Where is the nicotinic acetylcholine receptor located




















On This Page. Learning Objectives. Upon completion of this section, you will be able to: Describe the key function of nicotinic receptors. Describe where nicotinic receptors are found. Identify the key physiological effects that result from stimulation of nicotinic receptors by excessive amounts of acetylcholine. Key Function of Nicotinic Receptors.

Physiology of nicotinic receptors The nicotinic receptors are cylindrically-shaped proteins imbedded in synaptic walls that act as chemically-controlled sodium channels also called ligand-gated sodium channels that penetrate through the cell walls of post-synaptic nerves and myocytes at the skeletal neuromuscular junctions. Guyton and Hall The channel opening in the nicotinic receptor normally lasts less than a millisecond because the enzyme, cholinesterase, rapidly breaks down acetylcholine.

Guyton and Hall Toxic levels of cholinesterase inhibitors prevent the breakdown of acetylcholine. Taylor Clinical Picture Due to Nicotinic Effects of Cholinesterase Inhibitors These events help to explain why the initial phase of toxicity is manifested by over-stimulation characterized by myoclonic jerks, fasciculations and muscle spasms followed by weakness progressing to paralysis.

Locations of Nicotinic Receptors. Nicotinic receptors are located in the See also Figure 6 Skeletal neuromuscular junctions. Sympathetic and parasympathetic nervous system. Autonomic ganglia. Central nervous system. Clinical findings are related to effects on the: Neuromuscular junctions of skeletal muscles. Fasciculations and myotonic jerks, followed by weakness and paralysis. Sympathetic nervous system due to ganglionic stimulation of the adrenal gland.

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