Transmembrane receptors composed of excitable G-proteins, which cross the cell membrane and link selectively with extra cellular ligands are called adrenoceptors. They are also termed as α-2 Adrenoceptor agonists α-2 adrenergic receptors. Three α-2 isoreceptors - α-2a, α-2b and α-2c of adreno receptor bind α-2 agonists and antagonists with similar rapport and share an amino acid composition homology of roughly 70 to 75%. The efficacy of sub receptor specific agonists that constrains deleterious effect may be opted in the future [6]. A variety of physiological functions are concerned with implication ofα-2 adrenoceptors. Although there is a presence of Byzantine pharmacology of α-2 adrenoceptors, studies aided with the advancement …show more content…
These neurons are also responsible for the hypnotic effect of Dexmedetomidine. When its receptors are activated, adenylyl cyclase is inhibited which leads to the reticulation of AMP (cAMP). AMP is a vital messenger molecule which when reduced in the cell, facilitates Dexmedetomidine in choosing anabolic over catabolic pathways. It also aids in efflux of potassium through calcium-activated potassium channels as well as inhibits calcium entry into calcium channels in nerve terminals [9]. Suppression of neuronal firing in the locus ceruleus and activity in the ascending noradrenergic pathway is caused by hyper polarization of the membrane because of changes in its ion conductance [10]. It is assumed that there must be extra-spinal sites of actions that cause the mechanism of α-2 receptors and opioid receptors in medullospinal adrenergic pathway of the brain. The site of origin of medullospinal adrenergic pathway is in the locus ceruleus. When the site is stimulated, inhibition of neurotransmitters and alleviation of firing of nociceptor neurons occur. Inhibition of the release of neurotransmitters is stimulated by peripheral A and C fibers. The dorsal horn of the spinal cord is responsible for the analgesic effects of Dexmedetomidine. Administration of Dex (hypnotic dose) in laboratory animals showed that Dex inhibited the