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When does upregulation of nicotinic acetylcholine receptors disease states ( spinal cord injuries, burns, prolonged immobilization, stroke, neuromuscular disorders: GB,MS) occur?

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Final answer:

Upregulation of nicotinic acetylcholine receptors often occurs as a compensatory response to damage or diseased states in the nervous system, such as spinal cord injuries, burns, immobilization, stroke, and neuromuscular disorders, aiming to maintain neural function amidst disrupted signaling.

Step-by-step explanation:

Upregulation of nicotinic acetylcholine receptors (nAChRs) typically occurs in response to neural injury or disease states. This physiological process can happen during various conditions such as spinal cord injuries, burns, prolonged immobilization, stroke, and neuromuscular disorders like Guillain-Barré syndrome (GB) and Multiple Sclerosis (MS). In the context of a spinal cord injury or traumatic brain injury (TBI), excitotoxicity due to glutamate dysregulation leads to secondary neuronal damage, characterized by an influx of calcium in neurons and subsequent cell necrosis. Similarly, in neurodegenerative disorders such as MS, disintegration of the myelin sheath disrupts neuronal communication, triggering compensatory responses such as receptor upregulation in an attempt to maintain neural function. The upregulation occurs because the system is attempting to compensate for the loss of normal signaling due to the injury or disease affecting the nervous system.

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