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Flashcards in Basic CNS Biochemistry Deck (42):
1

What are the differences between a small-molecule transmitter and a peptide transmitter? 

- Both transport mechanisms require ATP 

- Small nucleotide neurotransmitters generally mediate fast synaptic signalling.

- Neuropeptides (composed of 3-36 amino acids) mediate slower synaptic signalling, modify ongoing synaptic function.

 

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2

What are the major classes of neurotransmitters. 

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3

What are co-transmitters and what is the signiciance of high-frequency synaptic stimulation?

Noradrenaline/Acetylcholine - released at higher frequences.

 

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4

Why are there so many different transmitters & receptors?

Allows differential release from lots of different chemical inputs. 

This can qualitatively alter the post-synaptic signals. 

Release of co-transmitters can modulate the post-synaptic responses. 

5

What is the difference between small clear-core vesicles and dense-core vesicles? 

Small clear core vesicles - low molecular weight neurotransmitter. 

Dense-core vesicles - bioamines and neuropeptides. 

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6

What are the criteria for a chemical messenger to be a neurotransmitter? 

1. Chemical must be synthesised or present in neuron.

2. When released, chemical must produce response in target cell.

3. Same response must be obtained when chemical is experimentally placed on target. 

4. There must be a mechanism for removal after chemica's work is done.

5. Specific receptors for the subtance must be present on the postsynaptic cell. 

7

What are neurochemistry techniques for identifying neurotransmitters? 

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8

What does '...ergic' neurotransmitter mean? 

Although neurons can contain more than one type of neurotransmitter, neurons are still classified according to the main neurotransmitter present using the 'ergic' suffix e.g. 

- Cholinergic neurons (contain acetylcholine).

- Glutamatergic neurons (contain glutamate).

- GABAergic neurons (contain GABA).

- Catecholaminergic neurons (contain noradrenaline/adrenaline/dopamine)

- Serotonergic neurons (contain serotonin/5-HT)

- Peptidergic neurons (contain peptides).

9

What is an Ionotropic receptor? 

The receptor itself incorporates an ion channel, the gating of which is allosterically regulated by agonist binding to the receptor.

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10

What are metabotropic receptors? 

The receptor signals via intracellular intermediates to effect a change in ion channel gating, cell excitability, metabolic state or gene expression.

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11

What is the significance of Otto Loewi's 1921 experiment? 

 

He had two hearts in two organ baths

In the first organ bath he had a heart with vagus nerve intact

He allowed the heart to beat in physiological solution

When he stimulated the vagus nerve, it slowed the heart-beat down

And eventually that wore off and the heart rate came back to normal.

 

BUT

 

He transferred the perfusae to the second heart solution

The second heart also slowed down

And the heart rate decreased again

 

So obviously vagus nerve releases some materials. This was later identified as acetylcholine. He won the nobel prize in 1936. 

12

What role does acetylcholine play in the PNS and the CNS? 

- Acetylcholine is a neurotransmitter at the neuromuscular junction.

- Part of the autonomic nervous system.

In the CNS, acetylcholine plays a role in:

- Learning and memory

- Sleep

- Arousal

- Aggression

- Biorhythms

- Thermoregulation

- Sexual behaviour. 

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13

What results in loss of cholinergic (acetylcholine) neurons in the basal forebrain?

- Death of cholinergic (acetylcholine) neurons of the basal forebrain, which project to the cortex and hippocampus, leads to Alzheiemr's disease. 

- Cholinergic neurons are also involved in keeping the body alert and awake. 

- Acetylcholine is a critical neurotransmitter used in forming memories and in learning. 

- Acetylcholine is found in neurons of the hippocampus and cerebral cortex, regions devastated by Alzheimer's. 

- Generally, as we get older, we produce less cholinergic neurotransmitters. 

14

How is acetylcholine synthesised? 

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15

How is acetylcholine broken down? 

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16

What drugs prevent the breakdown of Acetylcholine?

- Donepezil (Alzheimer's disease).

- Nesostigmine & Pysiostigmine = used to treat myasthenia gravis, glaucoma and smooth muscle dysfunction.

17

What are the cholinergic receptor subtypes? 

- Named after alkaloids used in their identification: Muscarine & Nicotine.

Nicotinic receptors found in neuromuscular junctions (NMJs), autonomic ganglia, adrenal medulla & CNS. 

- Two types: 

- Nicotinic Nn postganglionic neurons & some presynaptic cholinergic terminals.

- Nicotinic Nm skeletal motor endplates

- Muscarinic receptors found in peripheral tissues, ANS & CNS. 

5 subtypes:

M1, M2, M3 M4 & M5

M1 & M3 , M5 couples to G-protein/PLC

M2 & M4 coupled to Gi / open K+ ion channels.

compounds such as Curare & Atropine can block nicotinic and muscarinic receptors. 

- Stops acetylcholine from binding to it. 

 

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18

How is glutamate synthesised? 

- Glutamate is one of the most important neurotransmitters for normal brain function. 

- Glutamate is an amino acid. 

- Nearly all excitatory neurons in the CNS are glutamatergic. 

- Half of the brain synapses use glutamate. 

- Many brain pathologies are due to too much glutamate which at high extracellular concentrations will kill neurons. 

How glutamate is made:

Glutamate which is released into the synaptic cleft is removed by glutamate transporters (reuptake) which are located on the presynaptic terminal and on glial cells.

Glutamine is converted back to glutamate via glutaminase. 

- It is thought that a lack of glutamate transporters or dysfunction can lead to motor neuron disease, epilepsy, Alzheimer's. 

 

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19

What are the three main subtypes of glutamate receptors? 

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20

How does glutamate act upon AMPA and NMDA receptors? 

Remember: Too much calcium can kill the cell.

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21

What is GABA? 

- GABA is an inhibitory neurotransmitter. 

- Glutamate is converted by glutamaic-acid-decarboxylase into GABA. Therefore, a precursor of GABA is glutamate

- Can be Glycine as well.

- GABAergic neurons are widely distributed around the brain. 

- The precursor for GABA is glutamate. Glutamic acid decarboxylase (GAD) converts glutamate to GABA. 

- Transporters located on the presynaptic terminal and on glial cells uptake GABA and glycine to remove it from the synaptic cleft. 

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22

How does valium work? 

Valium (diazepam) interacts with the GABA receptor to increase the influx of negative charged chloride ions (CI-) into the neuron.

This hyperpolarises the neuron i.e. causes an inhibition. 

Diazepam is an anxiolytic drug. 

23

What happens in epilepsy with respect to GABA? 

- In epilepsy there is uncontrolled excitation in the brain. 

- Imbalance between excitatory and inhibitory neurotransmitters. 

- Can use diazepam to treat epilepsy. This enhances the inhibition caused by GABA. 

- Also sodium valporate which increases GABA content of the brain.

24

What are the glycinergic pathways? 

- Serine is converted to glycine.

- Most of the glycine synthesised in CNS is derived from glucose via serine. 

- Ionotropic receptor, ligand-gated ion channel. It is an inhibitory transmitter.

- Glycine receptors are linked to Cl- ion channels.

- Major spinal cord inhibitory transmitter Glycine acts mainly in the brain stem and spinal cord; associated with brain stem nuclei involved in general motor and somatosensory organs.

- Inherited defecits in glycine receptor channels implied in Hyperekplexia.

- Receptors blocked by strychnine, a potent convulsant. Pharmacology of glycine receptors still remains limited.  

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25

What is the role of glycine on motor neurons in the spinal cord? 

- Glycine being released by Renshaw cell to inhibit the release of skeletal muscle. 

- So if we lack this then you can see we are going to get more muscle contraction. 

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26

What are the biogenic amines? 

- Catecholamines (noradrenaline, adrenaline, dopamine)

 

- Serotonin

27

How is dopamine and Noradrenaline and Adrenaline made? 

Catecholamines (dopamine, noradrenaline, adrenaline) all contain the catechol group.

- All catecholaminergic neurons contains tyrosine hydroxylase which converts tyrosine to L-dopa. 

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28

How are catecholamines inactivated? 

1. Uptake (neuronal membrane, extraneuronal tissues).

2. Enzymatic breakdown

- Catecholamines metabolised by oxidation and methylation

- Oxidation: MAO

2 Isozymes MAOa and MAOb:

- MAOa preferentially oxidises serotonin and noradrenaline.

- MAOb oxidises dopamine.

- MAOs are widely distribtued at nerve endings.

COMT-extraneural widely distributed in liver, kidneys & smooth muscle. 

3. Diffiusion away from receptor. 

29

How is dopamine synthesised? 

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30

What dopamine systems are there in the brain?

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31

How many dopamine receptors are there? 

About 300,000 - 400,000

- Classified as D1 or D2 like receptors.

- D1 include D1 & D5 receptors which are positively coupled to adenylate cyclase via Gs protein.

- D2-like include D2, D3 & D4 receptors which are negatively coupled to adenylate cyclase via Gi protein.

 

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32

What are the clinical and pathological hallmarks of parkinson's disease? 

- Clinical characteristics (TRAP): Tremor of hands, Rigidity of Muscles, Akinesia (impaired initiation of movement), Postural problems. 

Epidemiology: 1 in 500 cases worldwide. Peak onset 60 years old. 

Cause: not known.

Neuropathology: degeneration of neurons in substantia nigra that project to striatum. Decrease in dopamine availability. 

Treatment: L-dopa, a precursor of dopamine. This boosts dopamine levels in substantia nigra neurons still alive. Side effects: e.g. reduction of effect of L-dopa, schizophrenia-like symptoms. 

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33

What differences are there in the substantia nigra of someone with or without parkinsons? 

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34

How is noradrenaline created? 

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35

How is noradrenaline degraded? 

- 2 routes using MAO and COMT resulting in VMA (Vanillylmandelic acid) and MHPG (3-methoxy-4-hydroxy-phenylglycol). 

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36

In the PNS noradrenaline is released by sympathetic postganglionic fibres. In the CNS, where is Noradrenaline released? 

- From the noradrenergic system. 

- One source of CNS noradrenergic neurons is the locus coeruleus which has projections to various parts of the brain.

- Plays a role in sleep/wakefulness, attention and feeding behaviour. 

A decrease in noradrenaline activity is thought to be related to depression.

- Increases in noradrenaline activity are related to mania (overexcited behaviour). 

37

How does the serotonergic system work? 

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38

Where is 5-HT stored? 

- 5-HT is stored in presynaptic vesicles by same monoamine transporter protein (VMAT) for catehcholamines.

- reuptake into presynaptic neuron terminates its actions.

- reuptake mediated by Serotonin transporter (SERT) & reconcentrated into vesicles by VMAT. 

- Many drugs inhibit SERT - so called SSRIs. 

 

Many types of 5-HT receptors.

- Most are metabotropic but 5-HT3 is ionotropic. 

39

How can drugs interfere with 5-HT receptors? 

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40

How is 5-HT broken down? 

- It is broken down by MAO and oxidised to 5-hydroxyinadolecetiuc acid (5-HIAA). 

- In pineal gland 5-HT is further metabolised to melatonin. 

41

What are the four neuromodulator systems of the brain? 

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42

What is Substance P? 

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