Nitric Oxide and Smooth Muscle Relaxation

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Questions and Answers

What is the primary role of guanylate cyclase (GC) in the context of smooth muscle relaxation?

  • Inhibiting the production of nitric oxide (NO) to prevent vasodilation.
  • Directly blocking the action of phosphodiesterase-5 (PDE5).
  • Converting GTP into cGMP, which sustains smooth muscle relaxation. (correct)
  • Breaking down cGMP into GMP to promote muscle contraction.

How does phosphodiesterase-5 (PDE5) affect smooth muscle contraction?

  • It increases cGMP levels, leading to prolonged vasodilation.
  • It directly activates nitric oxide (NO) production, which causes vasodilation.
  • It converts cGMP into GMP, reducing cGMP levels and promoting muscle contraction. (correct)
  • It converts GTP into cGMP, promoting muscle relaxation.

What is the direct consequence of inhibiting PDE5 on cGMP levels and smooth muscle tone?

  • Increased cGMP levels, promoting vasodilation. (correct)
  • Decreased cGMP levels, promoting vasoconstriction.
  • Conversion of GMP to cGMP, which leads to vasoconstriction.
  • No change in cGMP levels, maintaining the current muscle tone.

Which molecular mechanism explains how nitric oxide (NO) causes vasodilation?

<p>NO activates guanylate cyclase, which produces cGMP, leading to smooth muscle relaxation. (A)</p> Signup and view all the answers

If a drug inhibits guanylate cyclase, what direct effect would this have on smooth muscle?

<p>Increased vasoconstriction due to lower cGMP levels. (C)</p> Signup and view all the answers

How do PDE5 inhibitors contribute to the treatment of erectile dysfunction?

<p>By preventing the breakdown of cGMP, resulting in prolonged vasodilation in penile blood vessels. (C)</p> Signup and view all the answers

What would be the expected outcome of a mutation that causes a complete loss of PDE5 function?

<p>Uncontrollable and prolonged vasodilation due to the absence of cGMP breakdown. (C)</p> Signup and view all the answers

Why is the conversion of cGMP to GMP by PDE5 important for regulating blood flow?

<p>It provides a mechanism to reduce vasodilation and allow for blood vessel constriction as needed. (A)</p> Signup and view all the answers

Following administration of a PDE5 inhibitor, which of the following changes would be expected in smooth muscle cells?

<p>Reduced levels of GMP due to blocked conversion from cGMP. (C)</p> Signup and view all the answers

A researcher is studying the effects of a new drug on smooth muscle. They observe that the drug increases cGMP levels but does not affect guanylate cyclase or PDE5 activity. What is the most likely mechanism of action of this drug?

<p>It enhances the breakdown of GMP. (C)</p> Signup and view all the answers

Flashcards

Guanylate Cyclase (GC)

Enzyme activated by nitric oxide (NO) that converts GTP into cGMP.

Cyclic Guanosine Monophosphate (cGMP)

Molecule produced by guanylate cyclase that sustains smooth muscle relaxation, leading to vasodilation.

Phosphodiesterase-5 (PDE5)

Enzyme that breaks down cGMP into inactive GMP, leading to vasoconstriction.

PDE5 Inhibitors

Medications that inhibit PDE5, preventing the breakdown of cGMP and promoting sustained vasodilation.

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Vasoconstriction

The conversion of blood vessels from a relaxed state to a constricted state, reducing blood flow.

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Vasodilation

The widening of blood vessels, resulting from smooth muscle relaxation, increasing blood flow.

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Guanosine Monophosphate (GMP)

Inactive form of cGMP, resulting from PDE5 activity, which promotes muscle contraction.

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Study Notes

  • Nitric oxide (NO) activates guanylate cyclase (GC).
  • GC converts GTP into cGMP.
  • cGMP sustains smooth muscle relaxation.
  • Smooth muscle relaxation causes vasodilation, especially in penile blood vessels.
  • Phosphodiesterase-5 (PDE5) converts cGMP into inactive GMP.
  • GMP leads to muscle contraction and vasoconstriction.
  • PDE-5 inhibitors block the PDE5 enzyme.
  • Blocking PDE5 prevents the conversion of cGMP into GMP.
  • Higher cGMP levels prolong smooth muscle relaxation.
  • Prolonged smooth muscle relaxation leads to sustained vasodilation.

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