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what is physostigmine?
AChE inhibitor that crosses the BBB
what does physostigmine cause?
confusion, hallucination, and coma
what cannot be used to treat myasthenia gravis?
physostigmine
why do drugs with central targets have side effects?
due to peripheral action
do nicotinic receptors have the same sequence?
they have different sequences
basal forebrain system
nucleus basilis of Meynert» substantia innominata»septal nucleus»cortex and hippocampus
what is the basal forebrain system involved in?
cognitive functions like memory
tegmental nuclei in pons
pons»VTA, brainstem, and thalamus
what is the tegmental nuclei in the pons involved in?
reward, arousal, and sleep/waking
scopolamine
a muscarinic antagonist
what does scopolamine induce?
amnesia, sometimes used during labor
how is Alheimers’s disease characterized?
amnesia and loss of cholinergic neurons
what is used to treat Alzheimers?
AChE inhibitors that cross the BBB(ex:donepezil)
common name for donepezil
Aricept
cerebral atrophy which accompanies Alzheimers?
narrow gyri and wide sulci, especially in frontal and temporal lobes
what lobes are the main target of cholinergic neurons?
frontal and temporal
why are cigarettes addictive if they dont act of dopamine or endorphins?
there are receptors for nicotine on VTA cells that release DA
Vesamicol
depletes ACh by inhibiting vesicular uptake
Black widow spider venom
stimulates ACh release
Botulinum toxin
inhibits ACh release
Hemicholinium-3
depletes ACh by inhibiting choline uptake by the nerve terminal
physostigmine
centrally acting reversible AChE inhibitor hat increases ACh level
Donepezil, Rivastigmine, and Galantamine
AChE inhibitors used in the treatment of Alzheimers disease
Neostigmine and pyridostigmine
peripherally acting reversible AChE inhibitors used in the treatment of Myasthenia gravis
sarin and soman
irreversible AChE inhibitors used as nerve gas agents
nicotine
stimulates nicotinic receptors(agonist)
succinylcholine
nicotinic receptor agonist that causes depolarization block
mecamylamine and D-tubocurarine
block nicotinic receptors(antagonists)
muscarine, pilocarpine, and arecoline
stimulate muscarininc receptors(agonists)
atropine and scopolamine
block muscarinic receptors(antagonists)
what effects do GABA antagonists have?
sedative effects
what does glutamate have a special role in?
learning and memory
Glutamate synthesis
Glutamine»Glutaminase»Glutamate
where are glutamate transporters and receptors found?
glutaminergic cells, astrocytes, post-synaptic cells at tripartite synapses
glutamate excitotoxicity
excessive levels of glutamate elevate intracellular calcium too much, which leads to programmed cell death
are glutamate receptors ionotropic or metabotropic?
both; 3 ionotropic, 8 metabotropic
3 ionotropic glutamate receptors
AMPA, Kainate, NMDA
which of the ionotropic glutamate receptors allows for calcium entry?
NMDA
what do NMDA receptors require to open?
glutamate and a coagonist(glycine of D-serine)
what ion blocks NMDA receptors?
Magnesium ions, but the block is removed by depolarization of the inside of the cell
AP5(APV)
acts as a competitve antagonist on the glutamate binding site
DO PCP, Ketamine, and MK-801 block at the same site at APV?
block at a different site
is PCP a (non)competitive (ant)agonist?
noncompetitive antagonist
ionotropc receptors
ligand-gated ion channels
multiple aspects to ion channels
selectivity, conductance, modification through intracellular phosphorylation
example of drug that decreases channel conductance
PCP and ketamine block the pore in NMDA glutamate receptors
example of how conductance can be increased
phosphorylation of the AMPA subtype of glutamate receptor can increase channel conductance
what increases the amount of phosphorylation of the AMPA receptor?
amphetamine
why are cows having seizures?
low magnesium causes overactivity of NMDA receptors
what blocks AMPA and kainate thus reducing seizures?
NBQX
what can ketamine treate?
seizures(NMDA receptors)
what is coincidence detection?
feature of NMDA receptors which is thought to underlie LTP involved in learning
the entry of NA through AMPA receptors allows for what to enter?
Ca2+
calcium entry effects
recruiting more AMPA receptors to be inserted into the post synaptic membrane, can strengthen synapses by increasing # of AMPA receptors during LTP
if there are more AMPA receptors then…?
there are larger efects when glutamate is released
what can increase AMPA conductance?
phosphorylation
what enhances glutamate release?
nitric oxide
what serves as retrograde messengers?
gaseous and lipid neurotransmitters