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acetylcholine synthesis is catalyze by
the enzyme choline acetyltransferase
what are the adjective forms of acetylcholine
Ach; colinergic
acetylcholine is synthesized in one step from _____ and _______, catalyzed by ____
choline
acetyl coenzyme A (acetyl CoA)
cholin acetyltransferase (ChAT)
ChAT is found only in neurons that use
ACh as a transmitter
rate of synthesis depends on availability of
precursors and rate of cell firing; there are no inhibitors of ChAT
synthesis of acetylcholine is by
choline acetyltransferase
what are the precursors to making acetylcholine
choline
acetyl coa
acetylcholine + coenzyme A
many different drugs and toxins can alter
acetylcholine storage and release
ACh is loaded into synaptic vesicles by
vesicular ACh transporters (VAChT)
VAChT can be blocked by _____ = reduces amount of ACh released when neurons fire
vesamicol
where does the process of ACh synthesis and metabolism, presynaptic choline uptake, and vesicular ACh uptake and release occur?
at the synapse
ACh release is affected by
toxins
black widow spider venom causes
massive release of ACh in the PNS
botulism toxin blocks ACh release by
preventing fusion of synaptic vesicles with nerve terminal membrane; causes muscular paralysis
deadly poison, therapeutic remedy, and cosmetic aid
botulinum toxin
botulinum toxins A through G are produced by the
anaerobic bacterium Clostridium botulinum
the botulinum toxin proteins are taken up selectively by _____ _____, including at the Neuromuscular junction, and fibers innervating smooth muscle and secretory glands
peripheral cholinergic nerve terminals
botulinum toxins are used in treating disorders characterized by
involuntary muscle contractions, as a pain reliever, and cosmetically (Botox)
what is responsible for acetylcholine breakdown
acetylcholinesterase
breaks ACh down to choline and acetic acid; four subunits combine to form a tetramer (G4)
acetylcholinesterase (AChE)
three forms of AChE
- soluble: free G4 in the cell
- G4 tethered to the cell membrane - in a position to allow rapid breakdown
A12 - at neuromuscular junctions; 12 subunits; very rapid breakdown of Ach allows muscle to relax before next contraction
three main forms of ACHe occur within the
brain and peripheral nervous system
choline is taken back up by
choline transporters
choline transporters can be blocked by _____
hemicholinium-3 (HC-3) - ACh production declines
Drugs that block AChE prevent breakdown
of ACh
ACh effects _____ = useful for disorders in which
increase
cholinergic transmission is deficient, but can be toxic or fatal
donepezil (Aricept)
rivastigmine (Exelon)
galantamine (Reminyl)
they are AChE reversible inhibitors used in treatment of age-related dementia
reversible AChE inhibitor that crosses blood-brain barrier and affects the CNS; used for glaucoma (applied directly to eyes) but toxic if given systemically.
physostigmine (eserine)
: irreversible AChE inhibitors; used as insecticides; "nerve gasses" are more toxic versions, such as sarin and soman.
organophosphorous compounds
•Troops in Iraq were given the reversible AChE inhibitor _____ as a nerve gas antidote: temporary interaction of ______with the enzyme protects AChE from permanent inactivation
pyridostigmine
several neuromuscular disorders are associated with
abnormal cholinergic functioning at the neuromuscular junction
•autoimmune disorder in which antibodies against muscle cholinergic receptors are produced; leads to severe muscle weakness and fatigue
myasthenia gravis
synthetic analogs of physostigmine that don't cross the blood-brain barrier
treated with neostigmine (prostigmin) and pyridostigmine (mestinon)
in myasthenia gravis, antibodies interfere with
cholinergic transmission at the neuromuscular junction by binding to and blocking the muscle ACh receptors
result from mutations in genes that encode ChAT or AChE
myasthenia syndromes
when there is low ChAT
insufficient amounts of ACh are released at the neuromuscular junction
Deficient AChE: persistently elevated levels of ACh at neuromuscular junctions lead to
desensitization of receptors and reduced cholinergic transmission
which chemical could be used to identify the location of cholinergic neurons?
c. choline acetyltransferase
cholinergic neurons play a key role in the functioning of both the
peripheral and central nervous systems
what preganglionic and ganglionic neurons are cholinergic?
preganglionic neurons of both branches of the autonomic nervous system are cholinergic, as are the ganglion neurons of the parasympathetic system
what is the transmitter of the sympathetic ganglionic neurons
norepinephrine
pre and post neurons in the parasympathetic branch
pre - acetylcholine
post - acetylcholine
pre and post neurons in the sympathetic branch
pre - acetylcholine
post - norepinephrine
in the brain, cell bodies of cholinergic neurons are
clustered in only a few areas
interneurons in the _____: what function do they have?
striatum
regulation of movement depends in part on the balance between ACh and dopamine (DA)
in Parkinson's disease what are the drug levels?
low DA levels cause transmitter imbalance; anticholinergic drugs may be used for treatment
orphenadrine (Norflex), benztropine mesylate (Cogentin), trihexyphenidyl (Artane), procyclidine (Kemadrin), and biperiden (Akineton)
anticholinergic drugs used in Parkinson's
•neurons in several brain areas; origin of cholinergic innervation of the cerebral cortex, hippocampus, and other limbic system structures.
basal forebrain cholinergic system (BFCS)
different components of the BFCS have
different roles in cognition
cholinergic projections from the medial septum and diagonal band to the hippocampus are involved in
encoding of declarative memories
projections from the nucleus basalis/substantia innominate to the prefrontal cortex are important for
maintaining sustained attention
optogenetic experiments in mice show that bursts of ACh release from BFCS neurons play a key role in
detecting and responding to learned sensory cues
Cholinergic neurons in the laterodorsal and pedunculopontine tegmental nuclei (LDTg and PPTg) project to the
basal ganglia and thalamus; others to the lower brainstem and spinal cord
cholinergic neurons have multiple roles, including
stimulation of midbrain dopamine neurons and initiation of REM sleep
dopamine neurons are important for
drug reward and reinforcement
there are two acetylcholine receptor subtypes
nicotinic and muscarinic
respond to the agonist nicotine, an alkaloid in the tobacco plant
nicotinic receptors
respond to muscarine, an alkaloid first isolated from fly agaric mushrooms
muscarinic receptors
Nicotinic acetylcholine (nAChRs) receptors
ionotropic, mediate fast excitatory responses in both the CNS and the PNS
when ACh binds, the channel opens, and what happens
Na+ and Ca2+ enter the neuron or muscle cell, which depolarizes the cell membrane
each Ach receptor has how many subunits
5
- a, b, y, s, and e (there are many types of a and b subunits)
all receptors have a subunits
subunit composition determines key features of a receptor such as
affinity of binding sites
ionic selectivity
allosteric binding sites
channel opening
closing kinetics
ionotropic receptors can be
closed
open
desensitized
when ionotropic receptors are desensitized, what happens?
channel is closed and won't open even if an agonist binds
prolongued exposure to an agonist enhances the rate of conversion to the desensitized state, can spontaneously
resensitize
the ACh receptor can exist in three different states
open
closed
desensitized
even with continuous agonist exposure, not all receptors are
desensitized, and they produce a persistent depolarization of the cell membrane
resting potential of the membrane is lost, and the cell cannot be excited until agonist is removed and membrane repolarized.
depolarization block
powerful muscle relaxant; resistant to breakdown by AChE; thus it continuously stimulates the nAChRs and induces a depolarization block of the muscle cells.
succinylcholine (suxamethonium)
•antagonist at neuronal nAChRs in the CNS and autonomic ganglia; antihypertensive agent, no longer used.
mecamylamine (inversine)
antagonist of muscle nAChRs; paralyzing active ingredient of curare
d-tubocurarine
such as imidacloprid, acetamiprid, and thiacloprid: receptor agonists selective for insect nAChRs; absorbed and distributed throughout treated plants; probably harms beneficial insects as well as crop pests.
neonicotinoids
muscarinic receptors are
metabotropic - operate via second messengers
five subtypes of muscarinic receptors
M1, M3 and M5 activate the phosphoinositide second messenger system (excitatory)
M2 and M4 inhibit
stimulate ___
inhbit ___
cAMP synthesis,
k+ channel opening
nerve terminal Ca2+ channel opening (inhibitory)
muscarinic receptors in the neocortex and hippocampus play an important role in the
cognitive effects of ACh
muscarinic receptors in the striatum are involved in
motor function
M5 in the brain is expressed primarily in the
hippocampus, hypothalamus, and midbrain DA areas, may have a role in reinforcement
outside of the brain, muscarinic receptors are found in
cardiac and smooth muscle, activated by ACh released from parasympathetic postganglionic fibers
drugs used to treat many psychiatric disorders block
peripheral muscarinic receptors, especially in secretory glands
causes dry mouth effect
Naturally occurring muscarinic receptor agonists: muscarine, locarpine, arecoline (parasympathomimetic agents); mimic
effects of parasympathetic activation; high doses can be fatal
): atropine, scopolamine; found in henbane and deadly nightshade. Some have medical uses, such as atropine for dilating pupils
muscarinic receptor antagonists inhibit parasympathetic action (parasympatholytic agents)
from Amanita muscaria mushrooms
muscarine
from the leaves of the South American shrub Pilocarpus jaborandi
pilocarpine
found in the seeds of the betel nut palm Areca catechu.
arecoline
what is the active ingredient in curare?
muscle nAChRs antagonist