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Kaplan Qbank USMLE



Author3 Posts
  #1

How would a change in the rate of NTS (Neurotransmitter Substance?) inactivation alter the ability of an autonomic pathway to control the function of an effector cell?

  #2

Hi batman, i wonder where you got that question from, it's full of unusual terminology.

I would be able to reformat that question in other words: for example....

How would a change in the rate of AcetylCholine inactivation affect the autonomic system neural outflow?

Also,....

Neurotransmitter substances are inactivated in one of the following ways:

1- Enzymatic destruction (Acetytransferase in ACh)

2- Reuptake by the presynaptic membrane (NE in adrenergic transmission)

3- Diffusion away from the site of action

Therefore, how would a change in any of these three mechanisms change the amount of sympathetic/parasympathetic outflow?

This is the basis of many pharmacological agents, such as, Acetylcholine esterase inhibitors (myesthenia gravis treatment) , MAO inhibitors (antidepressants), SSRI (antidepressants), alpha 2 centrally acting agonists (anti hypertensive), and many more.

Bottom line:

increasing rate of NTS inactivation----> decrease availibity of NTS at postsynaptic receptors -----> decrease control of ANS on effector cell

and vice versa.....


  #3

Nice post Zat







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