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Acetylcholine
Presented by: Abhishek .S. Joshi
First Year M.Pharm(Pharmacology)
SSR College of Pharmacy, Silvassa
1. Introduction
 Acetylcholine is a chief neurotransmitter of
parasympathetic nervous system which is a part of
autonomic nervous system.
 Neurotransmitters-
• Chemical messengers
• Transmit a message (impulse) from one nerve to another,
finally to target cell.
• Target cell can be nerve cell/ muscle cell/ gland cell
 Nervous system can be broadly classified into two parts:
CNS(central nervous system) and PNS(peripheral nervous
system)
PNS- Connects CNS to various
organs
Efferent(Motor) neurons-
Carry impulses away from CNS
Afferent (sensory) neurons-
Carry impulses towards the CNS
Parasympathetic- Aka as Digest
or rest system
Sympathetic- Aka Fight or flight
system
Ach
 Chemically Ach is an ester of acetic acid and choline.
 First time Ach was found or discovered in the vagus nerve
hence previously it was known as “vagustoff”
 It was the first neurotransmitter to be identified.
 Two receptors are identified on which Ach acts- Nicotinic
and Mucarinic
2. Biosynthesis,
Storage,
Release,
Metabolism and
Reuptake
Biosynthesis
 Choline (an amino acid) enters presynaptic neuron along
with Na+ ion through a symporter choline
transporter(CHT).
 Mitochondria inside the neuron synthesizes and releases
acetyl coenzyme A (Acetyl coA).
 Acetyl CoA combines with choline in the presence of
enzyme ChAT (choline acetyl transferase).
 ChAT makes an ester bond between Acetyl CoA and
Choline thus forming Aetylcholine
Storage
 Synthesized Ach is stored in a vesicle.
 VAT (vesicle associated transporter), an antiporter transports Ach into
the vesicle. As Ach goes in, the H+ ion already present in the vesicle
moves outside into the neuron.
 Each vesicle contains about 1000 to 50,000 molecules of Ach.
 Vesicles are provided with certain proteins- VAMPs (Vesicle associated
membrane proteins)
 Nerve terminal ending contains SNAPs (synaptosomal nerve associated
proteins)
 SNAPs interact with VAMPs
 SNAPs + VAMPs collectively- Fusion protein
 Main role of both the proteins are in the release of Ach
Release
 Physiologic release of Ach depends on Ca++ levels.
 Due to action potential- Ca++ influx into the neuron-
increase level of Ca++ in the neuron.
 Ca++ attaches to VAMPs.
 VAMPs helps the vesicle to take certain shapes
 Thus vesicles fuses with the membrane.
 Membrane ruptures. And Ach is released into the synapse.
(Exocytosis)
Metabolism
 Ach released from presynaptic neuron goes to postsynaptic neuron
where there are cholinoceptors.
 Ach interacts with the receptors, generates action, then dissociates
from receptors.
 Dissociated Ach undergoes metabolism with the help of enzyme
Cholinesterase.
 Two types of cholinesterase available
• Acetylcholinesterase (AchE): True cholinesterase, Located at all
cholinergic sites, fast in action, terminates action of Ach
• Butyrylcholinesterase(BuchE): Pseudocholinesterase, located in the
plasma, liver and intestine, slow in action, hydrolyses the ingested
ester.
 Ach is broken down to Acetyl CoA and Choline
 Acetate and choline both have no any transmitter activity.
Reuptake
 After metabolism, Acetyl CoA is left outside.
 Choline is transported back to neuron through choline
transporter.
Certain toxins believed to affect cholinergic transmission:
 Hemicholinium: Blocks choline transporter.
 Vesamicol: Inhibit VAT transporter.
 Botulinum toxin: Inhibit release of Ach
3. Cholinergic receptors
(Cholinoceptors),their locations and
functions
 Two classes of receptors of Ach are recognized:
Muscarinic and Nicotinic
 Muscarinic- G protein coupled receptors
 Nicotinic- Ligand gated ion channels
Muscarinic receptors
 Stimulated by muscarine, blocked by atropine
 Primary locations-
• Heart, blood vessels, eye, smooth muscles and glands of
GI, respiratory and urinary tract, sweat glands, CNS
 Muscarinic receptors are classified into 5 sub types (M1-
M5)
 First 3 are major subtypes.
 M4 and M5 are mainly present on the nerve endings and
few regions of brain, regulating the release of
neurotransmitters.
 Functionally- M1, M3, M5 make one class and M2 and M4 a
different class.
APD- Action
potential duration
PLA2- Phospholipase
A2
Nicotinic receptors
 These receptors are selectively activated by nicotine and
blocked by tubocurarine or hexamethonium.
 They are rosette-like pentameric structures which enclose
a ligand gated cation channel: their activation causes
opening of the channel and rapid flow of cations resulting
in depolarization and an action potential.
 On the basis of location and selective agonists and
antagonists two subtypes NM and NN are recognized
PTMA- Phenyl
trimethyl ammonium
DMPP- Diphenyl Methyl
piperazinium
4. Drugs acting on cholinergic receptors
i. Cholinergic agonists/ Parasympathomimetics/
Cholinomimetics- These produces their action similar to
that of Ach.
ii. Anticholinesterase- These also produce their action
similar to that of acetylcholine but they increase
availability of Ach.
iii. Anticholinergics/ Parasympatholytics/ Muscarinic
receptor antagonist/ Atropinic- Blocks actions of Ach.
iv. Ganglion blockers- Nicotinic receptor antagonists
i. Cholinergic agonists/ Parasympathomimetics/
Cholinomimetics.
 Heart- Hyperpolarization of SA node thus, bradycardia
(reduced heart rate) or cardiac arrest
 Blood vessels- Dilation
 Smooth muscle- contraction, increased in peristalsis,
constriction of bronchial muscles.
 Glands- Increased secretion of glands(sweat, salivation, lacrimation).
 Eye- Constriction of circular muscles (miosis)
 CNS- IV injection of Ach does not cross BBB, hence no central effect
seen.
ii Anticholinesterase
 Anticholinesterases (anti-
ChEs) are agents which
inhibit ChE.
 These protect ACh from
hydrolysis—produce
cholinergic effects.
 Some anti ChEs have
additional direct action on
nicotinic cholinoceptors.
 Cognitive functions have
been seen to improved in
case of patients suffering
from Alzheimers
administered with AChEs.
iii Anticholinergics/ Parasympatholytics/
Muscarinic receptor antagonist/ Atropinic
These are atropine like drugs hence also atropinic.
Actions are opposite to that of cholinomimetic drugs.
 CNS- An overall stimulant action seen by atropine. But
Hyoscine produces depressant action even at low doses.
 Heart- Tachycardia (increased heart rate) (blockade of M2
receptor)
 Eye- Mydriatic effects seen (dilation of pupil)
 Smooth muscles- Relaxed, bronchodilation
 Glands- Decreased secretion of glands
 Body temperature- Rise in body temperature due to
inhibition of sweating.
 Local anaesthetic- Mild
iv Ganglion blockers- Nicotinic receptor
antagonists
 These were used as an antihypertensive and as anti ulcer
drugs in in the 1950s but now totally replaced due to
number of side effects.
 Mecamylamine- Either alone or in combination with
nicotine patch, it has been tried for smoking cessation
 There is at present no clinical relevance of ganglion
blockers.
References
 Essentials of Medical Pharmacology, K.D.Tripathi, 8 Edition
 Essentials of Medical Pharmacology, K.D.Tripathi, 7 Edition
 Acetylcholinesterase Inhibitors: Pharmacology and
Toxicology, Mirjana B., Aleksandra M. Bondi and Vesna M.
Vasi
 Cholinergic Medications, Ramya S. Pakala; Kristen N.
Brown; Charles V. Preuss.
Acetylcholine ppt

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Acetylcholine ppt

  • 1. Acetylcholine Presented by: Abhishek .S. Joshi First Year M.Pharm(Pharmacology) SSR College of Pharmacy, Silvassa
  • 2. 1. Introduction  Acetylcholine is a chief neurotransmitter of parasympathetic nervous system which is a part of autonomic nervous system.  Neurotransmitters- • Chemical messengers • Transmit a message (impulse) from one nerve to another, finally to target cell. • Target cell can be nerve cell/ muscle cell/ gland cell  Nervous system can be broadly classified into two parts: CNS(central nervous system) and PNS(peripheral nervous system)
  • 3. PNS- Connects CNS to various organs Efferent(Motor) neurons- Carry impulses away from CNS Afferent (sensory) neurons- Carry impulses towards the CNS Parasympathetic- Aka as Digest or rest system Sympathetic- Aka Fight or flight system Ach
  • 4.  Chemically Ach is an ester of acetic acid and choline.  First time Ach was found or discovered in the vagus nerve hence previously it was known as “vagustoff”  It was the first neurotransmitter to be identified.  Two receptors are identified on which Ach acts- Nicotinic and Mucarinic
  • 6. Biosynthesis  Choline (an amino acid) enters presynaptic neuron along with Na+ ion through a symporter choline transporter(CHT).  Mitochondria inside the neuron synthesizes and releases acetyl coenzyme A (Acetyl coA).  Acetyl CoA combines with choline in the presence of enzyme ChAT (choline acetyl transferase).  ChAT makes an ester bond between Acetyl CoA and Choline thus forming Aetylcholine
  • 7. Storage  Synthesized Ach is stored in a vesicle.  VAT (vesicle associated transporter), an antiporter transports Ach into the vesicle. As Ach goes in, the H+ ion already present in the vesicle moves outside into the neuron.  Each vesicle contains about 1000 to 50,000 molecules of Ach.  Vesicles are provided with certain proteins- VAMPs (Vesicle associated membrane proteins)  Nerve terminal ending contains SNAPs (synaptosomal nerve associated proteins)  SNAPs interact with VAMPs  SNAPs + VAMPs collectively- Fusion protein  Main role of both the proteins are in the release of Ach
  • 8.
  • 9. Release  Physiologic release of Ach depends on Ca++ levels.  Due to action potential- Ca++ influx into the neuron- increase level of Ca++ in the neuron.  Ca++ attaches to VAMPs.  VAMPs helps the vesicle to take certain shapes  Thus vesicles fuses with the membrane.  Membrane ruptures. And Ach is released into the synapse. (Exocytosis)
  • 10. Metabolism  Ach released from presynaptic neuron goes to postsynaptic neuron where there are cholinoceptors.  Ach interacts with the receptors, generates action, then dissociates from receptors.  Dissociated Ach undergoes metabolism with the help of enzyme Cholinesterase.  Two types of cholinesterase available • Acetylcholinesterase (AchE): True cholinesterase, Located at all cholinergic sites, fast in action, terminates action of Ach • Butyrylcholinesterase(BuchE): Pseudocholinesterase, located in the plasma, liver and intestine, slow in action, hydrolyses the ingested ester.  Ach is broken down to Acetyl CoA and Choline  Acetate and choline both have no any transmitter activity.
  • 11. Reuptake  After metabolism, Acetyl CoA is left outside.  Choline is transported back to neuron through choline transporter. Certain toxins believed to affect cholinergic transmission:  Hemicholinium: Blocks choline transporter.  Vesamicol: Inhibit VAT transporter.  Botulinum toxin: Inhibit release of Ach
  • 12. 3. Cholinergic receptors (Cholinoceptors),their locations and functions  Two classes of receptors of Ach are recognized: Muscarinic and Nicotinic  Muscarinic- G protein coupled receptors  Nicotinic- Ligand gated ion channels
  • 13. Muscarinic receptors  Stimulated by muscarine, blocked by atropine  Primary locations- • Heart, blood vessels, eye, smooth muscles and glands of GI, respiratory and urinary tract, sweat glands, CNS  Muscarinic receptors are classified into 5 sub types (M1- M5)  First 3 are major subtypes.  M4 and M5 are mainly present on the nerve endings and few regions of brain, regulating the release of neurotransmitters.  Functionally- M1, M3, M5 make one class and M2 and M4 a different class.
  • 15. Nicotinic receptors  These receptors are selectively activated by nicotine and blocked by tubocurarine or hexamethonium.  They are rosette-like pentameric structures which enclose a ligand gated cation channel: their activation causes opening of the channel and rapid flow of cations resulting in depolarization and an action potential.  On the basis of location and selective agonists and antagonists two subtypes NM and NN are recognized
  • 16. PTMA- Phenyl trimethyl ammonium DMPP- Diphenyl Methyl piperazinium
  • 17. 4. Drugs acting on cholinergic receptors i. Cholinergic agonists/ Parasympathomimetics/ Cholinomimetics- These produces their action similar to that of Ach. ii. Anticholinesterase- These also produce their action similar to that of acetylcholine but they increase availability of Ach. iii. Anticholinergics/ Parasympatholytics/ Muscarinic receptor antagonist/ Atropinic- Blocks actions of Ach. iv. Ganglion blockers- Nicotinic receptor antagonists
  • 18. i. Cholinergic agonists/ Parasympathomimetics/ Cholinomimetics.  Heart- Hyperpolarization of SA node thus, bradycardia (reduced heart rate) or cardiac arrest  Blood vessels- Dilation  Smooth muscle- contraction, increased in peristalsis, constriction of bronchial muscles.  Glands- Increased secretion of glands(sweat, salivation, lacrimation).  Eye- Constriction of circular muscles (miosis)  CNS- IV injection of Ach does not cross BBB, hence no central effect seen.
  • 19. ii Anticholinesterase  Anticholinesterases (anti- ChEs) are agents which inhibit ChE.  These protect ACh from hydrolysis—produce cholinergic effects.  Some anti ChEs have additional direct action on nicotinic cholinoceptors.  Cognitive functions have been seen to improved in case of patients suffering from Alzheimers administered with AChEs.
  • 21. These are atropine like drugs hence also atropinic. Actions are opposite to that of cholinomimetic drugs.  CNS- An overall stimulant action seen by atropine. But Hyoscine produces depressant action even at low doses.  Heart- Tachycardia (increased heart rate) (blockade of M2 receptor)  Eye- Mydriatic effects seen (dilation of pupil)  Smooth muscles- Relaxed, bronchodilation  Glands- Decreased secretion of glands  Body temperature- Rise in body temperature due to inhibition of sweating.  Local anaesthetic- Mild
  • 22. iv Ganglion blockers- Nicotinic receptor antagonists
  • 23.  These were used as an antihypertensive and as anti ulcer drugs in in the 1950s but now totally replaced due to number of side effects.  Mecamylamine- Either alone or in combination with nicotine patch, it has been tried for smoking cessation  There is at present no clinical relevance of ganglion blockers.
  • 24. References  Essentials of Medical Pharmacology, K.D.Tripathi, 8 Edition  Essentials of Medical Pharmacology, K.D.Tripathi, 7 Edition  Acetylcholinesterase Inhibitors: Pharmacology and Toxicology, Mirjana B., Aleksandra M. Bondi and Vesna M. Vasi  Cholinergic Medications, Ramya S. Pakala; Kristen N. Brown; Charles V. Preuss.