Adrenaline vs. Acetylcholine – Mechanism of Action

Adrenaline vs. Acetylcholine – Mechanism of Action

Adrenaline vs. Acetylcholine – Mechanism of Action


Adrenaline (Epinephrine)

Type: Catecholamine (Sympathomimetic)

Receptor Type: Adrenergic Receptors (GPCRs)

  • α₁ → Vasoconstriction (↑ BP)

  • α₂ → ↓ NE release (negative feedback)

  • β₁ → ↑ Heart rate & contractility (↑ CO)

  • β₂ → Bronchodilation, Vasodilation (skeletal muscles), ↓ GI motility

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Mechanism of Action:

  1. Binds to adrenergic receptors (α/β) on target tissues

  2. Activates G-proteins (Gs for β, Gq for α₁, Gi for α₂)

  3. Triggers second messengers:

    • β (Gs) → ↑ cAMP → ↑ PKA activity

    • α₁ (Gq) → ↑ IP₃/DAG → ↑ Ca²⁺

    • α₂ (Gi) → ↓ cAMP

  4. Leads to physiological effects (heart stimulation, bronchodilation, vasoconstriction, etc.)


🌿 Acetylcholine (ACh)

Type: Cholinergic neurotransmitter (Parasympathomimetic)

Receptor Type:

  • Muscarinic (M1–M5) → GPCRs

  • Nicotinic (Nn, Nm) → Ligand-gated ion channels

Mechanism of Action:

1. Muscarinic (M1, M2, M3):

  • M1, M3, M5 (Gq) → ↑ IP₃/DAG → ↑ Ca²⁺
    Effects: Smooth muscle contraction (bronchoconstriction, miosis), glandular secretion

  • M2 (Gi) → ↓ cAMP → ↓ Heart rate, ↓ contractility

2. Nicotinic Receptors (Nn, Nm):

  • Direct opening of Na⁺/K⁺ channels

  • Nn (CNS, ganglia) → Neural transmission

  • Nm (NMJ) → Muscle contraction


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⚖️ Summary Comparison Table

Feature Adrenaline Acetylcholine
System Sympathetic (Fight/Flight) Parasympathetic + Somatic
Receptors Adrenergic (α, β) Muscarinic & Nicotinic
Receptor Type GPCR (α, β) GPCR (M1–M5), Ion channel (Nn/Nm)
2° Messengers cAMP, IP₃/DAG cAMP, IP₃/DAG, Ion flux (Na⁺/K⁺)
Key Actions ↑ HR, ↑ BP, bronchodilation ↓ HR, bronchoconstriction, secretion
Therapeutic Use Anaphylaxis, cardiac arrest Limited (e.g., eye surgery, ACh analogs used)

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