Neurotransmitters lll: Monoamines (neuro) Flashcards

1
Q

The diffuse modulatory systems of the brain (monoamines)

A

four systems with common principles:
- small set of neurons at core
- arise from brain stem
- one neuron influences many others
- synapses release transmitter molecules into extracellular fluid
four main systems:
- noradrenergic locus coeruleus
- serotonergic raphe nuclei
- dopaminergic substantia nigra and ventral tegmental area
- cholinergic basal forebrain and brain stem complexes

  • can be point to point communication (fast, restricted) or diffuse modulatory systems (slower, widespread)
  • behavioural effects: mood, memory, reward, movement, motivation
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2
Q

Examples of metabotropic receptors

A

Stimulates AC - Dopamine D1, noradrenaline beta,
Stimulates PLC - 5-HT2, noradrenaline alpha1,
Inhibits AC - 5-HT1, Dopamine D2, noradrenaline alpha2,
(AC=adenylyl cyclase, PLC=phosplipase C)

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3
Q

Effects of Noradrenaline

A
  • arousal
  • wakefullness
  • exploration and mood (low NA in depressed)
  • blood pressure regulation (antihypertensive eg clonidine alpha2)
  • addiction/gambling
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4
Q

Synthesis of catecholamines

A
  • tyrosine -> DOPA, using tyrosine hydroxylase
  • DOPA -> dopamine, using DOPA decarboxylase
  • dopamine -> noradrenaline, using dopamine beta-hydroxylase
  • noradrenaline -> adrenaline, using phenylethanolamine N-methyltransferase
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5
Q

Regulation of NA

A
  • post-synaptic - carry on the message
  • pre-synaptic (autoreceptors) - usually inhibitory, negative feedback mechanism
  • reserpine - depletes NA stores by inhibiting vesicular uptake
  • amphetamine (indirect symphathomimetic) - enters vesicles displacing NA into cytoplasm, increased NA leakage out of neuron
  • cocaine - blocks NA reuptake
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6
Q

Function of noradrenaline

A
  • NA alpha 1 -> phospholipase C -> PIP, IP3, DAG, Ca2+ -> smooth muscle contraction, glycogenolysis
  • NA alpha 2 -> adenyl cyclase -> Ca2+ -> inhibition of NA release
  • NA alpha 2 -> adenyl cyclase -> ATP, cAMP -> smooth muscle contraction
  • NA beta -> ATP, cAMP -> contraction of cardiac muscle, smooth muscle relaxation, glycogenolysis
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7
Q

Noradrenaline (NA)

A
  • main action inhibitory (beta), also excitatory (alpha/beta)
  • termination: neuronal uptake and MAO
  • main cell body in locus coeruleus (NAergic neurons active when awake, amphetamine increases alertness and exploratory behaviour)
  • high density in brainstem, hypothalamus and medial temporal lobe
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8
Q

Dopamine (DA)

A
  • involved in: movement, reward, inhibition of prolactin release, memory consolidation
  • parkinsons disease, schizophrenia, addiction, emesis, ADHD
  • inhibits central neurons (K+ channels)
  • D1 (D1, D5) and D2 (D2, D3, D4) receptors
  • D1 and D2 receptors in striatum, limbic system, thalamus and hypothalamus
  • D3 receptors in limbic system, not striatum
  • D4 receptors in cortex and limbic system
  • termination: MAO, neuronal uptake
  • main pathways: substantia nigra to basal ganglia (parkinsons disease), midbrain to limbic cortex (schizophrenia)
  • functions/disorders: movement, addiction, stereotypy, hormone release and vomiting
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9
Q

Seratonin (5-HT)

A
  • 5-HT receptors (14 subtypes) all G-protein coupled except 5-HT3:
    • 5-HT1 inhibitory, limbic system – mood, migraine
    • 5-HT2 (5-HT2A), excitatory, hallucinogenic, limbic system & cortex
    • 5-HT3 excitatory, medulla – vomiting
    • 5-HT4 presynaptic facilitation (ACh) – cognitive enhancement
    • 5-HT6 and 5-HT7 – novel targets, cognition, sleep
    – Termination – MAO, neuronal uptake
    – Function / disorders
    • Mood (anxiety/depression)
    • Psychosis (5HT antagonism antipsychotic)
    • Sleep / wake (5-HT linked to sleep, 5-HT2 antagonists inhibit REM sleep)
    • Feeding behaviour (5HT2A antagonist increase apetite, weight gain; antidepressants decrease apetite
    • Pain, migraine (5-HT inhibits pain pathway, synergistic with opioids)
    • Vomiting
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10
Q

Seratonin (5-HT) receptor subtypes

A

subtype -> signal transduction -> localisation -> function

  • 5-HT(1A) -> inhibition of AC -> hippocampus -> autoreceptor
  • 5-HT(1B) -> inhibition of AC -> substantia nigra -> auto receptor
  • 5-HT(1D) -> inhibition of AC -> cranial blood vessels -> vasoconstriction
  • 5-HT(1E) -> inhibition of AC -> cortex
  • 5-HT(1F) -> inhibition of AC -> brain, periphery
  • 5-HT(2A) -> activation of PLC -> platelet, smooth muscle, cerebral cortex -> platelet aggregation, contraction, neuronal excitation
  • 5-HT(2B) -> activation of PLC -> stomach fundus -> contraction
  • 5-HT(2C) -> activation of PLC -> choroid plexus
  • 5-HT(3) -> ion channel -> PNS -> neuronal excitation
  • 5-HT(4) -> activation of AC -> GI tract, hippocampus, neuronal excitation
  • 5-HT(5A) -> inhibition of AC -> hippocampus -> unknown
  • 5-HT(5B) -> unknown
  • 5-HT(6) -> activation of AC -> striatum -> unknown
  • 5-HT(7) -> activation of AC -> hypothalamus, intestine -> unknown
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11
Q

Autoreceptors

A
  • inhibit cell firing and transmitter release at the terminal regions
  • transmitter -> cell body -> terminal
  • 5-HT -> 5-HT(1A) -> 5-HT(1D) (5-HT(1B))
  • dopamine -> D2 or D3 -> D2 or D3
  • noradrenaline -> alpha2 -> alpha2
  • receptors can only be found post-synaptically
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12
Q

Transporters

A
  • transmitter - reuptake site
  • dopamine - DAT (on dopamine neurons)
  • 5-HT - SERT (on 5-HT neurons)
  • NA - NET (on NA neurons)
  • glutamate - EAAT1 (mostly on astrocytes)
  • dopamine - vMAT2 (into vesicles)
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13
Q

Monoamine transporters

A
  • 12 TMDs
  • both ends intracellular
  • pump monamines in neuron
  • DA, NA, 5HT transporters
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14
Q

Acetylcholine (ACh)

A

– Abundant in basal forebrain, hippocampus
and striatum
– Termination – acetylcholinesterase (AChE)
– ACh excitatory neurotransmitter
• Nicotinic (ionotropic / fast)
• Muscarinic (G-protein coupled / slow)
– M1 excitatory (decreased M1 receptors in dementia)
– M2 presynaptic inhibition (inhibit Ach release)
– M3 excitatory glandular/smooth muscle effects (side effects)
– M4 and M5 function not well known
– Functions:
• Arousal
• Epilepsy (mutations of nAChR genes)
• Learning and memory (KO mice)
• Motor control (M receptors inhibit DA), pain, addiction
• Involved in schizophrenia, ADHD, depression, anxiety,
Alzheimers

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15
Q

Other transmitter/ modulator substances

A

• Histamine
– H1 (arousal) and H3 (presynaptic / constitutively active)
– Functions: sleep / wake, vomiting
• Purines
– Adenosine (A1, A2A/2B) and ATP (P2X)
– Functions: sleep, pain, neuroprotection, addiction, seizures, ischaemia, anticonvulsant
• Neuropeptides
– Opioid peptides (mu, delta, kappa)
– Tachykinins (Substance P, neurokinin A & neurokinin B)
• NK1 (Substance P), NK2 (neurokinin A), NK3 (neurokinin B)
– Functions: pain
• Lipid mediators
-Products of conversion of eicosanoids to
endocanabinoids
-act on CB1 (inhibit GABA, glutamate release)
- involved in vomiting (CB1 agonist block it, MS, pain,
anxiety, weight loss/rimonabant CB1 antogonist)
• Melatonin
-MT1, MT2 receptors
- involved in sleep regulation, circadian rhythmicity,
agonists for jet lag and insomnia

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16
Q

Opioid peptides and receptors

A

opioid peptide families -> opioid receptors

  • proopioimelanocortin (beta-endorphin) -> MOP (mu) and DOP (delta)
  • proenkephalin (enkephalins) -> DOP (delta)
  • prodynorphin (dynorphins) -> KOP (kappa)
  • pronociceptin (nociceptin/OFQ) -> NOP (ORL1)
17
Q

Drugs interacting with the diffuse system (psychostimulants: amphetamine)

A
  • Amphetamine-like drugs (methylphenidate & MDMA)
  • Release cytosolic monoamines (DA)
  • Prolonged use neurotoxic
    • Degeneration of amine-containing nerve terminals, cell death
  • Pharmacological effects:Pharmacological effects:
    • increased alertness and (increased aggression)
    • Euphoria / excitement
    • Stereotyped behaviour
    • Anorexia
    • decreased physical and mental fatigue (improves monotonous tasks)
    • Peripheral sympathomimetic actions (increased blood pressure & decreased gastric motility)
    • Confidence improves/lack of tiredness
  • Therapeutic uses
    • ADHD (methylphenidate), appetite suppressants, narcolepsy
18
Q

Cocaine

A
  • Blocks catecholamine reuptake (decreased DA, stimulant effect)
  • Pharmacological effects:
    • Euphoria
    • Locomotor stimulation (Fewer stereotyped behaviours than amphetamine)
    • Heightened pleasure (Lower tendency for delusions, hallucinations and paranoia)
  • Pharmacokinetics:
    • HCl salt, inhaled and i.v. administration (Nasal inhalation less intense, leads to necrosis of nasal mucosa)
    • Freebase form (‘crack’), smoked, as intense as i.v route
19
Q

Effects of drugs of abuse on other diffuse modulatory systems

A

MDMA (ecstasy):
- Inhibits monoamine transporters (mainly 5-HT)
• Large increased 5-HT (followed by depletion)
• increased 5-HT linked to psychotomimetic effects
• increased DA linked to euphoria (followed by rebound dysphoria)
LSD, Psylocybin:
• Hallucinogenic effect by acting on 5HT2 receptors
Psychostimulants:
• Also increase 5HT and NA
• Cocaine block DAT, NET, SER