Endogenous Monoamine Systems SEM2 Flashcards

1
Q

What are key monoamines in the CNS

A

Acetylcholine (ACh)
Dopamine (DA)
Noradrenaline (NA)
Serotonin

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2
Q

What are the major pathways where acetylcholine (ACh) is used in the brain

A

Nucleus basalis to cortex
Septal nucleus to hippocampus
In basal ganglia

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3
Q

What is the importance of the nucleus basalis to cortex pathway

A

Crucial for attention, learning and memory

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4
Q

What is the importance of the septal nucleus to hippocampus pathway

A

Important for memory formation and retrival

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5
Q

What is the importance of the basal ganglia pathway

A

Involved in motor control and cognitive functions

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6
Q

What is central acetylcholines relation to cognition

A

ACh enhances cognitive functions e.g attention and processing speed

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7
Q

Why is a result of inhibiting the breakdown of ACh

A

Increased processing speed because inhibiting the breakdown of ACh = more ACh present in synaptic cleft = ACh receptors are activated for longer duration of time

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8
Q

What are the main dopaminergic pathways in the brain

A

Nigrostriatal pathway
Mesocortical/mesolimbic pathway
Tuberohypophyseal pathway

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9
Q

What is the role of the nigrostriatal pathway

A

Regulates motor control

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10
Q

What is the role of the mesocortical/mesolimbic pathway

A

Mesocortical - influences cognitive function
Mesolimbic - role in reward, motivation and emotional behaviour

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11
Q

What is the role of the tuberohypophyseal pathway

A

Modulates hormone release at pituitary gland

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12
Q

What is amphetamine

A

Synthetic substance that promotes the release of neurotransmitters

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13
Q

what is the underlying cause in parkinsons disease

A

Degeneration of dopaminergic neurons in the nigrostriatal pathway -> causes motor symptoms e.g tremors

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14
Q

What is general treatment for parkinsons disease

A

L-DOPA is used to compensate for the reduced dopamine production

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15
Q

What is the role of L-DOPA

A

Used for its ability to convert into dopamine in the brain

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16
Q

What is the underlying cause of schizophrenia

A

Excess dopamine acitivity in the frontal cortext

17
Q

What is the general treatment for schizophrenia

A

Antipsychotic medication e.g chlorpromazine - targets D2 dopamine receptors as antagonist to reduce dopamine activity

18
Q

What does the noradrenergic pathways originate and course they follow

A

Pathway originates in the locus coeruleus (LC) neurons sent from LC to the hippocampus and cerebellum

19
Q

What are the noradrenergic pathways involved in

A

Involved in the regulation of attention, learning, memory and emotional responses

20
Q

What is another pathway which involves noradrenergic fibres

A

Reticular formation to spinal cord and hypothalamus pathway

21
Q

How do noradrenergic pathways play a role in arousal

A

the release of noradrenaline (NA) leads to heightened awareness - ‘fight or flight’ response

22
Q

How do noradrenergic pathways play a role in blood pressure regulation

A

The α2 agonist clonidine acts in brainstem to suppress the sympathetic pathways and reduce blood pressure - decreasing the release of noradrenaline (NA)

23
Q

What is the pathway of serotonergic innervations of the CNS

A

Raphe nuclei project

24
Q

What is the raphe nuclei project pathways course of transmission

A

Rostrally to cortext, hippocampus, basal ganglia, limbic system and hypothalamus

25
What is does the raphe nuclei project pathway regulate
Mood regulation Sleep-wake cycles Pain modulation
26
What are selective serotonin reuptake inhibitors (SSRIs) used for
Treatment of depression
27
What is the mechanism of SSRIs
SSRIs work by blocking re uptake of serotonin into presynaptic neurons -> increases amount of serotonin in synaptic cleft