Cholinergic Drugs: Actions and Mechanisms

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Questions and Answers

Which of the following best describes the primary action of cholinergic drugs?

  • Stimulating the sympathetic nervous system
  • Inhibiting the breakdown of norepinephrine
  • Mimicking or modulating the effects of acetylcholine (correct)
  • Blocking adrenergic receptors

Adrenergic drugs stimulate actions similar to the parasympathetic nervous system.

False (B)

What is the primary mechanism by which anticholinesterases increase acetylcholine levels in the synapse?

By inhibiting the enzyme acetylcholinesterase, which breaks down acetylcholine.

The two main types of cholinergic receptors are ______ and muscarinic.

<p>nicotinic</p> Signup and view all the answers

Match the following autonomic nervous system divisions with their primary effects:

<p>Sympathetic = Fight or flight response Parasympathetic = Rest and digest</p> Signup and view all the answers

Which receptor type is primarily associated with smooth muscle contraction and vasodilation?

<p>M3 muscarinic receptors (B)</p> Signup and view all the answers

Nicotine directly activates muscarinic receptors.

<p>False (B)</p> Signup and view all the answers

What is the function of hemicholinium?

<p>Inhibits the transport of choline, which prevents the synthesis of acetylcholine.</p> Signup and view all the answers

Acetylcholinesterase metabolizes acetylcholine into choline and ______.

<p>acetate</p> Signup and view all the answers

Match the following receptor locations with their corresponding effects:

<p>NM receptor = Neuromuscular junction contraction NN receptor = Autonomic ganglia activation</p> Signup and view all the answers

Which of the following is a clinical use of muscarinic agonists?

<p>Treatment of glaucoma (C)</p> Signup and view all the answers

Muscarinic receptors are ligand-gated ion channels.

<p>False (B)</p> Signup and view all the answers

What structural feature is essential for a molecule to have optimum cholinergic activity?

<p>A quaternary ammonium group.</p> Signup and view all the answers

Edrophonium works by ______ inhibiting acetylcholinesterase.

<p>reversibly</p> Signup and view all the answers

Match each muscarinic receptor subtype with its primary location:

<p>M1 = CNS and Stomach M2 = Heart M3 = Glands and Smooth Muscle</p> Signup and view all the answers

Which of the following structural modifications generally increases the duration of action of a choline ester?

<p>Replacing the ester with a carbamate (D)</p> Signup and view all the answers

Pilocarpine exhibits nicotinic activity.

<p>False (B)</p> Signup and view all the answers

Name a clinical condition where anticholinergic drugs might be contraindicated

<p>Glaucoma.</p> Signup and view all the answers

ACh (acetylcholine) acts on ______ vastly different classes of receptors.

<p>two</p> Signup and view all the answers

Match the term with the relevant description

<p>Sympathomimetic = Stimulate adrenergic receptors Sympatholytic = Block the action of NE and Epi</p> Signup and view all the answers

Which of the following features describes muscarinic receptors?

<p>G-protein coupled receptor (A)</p> Signup and view all the answers

Acetylcholine's therapeutic use is limited by its targeted value due to its long activity duration.

<p>False (B)</p> Signup and view all the answers

What type of bond does intramolecule acetylcholine have?

<p>dipole</p> Signup and view all the answers

For cholinergic agonists, a __________ shield affects the receptor selectivity and stability of ACh.

<p>steric</p> Signup and view all the answers

Match the following.

<p>Carbamate = Electronic effects Steric = Shields</p> Signup and view all the answers

Which of the following describes Quinuclidine in relevance to Direct Acting Cholinomimetics?

<p>a rigid moiety (D)</p> Signup and view all the answers

Pilocarpine follows the traditional SAR

<p>False (B)</p> Signup and view all the answers

What is the role of acetylcholinesterase?

<p>It metabolizes or hydrolyzes acetylcholine.</p> Signup and view all the answers

ACh acts on ______ vastly different classes of receptors- Nicotinic and ______.

<p>two, Muscarinic</p> Signup and view all the answers

If a drug is known as sympatholytic, what will it do?

<p>Block the action of NE and Epi at the adrenergic receptors (B)</p> Signup and view all the answers

Flashcards

Cholinergic Drugs

Drugs that mimic or enhance the effects of acetylcholine; classified into cholinomimetics, anticholinergics, ganglionic stimulants, and neuromuscular blocking drugs.

Anticholinergic Drugs

Drugs that block the action of acetylcholine; muscarinic antagonists and atropine drugs.

Adrenergic Drugs

Drugs that mimic or enhance the effects of norepinephrine and epinephrine; classified into sympathomimetics and sympatholytics.

Sympathomimetics

Drugs that stimulate adrenergic receptors, producing effects similar to sympathetic stimulation.

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Sympatholytics

Drugs that block the action of norepinephrine and epinephrine at adrenergic receptors, producing opposite effects to sympathetic stimulation.

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Nicotinic Receptors

Receptors that respond to acetylcholine and nicotine; ligand-gated ion channels found in autonomic ganglia, adrenal medulla, CNS, and neuromuscular junctions.

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Muscarinic Receptors

Receptors that respond to acetylcholine and muscarine; G-protein coupled receptors found in various tissues; M1-M5 subtypes.

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Acetylcholine (ACh)

The natural messenger for both nicotinic and muscarinic receptors, essential for nerve impulse transmission.

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Acetylcholinesterase (AChE)

Enzyme that hydrolyzes acetylcholine in the synaptic cleft, thereby terminating its action.

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Ethylene Bridge SAR

The distance from the N-atom to the O-atom must be two atoms long.

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SAR: Acetyloxy Group

Conversion of acetyloxy into carbamic acid ester increases cholinergic activity.

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Quinuclidine Derivative

A bicyclic amine selective for M3 receptors, used to treat xerostomia and Sjogren's disease.

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Pilocarpine

A naturally-occurring imidazole alkaloid that is a non-selective M agonist, reducing intraocular pressure; used in glaucoma treatment.

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Quaternary Ammonium SAR

Having a quaternary amine group is essential for optimal activity.

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