ACh and others

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Last updated 1:04 PM on 5/6/26
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46 Terms

1
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which groups of neurons do cholinergic pathways arise from?

  1. Pedunculopontine (PPT)/ laterodorsaltegmentum (LD)​

  2. Magnocellular forebrain (Nucleusbasalis and septohippocampal)) ​

  3. Striatal interneurons​

2
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Name 4 differences between nicotinic (nAChR) and muscarinic (mAChR) acetylcholine receptors (2 marks).

differences

  • muscarinic can be either excitatory or inhibitory whereas nicotinic is excitatory only

  • nicotinic receptors are pentamers whereas muscarinic receptors are mainly monomers

  • nicotinic receptors are ligand gated ion channels whereas muscarinic receptor are GPCR

  • nicotinic receptors can bind 2 or more acetylcholine where muscarinic binds one only

  • nicotinic receptors have faster transmission than muscarinic

3
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pednuculopontine and laterodorsaltegmentum nuclei

  • found in brainstem

  • send projections to thalamus

  • play important role in arousal and sleep wake regulation

4
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Magnocellular neurons of the basal forebrain

project widely to the cerebral cortex, providing cholinergic input that supports attention, learning, and memory.

5
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Septal nuclei

  • basal forebrain

  • send cholinergic projections to the hippocampus, contributing to memory formation and spatial navigation.

6
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draw the distribution of the cholinergic neurons

knowt flashcard image

<img src="https://knowt-user-attachments.s3.amazonaws.com/4aa5b681-83f4-4602-a845-4416c4db19e1.png" data-width="100%" data-align="center" alt="knowt flashcard image"><p></p>
7
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roles of acetylcholine

  • Arousal, learning and memory

  • Pontine nuclei – arousal, sleep/wake

  • Magnocellular forebrain – arousal

  • Septohippocampal – learning (short term)

  • (striatal interneurons – motor control)

8
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why are knockouts not useful for roles of ACh

  • the receptor subtypes can overlap so it is hard to isolate function/effect

  • inducible knockouts may provide more information

9
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acetylcholine receptors structure and key information table

knowt flashcard image

<img src="https://knowt-user-attachments.s3.amazonaws.com/120a6edf-9126-4525-89d8-5e429eea2e92.png" data-width="100%" data-align="center" alt="knowt flashcard image"><p></p>
10
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draw the cholinergic terminal

knowt flashcard image

<img src="https://knowt-user-attachments.s3.amazonaws.com/062cbd2b-e6d1-4a2b-a970-29f3f08b7188.png" data-width="100%" data-align="center" alt="knowt flashcard image"><p></p>
11
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NMJ transmission of ACh (5 marks)

  • vesicle full of ACh fuses with the membrane and releases

  • ACh binds to nicotinic acetylcholine receptor on postsynaptic membrane (2 molecules each)

  • acetylcholine is broken down in the synapse by AChE into acetate and choline

  • choline is taken up by presynaptic terminal, joins with acetyl coa and forms acetylcholine

FAST SYNAPTIC TRANSMISSION

12
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neuronal nicotinic transmission

  • dopamine is released from vesicles into synapse with calcium dependent manner

  • calcium voltage gated channels

  • nicotinic acetylcholine receptors which allow further calcium entry and enhance dopamine release - heteroreceptor

13
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muscarinic cholinergic transmission

  • similar to periphery

  • acetylcholine binds to M2, M4, coupled to adenylate cyclase via Gi, inhibitory, often found on presynaptic nerve terminal

  • M1, M3 and M5 found on postsynaptic and foreign spaces, excitatory Gq coupled, inc calcium signalling

14
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nicotinic receptor structure adult skeletal muscle

  • 2 x alpha 1 subunits

  • beta 1

  • delta

  • epsilon

  • permeable to sodium, potassium and calcium

15
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autonomic ganglia nicotinic receptor structure

  • alpha 3 ×2

  • beta 4 × 3

16
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brain nicotine binding site

  • alpha 4 ×2

  • beta 2 ×3

17
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brain bungarotoxin binding site

  • 5 x alpha 7

18
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nAChR gating

  • TM2 domains

  • in resting state leucine bends inwards, quite large, hydrophobic

  • activated state - rotation leads to leucine pointing away, serine pointing inwards, small, hydrophilic

19
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where are M1 receptors located

  • glands

  • cerebral cortex

  • autonomic ganglia

20
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M1 receptor agonist therapeutic targets

  • schizophrenia

  • alzheimers

21
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M2 receptor locations

  • heart

  • cns

  • smooth muscle

22
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M2 role and therapeutic antagonists

  • modulate heart rate

  • modulate smooth muscle

  • → bradycardia, alzheimers, depression

23
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M3 location

  • glands

  • smooth muscle - eye, bronchial tract, blood vessels

24
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M3 role and therapeutic antagonists

  • smooth muscle contraction

  • exocrine secretion - saliva and tears

  • → overactive bladder, asthma, IBS

25
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M4 location

  • CNS

  • salivary glands

26
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M currents

  • arises from PIP2 gated potassium channels

  • hyperpolarises, stabilises the RMP

27
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which receptors activated shuts off M current

  • M1, M3 and M5 - Gq coupled

  • leads to depletion of PIP2

  • cells become more excitable

28
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darifenacin

  • 30 fold M3 selective

  • overactive bladder

29
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where is histamine found

  • mast cells in the brain

  • magnocellular neurons in the posterior hypothalamus

30
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histamine metabolism

  • histidine → histamine with histidine decarboxylase

  • N-methyltransferase

  • Monoamine oxidase

  • results in inactive metabolites

31
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draw histaminergic synapse

knowt flashcard image

<img src="https://knowt-user-attachments.s3.amazonaws.com/77128441-a425-4e85-98de-7d20c1ec24b7.png" data-width="100%" data-align="center" alt="knowt flashcard image"><p></p>
32
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H1 antagonists

  • used widely therapeutically for allergies

  • some cross bbb to produce marked sedation

  • eg chlorophenamine and tripolidine

33
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H2 receptors therapeutics

  • used for ulcer treatment

  • not much BBB penetration

34
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neuropeptides

  • Must be synthesised in soma

  • produced as “pro” transmitter to be “finished” at the terminal​

  • Stored in vesicles, Ca2+ dependent release ​

  • Postsynaptic action on GPCR

35
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theory for neuropeptides

  • peptides eg VIP co exist with ACh in parasympathetic innervation of salivary glands

  • low firing rates - only ACh

  • high firing rates - both ACh and VIP

    • extension of dynamic range perhaps

36
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examples of peptides

  • Cholecyctokinin (CCK8)​

  • Corticotrophin releasing factor (CRF)​

  • Galanin​

  • Neurotensin​

  • Enkephalins, endorphins, dynorphins(opioid peptides)​

  • Substance P​

  • Calcitonin gene-related peptide​

  • Vasopressin​

  • Oxytocin​

  • Neuropeptide Y​

  • Vasoactive intestinal polypeptide (VIP)​

37
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purines - adenosine

  • adenosine can act as a neurotransmitter

  • not vesicular - ATP dependent release

  • acts on GPCR A1, A2A, A2B and A3

  • form heteromers

  • protective

  • stabilisation

38
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what do adenosine receptors form heteromers with?

  • family A and C GPCR

  • dopamine receptors

  • mGluR

39
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caffeine

  • adenosine receptor antagonist

  • A2A highest affinity

40
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melatonin

  • derived from tryptophan

  • made in the pineal gland from 5HT

  • driven by circadian light from retinal input

  • 2 receptors MT1 and MT2 found in brain and retina

  • anti jet lag drugs

41
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NO

  • produced by NOS, controlled by [Ca2+]i

  • inhibitory and excitatory

  • not synaptic or vesicular

  • sometimes found as co transmitter

  • role in LTP and LTD and neurotoxicity

42
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lipids derived from arachidonic acid

  • prostaglandins

  • leukotrienes

  • endocannabinoids

43
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where are cabbinoid receptors expressed

  • CB1 and CB2 throughout CNS and PNS

44
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endocannabinoids - give 2 examples, mode of synthesis and termination

  • Two main ECs: anandamide, 2-arachidonoyl glycerol (2-AG)​

  • Synthesised as needed from membrane lipids​

  • Termination: Endocannabinoid Membrane Transporter (EMT)​

45
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endocannabinoid signalling retrograde vs paracrine

  • retrograde is synthesised postsynaptically

  • paracrine is synthesised from another terminal

  • retrograde acts on presynapse whereas paracrine acts on different synapse with different transmitter

  • paracrine releases GABA, autocrine releases glutamate

46
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draw a diagram of both retrograde and paracrine endocannabinoid signalling

knowt flashcard image

<img src="https://knowt-user-attachments.s3.amazonaws.com/3fb5a020-7a45-4c1a-959f-e6502ac1a2c5.png" data-width="100%" data-align="center" alt="knowt flashcard image"><p></p>