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Questions and Answers
What is the significance of the TM2 region in nicotinic ACh receptors?
What is the significance of the TM2 region in nicotinic ACh receptors?
The TM2 region in each subunit creates a cationic pore that allows positively charged ions to pass through the receptor channel.
Why are two acetylcholine (ACh) molecules necessary for the activation of nicotinic ACh receptors?
Why are two acetylcholine (ACh) molecules necessary for the activation of nicotinic ACh receptors?
Two ACh molecules are required because at least two α subunits must be occupied to activate the receptor.
Identify the two types of nicotinic ACh receptors found in the brain and their compositions.
Identify the two types of nicotinic ACh receptors found in the brain and their compositions.
The heteromeric CNS-type consists of (α4)2(β2)3 and the further CNS-type comprises (α3)2(β4)3.
What are the receptor types located at the neuromuscular junction?
What are the receptor types located at the neuromuscular junction?
Explain why the systemic application of cholinergic agonists or antagonists results in complex effects.
Explain why the systemic application of cholinergic agonists or antagonists results in complex effects.
What is the primary function of M1 muscarinic ACh receptors in the CNS?
What is the primary function of M1 muscarinic ACh receptors in the CNS?
How do M2 muscarinic ACh receptors affect cardiac function?
How do M2 muscarinic ACh receptors affect cardiac function?
Describe the action of nicotinic ACh receptors upon ligand binding.
Describe the action of nicotinic ACh receptors upon ligand binding.
What distinguishes muscle type from neuronal type nicotinic ACh receptors?
What distinguishes muscle type from neuronal type nicotinic ACh receptors?
What role do M3 muscarinic ACh receptors play in smooth muscle tissue?
What role do M3 muscarinic ACh receptors play in smooth muscle tissue?
What neurotransmitter is primarily associated with cholinergic receptors?
What neurotransmitter is primarily associated with cholinergic receptors?
Name the two main types of cholinergic receptors.
Name the two main types of cholinergic receptors.
How does acetylcholine contribute to muscle contraction at the neuromuscular junction?
How does acetylcholine contribute to muscle contraction at the neuromuscular junction?
What is the role of cholinergic drugs in pharmacology?
What is the role of cholinergic drugs in pharmacology?
What is the difference between the roles of the sympathetic and parasympathetic nervous systems?
What is the difference between the roles of the sympathetic and parasympathetic nervous systems?
Describe the structure of the autonomic nervous system (ANS).
Describe the structure of the autonomic nervous system (ANS).
What type of receptor is a muscarinic acetylcholine receptor?
What type of receptor is a muscarinic acetylcholine receptor?
How does the sympathetic nervous system affect smooth muscle?
How does the sympathetic nervous system affect smooth muscle?
What occurs at the synapse during cholinergic neurotransmission?
What occurs at the synapse during cholinergic neurotransmission?
What are the postganglionic neurons in the sympathetic nervous system primarily using?
What are the postganglionic neurons in the sympathetic nervous system primarily using?
What neurotransmitter is involved in the activation of both sympathetic and parasympathetic ganglia?
What neurotransmitter is involved in the activation of both sympathetic and parasympathetic ganglia?
Name two examples of muscarinic AChR agonists used for treating glaucoma.
Name two examples of muscarinic AChR agonists used for treating glaucoma.
What is the primary therapeutic use of Atropine?
What is the primary therapeutic use of Atropine?
How does Methacholine differ from Bethanechol in terms of cardiac contractility effects?
How does Methacholine differ from Bethanechol in terms of cardiac contractility effects?
Which drug is used as an antidote for muscarine poisoning?
Which drug is used as an antidote for muscarine poisoning?
What is a significant adverse effect of using Nicotine or related agonists clinically?
What is a significant adverse effect of using Nicotine or related agonists clinically?
What receptor type is primarily targeted by the drug Ipratropium?
What receptor type is primarily targeted by the drug Ipratropium?
Identify the receptor type acted upon by postganglionic neurons in the sympathetic and parasympathetic pathways.
Identify the receptor type acted upon by postganglionic neurons in the sympathetic and parasympathetic pathways.
How does succinylcholine's mechanism contribute to its prolonged effect in neuromuscular blockade?
How does succinylcholine's mechanism contribute to its prolonged effect in neuromuscular blockade?
What is the primary action of α-bungarotoxin and how does it affect the nervous system?
What is the primary action of α-bungarotoxin and how does it affect the nervous system?
Explain the clinical application of tubocurarine.
Explain the clinical application of tubocurarine.
What role does trimethaphan play in the treatment of hypertension related to acute aortic dissection?
What role does trimethaphan play in the treatment of hypertension related to acute aortic dissection?
What are the two main types of cholinesterases, and what is their primary role in the body?
What are the two main types of cholinesterases, and what is their primary role in the body?
Explain the effect of AChE inhibitors and provide examples of two types of such inhibitors.
Explain the effect of AChE inhibitors and provide examples of two types of such inhibitors.
How does the hydrolysis rate of ACh by AChE illustrate its efficiency as an enzyme?
How does the hydrolysis rate of ACh by AChE illustrate its efficiency as an enzyme?
Describe the latency differences between muscarinic ACh receptors and nicotinic ACh receptors when activated.
Describe the latency differences between muscarinic ACh receptors and nicotinic ACh receptors when activated.
What is the clinical significance of using carbamate inhibitors, and name two examples?
What is the clinical significance of using carbamate inhibitors, and name two examples?
Explain the functional roles of the M1, M3, and M5 muscarinic receptors in the body.
Explain the functional roles of the M1, M3, and M5 muscarinic receptors in the body.
How does the βγ subunit of the G-protein influence ion channel activity in muscarinic signaling?
How does the βγ subunit of the G-protein influence ion channel activity in muscarinic signaling?
What distinguishes the structural differences between nicotinic and muscarinic ACh receptors?
What distinguishes the structural differences between nicotinic and muscarinic ACh receptors?
Flashcards
Muscle-type nicotinic acetylcholine receptor
Muscle-type nicotinic acetylcholine receptor
A type of cholinergic receptor found in the neuromuscular junction, responsible for muscle contraction. It's composed of five subunits: two α1, one β, one δ, and one ε or γ.
Ganglion-type nicotinic acetylcholine receptor
Ganglion-type nicotinic acetylcholine receptor
A type of nicotinic acetylcholine receptor found in autonomic ganglia, responsible for signaling between neurons. It's composed of five subunits: two α3, three β4.
Heteromeric CNS-type nicotinic acetylcholine receptor
Heteromeric CNS-type nicotinic acetylcholine receptor
A type of nicotinic acetylcholine receptor found in the brain. It's composed of five subunits: two α4, three β2.
Further CNS-type nicotinic acetylcholine receptor
Further CNS-type nicotinic acetylcholine receptor
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Homomeric CNS-type nicotinic acetylcholine receptor
Homomeric CNS-type nicotinic acetylcholine receptor
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What are Cholinesterases?
What are Cholinesterases?
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What is Acetylcholinesterase (AChE)?
What is Acetylcholinesterase (AChE)?
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What are AChE inhibitors?
What are AChE inhibitors?
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What are Organophosphates?
What are Organophosphates?
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What are Carbamates?
What are Carbamates?
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What are Cholinergic receptors?
What are Cholinergic receptors?
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What are nicotinic acetylcholine receptors (nAChR)?
What are nicotinic acetylcholine receptors (nAChR)?
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What are muscarinic acetylcholine receptors (mAChR)?
What are muscarinic acetylcholine receptors (mAChR)?
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Muscarinic ACh receptor
Muscarinic ACh receptor
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M1 receptor
M1 receptor
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M2 receptor
M2 receptor
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M3 receptor
M3 receptor
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Nicotinic ACh receptor
Nicotinic ACh receptor
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What is acetylcholine?
What is acetylcholine?
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What kind of receptors are mAChRs?
What kind of receptors are mAChRs?
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What kind of receptors are nAChRs?
What kind of receptors are nAChRs?
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What is the neuromuscular junction (NMJ) ?
What is the neuromuscular junction (NMJ) ?
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What is the end plate potential?
What is the end plate potential?
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What is the autonomic nervous system (ANS)?
What is the autonomic nervous system (ANS)?
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What is the parasympathetic nervous system?
What is the parasympathetic nervous system?
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Ganglionic nicotinic acetylcholine receptor (nAChR)
Ganglionic nicotinic acetylcholine receptor (nAChR)
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Muscarinic agonists
Muscarinic agonists
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Muscarinic agonists in eye
Muscarinic agonists in eye
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Muscle-type nicotinic acetylcholine receptor (nAChR)
Muscle-type nicotinic acetylcholine receptor (nAChR)
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Muscarinic antagonists
Muscarinic antagonists
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Muscarinic antagonists in surgery
Muscarinic antagonists in surgery
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Nicotinic agonists
Nicotinic agonists
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Nicotinic antagonists
Nicotinic antagonists
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Succinylcholine's effect on muscle contraction
Succinylcholine's effect on muscle contraction
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What do nAChR antagonists do?
What do nAChR antagonists do?
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What is α-bungarotoxin?
What is α-bungarotoxin?
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How do Tubocurarine and Pancuronium work?
How do Tubocurarine and Pancuronium work?
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How does Trimethaphan lower blood pressure?
How does Trimethaphan lower blood pressure?
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Study Notes
Cholinergic Receptors
- Cholinergic receptors are focused on the neurotransmitter acetylcholine (ACh).
- ACh acts on both the central and peripheral nervous systems (CNS and PNS).
- ACh activates skeletal muscle.
- Current therapeutic uses for cholinergic/anticholinergic drugs are limited due to widespread effects.
Neuromuscular Junction (NMJ)
- The NMJ is where motor neurons connect to muscle fibers.
- Acetylcholine (ACh) release at the NMJ causes muscle contraction.
- Key steps in the process include: arrival of an action potential, calcium influx, ACh release, activation of ACh receptors, and end-plate potential leading to muscle contraction.
Cholinergic Receptor Classes
- Muscarinic acetylcholine receptors (mAChRs) are G-protein coupled receptors.
- Nicotinic acetylcholine receptors (nAChRs) are ligand-gated ion channels.
The Nervous System
- The autonomic nervous system (ANS) is divided into sympathetic and parasympathetic branches.
- The sympathetic branch is associated with "fight or flight" responses.
- The parasympathetic branch is associated with "rest and digest" responses.
- Cholinergic receptors are involved in both sympathetic and parasympathetic systems.
- Somatic (voluntary) nervous system also involves cholinergic transmission.
Neuronal Layout in the PNS
- In the peripheral nervous system, preganglionic neurons synapse with postganglionic neurons in ganglia.
- The sympathetic nervous system often has a chain of ganglia along the spinal cord.
- The parasympathetic nervous system has ganglia closer to the target tissue, providing a different layout.
Cholinergic Receptor Synthesis
- Acetylcholine (ACh) synthesis is a one-step process from Acetyl CoA and choline.
- The rate-limiting step is choline availability, not choline acetyltransferase.
Acetylcholine Storage and Release
- ACh is stored in synaptic vesicles.
- Release occurs through vesicle fusion with the plasma membrane.
- Release is triggered by an influx of calcium ions.
Cholinergic Receptor Degradation
- Acetylcholinesterase (AChE) is the primary enzyme responsible for degrading acetylcholine (ACh) after its release.
- AChE is concentrated at the post-synaptic membrane.
- Types of cholinesterases include AChE and BuChE.
AChE Inhibitors
- Inhibitors of AChE can cause paralysis, convulsions, and death.
- Organophosphates are irreversible inhibitors of AChE. They are used in pesticides and nerve gas.
- Carbamates are reversible inhibitors of AChE.
AChE Inhibitors - Clinical Applications
- AChE inhibitors increase transmission at the neuromuscular junction, potentially treating diseases like myasthenia gravis.
- They can increase central cholinergic activity, which is useful in treating symptoms of Alzheimer's disease.
Cholinergic Receptor Types
- nAChR are ionotropic ligand-gated channels.
- mAChR are metabotropic G-protein coupled receptors.
- The subtypes of receptors have different structures and functions.
Muscarinic ACh Receptors - Types and Function
- There are 5 main muscarinic receptor subtypes (M1-M5)
- M1, M3, and M5 receptors are primarily linked to Gq proteins, related to excitatory effects.
- M2 and M4 receptors activate Gi or G0 proteins, leading to inhibitory effects.
- There are various second messenger pathways from G-protein activation related to cell signalling.
Muscarinic ACh Receptors - Expression Overview
- M1 receptors are mainly found throughout CNS and in glandular tissue
- M2 receptors are found in cardiac tissue
- M3 receptors are present in smooth muscle and glandular tissue
- M4 and M5 receptors are widespread in the CNS.
Nicotinic ACh Receptors - Types
- Nicotinic acetylcholine receptors (nAChRs) are divided into subtypes.
- These include muscle type, neuronal type, heteromeric, and homomeric subtypes.
Nicotinic ACh Receptors - Structure and Function
- nAChRs are ligand-gated ion channels, comprised of 5 subunits.
- Two molecules of ACh bind to the receptor to trigger a conformational change, opening the pore to allow ion flow.
- The depolarization is brief due to AChE action.
- The TM2 region of each subunit plays a key role in forming the cationic pore within the channel.
Pharmacology and Disease (Cholinergic Receptors)
- Systemic administration of cholinergic agonists/antagonists has complex effects because of the presence of ACh receptors across the sympathetic and parasympathetic nervous systems.
- Agonists and antagonists have different effects depending on their target subtype.
Pharmacology and Disease - Muscarinic Agonists
- Muscarinic agonists are used therapeutically often in topical treatments.
- Examples include Acetylcholine, Carbachol and Pilocarpine.
- They're frequently used as eye drops in conditions like Glaucoma.
Pharmacology and Disease - Muscarinic Antagonists
- Muscarinic antagonists reduce or block the effects of acetylcholine.
- Examples include Atropine, Scopolamine, and others.
- They have diverse applications, from controlling secretions during surgery to treating motion sickness.
Pharmacology and Disease - Nicotinic Agonists
- Nicotinic agonists include Acetylcholine, Nicotine, Carbachol, and Succinylcholine.
- Succinylcholine has more clinical use as a depolarizing neuromuscular blocker in surgery.
Pharmacology and Disease - Nicotinic Antagonists
- Nicotinic antagonists are less frequently used clinically.
- Examples include toxins such as α-bungarotoxin and α-conotoxins.
- Tubocurarine and Pancuronium are neuromuscular blockers used in surgery.
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Description
This quiz explores the roles and mechanisms of nicotinic and muscarinic acetylcholine receptors. Questions cover their significance, types, functions, and interactions within the central nervous system and neuromuscular junction. Test your understanding of cholinergic neurotransmission and its effects in various physiological contexts.