        | Nucleoside = dephosphorylated (e.g. adenosine; Nucleotide = phosphorylated (e.g. AMP, ADP, ATP) |  | 
        |  | 
        
        | Term 
 
        | Which purine receptors are GPCRs and which are cation channels? |  | Definition 
 
        | GPCR = P1 (A), P2Y; Cation channel = P2X |  | 
        |  | 
        
        | Term 
 
        | Main neuronal P2X receptors? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Neurons; Astrocytes; Aggregating platelets; Damaged cells |  | 
        |  | 
        
        | Term 
 
        | Adenosine acting via A2A receptors has what effects? |  | Definition 
 
        | Vasodilation; Inhibition of platelet aggregation; Inhibition of immune cell activation; Postsynaptic stimulation in PNS/CNS; Stimulation of sensory nerves |  | 
        |  | 
        
        | Term 
 
        | Adenosine acting via A1 receptors has what effects? |  | Definition 
 
        | Contraction of some smooth muscle (e.g. renal blood vessels - decreases work demand); Inhibitory effects in heart (decreases force/rate); Preconditioning; Presynaptic inhibition in PNS/CNS |  | 
        |  | 
        
        | Term 
 
        | Which adenosine receptor is resistant to methylxanthines (e.g. caffeine)? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Short repeated periods of hypoxia (low oxygen) or ischemia (low blood supply) protect against later, prolonged hypoxia/ischemia |  | 
        |  | 
        
        | Term 
 
        | Receptors important in preconditioning? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What happens if P2X7 receptors are overstimulated? |  | Definition 
 
        | Cell permeabilisation, cell death |  | 
        |  | 
        
        | Term 
 
        | How might adenosine-related drugs help Parkinson's Disease? |  | Definition 
 
        | Parkinson's = neurodegeneration of dopaminergic neurons in striatum. A2A receptors act antagonistically with D2 receptors (A2A activation inhibits D2). A2A antagonists therefore enhance the effects of D2 agonists. |  | 
        |  | 
        
        | Term 
 
        | How might adenosine-related drugs help in neuroprotection? |  | Definition 
 
        | A1 agonists are neuroprotective because they inhibit glutamate release (presynaptic inhibition; A2A receptor activation stimulates glutamate release (postsynaptic stimulation). A2A antagonists are neuroprotective. A2X7 antagonist may be neuroprotective. |  | 
        |  | 
        
        | Term 
 
        | How might adenosine-related drugs help in control of pain? |  | Definition 
 
        | A1 receptor activation in spinal cord = analgesic; A2A receptors are pronociceptive (increase pain); Systemic adenosine/A1 agonist = relief in chronic pain; Systemic adenosine/ATP used in surgery. |  | 
        |  | 
        
        | Term 
 
        | What is the effect of adenosine on sleep? How might adenosine-based drugs affect sleep? |  | Definition 
 
        | Adenosine = sedative (build-up during wakefulness); adenosine antagonists inhibit sleep (e.g. caffeine via A2A receptors) |  | 
        |  | 
        
        | Term 
 
        | Effect of P2X1 activation? |  | Definition 
 
        | Smooth muscle contraction (e.g. blood vessels) |  | 
        |  | 
        
        | Term 
 
        | Effect of P2Y1 activation? |  | Definition 
 
        | Smooth muscle relaxation; platelet aggregation (along with P2Y12) |  | 
        |  | 
        
        | Term 
 
        | Which receptors cause smooth muscle relaxation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which receptors cause smooth muscle contraction? |  | Definition 
 
        | A1 (e.g. renal), P2X1 (e.g. blood vessels) |  | 
        |  | 
        
        | Term 
 
        | How does ATP act on sensory nerves? |  | Definition 
 
        | ATP acts on P2X2/3 = excitation; ATP broken down to adenosine; Adenosine acts on A1 receptors = inhibition; Adenosine acts on A2A receptors = excitation |  | 
        |  | 
        
        | Term 
 
        | Which receptors cause platelet aggregation? |  | Definition 
 
        | P2Y1 (PLC activation, increased Ca2+), P2Y12 (decreased AC = enhanced aggregation) and P2X1 (increased Ca2+) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Promotion of fluid release, especially from respiratory epithelium (cystic fibrosis, COPD, dry eye disease) |  | 
        |  | 
        
        | Term 
 
        | Effects of P2X3 antagonist? |  | Definition 
 
        | Analgesic (P2X3 activation on sensory nerve = pain), Incontinence (activation = bladder hyperactivity/hypersensitivity); IBS (activation = colon hypersensitivy and pain) |  | 
        |  | 
        
        | Term 
 
        | Effects of P2X1 antagonist? |  | Definition 
 
        | Vasodilator? Antispasmodic, Incontinence, Contraceptive (activation = smooth muscle contraction, antagonist prevents contraction), Antithrombotic (activation = platelet aggregation) |  | 
        |  | 
        
        | Term 
 
        | Effects of P2X4 antagonist? |  | Definition 
 
        | Chronic pain relief (P2X4 implicated along with and P2X7 in chronic pain)? |  | 
        |  | 
        
        | Term 
 
        | Effect of P2X7 antagonist? |  | Definition 
 
        | Anti-inflammatory? Chronic pain relief? Neuroprotective (P2X7 activation in microglia can cause neurodegeneration)? Reduced bone formation (antagonist may worsen osteoporosis?) |  | 
        |  |