Adrenergic Receptors and G Proteins
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Questions and Answers

A novel drug selectively activates phospholipase C in cells. Which downstream effect is least likely to occur as a direct consequence of this drug's action?

  • Inhibition of myosin light chain kinase (MLCK). (correct)
  • Increased intracellular calcium concentrations.
  • Activation of protein kinase C.
  • Cleavage of phosphatidylinositol bisphosphate (PIP2).

A researcher is studying a newly discovered compound that inhibits adenylyl cyclase. Which of the following outcomes would be least expected in cells treated with this compound?

  • Enhanced glycogenolysis in the liver. (correct)
  • Decreased cardiac muscle contractility.
  • Reduced activation of protein kinase A.
  • Decreased levels of cAMP.

A patient is administered a medication that selectively stimulates alpha 2 receptors. Which of the following physiological responses is the most likely outcome?

  • Increased heart rate and force of contraction.
  • Bronchodilation in the lungs.
  • Increased lipolysis in adipose tissue.
  • Inhibition of norepinephrine release from presynaptic neurons. (correct)

Which of the following scenarios would least likely be associated with activation of beta 2 receptors?

<p>Increased renin release from the kidneys. (B)</p> Signup and view all the answers

A drug is developed to selectively target Gq proteins. Which of the following downstream effects would be most directly influenced by this drug?

<p>Hydrolysis of PIP2 into IP3 and DAG. (A)</p> Signup and view all the answers

A researcher discovers a new receptor that, when activated, leads to a decrease in intracellular calcium levels in neurons. Which G protein type is most likely coupled to this receptor?

<p>Gi (D)</p> Signup and view all the answers

A patient presents with symptoms of anaphylactic shock following a bee sting. Epinephrine is administered. By what mechanism does epinephrine primarily alleviate the patient's symptoms?

<p>Stimulating beta 2 receptors to inhibit mast cell degranulation. (A)</p> Signup and view all the answers

A scientist is investigating the effects of a novel compound on smooth muscle contraction. The compound increases intracellular cAMP levels. Which of the following outcomes is most likely?

<p>Inactivation of myosin light chain kinase (MLCK). (B)</p> Signup and view all the answers

A researcher is studying the effects of a drug on liver cells. The drug increases glycogenolysis. Which receptor type is most likely activated by this drug in the liver?

<p>Alpha 1 or Beta 2 receptors. (C)</p> Signup and view all the answers

A new drug selectively blocks beta 3 receptors. Which of the following effects would be most expected?

<p>Reduced lipolysis in adipose tissue. (C)</p> Signup and view all the answers

Following a lab error, a researcher accidentally administers a high dose of a non-selective beta-adrenergic agonist to a mouse. Which combination of physiological effects would be most likely to occur?

<p>Increased heart rate, bronchodilation, and increased lipolysis. (B)</p> Signup and view all the answers

A patient is prescribed clonidine to manage hypertension. What is the primary mechanism by which clonidine lowers blood pressure?

<p>Stimulating alpha 2 receptors in the central nervous system to decrease sympathetic outflow. (B)</p> Signup and view all the answers

A drug inhibits the function of Gs proteins. Which physiological response would be least likely to be affected by this drug?

<p>Increased saliva secretion. (C)</p> Signup and view all the answers

A researcher aims to develop a drug that selectively increases insulin secretion. Targeting which of the following receptors or mechanisms would be least effective?

<p>Inhibiting alpha 2 receptors in the pancreas. (A)</p> Signup and view all the answers

Which of the following best describes the functional relationship between alpha 2 and beta 2 receptors, as described in the content?

<p>Alpha 2 and beta 2 receptors often have opposing effects; alpha 2 is auto-inhibitory whereas beta 2 is auto-stimulatory. (C)</p> Signup and view all the answers

Flashcards

Adrenergic Receptors

Classified into alpha (α) and beta (β) types, which are further divided into subtypes.

G Protein Coupling

Alpha 1 (α1): Gq proteins. Alpha 2 (α2): Gi proteins. Beta (β) receptors: Gs proteins.

Second Messenger Effects

α1: Increase IP3 and DAG (excitation). α2: Decrease cAMP (inhibition). β: Increase cAMP (variable effects).

Alpha 1 Mechanism

Binds norepinephrine, activates phospholipase C, increases IP3 and DAG, raising intracellular calcium, causing excitation.

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Beta Receptor Mechanism

Binds norepinephrine, activates adenylyl cyclase, elevating cAMP, producing variable effects (e.g., heart contraction, smooth muscle relaxation).

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Alpha 2 Function

Decrease cAMP, reduces calcium levels in neurons, inhibiting neurotransmitter release; auto-inhibitory.

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Alpha 1 Actions

Smooth muscle contraction (except GI), increased liver glycogenolysis, increased salivary gland secretion.

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Alpha 2 Actions

Presynaptic neurons to inhibit NE/ACh release, CNS to decrease sympathetic discharge, pancreas to decrease insulin.

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Beta 1 Actions

Heart (increase rate/force), kidney (increase renin), adipose tissue (increase lipolysis).

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Beta 2 Actions

Smooth muscle relaxation, liver glycogenolysis, increased neuronal mediator release, inhibits mast cell degranulation.

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Beta 3 Actions

Primarily in adipose tissue, increasing lipolysis and breakdown of triglycerides into fatty acids

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Beta 1 Effect on Heart

Increases rate and force of heart contraction.

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Alpha 2: Neurotransmitter Release

Reduces exocytosis of neurotransmitters by decreasing cAMP.

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Alpha 1 locations

Smooth muscle, Liver and Salivary glands

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Beta 2: Vascular Smooth Muscle

Smooth muscle relaxation, especially in vessels supplying skeletal muscle, liver and heart.

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Study Notes

Adrenergic Receptors

  • Adrenergic receptors are classified into alpha and beta receptors
  • Alpha receptors are further classified into alpha 1 and alpha 2 receptors
  • Beta receptors are further classified into beta 1, beta 2, and beta 3 receptors
  • All adrenergic receptors are G protein-coupled receptors

G Protein Types

  • Alpha 1 receptors are coupled with Gq proteins
  • Alpha 2 receptors are coupled with Gi proteins
  • Beta 1, Beta 2, and Beta 3 receptors are coupled with Gs proteins

Second Messengers

  • Alpha 1 receptors elevate inositol triphosphate (IP3) and diacylglycerol (DAG) levels
    • This leads to increased intracellular calcium levels and excitation
  • Alpha 2 receptors decrease cyclic AMP (cAMP) levels
    • This leads to inhibition
  • Beta 1, Beta 2, and Beta 3 receptors increase cAMP levels
    • This can produce contraction or relaxation based on the target organ
  • IP3 and DAG always increase intracellular calcium levels
    • This results in excitation of the postsynaptic membrane
    • In muscles this causes contraction
    • In neurons this causes excitation
    • In glands, this causes secretion
  • cAMP roles vary based on target organ
    • In the heart, elevated cAMP increases the rate and force of contraction
    • In smooth muscle, elevated cAMP produces relaxation
  • Decreased cAMP levels result in inhibited response

Alpha 1 Receptor Mechanism

  • Norepinephrine binds to alpha 1 receptors
  • Activation of phospholipase C occurs
    • Phospholipase C cleaves phosphatidylinositol bisphosphate (PIP2) into IP3 and DAG
  • DAG activates protein kinase C
    • Protein kinase C opens inward-going calcium channels
  • Calcium enters through calcium channels, and IP3 releases calcium from internal stores
  • Increased intracellular calcium produces contraction in smooth muscle, excitation in neurons, or secretion in glands
  • Alpha 1 receptors are excitatory and increase intracellular calcium levels

Beta Receptor Mechanism

  • Norepinephrine binds to beta receptors
  • Activation of G alpha s (Gs) subunit occurs
    • This activates adenylyl cyclase
  • Adenylyl cyclase converts ATP into cAMP
  • Elevated cAMP levels produce variable effects based on the target organ
    • In the heart, cAMP activates protein kinase A, increasing intracellular calcium levels
      • Calcium binds with troponin, leading to cardiac muscle contraction
    • In smooth muscle, cAMP inactivates myosin light chain kinases (MLCK)
      • This results in smooth muscle relaxation
    • In adipose tissue, cAMP increases lipolysis via protein kinase A

Alpha 2 Receptors

  • Alpha 2 receptors decrease cAMP levels in neurons
    • Results in reduced calcium levels, leading to reduced exocytosis
  • Alpha 2 receptors are inhibitory, inhibiting neurotransmitter release

Alpha 1 Receptor Locations and Actions

  • Locations include smooth muscle, liver, and salivary glands
    • Smooth muscle: Contraction of vascular smooth muscle and other smooth muscles like eye, bladder, prostate, uterus
      • Exception: Relaxation of GI smooth muscle
        • Alpha 1 receptors on GI smooth muscle are coupled with the opening of potassium channels, producing hyperpolarization
    • Liver: Increase glycogenolysis (breakdown of glycogen into glucose)
    • Salivary glands: Increase saliva secretion

Alpha 2 Receptor Locations and Actions

  • Located mainly at presynaptic neurons
  • Decrease cAMP levels, inhibiting exocytosis
  • Decrease norepinephrine and acetylcholine release
  • Auto-inhibitory nature
  • Located within the CNS as presynaptic neurons
    • Decrease central sympathetic discharge
      • Clonidine is an alpha 2 agonist that decreases central sympathetic discharge
  • Pancreas: Decrease insulin release, increasing glucose levels
  • Platelets: Inhibit platelet aggregation

Beta 1 Receptor Locations and Actions

  • Located mainly on the heart and kidney, and also on adipose tissue
  • Heart: Increase rate and force of contraction (positive chronotropic and ionotropic effects), increasing cardiac output
    • Increase automaticity in the cardiac muscle
  • Kidney: Increase renin release, leading to vasoconstriction
  • Adipose tissue: Increase lipolysis

Beta 2 Receptor Locations and Actions

  • Located mainly on smooth muscle
    • Vascular smooth muscle: Vasodilation in blood vessels supplying skeletal muscle, liver, and heart
      • In other systemic blood vessels, alpha 1 receptors are predominant
    • Other smooth muscles: Relaxation of eye, bronchioles, bladder, uterus, and GI smooth muscle
  • Liver: Increase glycogenolysis
  • Neurons: Increase release of mediators like norepinephrine (auto-stimulatory)
    • Beta 2 receptors are auto-stimulatory, opposite of alpha 2 receptors
  • Mast cells: Inhibit degranulation, decreasing histamine release
    • Epinephrine can be used for anaphylactic shock, acting through beta-2 receptors to inhibit mast cell degranulation

Beta 3 Receptor Locations and Actions

  • Located mainly in adipose tissue
  • Increase lipolysis (breakdown of triglycerides into free fatty acids)
  • Beta 1 receptors are also present on adipose tissue, but beta-3 receptors are more dominant in many fatty tissues

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Description

Adrenergic receptors are classified into alpha and beta types, each coupled to different G proteins. Alpha 1 receptors elevate IP3 and DAG, leading to increased intracellular calcium and excitation. Beta receptors increase cAMP levels, producing diverse effects.

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