Case 10 pharmacology part 1

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What is ACh function on the CNS?

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1

What is ACh function on the CNS?

  • Alterness

  • Attention

  • Memory

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2

How is ACh synthesised?

Choline + acetyl CoA -> ACh using the enzyme choline acetyl transferase

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3

Where is ACh located in the CNS?

  • Basal forebrain

  • Cerebral cortex

  • Hippocampus

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4

What condition does an impaired levels of ACh cause?

Myasthenia gravis- autoantibodies to ACh receptors

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5

ACh is also the neurotransmitter (NT) of the...

neuromuscular junction

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6

What is ACh the final NT of?

ACH is the final NT in parasympathetic innervation pathways of the ANS

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7

How is ACH recycles/ reuptaked?

ACh broken down to choline which is transported back into the pre-synaptic cleft for re-cycling into fresh ACh.

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8

How is ACh cleared?

Acetylcholine esterase breaks ACh down before it activates receptors.

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9

What are the ACh receptors?

  1. Nicotine ACH R-ligand gated ion channels (fast)

  2. Muscarinic ACh R-G protein coupled (slow)

  3. Use 2nd messengers

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10

What is noradrenaline function on the CNS?

  • Alterness

  • Arousal

  • Action readiness

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11

How is noradrenaline synthesised?

Tyrosine -> Levodopa -> dopamine -> noradrenaline

<p>Tyrosine -&gt; Levodopa -&gt; dopamine -&gt; noradrenaline</p>
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12

Where is noradrenaline located in the CNS?

  • Medulla

  • Solitary nucleus

  • Locus coeruleus

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13

What condition does an impaired levels of noradrenaline cause?

Sympathetic hyper-activation (multiple systems)

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14

What is noradrenaline's role on the sympathetic nervous system?

  • It is the major NT in the SNS

  • Plays a major role in sympathetic innervation to the cardiovascular system

  • Controls vasomotor tone by activating alpha-adrenoceptors on VSMC.

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15

How is noradrenaline recycles/ reuptake?

Noradrenaline (NorAd) transport into pre-synaptic cell or glia by noradrenaline transporters (NET).

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16

How is NorAd cleared?

NorAd broken down by monoamine oxidase in cytosol (NOT synaptic cleft) + by catechol-O- methyltransferase

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17

What are the NorAd receptors?

  1. beta-adrenoceptors (1-3)

  2. Gs- coupled

  3. Alpha-adrenoceptor 1 (Gq- coupled)

  4. Alpha- adrenoceptor 2 (Gi/O coupled)

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18

What is dopamine function on the CNS?

  • Executive function

  • Motor control

  • Motivation

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19

How is dopamine synthesised?

Phe -> Thy -> Levodopa -> Dopamine

<p>Phe -&gt; Thy -&gt; Levodopa -&gt; Dopamine</p>
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20

Where is dopamine located in the CNS?

  • Substantia nigra

  • hypothalamus

  • VTA

  • Arcuate nucleus

  • Zona incerta

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21

What condition does an impaired levels of dopamine cause?

  • Parkinson's disease (destruction of dopaminergic neurons in the substantial nigra)

  • Multiple sclerosis

  • Brain ageing

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22

What type of behaviour is dopamine important in?

  • Reward-motivaiton behaviour

  • Many addictive drugs block dopamine re-uptake + increase its release

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23

What does dopamine also influence?

  • Motor control

  • lactation (inhibit)

  • nausea

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24

How is dopamine recycles/ reuptake?

Dopamine transport into the presynaptic cleft or glia via dopamine transporters + monoamine transporters

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25

How is dopamine cleared?

Dopamine is broken down by monoamine oxidase in the cytosol (NOT cleft) + catechol- O methyl transferase

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26

What are the dopamine receptors?

  • 5 subtypes (all GPCR)

  • Different effects due to 2nd messenger system triggered after dopamine activation of receptors.

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27

What is noradrenaline function on the CNS?

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