NCIt definition : An ethanolamine derivative with bronchodilating and tocolytic activities. Terbutaline
selectively binds to and activates beta-2 adrenergic receptors, leading to intracellular
adenyl cyclase activation via a trimeric G protein and subsequent increase in cyclic
AMP (cAMP) production. Increased cAMP levels result in relaxation of bronchial and
vascular smooth muscle mediated through the activation of protein kinase A (PKA),
which phosphorylates proteins in control of muscle tone. cAMP also inhibits calcium
ion release from intracellular stores, reduces calcium entry into cells and induces
the sequestration of intracellular calcium all of which aids in the relaxation of
airway muscles. Terbutaline also increases mucociliary clearance and reduces release
of inflammatory cell mediators.;