Geneeskunde H5
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Questions and Answers

What is the term for the phenomenon where multiple neurotransmitters are found within some neurons in the autonomic nervous system?

  • Neuroplasticity
  • Cotransmission
  • Colocalization (correct)
  • Synaptic transmission
  • Which neurotransmitters are traditionally recognized as the main transmitters in the autonomic nervous system?

  • Dopamine and serotonin
  • Glutamate and endorphins
  • GABA and glycine
  • Norepinephrine and ACh (correct)
  • What does the term NANC stand for in relation to neurotransmitters?

  • Nonactive, neurally controlled
  • Neurotransmitters affecting natural cells
  • Nonadrenergic, noncholinergic (correct)
  • Neurologically active, noncholinergic
  • What is one potential role of nonclassical transmitters in the autonomic nervous system?

    <p>They may modulate responses to other inputs.</p> Signup and view all the answers

    What was the focus of research regarding neurotransmitters in the ANS for many years?

    <p>The roles of cholinergic and adrenergic neurotransmitters</p> Signup and view all the answers

    What is the primary neurotransmitter released at low firing rates by medullary raphé neurons?

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

    What controls the proportion of neurotransmitters released from neurons?

    <p>Neuronal firing frequency</p> Signup and view all the answers

    Which of the following is NOT a neurotransmitter identified in the autonomic nervous system?

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

    What class of receptors does ATP activate in vascular smooth muscle?

    <p>P2 purinoceptors</p> Signup and view all the answers

    What was first proposed by Geoffrey Burnstock and colleagues in the 1970s?

    <p>The existence of nonadrenergic, noncholinergic neurons</p> Signup and view all the answers

    Which two nonclassic neurotransmitters were first identified in the ANS?

    <p>ATP and Nitric Oxide</p> Signup and view all the answers

    At intermediate neuronal firing rates, which neurotransmitter is also released along with serotonin?

    <p>Thyrotropin-releasing hormone</p> Signup and view all the answers

    What effect does ATP have when applied directly to vascular smooth muscle?

    <p>Vascular constriction</p> Signup and view all the answers

    What is the role of P2X receptors in smooth muscle cells?

    <p>They bind ATP and induce depolarization.</p> Signup and view all the answers

    What is the primary effect of norepinephrine on smooth muscle contraction?

    <p>It releases Ca^2+ from intracellular stores.</p> Signup and view all the answers

    Which phase of contraction is induced by ATP in vascular smooth muscle?

    <p>The rapid phase of contraction.</p> Signup and view all the answers

    How does neuropeptide Y contribute to muscle contraction?

    <p>Through its action on Y1 receptors to increase Ca^2+ levels.</p> Signup and view all the answers

    What channel property is associated with P2X receptors?

    <p>High Ca^2+ permeability.</p> Signup and view all the answers

    Which signaling pathway is involved in the action of norepinephrine?

    <p>Gq/PLC/IP3 pathway.</p> Signup and view all the answers

    What is one of the key components of contraction induced by ATP in smooth muscle?

    <p>Activation of voltage-gated channels.</p> Signup and view all the answers

    What effect does nitric oxide have on vascular smooth muscle?

    <p>It causes relaxation.</p> Signup and view all the answers

    What is the primary way nitric oxide (NO) exerts its effects in neighboring cells?

    <p>By activating guanylyl cyclase</p> Signup and view all the answers

    Which enzyme is responsible for the production of nitric oxide (NO) from l-arginine?

    <p>Nitric oxide synthase</p> Signup and view all the answers

    In the context of vascular smooth muscle relaxation, what role does acetylcholine (ACh) have?

    <p>It activates muscarinic receptors leading to NO production</p> Signup and view all the answers

    Which neurotransmitter is involved in the second phase of relaxation of vascular smooth muscle cells?

    <p>Vasoactive intestinal peptide (VIP)</p> Signup and view all the answers

    From where is nitric oxide (NO) NOT derived as per the description?

    <p>Gastrointestinal epithelial cells</p> Signup and view all the answers

    What physiological process do NO and ACh collectively mediate in vascular smooth muscle cells?

    <p>Relaxation of vascular smooth muscle</p> Signup and view all the answers

    What type of molecule is nitric oxide (NO) classified as?

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

    Which statement correctly describes the nature of nitric oxide (NO)?

    <p>It is a short-lived gas used for intercellular communication.</p> Signup and view all the answers

    Which neurotransmitter is NOT found in postganglionic autonomic neurons?

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

    Which of the following neurotransmitter categories includes norepinephrine?

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

    Which neurotransmitter is primarily associated with visceral afferent neurons?

    <p>Substance P</p> Signup and view all the answers

    Which amino acid is indicated as present within the CNS neurons?

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

    Which of the following is classified as a neuropeptide?

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

    Which neurotransmitter is associated with ganglion interneurons?

    <p>Endogenous opioids</p> Signup and view all the answers

    Which neuropeptide is indicated to be present in both preganglionic and postganglionic autonomic neurons?

    <p>Substance P</p> Signup and view all the answers

    Which nonclassical neurotransmitter is specifically listed in the table?

    <p>Nitric Oxide</p> Signup and view all the answers

    Which neurotransmitter would NOT typically be found in enteric neurons?

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

    Which type of neuron predominantly uses acetylcholine?

    <p>CNS neurons</p> Signup and view all the answers

    Which neurotransmitter is primarily associated with the regulation of smooth muscle?

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

    Which of the following neurotransmitters is not classified as an amino acid?

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

    What role does dopamine have among the listed neuron types?

    <p>In enteric neurons and ganglion interneurons</p> Signup and view all the answers

    Which neurotransmitter is specifically associated with the action of gastrointestinal motility?

    <p>5-hydroxytryptamine</p> Signup and view all the answers

    Study Notes

    Nonclassic Transmitters in the Autonomic Nervous System (ANS)

    • Nonclassic Transmitters: Neurotransmitters involved in the ANS that aren't solely adrenergic or cholinergic. They mediate a range of postsynaptic responses, including slow potentials and modulating other inputs.

    • Colocalization: The presence of multiple neurotransmitters within a single neuron. As many as eight different neurotransmitters can colocalize.

    Distribution and Types of Nonclassic Transmitters

    • Diverse Distribution: Found at all levels of autonomic control.

    • Non-Specific Roles: Their roles aren't fully understood, but they can cause varied responses and modulate other inputs rather than acting directly.

    Examples of Nonclassic Transmitters

    • ATP: Colocalizes with norepinephrine in postganglionic sympathetic neurons. Releases on electrical stimulation, leading to vascular constriction by activating P2 purinoceptors (P2X and P2Y).
    • Nitric Oxide (NO): Produced by endothelial cells and neurons. Relaxes vascular smooth muscle through guanylyl cyclase activation. NO, acetylcholine, and vasoactive intestinal peptide (VIP) are often released together in parasympathetic neurons.

    Action of NO in the ANS

    • Multiple phases of relaxation: Stimulation of parasympathetic fibers can initiate multiple phases of smooth muscle relaxation (e.g., through acetylcholine and nitric oxide).

    • Delayed Relaxation: Neuropeptide VIP can cause delayed relaxation by increasing cAMP or decreasing Ca2+.

    • Co-release: Different neurotransmitters often act together in parallel to yield a diverse response, for example, acetylcholine and nitric oxide in conjunction to achieve a relaxed response.

    Table of Neurotransmitters by Location

    • The provided tables detail which neurotransmitters are found in various locations within the peripheral and central nervous systems, such as CNS, preganglionic, postganglionic, visceral ganglia, and enteric neurons.

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    Description

    Explore the intriguing roles of nonclassic transmitters in the autonomic nervous system. This quiz covers their distribution, colocalization, and examples like ATP and Nitric Oxide. Understand how these neurotransmitters contribute to diverse physiological responses and interactions.

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