Geneeskunde h4
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Questions and Answers

What is the primary neurotransmitter released by all preganglionic neurons in the autonomic nervous system?

  • Acetylcholine (correct)
  • Dopamine
  • Serotonin
  • Norepinephrine

Which type of receptors do preganglionic neurons activate on postganglionic neurons?

  • GABA receptors
  • Muscarinic receptors
  • Adrenergic receptors
  • Nicotinic receptors (correct)

What structural characteristic do nicotinic receptors possess?

  • Tetrameric structure
  • Pentameric structure (correct)
  • Hexameric structure
  • Monomeric structure

What benefit does the 'en passant' synapse arrangement provide to autonomic axons?

<p>Greater number of targets influenced (C)</p> Signup and view all the answers

What distinguishes the molecular subtype of nicotinic receptors found on postganglionic neurons from the type found at the neuromuscular junction?

<p>They are of different molecular subtypes (A)</p> Signup and view all the answers

In the autonomic nervous system, synaptic transmission between preganglionic and postganglionic neurons occurs in which type of location?

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

What type of channel are nicotinic receptors classified as?

<p>Ligand-gated channels (B)</p> Signup and view all the answers

Which statement is true regarding varicosities in postganglionic neurons?

<p>They enable multiple contacts with target organs (C)</p> Signup and view all the answers

What is the primary effect of the sympathetic division on the heart rate?

<p>Increases the heart rate (B)</p> Signup and view all the answers

Which autonomic division typically stimulates peristalsis in the gut?

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

Which of the following organs receives input solely from the sympathetic division?

<p>Sweat glands (A)</p> Signup and view all the answers

What is a distinguishing feature of postganglionic autonomic neurons?

<p>They possess bulbous expansions called varicosities. (C)</p> Signup and view all the answers

How do antagonistic effects of the sympathetic and parasympathetic divisions generally function?

<p>They have opposite effects on most visceral targets. (D)</p> Signup and view all the answers

What misconception was previously held about the release of neurotransmitters in the autonomic nervous system?

<p>They were believed to diffuse long distances to reach targets. (B)</p> Signup and view all the answers

In which situation would the sympathetic division typically be active?

<p>While engaging in physical activity (A)</p> Signup and view all the answers

Which statement about the salivary glands is correct?

<p>They are stimulated by both divisions but in different ways. (B)</p> Signup and view all the answers

What role does the third cytoplasmic loop of muscarinic receptors play?

<p>It is responsible for coupling the receptor to the G protein in signal-transduction. (A)</p> Signup and view all the answers

Which muscarinic receptors couple preferentially to Gαq and phospholipase C?

<p>M1, M3, and M5 (C)</p> Signup and view all the answers

What is typically released by most postganglionic sympathetic neurons?

<p>Norepinephrine (C)</p> Signup and view all the answers

What type of receptors are adrenergic receptors categorized under?

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

Which adrenergic receptor subtype is primarily linked to activating Gs and stimulating adenylyl cyclase in the heart?

<p>β1 (A)</p> Signup and view all the answers

Which of the following statements about sweat glands is true?

<p>They are innervated by sympathetic neurons that release acetylcholine. (D)</p> Signup and view all the answers

How many major types of adrenergic receptors are recognized?

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

What is a result of Gαi or Gαo coupling in muscarinic receptors?

<p>Inhibition of adenylyl cyclase and decrease in [cAMP]i (B)</p> Signup and view all the answers

What neurotransmitter is primarily released by sympathetic preganglionic neurons?

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

Which type of receptor is mainly found on postganglionic parasympathetic neurons?

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

How do N1 and N2 receptors primarily differ regarding drug sensitivity?

<p>N1 receptors are blocked by <em>d</em>-tubocurarine; N2 receptors are resistant. (D)</p> Signup and view all the answers

Which of the following statements about autonomic neurotransmission is true?

<p>Autonomic ganglionic synapses use nicotinic receptors. (D)</p> Signup and view all the answers

Which neurotransmitter is released by parasympathetic postganglionic neurons?

<p>Acetylcholine (A)</p> Signup and view all the answers

What is the role of preganglionic neurons in autonomic transmission?

<p>To release ACh activating nicotinic receptors in postganglionic neurons. (B)</p> Signup and view all the answers

Where are the cell bodies of sympathetic preganglionic neurons located?

<p>Intermediolateral cell column in the spinal cord (D)</p> Signup and view all the answers

What type of receptors do sympathetic postganglionic neurons predominantly use?

<p>Adrenergic (A)</p> Signup and view all the answers

What type of neurotransmission do nicotinic receptors mediate?

<p>Fast and monophasic excitatory (B)</p> Signup and view all the answers

Which receptor type is responsible for a slower electrical response that can be either inhibitory or excitatory?

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

What is the effect of muscarinic neurotransmission on the M current?

<p>It turns off the M current (B)</p> Signup and view all the answers

What happens to neuron excitability when the M current is inhibited by muscarine?

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

The primary result of activating a nicotinic receptor involves which type of postsynaptic response?

<p>Fast excitatory postsynaptic potential (EPSP) (B)</p> Signup and view all the answers

What characterizes the response of postganglionic neurons to ACh in autonomic ganglia?

<p>Both nicotinic and muscarinic responses can occur (C)</p> Signup and view all the answers

In what way do muscarinic responses enhance autonomic nervous system function?

<p>By providing slow modulatory effects (B)</p> Signup and view all the answers

What is the role of K^+ channels relating to the M current in the baseline state?

<p>They provide stabilizing hyperpolarizing influence (B)</p> Signup and view all the answers

What is the primary neurotransmitter associated with postganglionic sympathetic neurons?

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

Which adrenergic receptor subtype is linked to increasing intracellular cAMP levels?

<p>β1 adrenergic (A)</p> Signup and view all the answers

Which receptor subtype is primarily activated by norepinephrine and epinephrine?

<p>α1 adrenergic receptor (C)</p> Signup and view all the answers

What is the main effect of agonists on the α2 adrenergic receptor?

<p>Decrease cAMP levels (B)</p> Signup and view all the answers

Which of the following is a known antagonist for the β2 adrenergic receptor?

<p>Butoxamine (A)</p> Signup and view all the answers

What second messenger is produced via activation of the M1, M3, and M5 muscarinic receptors?

<p>IP3 and DAG (B)</p> Signup and view all the answers

What type of G protein is associated with both β1 and β2 adrenergic receptors?

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

Which antagonist is used for the nicotinic ACh receptor subtype N2?

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

Which receptor subtype is primarily responsible for vasodilation in response to epinephrine?

<p>β2 adrenergic (A)</p> Signup and view all the answers

What signal transduction mechanism do M2 muscarinic receptors utilize?

<p>Gαi and adenylyl cyclase (A)</p> Signup and view all the answers

Flashcards

Antagonistic Effects of the ANS

The sympathetic and parasympathetic divisions of the autonomic nervous system (ANS) have generally opposing effects on most organs, controlling their activity.

Sympathetic Excitation during Activity

Organs involved in physical activity are typically stimulated by the sympathetic division and inhibited by the parasympathetic division.

Parasympathetic Stimulation during Rest

Organs involved in rest and recovery are typically stimulated by the parasympathetic division and inhibited by the sympathetic division.

Exceptions to ANS Innervation

While most organs receive both sympathetic and parasympathetic input, some organs, like sweat glands and piloerector muscles, are only innervated by the sympathetic division.

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Autonomic Varicosities

Postganglionic autonomic neurons often have varicosities, bulbous expansions along their axons that release neurotransmitters.

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Synaptic Cleft in Autonomic Varicosities

While initially thought to diffuse across a large space, varicosities often form synapses with their target organs, with a narrow synaptic cleft.

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What are N1 receptors?

N1 receptors are located at the neuromuscular junction and are stimulated by the drug decamethonium, preferentially blocked by d-tubocurarine.

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What are N2 receptors?

N2 receptors are located in autonomic ganglia and are stimulated by the drug tetramethylammonium, but resistant to d-tubocurarine.

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What happens when N1 and N2 receptors are activated?

Both N1 and N2 receptors are permeable to sodium and potassium ions when activated.

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What is the effect of nicotinic transmission?

Nicotinic transmission at autonomic ganglia leads to rapid depolarization of postganglionic neurons.

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What does the sympathetic nervous system do?

The sympathetic division of the autonomic nervous system controls fight-or-flight responses.

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What does the parasympathetic nervous system do?

The parasympathetic division of the autonomic nervous system controls rest-and-digest responses.

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What does the somatic nervous system do?

The somatic nervous system controls voluntary muscle movement.

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What is the relationship between the sympathetic and parasympathetic branches?

The sympathetic and parasympathetic branches have opposing effects on most organs.

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What are varicosities?

The release of neurotransmitters from postganglionic neurons occurs at specific points along their axons called varicosities.

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What is the advantage of varicosities in autonomic neurons?

Varicosities allow a single axon to influence multiple target organs. This ensures a wider distribution of autonomic control.

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What neurotransmitter do all preganglionic neurons release?

Acetylcholine (ACh) is the neurotransmitter released by all preganglionic neurons, both sympathetic and parasympathetic.

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What type of receptors are activated by preganglionic neurons on postganglionic neurons?

Acetylcholine (ACh) acts on nicotinic receptors on postganglionic neurons, leading to their activation.

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What is the neurotransmitter and receptor involved in ganglionic transmission?

Synaptic transmission at the ganglia between preganglionic and postganglionic neurons involves acetylcholine (ACh) acting on nicotinic receptors.

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What type of nicotinic receptors are found on postganglionic neurons?

The nicotinic receptors on postganglionic neurons are a subtype called N2, distinct from N1 found at the neuromuscular junction.

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What is the difference in neurotransmitter use between sympathetic and parasympathetic divisions?

Both sympathetic and parasympathetic divisions use acetylcholine (ACh) for preganglionic transmission, but their postganglionic neurotransmitters differ.

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How do the sympathetic and parasympathetic divisions achieve opposing effects on target organs?

The different neurotransmitters and receptors involved in postganglionic transmission allow the sympathetic and parasympathetic systems to exert opposing actions on target organs.

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What neurotransmitter do most postganglionic sympathetic neurons release?

Most postganglionic sympathetic neurons release norepinephrine, a neurotransmitter that acts on target cells through adrenergic receptors. This is the primary way the sympathetic nervous system communicates with organs.

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What is the exception to the general neurotransmitter rule in the sympathetic system?

Sweat glands are an exception to the typical sympathetic neuron function. They are innervated by sympathetic neurons that release acetylcholine (ACh) and act via muscarinic receptors.

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What type of receptor are adrenergic receptors?

Adrenergic receptors are G protein-coupled receptors (GPCRs) similar to muscarinic receptors. They are involved in the sympathetic nervous system's effects.

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What are the two main types of adrenergic receptors?

There are two main types of adrenergic receptors: alpha (α) and beta (β). Each of these subtypes has multiple subtypes.

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What is the role of β1 receptors in the heart?

β1 receptors, found in the heart, activate the Gs heterotrimeric G protein and stimulate adenylyl cyclase. This action opposes the effects of muscarinic receptors, which are associated with the parasympathetic nervous system.

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What is unique about the distribution of adrenergic receptor subtypes?

Adrenergic receptor subtypes have a tissue-specific distribution, meaning different types of adrenergic receptors are found in different organs.

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Postganglionic Sympathetic Neurotransmitter

Norepinephrine is the neurotransmitter released by most postganglionic sympathetic neurons.

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Adrenergic Receptors

The postsynaptic receptors for norepinephrine are called adrenergic receptors. They are G protein-coupled receptors (GPCRs) and come in two main types: alpha (α) and beta (β).

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Muscarinic ACh Receptors

Muscarinic acetylcholine receptors are found in the parasympathetic nervous system. They are metabotropic receptors linked to G proteins and affect various cellular processes.

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Nicotinic ACh Receptors

Nicotinic acetylcholine receptors are found at neuromuscular junctions and autonomic ganglia. They are ionotropic receptors and primarily cause rapid depolarization.

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α1-Adrenergic Receptors

α1-adrenergic receptors trigger a signaling cascade increasing intracellular calcium levels, leading to various effects like vasoconstriction.

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α2-Adrenergic Receptors

α2-adrenergic receptors inhibit the production of cyclic AMP (cAMP), leading to effects like decreased neurotransmitter release.

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β1-Adrenergic Receptors

β1-adrenergic receptors stimulate the production of cyclic AMP (cAMP), leading to increased heart rate and contractility.

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β2-Adrenergic Receptors

β2-adrenergic receptors stimulate the production of cyclic AMP (cAMP), leading to effects like bronchodilation and vasodilation.

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Dopamine D1 Receptors

Dopamine D1 receptors in the brain are generally excitatory and promote the production of cyclic AMP (cAMP).

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Dopamine D2 Receptors

Dopamine D2 receptors in the brain are generally inhibitory and decrease the production of cyclic AMP (cAMP).

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What are muscarinic receptors?

Muscarinic receptors are G protein-coupled receptors (GPCRs) that are activated by acetylcholine (ACh).

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What are nicotinic receptors?

Nicotinic receptors are ligand-gated ion channels that are activated by acetylcholine (ACH).

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What is the M current?

The M current is a specific potassium current (K+ channel) that is often active in autonomic ganglia and helps stabilize the membrane potential.

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How do muscarinic receptors influence the M current?

Muscarinic receptors can inhibit the M current, leading to a decrease in hyperpolarization and an increase in neuronal excitability.

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What is the effect of nicotinic activation in autonomic ganglia?

The activation of nicotinic receptors in autonomic ganglia leads to a fast, excitatory postsynaptic potential (EPSP).

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How do nicotinic and muscarinic responses work together?

The combination of fast nicotinic EPSPs and slower muscarinic responses allows the ANS to fine-tune its control over visceral functions.

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What are the possible effects of muscarinic activation?

Muscarinic receptors can cause either excitatory or inhibitory postsynaptic potentials (EPSPs or IPSPs) in autonomic ganglia, depending on the specific neuron and receptor subtype.

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What happens when both nicotinic and muscarinic receptors are activated simultaneously?

The simultaneous activation of nicotinic and muscarinic receptors in autonomic ganglia can create a multiphasic postsynaptic response.

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Study Notes

Autonomic Nervous System Synaptic Physiology

  • All skeletal muscle innervation is excitatory, but visceral targets receive both inhibitory and excitatory inputs from the sympathetic and parasympathetic divisions.
  • In organs active during physical activity, the sympathetic division is excitatory and parasympathetic is inhibitory. For example, sympathetic input increases heart rate, while parasympathetic decreases it. The opposite is true for organs active at rest.
  • Sympathetic and parasympathetic divisions generally have opposing effects, but exceptions exist. For example, salivary glands are stimulated by both, and some organs receive input from only one division (e.g., sweat glands, piloerector muscles, most peripheral blood vessels).
  • Autonomic synapses are specialized with varicosities (bulbous expansions) along axons, distributing neurotransmitter release across the target organ.
  • Varicosities form synapses with their targets, forming a ~50nm synaptic cleft.
  • This arrangement allows a single axon branch to influence many targets, with wider distribution of autonomic output.

Preganglionic Neurons

  • All preganglionic neurons (sympathetic and parasympathetic) release acetylcholine (ACh) and stimulate N2 nicotinic receptors on postganglionic neurons.
  • N2 nicotinic receptors are ionotropic receptors with a pentameric structure. They are different from the N1 nicotinic receptors found at the neuromuscular junction.

Postganglionic Neurons

  • Sympathetic postganglionic neurons primarily release norepinephrine onto visceral targets, acting through adrenergic receptors (with exceptions).
  • Parasympathetic postganglionic neurons primarily release acetylcholine (ACh) onto visceral targets, stimulating muscarinic receptors.
  • Muscarinic receptors are metabotropic receptors that can have varying effects depending on the subtype (M1 to M5) and are more variable in their effects than nicotinic receptors.
  • Some postganglionic neurons have both nicotinic and muscarinic receptors.
  • Muscarinic receptors lead to slower, more variable responses compared to fast nicotinic responses. This involves second-messenger activation and often has inhibitory or excitatory outcomes depending on the target.

Receptor Types

  • Adrenergic receptors are a family of G-protein coupled receptors that differ in subtype and tissue distribution (a1, a2, β1, β2, and β3).
  • Muscarinic receptors are G-protein coupled receptors with various subtypes (M1 through M5) that have diverse effects through second messengers, such as changes in cAMP and Ca++.

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