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Purines
Receptors, effects, sources, therapy
31
Pharmacology
Undergraduate 3
10/06/2012

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Cards

Term
Presynaptic inhibition (CNS,PNS)?
Definition
A1 receptor
Term
Inhibition of platelet aggregation?
Definition
A2A receptor
Term
Types of purine receptors?
Definition
P1 (A) + P2 (P2X,P2Y)
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
ATP
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
P2X2, P2X4, P2X4/6
Term
ATP is released from...?
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
A3 receptors
Term
What is preconditioning?
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
A1 and A3 receptors
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
A2A, A2B, P2Y1
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
Effects of P2Y2 agonist?
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?)
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