What is Arecoline?
A natural alkaloid found in the betel nut, acting as a muscarinic agonist.
What are parasympathomimetic drugs?
Drugs that mimic the effects of the parasympathetic nervous system.
1/109
p.46
Cholinergic Agonists

What is Arecoline?

A natural alkaloid found in the betel nut, acting as a muscarinic agonist.

p.47
Cholinergic Agonists

What are parasympathomimetic drugs?

Drugs that mimic the effects of the parasympathetic nervous system.

p.43
Pilocarpine and Cevimeline

What is the stereochemistry of pilocarpine?

3S, 4R -(+)-pilocarpine.

p.14
Structure-Activity Relationship (SAR) for Acetylcholine

What is an acyloxy group?

A functional group derived from an acid by replacing the hydroxyl group with an alkoxy group.

p.22
Structure-Activity Relationship (SAR) for Acetylcholine

What effect does a b-methyl group have on muscarinic potency?

It increases muscarinic potency and selectivity.

p.29
Muscarinic Receptors (M1-M5)

What is a binding site in the context of muscarinic receptors?

A specific location on the muscarinic receptor where acetylcholine or other ligands can attach.

p.28
Muscarinic Receptors (M1-M5)

What role do binding sites play in muscarinic receptors?

They facilitate the interaction between the receptor and neurotransmitters, leading to a physiological response.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

What role does the acetyl group play in acetylcholine's structure?

It is essential for the molecule's stability and receptor interaction.

p.35
Cholinergic Agonists

Name a choline ester that acts as a cholinergic agonist.

Acetylcholine or Bethanecol.

p.15
Structure-Activity Relationship (SAR) for Acetylcholine

What does the term 'Synperiplanar' refer to?

A configuration where substituents are on the same side of a reference plane.

p.46
Cholinergic Agonists

What is Xanomeline?

A selective muscarinic agonist used in research and potential treatment for Alzheimer's disease.

p.28
Muscarinic Receptors (M1-M5)

How do muscarinic binding sites affect cellular signaling?

They initiate a cascade of intracellular events upon ligand binding, influencing various physiological functions.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

What effect does the modification of the ethylene bridge in acetylcholine have?

It can alter the potency and selectivity for cholinergic receptors.

p.19
Cholinergic Agonists

What are cholinergic agonists?

Substances that stimulate the cholinergic receptors in the body.

p.16
Cholinergic Agonists

What is the primary action of cholinergic agonists?

They mimic the action of acetylcholine.

p.11
Nicotinic Receptors (N1 & N2)

Where are nicotinic receptors primarily found?

In skeletal muscles.

p.16
Pharmacological Applications of Cholinergic Drugs

What is a potential side effect of cholinergic agonists?

Increased salivation and sweating.

p.40
Cholinergic Agonists

What type of activity does the potent cholinergic agonist possess?

Both muscarinic and nicotinic activity.

p.37
Cholinergic Agonists

What is marketed as the racemic mixture?

(20X).

p.15
Structure-Activity Relationship (SAR) for Acetylcholine

What is a 'Synclinal' structure?

A geological fold that is concave upward, with the youngest rocks at the center.

p.29
Muscarinic Receptors (M1-M5)

What type of molecules typically bind to muscarinic receptors?

Acetylcholine and other muscarinic agonists.

p.27
Structure-Activity Relationship (SAR) for Acetylcholine

What does SAR stand for in the context of muscarinic agonists?

Structure-Activity Relationship.

p.44
Structure-Activity Relationship (SAR) for Acetylcholine

What is the stereochemistry of Pilocarpine?

3 S, 4 R -(+)-pilocarpine.

p.26
Structure-Activity Relationship (SAR) for Acetylcholine

How does the size of the alkyl groups in acetylcholine influence its activity?

Larger alkyl groups can reduce receptor affinity and alter pharmacological effects.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

What is the significance of the quaternary ammonium in acetylcholine?

It enhances the molecule's solubility and interaction with receptors.

p.37
Cholinergic Agonists

Which enantiomer is equipotent with Acetylcholine (Ach)?

S -(+).

p.29
Muscarinic Receptors (M1-M5)

What role do binding sites play in muscarinic receptors?

They facilitate the interaction between the receptor and neurotransmitters, leading to a physiological response.

p.43
Major Uses of Cholinergic Agonists

What is the primary use of pilocarpine?

Treatment of dry mouth.

p.42
Pharmacological Applications of Cholinergic Drugs

What happened to the production in Taiwan according to the article?

Production was halted due to the herb's effects.

p.42
Pharmacological Applications of Cholinergic Drugs

What is the significance of the herb mentioned in the article?

It has a notable impact on the production process.

p.11
Muscarinic Receptors (M1-M5)

What are the five types of muscarinic receptors?

M1, M2, M3, M4, and M5.

p.35
Cholinergic Agonists

What are direct acting cholinergic agonists?

They act on the receptors to activate a tissue response.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

What is the significance of Trp 86 in AChE?

It is part of the esteratic site.

p.28
Muscarinic Receptors (M1-M5)

What is a binding site in the context of muscarinic receptors?

A specific location on the muscarinic receptor where acetylcholine or other ligands can attach.

p.15
Structure-Activity Relationship (SAR) for Acetylcholine

Define 'Anticlinal'.

A geological fold that is convex upward, with the oldest rocks at the center.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

What is the primary function of acetylcholine in the body?

It acts as a neurotransmitter in the nervous system.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

What is the primary function of acetylcholine in the body?

It acts as a neurotransmitter in the nervous system.

p.11
Muscarinic Receptors (M1-M5)

Which muscarinic receptors are excitatory?

M1, M3, and M5.

p.11
Muscarinic Receptors (M1-M5)

Where are muscarinic receptors found?

In smooth muscles and cardiac muscles.

p.19
Direct and Indirect Acting Cholinergic Agonists

What are the two types of cholinergic agonists?

Direct-acting and indirect-acting cholinergic agonists.

p.35
Cholinergic Agonists

List some carbamate cholinesterase inhibitors.

Physostigmine, Neostigmine, Pyridostigmine, Edrophonium.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

How does the structure of acetylcholine influence its activity?

The presence of an ester group and a quaternary ammonium group are crucial for its binding to receptors.

p.38
Pharmacological Applications of Cholinergic Drugs

What method is used for the diagnosis of asthma?

Inhalation.

p.22
Structure-Activity Relationship (SAR) for Acetylcholine

How much more potent is S-(+) compared to R-(-) in terms of muscarinic activity?

S-(+) is 20-fold more potent than R-(-).

p.44
Pharmacological Applications of Cholinergic Drugs

What type of reaction is base-catalyzed epimerization?

A reaction that involves the conversion of one epimer to another, typically under basic conditions.

p.43
Pharmacological Applications of Cholinergic Drugs

What are the forms in which pilocarpine is available?

Tablets, ophthalmic solution, and gel.

p.26
Structure-Activity Relationship (SAR) for Acetylcholine

What is the significance of SAR in relation to acetylcholine?

It helps in understanding how the structure of acetylcholine affects its activity and interactions with receptors.

p.46
Cholinergic Agonists

What is Oxotremorine?

A synthetic muscarinic agonist that is used in research to study cholinergic systems.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

How does the structure of acetylcholine influence its activity?

The presence of an ester group and a quaternary ammonium group are crucial for its binding to receptors.

p.27
Structure-Activity Relationship (SAR) for Acetylcholine

What is a common feature of muscarinic agonists in terms of structure?

They often contain an ester group.

p.27
Structure-Activity Relationship (SAR) for Acetylcholine

What role do nitrogen atoms play in muscarinic agonists?

They are crucial for binding to the receptor.

p.19
Major Uses of Cholinergic Agonists

Name a common use of cholinergic agonists.

They are often used to treat conditions like glaucoma and myasthenia gravis.

p.11
Nicotinic Receptors (N1 & N2)

What type of response do nicotinic receptors have?

Excitatory response.

p.16
Pharmacological Applications of Cholinergic Drugs

How do cholinergic agonists affect smooth muscle?

They stimulate contraction of smooth muscle.

p.40
Cholinergic Agonists

What is the anticholinesterase activity level of this cholinergic agonist?

Weak anticholinesterase activity.

p.43
Muscarinic Receptors (M1-M5)

Which muscarinic receptor does pilocarpine have an affinity for?

M3 mAChR.

p.44
Pharmacological Applications of Cholinergic Drugs

Which enzyme is associated with Pilocarpine metabolism?

CYP2A6.

p.15
Structure-Activity Relationship (SAR) for Acetylcholine

What does 'Antiperiplanar' mean?

A configuration where substituents are on opposite sides of a reference plane.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

What does SAR stand for in the context of acetylcholine?

Structure-Activity Relationship.

p.27
Muscarinic Receptors (M1-M5)

What type of receptors do muscarinic agonists target?

Muscarinic receptors.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

Which amino acid is part of the esteratic site in AChE?

Serine (Ser 203).

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

Which amino acid is located at the anionic site of AChE?

Glutamic acid (Glu 327).

p.11
Nicotinic Receptors (N1 & N2)

What are the two types of nicotinic receptors?

Neuronal (N1) and Muscle (N2).

p.19
Direct and Indirect Acting Cholinergic Agonists

What is the role of indirect-acting cholinergic agonists?

They inhibit acetylcholinesterase, increasing acetylcholine levels.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

What is the primary function of acetylcholine in the body?

It acts as a neurotransmitter in the nervous system.

p.47
Pharmacological Applications of Cholinergic Drugs

Which chapters cover parasympathomimetic drugs in the referenced texts?

Chapters 26 to 28.

p.37
Cholinergic Agonists

What does 'equipotent' mean in the context of S -(+) and Ach?

It means that S -(+) has the same potency as Acetylcholine.

p.14
Structure-Activity Relationship (SAR) for Acetylcholine

What does the number 19 refer to in this context?

It is unclear without additional context; it may refer to a specific compound or classification.

p.44
Pharmacological Applications of Cholinergic Drugs

What role does CYP2A6 play in relation to Pilocarpine?

It acts as a CYP2A6 inhibitor.

p.27
Structure-Activity Relationship (SAR) for Acetylcholine

How does the presence of a bulky group affect muscarinic agonists?

It can enhance selectivity for muscarinic receptors over nicotinic receptors.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

What modifications can affect the activity of acetylcholine?

Changes to the ester or ammonium groups can alter receptor binding and enzymatic hydrolysis.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

Which amino acid is involved in the catalytic mechanism of AChE?

Histidine (His 440).

p.11
Nicotinic Receptors (N1 & N2)

What acts as an agonist for nicotinic receptors?

Nicotine.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

What is the significance of the ethylene bridge in acetylcholine?

It helps maintain the spatial arrangement necessary for receptor interaction.

p.41
Cholinergic Agonists

What is the preferred route of administration to avoid systemic cholinergic effects?

Oral administration.

p.14
Structure-Activity Relationship (SAR) for Acetylcholine

What is an ethylene group?

A hydrocarbon group consisting of two carbon atoms connected by a double bond.

p.26
Structure-Activity Relationship (SAR) for Acetylcholine

What does SAR stand for in the context of acetylcholine?

Structure-Activity Relationship.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

What does SAR stand for in the context of acetylcholine?

Structure-Activity Relationship.

p.26
Structure-Activity Relationship (SAR) for Acetylcholine

How does the presence of a quaternary ammonium group affect acetylcholine's activity?

It enhances its binding affinity to cholinergic receptors.

p.26
Structure-Activity Relationship (SAR) for Acetylcholine

What role does the ester group play in acetylcholine's structure?

It is crucial for the hydrolysis of acetylcholine by acetylcholinesterase.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

What is the role of Acetylcholinesterase (AChE) in the hydrolysis of acetylcholine?

AChE catalyzes the breakdown of acetylcholine into acetate and choline.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

What is the significance of the quaternary ammonium in acetylcholine?

It enhances the molecule's solubility and ability to interact with cholinergic receptors.

p.35
Cholinergic Agonists

What is an example of an alkaloid cholinergic agonist?

Pilocarpine.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

What are the products of acetylcholine hydrolysis?

Acetate and choline.

p.35
Major Uses of Cholinergic Agonists

What are the major uses of cholinergic agonists?

Stimulate bladder and GI tone, constrict pupils, and enhance neuro-muscular transmission.

p.41
Cholinergic Agonists

Which routes of administration should be avoided to minimize systemic cholinergic effects?

IV (intravenous) or IM (intramuscular).

p.14
Structure-Activity Relationship (SAR) for Acetylcholine

What is a quaternary ammonium group?

A positively charged nitrogen atom bonded to four organic groups.

p.44
Pilocarpine and Cevimeline

What is Pilocarpine known for?

It is a more stable carbamate compound.

p.42
Pharmacological Applications of Cholinergic Drugs

What is the main topic of the article?

The article discusses the impact of a certain herb on the production of a specific product in Taiwan.

p.27
Structure-Activity Relationship (SAR) for Acetylcholine

What is the significance of SAR in muscarinic agonists?

It helps to understand how structural changes affect the activity of the agonists.

p.21
Structure-Activity Relationship (SAR) for Acetylcholine

What role does the acetyl group play in acetylcholine's structure?

It is important for the molecule's stability and receptor interaction.

p.11
Muscarinic Receptors (M1-M5)

Which muscarinic receptors are inhibitory?

M2 and M4.

p.16
Cholinergic Agonists

What are cholinergic agonists?

Substances that stimulate the cholinergic receptors in the body.

p.19
Pilocarpine and Cevimeline

Give an example of a direct-acting cholinergic agonist.

Pilocarpine.

p.16
Pharmacological Applications of Cholinergic Drugs

What is the effect of cholinergic agonists on the heart?

They generally decrease heart rate.

p.23
Structure-Activity Relationship (SAR) for Acetylcholine

How does the structure of acetylcholine influence its activity?

The presence of an ester group and a quaternary ammonium group are crucial for its binding to receptors.

p.33
Hydrolysis of Acetylcholine by Acetylcholinesterase

What is the function of the anionic site in AChE?

It helps in the binding of acetylcholine.

p.11
Muscarinic Receptors (M1-M5)

What is the effect of activating M4 receptors?

Inhibits acetylcholine release in the striatum.

p.35
Cholinergic Agonists

Name a type of indirect acting cholinergic agonist.

Cholinesterase inhibitors.

p.35
Cholinergic Agonists

What is the antidote for cholinesterase inhibitor poisoning?

Pralidoxime.

p.19
Cholinergic Agonists

What is the primary action of cholinergic agonists?

They mimic the action of acetylcholine.

p.16
Major Uses of Cholinergic Agonists

Name a common use of cholinergic agonists.

They are often used to treat conditions like glaucoma and myasthenia gravis.

p.35
Cholinergic Agonists

What is an example of a phosphate cholinesterase inhibitor?

Ecothiophate.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

What happens if modifications are made to the acetylcholine structure?

Changes can affect its potency, selectivity, and duration of action.

p.35
Cholinergic Agonists

What do indirect acting cholinergic agonists do?

They inhibit the action of the enzyme Acetylcholinesterase.

p.16
Pilocarpine and Cevimeline

Give an example of a direct-acting cholinergic agonist.

Pilocarpine.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

What role does the acetyl group play in acetylcholine's structure?

It is important for the molecule's stability and receptor binding.

p.16
Direct and Indirect Acting Cholinergic Agonists

What are the two types of cholinergic agonists?

Direct-acting and indirect-acting cholinergic agonists.

p.24
Structure-Activity Relationship (SAR) for Acetylcholine

What does SAR stand for in the context of acetylcholine?

Structure-Activity Relationship.

Study Smarter, Not Harder
Study Smarter, Not Harder