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		<rdfs:label>WBR1106</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blocks G&lt;sub&gt;i&lt;/sub&gt; activation</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">The α&lt;sub&gt;2&lt;/sub&gt;, M&lt;sub&gt;2&lt;/sub&gt; and D&lt;sub&gt;2&lt;/sub&gt; receptors are coupled to G&lt;sub&gt;i&lt;/sub&gt; proteins.  The H&lt;sub&gt;1&lt;/sub&gt; receptor is linked to an intracellular G-protein of the G&lt;sub&gt;q&lt;/sub&gt; class.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blocks G&lt;sub&gt;q&lt;/sub&gt; activation</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Diphenhydramine is a Histamine H&lt;sub&gt;1&lt;/sub&gt; receptor blocker.  The H&lt;sub&gt;1&lt;/sub&gt; receptor is linked to an intracellular G-protein of the G&lt;sub&gt;q&lt;/sub&gt; class.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blocks G&lt;sub&gt;s&lt;/sub&gt; activation</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Beta-adrenergic, H&lt;sub&gt;2&lt;/sub&gt; and V&lt;sub&gt;2&lt;/sub&gt; receptor are linked to G&lt;sub&gt;s&lt;/sub&gt; proteins.  However, the H&lt;sub&gt;1&lt;/sub&gt; receptor is linked to an intracellular G-protein of the G&lt;sub&gt;q&lt;/sub&gt; class.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Increases G&lt;sub&gt;i&lt;/sub&gt; activity</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">The α&lt;sub&gt;2&lt;/sub&gt;, M&lt;sub&gt;2&lt;/sub&gt; and D&lt;sub&gt;2&lt;/sub&gt; receptors are coupled to G&lt;sub&gt;i&lt;/sub&gt; proteins.  The H&lt;sub&gt;1&lt;/sub&gt; receptor is linked to an intracellular G-protein of the G&lt;sub&gt;q&lt;/sub&gt; class.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Increases G&lt;sub&gt;q&lt;/sub&gt; activity</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Diphenhydramine blocks the transduction of activating signals from the H&lt;sub&gt;1&lt;/sub&gt; receptor and thereby blocks rather than increases G&lt;sub&gt;q&lt;/sub&gt; activity.</property:AnswerEExp>
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		<property:Explanation rdf:datatype="http://www.w3.org/2001/XMLSchema#string">The patient in this vignette is self-administering diphenhydramine (Benadryl) to help her fall asleep.  Diphenyhdramine is a Histamine H&lt;sub&gt;1&lt;/sub&gt; blocker.  The H&lt;sub&gt;1&lt;/sub&gt; receptor is linked to an intracellular G-protein (G&lt;sub&gt;q&lt;/sub&gt;) that activates phospholipase C and the phosphatidylinositol (PIP2) signaling pathway. Antihistamines, which act on this receptor, are used as anti-allergy drugs.  By blocking histamine binding of the H1 receptor, diphenhydramine blocks G&lt;sub&gt;q&lt;/sub&gt; activation.&lt;br/&gt;
'''Educational Objective:''' Antihistamines act on the H&lt;sub&gt;1&lt;/sub&gt; receptors and are used as anti-allergy drugs.  By blocking histamine binding of the H1 receptor, diphenhydramine blocks G&lt;sub&gt;q&lt;/sub&gt; activation.&lt;br/&gt;
'''References:''' Leurs R, Smit MJ, Timmerman H. Molecular pharmacological aspects of histamine receptors. Pharmacol Ther. 1995;66(3):413-463.&lt;br&gt;
First Aid 2015 page 248.</property:Explanation>
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