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The capsule opens (“uncoating”) near the nuclear pores and viral DNA moves into the cell nucleus. The genetic material of the virus can now direct the cell’s metabolic system. (4a) Nucleic acid synthesis: The genetic material (DNA in this instance) is replicated and RNA is produced for the purpose of protein synthesis.
Transdermal delivery (nitroglycerin patch) also avoids presystemic elimination. Isosorbide dinitrate (ISDN) penetrates well through membranes, is more stable than NTG, and is partly degraded into the weaker, but much longer acting, 5- isosorbide mononitrate (ISMN). ISDN can also be applied sublingually; however, it is mainly administered orally in order to achieve a prolonged effect.

 

The latter diffuses into the subjacent smooth musculature, where it causes a relaxation of active tonus. Acetylcholine (ACh) is too rapidly hydrolyzed and inactivated by acetylcholinesterase (AChE) to be of any therapeutic use; however, its action can be mimicked by other substances, namely direct or indirect parasympathomimetics.
Sympathetic Transmitter Substances Whereas acetylcholine (see p. 98) serves as the chemical transmitter at ganglionic synapses between first and second neurons, norepinephrine (= noradrenaline) is the mediator at synapses of the second neuron (B).

 

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