Bronchodilators · Pharmacology

What is the primary cellular mechanism of action for Short-Acting Beta-2 Agonists (SABAs) like Albuterol?

  1. Activation of adenylyl cyclase, increasing cAMP
  2. Inhibition of phosphodiesterase-4
  3. Antagonism of M3 muscarinic acetylcholine receptors
  4. Blockade of leukotriene receptors
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Correct answer: Activation of adenylyl cyclase, increasing cAMP

Beta-2 agonists bind to Gs-protein-coupled receptors, which activates adenylyl cyclase. This increases intracellular cyclic AMP (cAMP), leading to protein kinase A activation and subsequent relaxation of bronchial smooth muscle.

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