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

    What type of channel are nicotinic receptors classified as?

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

    Which statement is true regarding varicosities in postganglionic neurons?

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

    Which autonomic division typically stimulates peristalsis in the gut?

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

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

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

    What is a distinguishing feature of postganglionic autonomic neurons?

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

    In which situation would the sympathetic division typically be active?

    <p>While engaging in physical activity</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.</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.</p> Signup and view all the answers

    Which muscarinic receptors couple preferentially to Gαq and phospholipase C?

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

    What is typically released by most postganglionic sympathetic neurons?

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

    What type of receptors are adrenergic receptors categorized under?

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

    How many major types of adrenergic receptors are recognized?

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

    What neurotransmitter is primarily released by sympathetic preganglionic neurons?

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

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

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

    Which of the following statements about autonomic neurotransmission is true?

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

    Which neurotransmitter is released by parasympathetic postganglionic neurons?

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

    What type of receptors do sympathetic postganglionic neurons predominantly use?

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

    What type of neurotransmission do nicotinic receptors mediate?

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

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

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

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

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

    What is the primary neurotransmitter associated with postganglionic sympathetic neurons?

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

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

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

    Which receptor subtype is primarily activated by norepinephrine and epinephrine?

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

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

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

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

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

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

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

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

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

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

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

    What signal transduction mechanism do M2 muscarinic receptors utilize?

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

    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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