central neurotransmitters Flashcards

1
Q

Synaptic Transmission

4 steps for synpatic transmission?

A
  1. An action potential arrives at the synaptic bouton
  2. Voltage gated calcium channels open
  3. ↑[Ca2+]i initiates vesicle fusion with the presynaptic membrane
  4. Neurotransmitter is released into the synapse, where it interacts with receptors
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2
Q

Synaptic receptors (2)

A

Ionotropic and metabotropic

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3
Q

Ionotropic receptors
type
speed

A

Ligand-gated ion channels

FAST synaptic transmission

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4
Q

Metabotrophic

type
speed

A

GPCRs - G-protein coupled receptors (mostly)

SLOW signal modulation

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5
Q

Synaptic termination

cleared by? (3)

A
  1. Neurotransmitter is cleared from the synapse
    i. Enzymatic breakdown
    ii. Re-uptake into
    presynaptic terminal
    iii. Diffusion away from
    synapse
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6
Q

overview of ap and propagation

how do ap travel?
why is signal transduction fast?
myelin sheaths in pns?cns?

rmp?
what is allowed to move out of the cell?
what happens with depolarisation?
what happens at peak of positivity?
how hyperolarised?
what returns its back to rmp?
what happens when ap gets to synaptic bouton?
effect? (2)
what is released?
A

• APs travel along an axon by jumping from node to node
• these nodes have many voltage gated Na+ and K+ channels which open and close as AP
propagates
• Signal transduction is very fast due to the insulation by myelin sheaths
• oligodendrocytes make up myelin sheaths in the CNS
• in the PNS, myelin sheaths are made by schwann cells

• A nerve cell is constantly at a resting membrane potential of -70mV
• K+ membrane channels allow K+ to move outside the cell making the inside of the cell
negative at a PD of -70mV
• as the cell is depolarized, Na+ voltage gated channels open and there is an influx of Na+
making the cell +ve
• at the peak of the positivity, voltage gated K+ channels open and K+ ions leave the cell thus
making the cell -ve in the inside
• excess of K+ exits the cell making it hyperpolarized
• Na+/K+ ATPase pumps then return the cell back to RMP
• At the synaptic bouton, the depolarization leads to
opening of voltage gated Ca2+ channels
• there is an influx of Ca2+ in to the cells
• this leads to an effective release of neurotransmitter
from the presynaptic membrane
• the NT vesicle gets signaled to fuse with the
presynaptic membrane, and release its contents
through exocytosis (neurotransmitter)
• the NT is released into the synapse where it acts on
receptors
• a protein called clathrin binds to the cell membrane
turning it into an endocytotic membrane thus allowing
reuse and recycling of neurotransmitter

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7
Q

Glutamate transmission and termination at synaptic cleft
amino acid transmitter

what converts what to glutamate? how does this enter vesicles?

what is eaat? where does this go? (2)
where are GinT transporters?

A

Glutaminase converts glutamine to glutamate which gets into vesicles via vGlut channels
Upon AP/activation, glutamate is released in synaptic cleft where it will act on glutamate receptors

EAAT is a glutamate transporter therefore will re-uptake either into neuron where it will be recycled into vesicles OR via an astrocyte it will be converted via glutamine synthase into glutamine and transported back into neuron via GinT transporter.

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8
Q

Why is too much glutamate bad?

A

can lead to hyper excitability hence cause exocytoxicity and eventually lead to cell death

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9
Q

effect of NMDA antagonist (4)

A
can be used to treat :
glutamate exitotoxicity
epilepsy
stroke
depression
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10
Q

Hypofunction of NMDA

A

can lead to schitzophrenia

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11
Q

summary of gluatamate

what is it?
receptors abundant where?
what are the 4 receptor subtypes?

NMDA receptors - 2 roles?

NMDA antagonists - 3 reasons

AMPA modulators (AMPAkines)/colocalisation with NMDA - why?

A

Main excitatory transmitter
Receptors abundant in cortex, basal ganglia, sensory pathways
Four main receptor subtypes
NMDA, AMPA & Kainate (ionotropic) Q. fast or slow?
Metabotropic (G-protein coupled) / modulatory 8 subtypes
(antagonists: potential for PD, addiction, epipepsy)

NMDA receptors (pre- and post synaptic)
Role in synaptic plasticity (hippocampus)
Role in memory, stroke

NMDA antagonists
Epilepsy (lamotrigine)
Stroke – neuronal damage caused by excess glutamate
Schizophrenia, drug abuse

AMPA modulators (AMPAkines)/colocalisation with NMDA
Cognitive enhancement
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12
Q

Glutamate/NMDA/glycine

A

NMDA colocalised with AMPA receptors. Highly permeable to Ca2+ but at resting potential channel blocked with Mg2+, only when cell is depolarised (e.g. activation of AMPA receptor) Mg2+ moves out and allows Ca2+ to flow in. Also needs glycine to bind (glycine thought of as an inhibitory transmitter) therefore glycine antagonists can inhibit glutamate action. Some anaesthetics (ketamine) and psychotomimetics (phencyclidine) block the NMDA channel. Glycine site may be important as may have fewer side effects – results from clinical trials so far have not been conclusive

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13
Q

what is GABA?

speed?
what does it do? where?
highest density where?

A
Y-aminobutyric acid (GABA)
Amino acid transmitter
Main inhibitory transmitter in CNS (fast transmitter)
Mostly via inhibitory interneurons
Highest density in nigrostriatal system
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14
Q

which conditions is GABA important for? (2)

A

anxiety and insomnia due to reduced GABA

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15
Q

How is GABA synthesised and deactivated?

synthesised from? via?

deactivated - (2)

A

GABA synthesised from glutamate
Glutamic acid decarboxylase GAD

Deactivation
Re-upatake via GABA receptor
GABA transaminase (GABA-T) will break it down once in neuron/astrocyte

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16
Q

Drug to increase GABA (2)

A

GABA transaminase inhibitor

GABA reuptake inhibitor

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17
Q

GABAa and GABAb

GABAa receptor?
speed? 
increase this effect? 
drug that open this channel (2)
inhibit GABA transaminase drug?

GABAb receptor? effect?

A

GABAA receptor – ligand gated Cl- channel
Fast postsynaptic inhibition
Drugs that ncrease GABA or activate of GABAA receptors are used for management of epilepsy (antiepileptic)
Benzodiazepines, barbiturates – facilitate channel opening
Vigabatrin – inhibits GABA transaminase

GABAB receptor (dimer) – G-protein coupled (inhibit Ca++, AC, open K+, inhibit NT release)
Baclofen GABAB activation (inhibit glut, opioid, GABA release)
Baclofen – antispastic effect, drug addiction? (alchohol)
g hydroxybutyrate (GHB): partial agonist of GABAb

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18
Q

What condtions do BZD treat? (4)

A

treat seizures, anxiety, insomnia and epilepsy

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19
Q

common principles of the Diffuse Modulatory Systems of the Brain

4 key fetaures

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
20
Q

what are the 4 main systems of Diffuse Modulatory Systems of the Brain

A

Four main systems:
Noradrenergic Locus Coeruleus
Serotonergic Raphe Nuclei
Dopaminergic Substantia Nigra and Ventral tegmental Area
Cholinergic Basal Forebrain and Brain Stem Complexes

21
Q

Monoamines: Noradrenaline (NA)

main one in which region?

hypothalamus regulates what? (5)

thalamus - what is it?

Locus coeruleus - na in this region does what?

A

Cell bodies for NAergic neurons – main one in LC (Locus Coeruleus) – gives rise to millions of NAergic nerve terminals throughout the cortex, hippocampus and cerebellum. Release transmitter diffusely (i.e. like an aerosol)

Hypothalamus – hormones, sleep, body temperature, endocrine and autonomic controller)

Thalamus – main relay station for most information going into the brain

Locus coeruleus –known as ‘blue spot’ because of pigmentation. NA in this region makes brain more responsive, increases information processing – LC involved in attention, arousal, anxiety, sleep/wake.

Neurons most active when novel stimuli presented (when animal is vigilant). Low arousal associated with low NA e.g. depressed patients.
Temporal lobe = deep within the temporal lobe = amygdala

22
Q

Noradrenaline involved in (5)

A
Arousal
Wakefullness
Exploration and mood                              
(low NA in depressed)
Blood pressure 
Addiction/gambling
23
Q

Synthesis of catecholamines

pathway with enzymes

A
Tyrosine (tyrosine hydroxylase)
Dopa (dopa decarboxylase)
Dopamine ( dopamine B hydroxylase)
Noradrenaline (pheny....)
adrenaline
24
Q

Regulation of NA

post synaptic?
pre synaptic? negtaive feedback? Mao?

A

Post-synaptic
Carry on the message

Pre-synaptic (autoreceptors)
Usually inhibitory - a2 receptors
Negative feedback mechanism
MAO enzyme breaks down NA when it is re-uptaken

25
Q

Na regulation drugs

resrpine effect?
amphetamine effect?
cocaine effect?

A

Reserpine-depletes NA stores by inhibiting vesicular uptake
Amphetamine (indirect sympathomimetic)-enters vesicles displacing NA into cytoplasm, increa NA leakage out of neuron
Cocaine-blocks NA re-uptake

26
Q

Drugs to increase NA (3)

A

a2 antagonists
Na Uptake inhibitors
MAO inhibitors

27
Q

Monoamines: Dopamine (DA)

where?

involved in (4)

diseases (5)

What does dopamine inhibit?
how are d1 and d2 receptors split?
where are d1 an d2 receptors?
where is d3?
where is d4?

how to terminate?

A

Dopaminergic Substantia Nigra and Ventral tegmental Area

Involved in:
Movement
Reward
Inhibition of prolactin release
Memory consolidation
Parkinson’s Disease
Schizophrenia
Addiction
Emesis
ADHD

Dopamine (DA)
Inhibits central neurons (K+ channels)
D1 (D1 & D5) and D2 (D2, D3, D4) receptors
D1 and D2 receptors in striatum, limbic system, thalamus & hypothalamus
D3 receptors in limbic system NOT striatum
D4 receptors in cortex & limbic system

Termination: MAO, neuronal uptake

28
Q

Dopamine - main pathways and functions/disorders

mina pathway - parkinson’s? schizophrenia?

function/disorders? (5)

A

Main pathways
Substantia nigra to basal ganglia (Parkinson’s disease)
Midbrain to limbic cortex (schizophrenia)

Functions / disorders
Movement, addiction, stereotypy, hormone release, vomiting

29
Q

dopamine receptors

what kind of receptors?

presynaptic?
post synaptic?

A

dopamine has only metabotropic receptors
D2 - pre synaptic
D1, D2 - post synaptic

30
Q

dopamine syntheis + termination

synthesis? what enters? what converts it?

autoregulation via what?
what enzyme breaks it down?

A

L-dopa enters cell
dopa decarboxylase converts to dopamine
dopamine will be released

Termination but auto-regulation via D2 receptors and MAOb enzyme breaks it down to metabolites

31
Q

serotonin (5-HT) distribution

resembles that of?
where?

A

Distribution of 5-HT neurons resembles that of NA.

Cell bodies are grouped in the pons and upper medulla, close to the midline (raphe) and are often referred to as raphe nuclei. Projections to the cortex, hippocampus, basal ganglia, limbic system and hypothalamus and the cerebellum, medulla and spinal cord.

32
Q

serotonin functions + disorders (6)

A

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

33
Q

serotonin receptors

what receptors?

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, limbic system & cortex
5-HT3 excitatory, medulla – vomiting
5-HT4 presynaptic facilitation (ACh) – cognitive enhancement
5-HT6 and 5-HT7 – novel targets, cognition, sleep

34
Q

serotonin synthesis + termination

how does it terminate? (2)
auto regulation via what?

A

5-HT released
terminate via 5-HT transporters re-uptaking it and MAO enzyme breaking it down
5HT1d auto regulation

35
Q

Autoreceptors

5-HT, dopamine, Na - cell body? terminal?

A

inhibit cell firing and transmitter release at the terminal regions
transmitter cell body terminal
5-HT 5-HT1A 5-HT1D (5-HT1B)
dopamine D2 or D3 D2 or D3
noradrenaline α2 α2

36
Q

Transporters usually take the neurotransmitter back up into the pre-synaptic terminal

dopamine
5-HT	       
NA	                
glutamate	
dopamine	

reuptake site?

A
transmitter	Reuptake site
dopamine	DAT (on dopamine neurons)
5-HT	        SERT (on 5-HT neurons)
NA	                NET (on noradrenaline neurons)
glutamate	EAAT1 (mostly on astrocytes)
dopamine	vMAT2 (into vesicles)
37
Q

ach pathways

A

Two main diffuse modulatory cholinergic systems – basal forebrain complex / septohippocampal pathway and nucleus basalis (cognitive function / Alzheimer’s disease) and motor control (striatal)

38
Q

Ach receptors, termination

Ach abundant where? (3)

terminate how?

different receptors?

A

Acetylcholine (ACh)
Abundant in basal forebrain, hippocampus and striatum

Termination – acetylcholinesterase (AChE)

ACh excitatory neurotransmitter

Nicotinic (ionotropic / fast)
Muscarinic (G-protein coupled / slow)
M1 excitatory ( 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

39
Q

Ach function (5)

A

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

40
Q

Other Transmitter / Modulator Substances

histamine - receptor and fucntions?

purines - example and functions?

opiod peptides - functions?

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
u, o, k
Functions: pain

41
Q

Neuropeptides that control the pituitary (5)

A
CRH
TRH
GnRH
GHRH
Somatostatin
42
Q

Peptide Synthesis is a complex process

synthesised where? transported to?
derived from?

A

These are large protein neurotransmitters
• They are synthesized in the cell body and then transported into the nerve terminals

derived from genes and then transcribed nd translated to proteins

43
Q

Opioid peptides and opioid receptors ( 4 families?)

A
4 families
B-endrophin to MOP and DOP
enkephalins to DOP
dynorphins to KOP
nociceptin to NOP
44
Q

Other Transmitter / Modulator Substances

A

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)
45
Q

recap of everything

A

RECAP

GABA is a major inhibitory NT in CNS, some long projecting pathways, many short interneurons. GABA-A and GABA-B receptors. Action is terminated by re-uptake.
Benzodiazepines are clinically important modulators at GABAA receptors (e.g. against anxiety). Baclofen, a GABAB agonist used to treat muscle spasticity.

DA has 3 major pathways, its action is terminated by reuptake, there are 5 receptor sub-types (D1-D5). Implicated in PD/schizophrenia/drug abuse. DA agonists are used in PD (D1/D2), DA antagonists used in Sz (D2)

Excitatory amino acids include glutamate and aspartate. These are major excitatory NTs in CNS. High synaptic concentrations are associated with neurotoxicity, implicated in ischaemic damage, stroke and epilepsy. Action is terminated by re-uptake. There are no agonists/antagonists in clinical use.

Ach has both excitatory (mostly) and inhibitory effects. There are well documented pathways, there are nicotinic and muscarinic receptors. They are involved in arousal and memory. Ach neurones degenerate in Alzheimer’s disease. Inhibitors of aceytlcholinesterases used in treatment of Alzheimer’s disease.