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Chapter 8 Golan Fall 2010
Acetylcholine
30
Pharmacology
Professional
09/29/2010

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Term
acetylcholinesterase
Definition
AChE - an enzyme breaks down acetylcholine into choline and acetate
Term
acetylcholinesterase's structural classes
Definition
1. Alcohol with quat
2. Carbamic Acid Esters
3. Organophosphates
Term
alcohol with quat
Definition
rapid, reversible bloc bc non-covalent drug-enz bond
e.g. Edrophonium
Term
carbamic acid esters
Definition
-longer inhibition
-labile covalent bond after HOH and AChE
-quat and tert amines use
e.g. Neostigmine (quat), Physostigmine (tert)
Term
organophosphates
Definition
-irrev inhibition
-very stable complex after HOH and aging
e.g. nerve gas, insectisized usages
e.g. Isoflurophate, pralidoxime
Term
muscarinic receptor agonists's structural classes
Definition
1. Choline Esters
2. Alkaloids
Term
choline esters
Definition
-ACh aka aminoalc ester
-All quats
-Little CNS penetration
-Poor oral absorp
e.g. Acetylcholine, Methachline, Carbachol, Bethaechol
Term
Tropanes
Definition
-Atropine & Scopolamine (both alkaloids and tert)
-Ipratropium (Atrovent)
-Tiotropium (Spirivia)
Term
Non-Tropanes
Definition
-Glycopyrrolate
-Oxybutynin
Term
muscarinic receptor antagonists
Definition
*All are aminoacohol esters:
-Tropanes (most common is Atropine)
-Non-Tropanes
(also see Foye fig 12.19)
*synthetic agent (circle's structure of Atropine)
-Anticholinergics Aminoalcohols (e.g. Tolterodine -amine)
-Anticholinergics Aminoethers (Benzotropine, Cogentin-for Parkinson)
-Misc Anticholinergics
. Propantheline
. Solifinacin
. Darifenacin
Term
SAR
Definition
structure-activity relationship
Term
ADME
Definition
absorption, distribution, metabolism, and excretion
Term
nicotinic receptor antagonists
Definition
-Ganglionic Blockers
-Neuromuscular Blockers (NMJ Blockers)
Term
Ganglionic Blockers
Definition
-Trimethaphan & Mecamylamine
-Hexamethonium SAR
Term
Neuromuscular Blockers
Definition
-Curare & Steroid-base (Pancuronium, vacuronium, pipecuronium, rocuronium)
-Succinylcholine & Decamethonium SAR
Term
quaternary amines
Definition
-Do not cross membrane barriers
-GI, BBB absorption impaired
-Typically no CNS effect
Term
tertiary amines
Definition
-Good CNS penetration
e.g. Physostigmine-agent of choice to tx CNS effects of anticholinergic overdose (e.g. tubocurare poisoning)
Term
cDNA
Definition
complementary DNA
Term
LEMS
Definition
Lambert Eaton Myasthenic Syndrome: (NMJ disease) autoimmune disorder that affects (blocked) voltage gated channel -> less transmitter released -> no contraction due to inhibition of vescicle fusing at presynaptic
Term
ACh-H+ antiport channel
Definition
Transport ACh into vesicle (requires transport ATP energy)
Term
Vesamicol
Definition
an esperimental drug acting presynaptically inhibiting ACh (against ACh storage)
Term
Hemicholinium
Definition
a drug which blocks the reuptake of choline
Term
video of action of mAChR M1,M2,M3
Definition
http://www.bio.davidson.edu/courses/immunology/Flash/IP3.html
Term
PLC
Definition
Phospholipase C, an ezyme cleaves phospholipid to produce IP3 and DAG; consequently produce Ca++ and PKC
Term
ESPS
Definition
excitatory postsynaptic potential (EPSP) is a graded depolarization of a postsynaptic membrane in response to stimulation by a neurotransmitter
Term
EPPs
Definition
end plate potentials are the depolarizations of the skeleton muscle fibers caused by neurotransmitters binding to the postsynaptic membrane in the NMJ
Term
mechanism of ionotropic receptor (e.g. nAChR) or ligand-gated ion channel (LGIC)
Definition
When activated, it opens a channel that allows ions such as Na+, K+, or Cl- to flow
Term
mechanism of G protein-linked receptor (e.g. mAChR)
Definition
Gq/11 mechanism (EPSP) or Beta Gamma of G protein
Term
Gq/11 mechanism
Definition
PLC->increase IP3 and increase DAG -> increase Ca++ and increase PKC (e.g. M1, M3, M5 - excitatory)
Term
Beta Gamma of G protein mechanism
Definition
inhibit AC and increase K+ channel opening (e.g. M2, M4 - inhibitatory)
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