Adrenergic Function

Adrenergic function is the set of physiological responses produced when catecholamines, mainly epinephrine and norepinephrine, activate adrenergic receptors in the sympathetic nervous system. These receptors, including alpha and beta subtypes, are G protein-coupled receptors that alter intracellular signaling through pathways such as cyclic AMP and phospholipase C, regulating heart rate, vascular tone, airway caliber, and metabolism. In pharmacology, understanding adrenergic function guides the use of agonists and antagonists to treat conditions such as asthma, hypertension, heart failure, and anaphylaxis. It also supports prediction of therapeutic effects, adverse reactions, and drug interactions involving sympathetic signaling.

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JoVE Core - Pharmacology

Adrenergic Agonists: Therapeutic Uses

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2023

Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies. Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension. Allergies and anaphylaxis:...

Adrenergic Neurons: Neurotransmission

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2023

Postganglionic sympathetic fibers (except those supplying the sweat glands) releasing noradrenaline or norepinephrine are called noradrenergic or adrenergic neurons. Noradrenaline, dopamine, adrenaline, or epinephrine are collectively called "catecholamines" as they contain a catechol moiety and an amine side chain. The five stages of neurotransmitter release involve their synthesis, storage, release, reuptake and metabolism. Synthesis: Catecholamine synthesis requires tyrosine, which is taken...

Adrenergic Agonists: Therapeutic Classification

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2023

Adrenergic agonists can be classified based on their therapeutic uses and mechanisms of action. They serve various purposes in clinical applications. Vasopressor or pressor agents: They increase blood pressure and function as cardiac stimulants. Examples include endogenous catecholamines (norepinephrine and dopamine) and synthetic agents (phenylephrine). Bronchodilators: β2-agonists can relax bronchial muscles and widen airways. They are commonly used for treating obstructive pulmonary...

Adrenergic Receptors (Adrenoceptors): Classification

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2023

Adrenergic receptors, or adrenoceptors, respond to the autonomic neurotransmitter noradrenaline and other endogenous catecholamine agonists. They are classified into two main families, α and β, based on their pharmacological response and are further subdivided depending on their location, elicited response, and affinity to specific agonists or antagonists. α-Adrenoceptors α-Adrenoceptors are classified into two main subtypes: α1 and α2. The α1 adrenoceptors, which are found on postsynaptic...

Adrenergic Receptors: ɑ Subtype

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2023

Adrenoceptors are classified into α and ꞵ classes based on their potencies to catecholamine agonists. α-adrenoceptors show the following order of catecholamine potency: Adrenaline ≥ Noradrenaline >> Isoprenaline α-adrenoceptors are further divided into α1 and α2-adrenoceptors. α1-Adrenoceptors: These receptors are located postsynaptically on the effector organs and cause constriction of smooth muscle mediated by activation of phospholipase C—inositol-1,4,5-trisphosphate...

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