What is the first intracellular effect when an opioid binds to its receptor?

Prepare for the Anesthesia Pharm Exam with flashcards and multiple choice questions. Each question offers hints and explanations to enhance your understanding. Get ready for your test!

Multiple Choice

What is the first intracellular effect when an opioid binds to its receptor?

Explanation:
Opioids bind to their GPCR, which is coupled to the Gi/o protein. The immediate intracellular event is activation of this Gi/o, where the Gαi subunit inhibits adenylate cyclase. This lowers the conversion of ATP to cAMP, so intracellular cAMP levels fall and protein kinase A activity decreases. This reduction in cAMP is a primary signaling step that helps dampen neuronal activity and transmitter release. Additionally, Gβγ subunits can further modulate the cell by opening GIRK channels and inhibiting voltage-gated calcium channels, reinforcing the decrease in neurotransmitter release. So the first intracellular effect is a decrease in adenylate cyclase activity leading to reduced cAMP.

Opioids bind to their GPCR, which is coupled to the Gi/o protein. The immediate intracellular event is activation of this Gi/o, where the Gαi subunit inhibits adenylate cyclase. This lowers the conversion of ATP to cAMP, so intracellular cAMP levels fall and protein kinase A activity decreases. This reduction in cAMP is a primary signaling step that helps dampen neuronal activity and transmitter release. Additionally, Gβγ subunits can further modulate the cell by opening GIRK channels and inhibiting voltage-gated calcium channels, reinforcing the decrease in neurotransmitter release. So the first intracellular effect is a decrease in adenylate cyclase activity leading to reduced cAMP.

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