Adrenergic receptors

53,886views

Adrenergic receptors

Watch later

Watch later

Hypokalemia: Clinical
Movement of water between body compartments
The role of the kidney in acid-base balance
Blood histology
Blood components
Respiratory acidosis
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Metabolic and respiratory alkalosis: Clinical
Metabolic and respiratory acidosis: Clinical
Bronchodilators: Beta 2-agonists and muscarinic antagonists
Chronic obstructive pulmonary disease (COPD): Clinical
Chronic obstructive pulmonary disease (COPD): Nursing process (ADPIE)
Adrenergic antagonists: Alpha blockers
Sympatholytics: Alpha-2 agonists
Alpha-2 adrenergic agonists: Nursing pharmacology
Adrenergic receptors
Adrenergic antagonists: Beta blockers
Diabetes mellitus: Clinical
Diabetes mellitus (DM): Nursing process (ADPIE)
Diabetes mellitus
Diabetes mellitus: Pathology review
Stroke: Nursing process (ADPIE)
Stroke: Clinical
Ischemic stroke
Intracerebral hemorrhage
Peptic ulcers and stomach cancer: Clinical
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Sickle cell disease (NORD)
Sickle cell disease: Nursing process (ADPIE)
Sickle cell disease: Clinical
Blood groups and transfusions
Erythropoietin
Blood products: Nursing pharmacology
Oxygen binding capacity and oxygen content
Blood products and transfusion: Clinical
Hemophilia
Hemophilia: Nursing process (ADPIE)
Leukemia: Nursing process (ADPIE)
Chronic leukemia
Leukemias: Pathology review
Acute leukemia
Leukemia: Clinical
Lymphomas: Pathology review
Lymphoma: Clinical
Non-Hodgkin lymphoma
Hodgkin lymphoma
Lymphatic system anatomy and physiology
Anatomy of the abdominal viscera: Liver, biliary ducts and gallbladder
Liver anatomy and physiology
Cirrhosis
Cirrhosis: Pathology review
Cirrhosis: Clinical
Cirrhosis: Nursing process (ADPIE)
Hepatitis C virus
Hepatitis A and Hepatitis E virus
Liver cancer: Nursing
Cholestatic liver disease
Non-alcoholic fatty liver disease
HIV (AIDS)
HIV and AIDS: Pathology review
Antiretrovirals for HIV/AIDS - Protease inhibitors: Nursing pharmacology
Antiretrovirals for HIV/AIDS - NRTIs and NNRTIs: Nursing pharmacology
Antiretrovirals for HIV/AIDS - Integrase strand transfer inhibitors: Nursing pharmacology
Anatomy of the abdominal viscera: Pancreas and spleen
Pancreatitis: Nursing process (ADPIE)
Glaucoma: Nursing process (ADPIE)
Glaucoma
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Acute respiratory distress syndrome (ARDS): Nursing
Anatomy of the coronary circulation
Coronary artery disease: Pathology review
Coronary artery disease: Clinical
ECG basics
ECG normal sinus rhythm
ECG rate and rhythm
ECG axis
ECG intervals
ECG QRS transition
ECG cardiac infarction and ischemia
Cardiac cycle
Arterial disease
Delirium
Dementia and delirium: Clinical
Vascular dementia
Frontotemporal dementia
Dementia with Lewy bodies
Dementia: Pathology review
Tumor lysis syndrome (TLS): Nursing Process (ADPIE)
Cholelithiasis: Nursing
Coronary artery disease (CAD) and angina pectoris: Nursing process (ADPIE)
Breast cancer: Nursing process (ADPIE)
Ovarian cancer: Nursing
Cervical cancer: Nursing
Hormones and hormone modulators for cancer: Nursing pharmacology
Endometriosis: Nursing
Heart failure
Left-sided heart failure: Nursing process (ADPIE)
Heart failure: Pathology review
Pneumonia: Pathology review
Pneumonia
Bacterial pneumonia: Nursing process (ADPIE)
Respiratory stimulants: Nursing pharmacology
Corticosteroids - Inhaled: Nursing pharmacology
Pneumothorax and hemothorax: Nursing
Chest trauma: Clinical
Pleural effusion: Nursing
Tuberculosis (TB): Nursing
Parkinson disease: Nursing process (ADPIE)
Huntington disease
Multiple sclerosis (MS): Nursing
Multiple sclerosis
Guillain-Barré syndrome: Nursing
Guillain-Barre syndrome
Myasthenia gravis: Nursing
Acute kidney injury (AKI): Nursing process (ADPIE)
Acute kidney injury: Clinical
Chronic kidney disease (CKD): Nursing
Chronic kidney disease
Chronic kidney disease: Clinical
Polycystic kidney disease (PKD): Nursing
Renin-angiotensin-aldosterone system
Osteoarthritis: Nursing
Osteoarthritis
Rheumatoid arthritis (RA): Nursing process (ADPIE)
Rheumatoid arthritis: Clinical
Rheumatoid arthritis
Rheumatoid arthritis and osteoarthritis: Pathology review
Systemic lupus erythematosus
Systemic lupus erythematosus (SLE): Pathology review
Systemic lupus erythematosus (SLE): Clinical
Systemic lupus erythematosus (SLE): Nursing
Mycobacterium tuberculosis (Tuberculosis)
Peripheral venous disease (PVD): Nursing process (ADPIE)
Peripheral arterial disease (PAD): Nursing process (ADPIE)
Buerger disease: Nursing
Raynaud phenomenon: Nursing
Aortic dissections and aneurysms: Pathology review
Aortic aneurysms and dissections: Clinical
Aortic dissection
Aortic aneurysm: Nursing process (ADPIE)
Venous thromboembolism (VTE): Nursing process (ADPIE)
Benign prostatic hyperplasia (BPH): Nursing process (ADPIE)
Benign prostatic hyperplasia
Prostate cancer: Nursing
Prostate cancer
Testicular cancer: Nursing
Testicular cancer
Diabetic ketoacidosis (DKA): Nursing process (ADPIE)
Endocrine system anatomy and physiology
Vitamin B12 deficiency
Thalassemia: Nursing
Anemia - Iron-deficiency: Nursing
Anemia - Macrocytic: Nursing
Anemia - Aplastic: Nursing
Thyroid hormones
Medications for thyroid disorders: Nursing pharmacology
Hyperthyroidism: Nursing process (ADPIE)
Hypothyroidism: Nursing process (ADPIE)
Hypoparathyroidism: Nursing
Hyperparathyroidism: Nursing
Anxiety disorders: Nursing process (ADPIE)
Spinal cord injury (SCI): Nursing
Cluster A personality disorders
Smoke inhalation injury: Nursing process (ADPIE)
Shock - Anaphylactic: Nursing
Shock - Obstructive: Nursing
Shock - Neurogenic: Nursing
Shock - Hypovolemic: Nursing
Shock - Cardiogenic: Nursing
Shock - Septic: Nursing
Pulmonary edema: Nursing
Burn injury: Nursing

Transcript

Watch video only

Adrenergic receptors are receptors on the surface of cells that get activated when they bind a type of neurotransmitter called a catecholamine.

Catecholamines are involved in the stimulation of our organs by the sympathetic nervous system; they help to trigger the fight or flight response.

The nervous system is divided into the central nervous system, so the brain and spinal cord, and the peripheral nervous system, which includes all the nerves that connect the central nervous system to the muscles and organs.

The peripheral nervous system can be divided into the somatic nervous system, which controls voluntary movement of our skeletal muscles, and the autonomic nervous system, which is further divided into the sympathetic and the parasympathetic, and controls the involuntary movement of the smooth muscles and glands of our organs.

The sympathetic and parasympathetic nervous systems have opposite effects on the body.

The sympathetic nervous system controls functions like increasing the heart rate and blood pressure, as well as slowing digestion. All of this maximizes blood flow to the muscles and brain, and can help you either run away from a threat or fight it, which is why it’s also called the fight or flight response.

The parasympathetic nervous system instead slows the heart rate and stimulates digestion - the effects can be summarized as 'rest and digest'.

Now, neurons are the main cells of the nervous system. They’re composed of a cell body, which contains all the cell’s organelles, and nerve fibers, which are projections that extend out from the neuron cell body. Nerve fibers are either dendrites that receive signals from other neurons, or axons that send signals along to other neurons.

Where two neurons come together is called a synapse, and that’s where one end of an axon releases neurotransmitters that bind to receptors present on the cell membrane of the dendrites or the cell body of the next neuron in the series.

Now the autonomic nervous system - so both the sympathetic and parasympathetic nervous system - is made up of a relay that includes two neurons: preganglionic neurons, which have their cell bodies in nuclei throughout the spinal cord, and postganglionic neurons, which have their cells bodies in ganglia outside of the spinal cord.

Axons of preganglionic neurons exit the spinal cord to reach the ganglia and synapse with the postganglionic neurons.

Then, the axons of postganglionic neurons exit the ganglia to reach the organs and synapse with the target organ cells.

Now let’s zoom into the synapses of the sympathetic nervous system.

The preganglionic and postganglionic neurons release different neurotransmitters, which are the tiny molecules that nerve cells use to communicate with one another.

The preganglionic neurons release the neurotransmitter acetylcholine, which binds to nicotinic receptors on the cell membrane of postganglionic neuron cell bodies, activating them.

Then, most postganglionic neurons release the neurotransmitters adrenaline and noradrenaline, which are collectively called catecholamines.

Catecholamines bind and activate the adrenergic receptors that are located on the plasma membrane of the cells of the target organs.

Adrenergic receptors are seven-pass transmembrane receptors, which means they are really long proteins that have one end that sits outside the cell and binds catecholamines, and then the snake-like protein dips in and out of the cell membrane seven times, and finally ends on the inside of the cell.

The end of the protein that’s within the cell activates intracellular proteins.

Adrenergic receptors are one type of G-protein coupled receptors or GPCRs, because they work directly with intracellular proteins called guanine nucleotide-binding proteins or G proteins, because they bind to a guanosine diphosphate or GDP molecule when they’re inactive, and to a guanosine triphosphate or GTP molecule when they’re active.

G proteins are made up of three subunits called alpha, beta, and gamma, sort of like a flower with three petals.

The alpha and the gamma subunits are anchored to the cell membrane, and they allow the G protein to snuggle up right next to the adrenergic receptor.

When the alpha subunit is bound to guanosine diphosphate or GDP, the three subunits remain together, so this flower is closed.

However, when the alpha subunit is bound to guanosine triphosphate or GTP, the alpha subunit separates from the beta and gamma subunits, like one petal opening and separating from the others.

When the alpha subunit is unbound, it’s free to interact with other proteins, stimulating some while inhibiting others.

Key Takeaways

Adrenergic receptors are proteins found on the surface of cells that respond to the hormone adrenaline (epinephrine). There are three types of adrenergic receptors - alpha, beta, and gamma. Each type responds to a different set of chemical signals from adrenalin.

When adrenaline binds to its receptor, it triggers a series of biochemical reactions inside the cell that result in increased heart rate, increased blood pressure, and other effects that prepare the body for physical activity.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "A STUDY OF THE ADRENOTROPIC RECEPTORS" American Journal of Physiology-Legacy Content (1948)
  6. "Excitatory Actions of Noradrenaline and Metabotropic Glutamate Receptor Activation in Granule Cells of the Accessory Olfactory Bulb" Journal of Neurophysiology (2009)