Shared Flashcard Set

Details

Sympathetic Nervous System
Cardio Module
20
Medical
Graduate
09/12/2009

Additional Medical Flashcards

 


 

Cards

Term
What is the rate limiting enzyme in the synthesis of catecholamines?
Definition
Tyrosine Hydroxylase
Term
What enzyme converts dopamine to NE, and where is it located?
Definition

Dopamine hydroxylase

 

in the vesicle

Term
What is chromogranin?
Definition
is within the vesicle to help package and sort the catecholamines
Term
How do recycled catecholamines get brought back into the vesicles?
Definition

secondary active transport

 

Hydrogen exchange secondary to an H atpase

Term
What is the affinity and capacity for UPTAKE 1 and 2?
Definition

UPTAKE 1 has high affinity low capacity

 

UPTAKE 2 has low affinity high capacity

Term
What catecholamines does UPTAKE 1 and UPTAKE 2 prefer?
Definition

UPTAKE 1 NE

UPTAKE 2 ISO

Term
What two enzymes metabolize catecholamines?
Definition
MAO/COMT
Term
What G protein and secondary messenger system does alpha 1 work through?
Definition

Gq/11

 

IP3/Ca

Term
What G protein does alpha 2 work through?
Definition
Gi/o  to decrease cAMP
Term
What G protein do B1 and B2 both work through?
Definition
Gs through cAMP
Term
What is the non neural beta receptor?
Definition
B2
Term
What two G proteins does B3 work by?
Definition
Gs and Gi/o
Term

What catecholamine do all the receptors except B3 have a high affinity for?

 

What is it for B3?

Definition

epi

 


B3-Iso

Term
What process happens to the receptors in the heart of a CHF patient?
Definition
They are desensitized
Term
What enzyme phosphorylates GCPR during desensitization?
Definition
GRK
Term
What happens to the efficiency of the heart when catecholamines are increased?
Definition
decreases
Term
Name three states in which catecholamines would be in high concentration?
Definition

cocaine

severe anxiety

pheochromocytoma

Term
What two instances can the adernergic receptors of the heart be supersensitive?
Definition

post MI

using general anesthetics

Term
What three mechanisms lead to the downward spiral in CHF?
Definition

ventricular enlargement

ventricular dysfunction

chronic vasoconstriction

Term
What is the best B blocker to treat CHF and why?
Definition
carvedilol b/c it works against B1 B2 and a1 so get less vasoconstriction
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