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Neurotransmitter Flashcards 1. Where are dendrites located? • 2. What does this allow them to do? • 3. When do dendrites transmit signals? • Dendrites transmit signals after the opening of LGC’s 4. When do LGC (Ligand-gated channels) open? • 5. What do LGC’s have receptors for? • These open when a ligand (neurotransmitter) binds to them. They do not need an action potential to open them. Neurotransmitters 6. Where are LGC’s located? 7. Why is it important to understand ion channels? 8. What do positive amino acids repel against? 9. What do negative amino acids repel? 10. What do amino acids on ligand gated channels control? 11. What ions have their own ligand gated channel? 12. What would happen to the resting membrane potential (RMP) if the sodium channel opened? 13. What would happen to the resting membrane potential (RMP) if the potassium channel opened? 14. What would happen to the resting membrane potential (RMP) if the chloride channel opened? 15. What is the Excitatory Postsynaptic Potential (EPSP) • dendrites only Many human diseases are from dysfunction of ion channels Ions with a positive charge Ions with a negative charge Ion selectivity (what ions pass) 16. What does “postsynaptic” refer to? • 17. What happens when a NT binds to a LGC? It opens a sodium channel, so Na+ rushes into the cell. That makes the inside of the cell more positive. Approximately Minus 70 We need to get above zero to start an action potential. 18. What mV is the resting membrane potential? 19. How many mV do we need to reach threshold? Dendrites are spaced in all directions from neuronal soma. This allows signal reception from a large spatial area providing the opportunity for summation of signals from many presynaptic neurons Sodium, Potassium, and Chloride Na+ has a positive charge, so the RMP would become less negative and go closer to threshold. K+ would leave with its positive charge, so the RMP would become more negative and go farther from threshold. Cl- has a negative, so the RMP would become more negative and go farther from threshold. • The increase in voltage above the normal resting potential (to a less negative value) is called the excitatory postsynaptic potential. Postsynaptic refers to the dendrite of the neuron receiving the signal. 20. What type of action potential opens sodium excitatory postsynaptic potentials (EPSP) channels, EPSP or IPSP? 21. What type of action potential opens K+ and Cl- Inhibitory postsynaptic potentials (IPSP) channels, EPSP or IPSP? Neurotransmitter Flashcards 22. When a K+ channel opens, which direction does K+ move, and what happens to the inside of the cell membrane? It rushes out of the cell, and the inside of the cell membrane becomes more negative, farther from starting an action potential. 23. When a Cl- channel opens, which direction does Cl- move, and what happens to the inside of the cell membrane? 24. What determines whether a neuron “responds” or not? It rushes into the cell, and the inside of the cell membrane becomes more negative, farther from starting an action potential. It depends on temporal (how fast) and spatial (how many) summation of EPSPs and IPSPs 25. Do EPSP’s fire at the same time as IPSP’s? There might be EPSP’s firing at the same time as IPSP’s. 26. If Excitatory and inhibitory postsynaptic potentials are firing at the same time, how do you know which one wins? Add up all the charges from the excitatory and inhibitory potentials to see which one wins! 27. What is Temporal Summation? • When the same presynaptic neuron fires repeatedly 28. What is Spatial Summation? • • When additional presynaptic neurons fire 29. What can cause changes in the voltage of an excitable cell? 30. When a cell membrane is depolarizing, is it going closer to threshold or farther away? 31. What neurons fire in people with Parkinson’s disease: excitatory, inhibitory, or both? 32. What general effect does this cause? 33. What are the symptoms of people with Parkinson’s disease? Electrical or mechanical stimulation 34. At threshold, what happens to sodium channels? 35. What 2 types of channels allow sodium channels to open? 36. When do LGC’s open so sodium can enter the cell? Closer to threshold Both Problems with coordinating movement They have trouble starting and stopping any motion and shake at rest They open, and sodium rushes into the cell LGC, when a neurotransmitter binds to it VGC, when the cell membrane charges change When a neurotransmitter (a ligand) binds to them. Neurotransmitter Flashcards 37. When do VGC’s open so sodium can enter the cell? 38. What other ions use VGC’s? When the charge of the inside of the cell membrane goes from negative to positive. Potassium, chloride, and calcium 39. What type of VGC is it when it is selective for potassium or chloride instead of sodium? It is an inhibitory VGC. If K+ leaves the cell or if Clenters the cell, the inside becomes more negative, farther from an AP It is an excitatory VGC. If Na+ or Ca++ enters the cell, the inside becomes more positive, making it closer to an AP Dendrites only On the axon, from the hillock to synaptic knobs. They open. 40. What type of VGC is it when it is selective for calcium? 41. On what part of a neuron are LGC’s located? 42. On what part of a neuron are VGC’s located? 43. What happens to Na+ channels during depolarization? 44. Does the amplitude of the action potential change? (how strong the AP is) 45. Does the frequency of the action potential change? 46. What is the frequency pattern? 47. The speed of the Action Potential depends on what two things? 48. How does the action potential event occur? No, the amplitude of the action potential does not change. Yes, the frequency of the action potential does change. The frequency pattern is a code (like Morse Code) that transmits information about the stimulus (light, sound, taste, smell, touch) to the brain. the size of the neuron fiber (larger is faster) and whether or not its axon is myelinated (myelinated are faster). The AP is a passive event: ions diffuse down their EC gradients when gated channels open. A “wave of depolarization” occurs along the neighboring areas. Occurs in one direction along the axon There is a refractory period (Na+ channels become inactivated). 49. Why does the action potential regenerate over and over at each point of diffusion of incoming NA+? 50. What are the attributes of saltatory conduction? Saltatory conduction occurs in myelinated axons. -AP’s only occur at the nodes (Na channels concentrated here!) -increased velocity -energy conservation 51. Why should a child under 3not be on a low fat Children under 3 should not be on a low fat diet diet? because a lot of the myelin has not yet been produced. 52. Why is a neuron with myelin more efficient than one without? Neurons that have myelin are more efficient because they use less ATP. 53. What autoimmune disorder destroys the body’s Multiple Sclerosis myelin sheaths? Neurotransmitter Flashcards 54. How many people have MS in the United States? 55. What is the female to male ratio? 56. Who has the highest incidents? 57. What are the symptoms of MS? 58. Why don’t patients report these symptoms to their doctors? 59. How does the diagnostic of MS begin? 60. What 2 structures are important to the function of the synapse? 61. What structure in a neuron contains neurotransmitter substances to excite or inhibit postsynaptic neurons? 62. What organelle provides most of the energy to synthesize a neurotransmitter? 63. What does membrane depolarization by an action potential cause? 64. What structure do presynaptic membranes contain? 65. Depolarization of the presynaptic membrane by an action potential opens what channels? 66. When calcium floods into the neuron, what happens? 67. Where does the neurotransmitter go when it is released? 68. What happens when the LGC opens? 69. As the neurotransmitter binds to the receptor (LGC) on the postsynaptic membrane, what 2 kinds of electrical signals can the neurotransmitter generate? 70. How is the NT removed from the LGC? 71. Where are Voltage- gated calcium channels located? 72. Where are receptor proteins for the released neurotransmitter located? 73. What makes the energy for neurotransmitter synthesis? 74. What types of channels are in the axon of the presynaptic neuron, and what ion crosses that channel? 1 in 1000 2 to 1 Whites of Northern European descent Patients have a difficult time describing their symptoms. Symptoms are bizarre and unrelated. Sometimes they have: Parethesias (tingling sensation) of hands that resolvefollowed by in a couple of months with weakness in leg or visual disturbances Because they often resolve before the doctor appointment Eventually, the neurological problems stop resolving completely, and they occur more frequently. That is when doctors suspect MS. Presynaptic vesicles and Mitochondria Presynaptic vesicles Mitochondria Emptying of a small number of vesicles into the synaptic cleft. voltage gated calcium channels Calcium It causes the neurotransmitter to be released. It lands on receptor proteins on the post-synaptic cell called ligand-gated channels (LGC) and opens them Ions diffuse in or out depending on the type of LGC Excitatory Postsynaptic Potential (EPSP) Inhibitory Postsynaptic Potential (IPSP) Destruction by enzymes or diffusion away, back into the presynaptic cell to be recycled. In the synaptic knob of the presynaptic neuron On the post-synaptic cell membrane Mitochondria VGC for sodium, allows Na+ to enter the cell Neurotransmitter Flashcards 75. What types of channels are in the synaptic knob of the presynaptic neuron, and what ion crosses that channel? 76. What does calcium do in a neuron? 77. What types of channels are in the dendrite of the presynaptic neuron? VGC for calcium, allows Ca++ to enter the cell 78. What does the neurotransmitter do? It binds to the LGC, which causes nearby VGC’s to open. Excitatory and Inhibitory Depolarization or Hyperpolarization EPSP: excitatory post-synaptic potential (the dendrite receiving the signal continues the action potential) IPSP: inhibitory post-synaptic potential (the dendrite receiving the signal stops the action potential) 79. What are two categories of VGC’s? 80. The change in voltage causes what? 81. If it causes depolarization, what type of action potential is it called? 82. If it causes hyperpolarization (going farther from an action potential, what type of action potential is it called? 83. By what process are NT’s released, and what ion triggers it? 84. How does the NT get across the synaptic cleft? 85. What is a graded potential? 86. The effect of a neurotransmitter is dependent on what 3 factors? 87. What happens to the voltage on the postsynaptic cell if it experiences an EPSP? 88. What happens to the voltage on the postsynaptic cell if it experiences an IPSP? 89. Neurotransmitters are released in response to what? 90. When NTs are released in response to presynaptic depolarization, what is molecule is needed? 91. In order to allow another cycle of NT release, binding and signal tranmission- what must be done to the NTs? 92. What do sympathetic neurons do to the heart rate and blood pressure? What broad group of responses is this called? 93. What do parasympathetic neurons do to the heart rate, blood pressure, and food digestion? What broad group of responses is this called? 94. Is the heart innervated by sympathetic neurons, parasympathetic neurons, or both? Causes release of the neurotransmitter LGC (they bind to neurotransmitters) Released by exocytosis. It is triggered by Ca++ Diffusion the more channels there are, the more the charge changes 1. The selectivity of the channel (which ions are allowed to diffuse across membrane; Na+, K+, Cl-) 2. How many ions diffuse across the membrane 3. How long do the ions diffuse across the membrane The voltage becomes more positive; closer to threshold. The voltage becomes more negative; farther from threshold. PRE-synaptic depolarization Calcium The NTs must be removed by reuptake by presynaptic nerve or degrading by specific enzymes or a combination of these. Increase heart rate Increase blood pressure “Fight or Flight” responses Decrease heart rate Decrease blood pressure Increase food digestion “Rest and Digest” responses Both. The heart is innervated by both sympathetic and parasympathetic neurons Neurotransmitter Flashcards 95. In a dually innervated organ, how will the organ know if sympathetic or parasympathetic is barking louder? 96. Why are a lot of organs dually innervated? 97. What neurons can cause excitation in one organ yet inhibition in another? 98. What happens when the parasympathetic system is suppressed? 99. If a drug mimics the parasympathetic system, how will it affect the heart? 100. If a drug mimics the sympathetic system, how will it affect the heart? 101. What effect does epinephrine have on the heart rate? 102. What effect does atropine have on the heart rate? 103. What two medicines are given when a person’s heart stops? 104. What complicates the healing for a post-op heart transplant patient? 105. Why must the post-op heart transplant keep themselves from becoming overly anxious, angry or sexually aroused? 106. How can we use the parasympathetic system to make the heart cells less active? 107. What is the number one way to regulate the Heart Rate? 108. What are two ways of classifying neurotransmitters? 109. What are the two types of chemical classification of NT’s? 110. What is an example of a large molecule NT? 111. What are the 3 small molecule NT categories? 112. What are the two types of functional classification of NT’s? 113. What are three categories of small molecule NT’s and examples of each? The receptors that have the most transmitters bound will cause the biggest result. To adjust to their physiology Sympathetic and Parasympathetic The sympathetic system will gain more control. Heart rate will be slower Heart rate will increase It increases heart rate by stimulating the sympathetic nervous system It increases heart rate by blocking the parasympathetic nervous system Epinephrine and atropine Nerves that innervate the heart are cut and there is no way to suture them back. These emotions can release epinephrine because it is a hormone, not a nerve but the patient no longer has parasympathetic neurons attached to the heart to counter the effects of epinephrine. Use a medicine that opens the potassium channels, making the inside of the cell more negative (hyperpolarized). Use a medicine that opens the potassium channels Chemical classification Functional classification Large Molecule Small Molecule Peptides Cholinergic Catecholamines Amino Acids Metabotropic Ionotropic 1) Cholinergic (Acetylcholine) 2) Catecholamines (epinephrine, norepinephrine, dopamine, serotonin) 3) Amino Acid NT’s (glutamate, GABA, glycine) Neurotransmitter Flashcards 114. List 3 large molecule (peptide) NT’s and their effect 115. What effect does Bradykinin have on blood pressure? 122. What effect does Ach, epinephrine, angiotensin, and ADH have on blood pressure? 116. What is an example of a cholinergic NT? 117. What are the 3 types of catecholamines, and an example of each? 118. What are the 3 main Amino Acid NT’s? 119. Which ones are excitatory and which are inhibitory? 120. What is an adrenergic neuron? 121. What is a dopaminergic neuron? 122. What is a serotonergic neuron? 123. What are cholinergic neurons? 124. What type of muscle is innervated by cholinergic neurons? 125. Which NT causes contraction of skeletal muscle? 126. Is acetylcholine used by sympathetic neurons, parasympathetic neurons, or both? 127. How is Acetylcholine removed from the synaptic cleft? 1) ADH (anti-diuretic hormone, AKA Vasopressin) increases blood volume, which increases BP 2) Angiotensin, which causes vasoconstriction, which also raises BP 3) Bradykinin, which causes vasodilation, which lowers BP Lowers it Raises it Acetylcholine (Ach) 1) Adrenergic a) Norepinephrine b) Epinephrine 2) Dopaminergic a) Dopamine 3) Serotonergic a) Serotonin Glutamate (excitatory) GABA (inhibitory) Glycine (inhibitory) One that makes epinephrine or norepinephrine One that makes dopamine One that makes serotonin Neurons that use the neurotransmitter, Acetylcholine Skeletal Muscle Acetylcholine (ACh) Both Acetylcholine is removed from the synaptic cleft by the enzyme, Acetylcholine esterase (AChE) 128. Treatment of Myasthenia gravis is to give a Acetylcholine (ACh) medicine that inhibits the enzyme that degrades this neurotransmitter. 129. What is the very important Amino acid in the Glutamate. CNS that nearly all excitatory neurons use? 130. What does too little glutamate cause? Leads to psychosis (delusional, paranoid, lack of contact with reality.) 131. What does too much glutamate cause? Excitotoxicity due to unregulated calcium influx. 132. What causes too much glutamate to be Neuronal death. released? 133. What common ailment causes neuronal death? Stroke Neurotransmitter Flashcards 134. What group of medicines are used when a person has too much glutamate released (such as after a stroke)? 135. Antagonists to which neurotransmitter helps stop neuronal death after a stroke? 136. Why are strokes or trauma to the brain so dangerous in relation to neurotransmitters? 137. What effect does it have when excessive neurotransmitters are released after a trauma? 138. What causes Parkinson’s and Alzheimer’s disease? 139. What agent is given to those who have stroke? Glutamate antagonists Glutamate When damaged, neurons release a lot of neurotransmitters They cause over-stimulation of nearby neurons, which then release too much calcium, causing cytotoxicity. It can kill the cell. 10% of the time it is genetic. 90% of the time it is caused by calcium dyshomeostasis (The calcium is not being monitored properly in the body). Glutamate Antagonist 140. What happens if you don’t have enough glutamate? Inhibitory NTs will gain momentum. Too little glutamate leads to psychosis, perceives reality differently than normal. 141. What is the major inhibitory neurotransmitter in CNS? 142. Decreased GABA causes what symptoms? GABA 143. What type of medicines target GABA receptors to act as GABA agonists? 144. What two substances stimulate GABA receptors, and so are considered to be GABA agonists? 145. When a person is detoxing from alcohol abuse, what medicine is given, what symptom does it prevent, and how does the medicine work (what is its mechanism of action)? 146. What two neurotransmitters are inhibitory? 147. Alcohol stimulates what 2 neurotransmitters? 148. What effect does alcohol have on GABA receptors? 149. When GABA receptors are stimulated, what type of action potential is generated? Anticonvulsants 150. What effect do IPSP’s have on the reflexes and muscles? 151. When alcoholics try to stop drinking all at once, what type of transmitters gain control? 152. What effect do excitatory NT’s have? They slow down. Reflexes decrease, speech slurs. 153. Recovering alcoholics need what medicine while weaning off the alcohol? Benzodiazepam (valium) Seizures Benzodiazepines (valium) and drinking alcohol Benzodiazepine (valium) is given to prevent seizures during detox. Valium binds onto the GABA receptors, stimulating them. This causes inhibition of the CNS, preventing seizures. GABA and Glycine GABA and Glycine Alcohol stimulates GABA receptors. Inhibitory Post Synaptic Potentials (IPSP’s) Excitatory NTs gain control. Tremors and visual overstimulation (hallucinations). Neurotransmitter Flashcards 154. Recovering alcoholics can be given what class of drugs? What is an example of this medicine? 155. What effects do benzodiazepines (such as valium) have on GABA receptors? 156. What disorders is valium used for? 157. What releases catecholamines, and when are they released? 158. Catecholamines are part of which branch of the autonomic nervous system? 159. What degrades catecholamines? 160. What effect does an MAO inhibitor have on the nervous system? 161. What are MAO inhibitors used for? 162. 163. What types of medicines cannot be used on a patient taking an MAO inhibitor? Why not? 164. What are some examples of Sympathomimetic medicines? 165. Where is epinephrine secreted? 166. Is epinephrine excitatory or inhibitory? 167. Where is norepinephrine secreted? 168. What neurotransmitters speeds up the heart rate? To what branch of the ANS does it belong? 169. Where is dopamine secreted? 170. Is dopamine excitatory or inhibitory? 171. What secretes serotonin? 172. Is serotonin excitatory or inhibitory? 173. What causes Parkinson’s Disease? 174. What symptoms characterize Parkinsons? 175. How is Parkinsons treated? 176. What are the side effects of the treatments? 177. What region of the brain contains the neurons that move the muscles of the skeleton? 178. What region of the brain regulates body movements by communicating with the motor cortex? GABA Agonists (drugs that act like GABA), such as anti- convulsants like Benzodiazepam (valium) They enhance the effects of GABA, which results in sedative, hypnotic (sleep-inducing), anxiolytic (antianxiety), anticonvulsant, muscle relaxant, and amnesic action treating anxiety, insomnia, agitation, seizures, muscle spasms, alcohol withdrawal and as a premedication for medical or dental procedures. Adrenal glands in response to stress Sympathetic Nervous System (fight or flight) Mono-amine oxidase (MAO) Allows catecholamines to excite the nervous system. Anti-anxiety and anti-depression medications SYMPATHOMIMETIC (those that imitate catecholamines). . It doubles the excitatory effect in the nervous system and can be deadly. The person’s blood pressure goes up to a crisis level. Medicines for cardiac arrest, low blood pressure, and some meds that delay premature labor. Adrenal gland Excitatory Secreted by neurons from CNS and neurons in the sympathetic ganglia Epinephrine and Norepinephrine; sympathetic Neurons in the CNS (substantia nigra) Inhibitory Neurons in the CNS Mainly excitatory. It can excite one cell but inhibit another. It is a loss of dopamine from neurons in substantia nigra of the midbrain. Resting tremors, “pill rolling”, Bradykinesia (slow movement) With L-dopa or MAO inhibitors. Hallucinations, motor problems. The motor cortex The basal nuclei Neurotransmitter Flashcards 179. What region of the brain inhibits some motor neurons so that unwanted body movements do not occur? 180. What region of the brain regulates stopping, starting, and coordination of movements? 181. What region of the brain is like a strict parent that ties their kids up to keep them from doing wild things? 182. What region of the brain secretes dopamine? 183. What effect does dopamine have on the basal nuclei? 184. What region of the brain, and which NT are like bosses who tie up the basal nuclei? How does this effect movement? 185. What are the 2 reasons basal nuclei do not work correctly? 186. What are the 2 most common disorders of the basal nuclei? 187. Parkinson’s disease is a problem in what region of the brain? 188. What NT is secreted by that region of the brain? 189. People with Parkinson’s disease lack which NT? 190. What happens when there is not enough dopamine? 191. What are the four cardinal symptoms of Parkinson’s disease? 192. What disease has symptoms that are the opposite of Parkinson’s disease? 193. What types of movements are seen in Huntington’s disease? 194. What area of the brain is damaged in Huntington’s disease? 195. What is the function of the basal nuclei in the brain (between the corpus callosum and thalamus)? 196. Most regions in the brain use what NT? 197. The basal nuclei in the brain use what NT? 198. What happens if the basal nuclei are damaged? The basal nuclei The basal nuclei The basal nuclei The substantia nigra It inhibits the basal nuclei (inhibits the inhibitor). That allows the excitatory neurons to allow the body to move. The substantia nigra and dopamine are like bosses that tie up the basal nuclei (the parent). With the inhibitor (parent) tied up, the kids (muscles) are no longer tied up, so they throw a party (body movements occur) Either the basal nuclei themselves are dysfunctional or the dopamine levels are not correct Parkinson’s Disease (dopamine problem) and Huntington’s Disease ( basal nuclei problem) Substantia nigra of the midbrain. Dopamine Dopamine The brain cannot initiate body movements. 1) Tremor (pill-rolling tremor at rest) 2) Bradykinesia (slowness of movement) They have trouble initiating movements (taking the first step, getting up from a seated position, begin to reach out for something) 3) Rigidity (neck and shoulders first) 4) Postural instability (frequent falls) Huntington’s disease Sudden, jerky movements. Their body writhes around like they are dancing (chorea). The basal nuclei. It inhibits some motor neurons so that unwanted body movements do not occur Excitatory neurotransmitters GABA (inhibitory) Excitatory neurons are no longer inhibited, so they make the body move when movement is not intended. Neurotransmitter Flashcards 199. Describe the malfunction in the brain of someone with Huntington’s disease. 200. What are other symptoms in a person with Huntington’s disease? 201. How does one get Huntington’s disease, and at what age does it manifest? 202. What is the effect of taking too much of the street drug, “Meth”? 203. If you lose excitatory neurons, what neurons gain an advantage? 204. What do Parkinson’s patients have problems doing? 205. What is the treatment for Parkinson’s disease? 206. What stem cell research is being tried for Parkinson’s disease? 207. Serotonin is synthesized from what amino acid? 208. What medicines are serotonin reuptake inhibitors? 209. What neurotransmitter is released by the street drug, ecstasy? 210. What NT is called the mood elevator, feel good transmitter? 211. What is the effect of taking an SSR inhibitor? 212. When is this medicine prescribed? 213. What is phenylalanine (an amino acid) converted into? 214. What is tyrosine converted into? 215. What is L-Dopa converted into? 216. What is dopamine converted into? 217. What is norepinephrine converted into? 218. Write the pathway of phenylalanine epinephrine 219. Catecholamines (such as epinephrine) are made from which amino acid? 220. What is PHENYLKETONURIA (PKU)? Since the basal nuclei are damaged, the inhibition of the motor cortex is removed, so excitatory neurons go unchecked, and the person has sudden jerky movements. Cognitive decline and psychiatric problems It is genetic and hereditary (50% chance of each child getting it if one parent has it). Age of onset is usually 35-45 years of age. It kills dopaminergic neurons, causing Parkinson’s symptoms. Inhibitory neurons starting movements, and coordinating the excitatory/inhibitory stimulus to muscles while walking. Stopping motions is also hard. They need a trained dog to pull them up from a seated position and help them to take the first step, and to stop them when they want to stop. an MAO inhibitor or L-dopa, which can cross BBB, unlike dopamine. Stem cells research involves injecting stem cells to cause the remaining neurons to replicate and help them get more control. tryptophan anti-depressant drugs Serotonin Serotonin - it helps serotonin stay in the cleft longer, causing the person to feel better, having an elevated mood. It is prescribed for depression. tyrosine (another amino acid) L-Dopa Dopamine Norepinephrine Epinephrine Phenylalanine TYROSINE L-DOPA dopamine norepinephrine epinephrine Tyrosine, which is made from phenylalanine Lack of the enzyme to convert phenylalanine to tyrosine Neurotransmitter Flashcards 221. If you lack that enzyme, what happens? Waste products (ketones) build up in the blood, and are toxic to neurons. 222. What are the symptoms of PKU? Seizures, poor motor development, mental retardation 223. How do you get PKU? It is genetic. When you marry your sibling or first cousin, you are more likely to have a child with PKU 224. How is PKU screened for? It is part of what is tested for in routine heel stick blood sample in newborns 225. When a person is diagnosed with PKU, how do Prevented by dietary restriction of phenylalanine. you prevent the symptoms? They cannot have whole protein during childhood, when the nervous system is developing (until age 20). After that, they can go off the diet, but ketones will begin to accumulate. 226. How will a person feel if there are too much They start to feel sluggish, and can’t finish a task on ketones in the body? time. They need to go back on the diet for a while. 227. What happens to a female and her fetus if there A woman must stay on the diet during pregnancy or is too many Ketones during pregnancy? the ketones will cross the placental and kill the neurons of her baby. 228. What types of foods should be avoided for a person with phenylketonuria? Artificial sweeteners such as Sweet N Low, and diet sodas are high in phenylalanine, and must be avoided in PKU patients. END OF SECTION ONE (THE QUIZ #9 MATERIAL) 229. What are the two types of ACh receptors? • • Muscarinic ACh receptors Nicotinic ACh receptors 230. What are muscarinic Ach receptors (mAChR)? They are Ach receptors that area more sensitive to muscarine than to nicotine 231. What effect do muscarinic substances have? activate the parasympathetic nervous system (rest and digest). Increased saliva, tears, and diarrhea. Muscarinic ACh receptors 232. When this receptor is stimulated, there is increased saliva, tears, and diarrhea 233. What is the antidote for overdose of muscarinic substances? 234. Do muscarinic substances use G-proteins to activate a nearby ion channel? 235. What are nicotinic Ach receptors (nAChR)? 236. What effect do nicotinic substances have? atropine Yes They are Ach receptors that area more sensitive to nicotine than to muscarine Acts as a stimulant: increases dopamine (in the reward center of the brain), which causes euphoria and relaxation, and it is addictive. Nicotine has a higher affinity for acetylcholine receptors in the brain than those in skeletal muscle Neurotransmitter Flashcards 237. Do nicotinic substances use G-proteins to activate a nearby ion channel? 238. What body part contains both muscarinic and nicotinic receptors? 239. What are the two types of adrenergic receptors? 240. What are the 2 types of adrenergic receptors? 241. What are the 2 types of alpha receptors? 242. What effect do the alpha 1 receptors have on blood vessels and GI motility? 243. What effect do the alpha 2 receptors have on blood vessels and GI motility? 244. What 2 receptors, when stimulated, causes vasodilation, which decreases blood pressure? 245. What are the 2 types of beta receptors? 246. What effect do the beta 1 receptors have on heart rate and cardiac output? 247. What effect do the beta 2 receptors have on blood vessels, GI motility, and bronchioles? 248. What protein is used by adrenergic receptors? 249. What are ionotropic receptors? 250. What are Metabotropic receptors? 251. What are 5 examples of ionotropic receptors? 252. What are 2 types of metabotropic receptors? 253. What 2 things happen when the G-protein is activated? No; they open ion channels directly. Skeletal muscle, which contracts when Ach binds there. Alpha adrenergic receptors Alpha 1 receptors Alpha 2 receptors Beta adrenergic receptors Beta 1 receptors Beta 2 receptors Alpha and Beta adrenergic receptors Alpha 1 and Alpha 2 Vasoconstriction (increases BP) Decreases GI motility Vasodilation (decreases BP) Decreases GI motility Alpha 2 receptors Beta 2 receptors Beta 1 and Beta 2 Increases HR Increases CO Vasodilation (decreases BP) Decreases GI motility Opens bronchioles G-Protein Those that bind to a NT and have a channel that extends into cell. They are the receptor and the transporter They need a series of enzymatic actions to change a gated channel somewhere else. The binding of the NT outside of the cell activates a G-protein on the inside of the cell which breaks apart into two pieces. One of those pieces goes somewhere else in the membrane to open up another channel. Nicotinic AChR Serotonin receptors Glutamate receptors GABA receptors Glycine receptors Muscarinic AChR Alpha and Beta Adrenergic receptors It breaks into two pieces. One of the pieces is called the second messenger, which is the part that opens the nearby ion channel. It also activates other enzymes inside the cell, which may cause various changes. Neurotransmitter Flashcards 254. What is one change that can occur during Gprotein activation? 255. What are the three sequences of events in a metabotropic receptor? 256. What 2 types of receptors does Ach bind to? 257. What type of receptor does Norepi and epi bind to? 258. What receptors use G-proteins? 259. Where are G-proteins found? 260. What are the 2 types of G-proteins? 261. Which type of G-protein will lead to events that increase the activity of a cell? 262. When the G-proteins breaks into two pieces, one of them acts as a second messenger. What does this second messenger do? 263. What do G-Proteins of sympathetic s neurons activate? 264. What do G-Proteins of parasympathetic s neurons activate? 265. Why is kinase activity important? 266. What are the 3 categories of small molecule neurotransmitters? 267. Name the 5 neurotransmitters that use ionotropic receptors. Which are inhibitory? 268. Name the 4 neurotransmitters that use metabotropic receptors. 269. What are acetylcholine receptors called? 270. What are the two types of Ach receptors? 271. What are the three categories of catecholamines? 272. What are the 2 NT’s which are adrenergic? 273. What is the NT that is dopaminergic? 274. What is the NT that is serotonergic? • These changes include activation of gene transcription (to form new proteins, changing the metabolism; used especially in making new memories). Step 1: NT binds to receptor Step 2: The G proteins activate Step 3: Second messenger activates another protein called the late effector protein Muscarinic and nicotinic receptors adrenergic receptors Muscarinic Ach, adrenergic and dopaminergic Every cell in the body GS (stimulating G protein) GI (inhibiting G protein) GS (stimulating G protein) activates another protein called the late effector protein protein kinase A protein kinase B phosphorylates (puts a phosphate molecule on) other proteins in a cell. This changes the activity level of the cell. Acetylchoine (Ach), Catecholamines, and Amino Acid NT’s Nicotinic Ach Glutamate GABA (inhibitory) Glycine (inhibitory) Serotonin Muscarinic Ach Norepinephrine Epinephrine Dopamine Cholinergic Muscarinic and Nicotinic Adrenergic Dopaminergic Serotonergic Norepinephrine Epinephrine Dopamine Serotonin Neurotransmitter Flashcards 275. What are the 3 Amino Acid NTs? Which are inhibitory? 276. What are the three types of Catecholamines? Glutamate GABA (inhibitory) Glycine (inhibitory) Catecholamines 1. Adrenergic catecholamines: • Norepinephrine • Epinephrine 2. Dopaminergic catecholamine: • Dopamine 3. Serotonergic catecholamine: • Serotonin Summary Slide 277. What are the three types of metabotropic receptors, and which branch of the ANS uses each? • • • muscarinic acetylcholine (mostly used by parasympathetic neurons) adrenergic receptors (mostly used by sympathetic neurons) Dopaminergic (mostly sympathetic) Muscarinic and nicotinic • adrenergic receptors (metabotropic) • adrenergic receptors (metabotropic). • Both • adrenergic (alpha and beta); use norepinephrine as the NT • metabotropic because they bind G-protein. • muscarinic receptors use ACh as the NT • 278. Sympathetic neurons that secrete ACh use what receptors? 279. Sympathetic neurons that secrete epinephrine primarily use what receptors? 280. Parasympathetic neurons that secrete epinephrine use what receptors? 281. Are metabotropic receptors used by sympathetic, parasympathetic, or both? 282. When Sympathetic neurons try to speed up the heart rate, they will stimulate which receptors? What NT do they use? 283. When they do this, are they ionotropic or metabotropic? Why? 284. When Parasympathetic neurons try to slow the heart rate, they will stimulate which receptors? What NT do they use? 285. Neurotransmitter Flashcards 286. When they do this, are they ionotropic or • metabotropic because they bind G-protein. metabotropic? Why? Note for clarification: All preganglionic neurons and postganglionic parasympathetic neurons secrete Ach, so they use muscarinic receptors. About 98% of postganglionic sympathetic neurons secrete epi or norepi, but 2% of postganglionic sympathetic secrete Ach, so those are the ones that would use muscarinic receptors as well. What is flaccid paralysis? When the muscle cannot contract at all. The muscle stays weak and floppy. What is spastic paralysis? When the muscle stays in contraction. You still cannot move the muscle properly, but in this case, the muscle is too rigid. Name three sodium VGC blockers. Do they cause flaccid or spastic paralysis? Lidocaine Tetrodotoxin Saxitoxin They all cause flaccid paralysis Saxitoxin Tetrodotoxin Lidocaine No Which one is from shellfish toxins? Which one is from a puffer fish? Which one is a local anesthetic? Can you get an action potential if a sodium VGC blocker is present? What type of paralysis is caused by a sodium VGC blocker? Name one vesicle blocker What is botulism, and where does it come from? Where might botulism be found in your house? What symptom does botulism cause, and what is the cause of death? What are two medicinal uses for botulism toxin? Name 2 muscarinic Ach blocker/competitors What kind of paralysis does it cause? What types of muscles can atropine effect? Do muscarinic Ach blockers affect the sympathetic system, parasympathetic system or both? Do they activate that system or block it? What effect on the intestines will a muscarinic Ach blocker have? What is a medicinal use for atropine? What type of muscle is the iris made of? If you block Ach, what happens to the pupil? Flaccid Botulism It is a protease (an enzyme that breaks down proteins). It is from a bacterium Undercooked turkey and dented cans of food. Inhibits ACh neurotransmitter release; muscles can’t contract; flaccid paralysis. Cause of death is from suffocation because the diaphragm is paralyzed. Botox injections and migraines. Atropine and opium derivatives Flaccid paralysis Smooth muscle, heart, and glands. They block the parasympathetic nervous system so the sympathetic gets more control. Flaccid paralysis of the intestines If the heart has slowed down too much or stopped, inject atropine to block the mACh receptors in the heart, and heart rate increases. smooth The iris relaxes, opening the pupil, so it is dilated. Neurotransmitter Flashcards What group of illegal drugs stimulates muscarinic Ach receptors? What effect does it have? What edible substance stimulates muscarinic Ach receptors? What effect does it have? Name a nicotinic Ach blocker/competitor. Where does it come from? What type of paralysis does it cause? How does it cause death? Why can a person eat the meat of an animal that was killed by curare? Where are nicotinic Ach receptors found in the body? What effect does curare have on action potentials? Name 2 reversible acetylcholine esterase blockers What type of paralysis do they cause? What are the medicinal uses for these drugs? What is myasthenia gravis? What is ptosis? What receptors are attacked and destroyed by the immune system of a person with myasthenia gravis? What is the treatment for myasthenia gravis? What is the effect of a medicine that inhibits acetylcholine esterase (Ach-ase)? Too much of an Ach-ase inhibitor will cause what type of paralysis? Is Neostigmine reversible? What is the consequence of that? Name 2 irreversible Ach-ase inhibitors What happens to an insect when an insecticide is used? How does curare differ from insecticides? What is the main difference between insecticides/sarin gas and neostigmine/physostigmine? What is the treatment for a person exposed to sarin gas? Name one inhibitory neuron blocker What does it do? What type of paralysis does tetanus toxin cause? What is the treatment for tetanus toxin? What effect does Black Widow spider venom have? Chemical warfare drugs. Causes parasympathetic system to increase activity. Person has gut motility, diarrhea, sweat, salivation. Some poisonous mushrooms. It can kill you. Curare; comes from tree sap Flaccid Paralyzes diaphragm The enzymes in the GI system deactivate it. Skeletal muscle It blocks sodium channels so the action potential is blocked and the muscle cannot contract. Neostigmine and Physostigmine Spastic paralysis They are used to treat myasthenia gravis. An autoimmune disease that causes ptosis. droopy eyelids Nicotinic Ach receptors are destroysed.. It usually just affects some of the receptors, beginning in the eyelid muscles, then progressing down the face. A medicine that inhibits acetylcholine esterase (Ach-ase) The acetylcholine will be released but not all of it will be degraded so the muscles can keep contracting for longer. Spastic Yes, so you need to keep taking it daily. That is what makes it useful as a medicine. Insecticides and sarin gas Ach accumulates and acts as a constant stimulus. The muscles go into spastic paralysis and the insect suffocates. Insecticides allow excess Ach to accumulate and cause spastic paralysis. Curare blocks the Ach receptors, causing flaccid paralysis. insecticides/sarin gas are irreversible Ach-as inhibitors. Neostigmine/physostigmine are reversible Ach-as inhibitors. They need to be on a ventilator and pressure chambers for a few weeks. Tetanus toxin Blocks release of inhibitory neurotransmitters (GABA and glycine) Spastic An Ach-ase blocker like curare or atropine. Causes Ach release; spastic paralysis Neurotransmitter Flashcards What effect does Brazilian Wandering Spider (banana spider) spider venom have? It has a lot of nitrous oxide and it blocks the degradation of nitrous oxide. It acts like tetanus toxin, causing spastic paralysis. What is the most venomous of all spiders, causing the most human deaths? Brazilian Wandering Spider (banana spider) What is a medicinal use for the venom of the Brazilian Wandering Spider (banana spider)? It causes penile erection, so is used in Viagra. END OF SECTION TWO EVERYTHING ON THIS DOCUMENT WILL BE ON THE LECTURE UNIT 4 EXAM