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Nicotinic Receptors Overview

Sep 24, 2025

Overview

This lecture covers nicotinic cholinergic receptors, including their types, mechanisms, locations, and functions within the nervous system and muscles.

Cholinergic and Nicotinic Receptors

  • Cholinergic receptors bind the neurotransmitter acetylcholine (ACh).
  • Two main cholinergic receptor types: nicotinic and muscarinic; focus here is on nicotinic.
  • Nicotinic receptors are ligand-gated ion channels activated by ACh or nicotine.

Types of Nicotinic Receptors

  • There are two types: Nicotinic M (NM) and Nicotinic N (NN) receptors.
  • NM ("M" for muscle) receptors are found on skeletal muscle at the neuromuscular junction.
  • NN ("N" for neuronal) receptors are found on neurons and the adrenal medulla.

NM Receptor Locations and Functions

  • NM receptors are located on the sarcolemma of skeletal muscle fibers at the neuromuscular junction.
  • When ACh binds NM receptors, the channel opens, allowing sodium influx, causing depolarization and muscle contraction.
  • All skeletal muscles (e.g., biceps, frontalis, extensor digitorum longus) use NM receptors for contraction.
  • Clinical correlation: Myasthenia gravis is an autoimmune disease where antibodies block or destroy NM receptors, causing muscle weakness.

NN Receptor Locations and Functions

  • NN receptors are found in all peripheral autonomic nervous system ganglia (both sympathetic and parasympathetic).
  • Located on dendrites of postganglionic neurons in autonomic ganglia (e.g., sympathetic chain, celiac ganglion, submandibular ganglion).
  • NN receptors are also on chromaffin cells in the adrenal medulla, where stimulation leads to secretion of epinephrine.
  • Activation of NN receptors propagates action potentials in autonomic neurons.
  • NN receptors are widespread in the central nervous system, but details not covered here.

Key Terms & Definitions

  • Cholinergic receptor — a receptor that binds acetylcholine.
  • Ligand-gated ion channel — a channel that opens in response to a specific molecule binding.
  • Nicotinic receptor — a cholinergic, ligand-gated ion channel that responds to acetylcholine or nicotine.
  • NM (Nicotinic M) receptor — a nicotinic receptor on skeletal muscle, mediating contraction.
  • NN (Nicotinic N) receptor — a nicotinic receptor on neurons or adrenal medulla, mediating neural transmission or hormone release.
  • Neuromuscular junction — the synapse between a motor neuron and skeletal muscle fiber.
  • Myasthenia gravis — autoimmune disease blocking NM receptors, causing muscle weakness.

Action Items / Next Steps

  • Review clinical implications of NM receptor dysfunction (e.g., myasthenia gravis).
  • Study the anatomy of the autonomic nervous system ganglia where NN receptors are found.
  • Become familiar with the mechanism of synaptic transmission and muscle contraction.