PCOL 825 Regan Exam 1 Questions
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Biosynthesis of histamine Ans: Histidine--->histamine (via
decarboxylation of histidine)
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-synthesized in mast cells, basophils, eosinophils,
enterochromaffin-like cells (stomach), histaminergic neurons
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in CNS
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-targets receptors H1-H4
H1 receptors Ans: CNS:
-promotes wakefulness, decreased appetite, motion sickness,
emesis
Periphery: (skin, vascular/bronchial smooth muscle,
endothelium)
-bronchoconstriction, vasodilation, increased vascular
permeability, edema, increased nociception, itch, urticaria
Pathophysiological effect of histamine Ans: -Acute
inflammatory response, itching/urticaria
- Immediate IgE-mediated hypersensitivity reaction
- Bronchospasm
, 2
- Tachycardia
- Angioedema
- Hypotension, anaphylaxis
- IgE-mediated reactions related to inhaled respiratory
allergens involved with asthma
- Seasonal allergies/allergic rhinitis
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- Non-immune hypersensitivity reaction
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- Increased gastric acid secretion
Ig-E mediated histamine release Ans: -food allergens
-drug allergens
venom
-foreign proteins (serum proteins, biologics)
-inhaled respiratory allergens (asthma)
T/B cells generate IGE release and attach to surface of mast
cells=> mast cells degranulate releasing allergic mediators
non-immune mediated histamine release Ans: - I.V. morphine
and other opiates
- Aspirin and some NSAIDs