Table 4. Summary of the behaviors, physiological responses, and neural circuits for the actions of alpha receptor agonistsa.
Drugs | Behavioral and physiological responses | Possible neural circuit mechanisms | Receptors |
---|---|---|---|
| |||
Dexmedetomidine | Sedation mimicking non-REM sleep | Hyperpolarization of LC reducing inhibitory output to POA, allowing POA to inhibit multiple ascending arousal systems (PPT/LDT, vPAG, TMN, Raphe, LC) by GABA and galanin projectionsReduction of NE-mediated activation of the cortex, the ILN of the thalamus, and the BF | α2 adrenergic |
| |||
Clonidine | Analgesia | Inhibition of descending pain facilitation pathway achieved by blocking presynaptic NE release in excitatory interneuron in the spinal cord |
Abbreviations: BF, basal forebrain; GABAA, gamma aminobutyric acid type A; ILN, intralaminar nucleus; LC, locus coeruleus; LDT, laterodorsal tegmental area; NE, norepinephrine; PPT, pedunculopontine tegmental area; TMN, tuberomamillary nucleus; POA preoptic area; vPAG, ventral periaquaductal gray.