Neurotransmitters, receptors and pathways Flashcards

(41 cards)

1
Q

What does this 2S-3R-2D (SSRRRDD) system stand for?

A
  • Synthesis
  • Storage
  • Release
  • Receptors
  • Reuptake
  • Degradation
  • Drugs and Disease
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2
Q

What are the 3 components of a synapse?

A
  • Presynaptic terminal: synthesis, storage, re-uptake, degradation
  • Synaptic cleft: Release of NT
  • Postsynaptic region: ionotropic/metabotropic receptors
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3
Q

What are the characteristics of Glutamate?

A
  • Amino acid
  • Widely distributed in CNS (Occurs in 70% of all synapses)
  • Very little presence in the PNS
  • Ubiquitous excitatory NT in the CNS
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4
Q

How is Glutamate synthesised?

A

Glutamate (SSRRRDD: Synthesis)

  • In glial cells: α-Oxoglutarate is converted into Glu by GABA Transaminase
  • In neurons: Glutamine is converted into Glu by Glutaminase
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5
Q

How is Glutamate stored in the presynaptic terminal?

A

Glutamate (SSRRRDD: Storage)

Glu is transported by 3 vesicular glutamate transporters (vGluT) into vesicles - vGluT1, vGluT2, vGluT3
vGluT brings Glu into the vesicle
- for Glu to get in: H+ ions are pumped out -> ensuring high concentration of Glu in the vesicle
- H+ is brought in the vesicle by a proton pump which converts ATP-ADP energy into high concentration of H+ which can be exchanged for Glu NT

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6
Q

How are the Glutamate NTs released in the synaptic cleft?

A

Glutamate (SSRRRDD: Release)

> Glu NTs are released by the nerve terminal at the axon terminal bouton
> Ca2+ dependent process: provokes exocytosis of vesicle content

  • Ca2+ required to move and fuse vesicles with the membrane to allow NTs into synaptic cleft
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7
Q

What are the Glutamate receptors?

A

Glutamate (SSRRRDD: Receptors)

> Ionotropic receptors iGluR: ion channels activated by Glu

  • NMDA: allow in Na+ / Ca2+ (significantly)
  • AMPA/kainate: allow in Na+
  • these let out a bit of K+

> Metabotropic receptors mGluR: G-protein coupled receptors, class C

  • Group 1: mGluR1 and mGluR5
  • Group 2: mGluR2 and mGluR3
  • Group 3: mGluR4 and mGluR6-8
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8
Q

What is the process of Glutamate reuptake?

A

Glutamate (SSRRRDD: Reuptake)

Excitatory Amino Acid Transporter (EAAT) regulate this recycling process into the presynaptic neuron or glial cell (e.g. astrocyte)

> EAAT takes Glu back into presynaptic terminal, where its recycled into vesicles and reused
or
> EAAT takes Glu into the astrocyte, where its converted into glutamine by glutamine synthase
- Glu can be transported out of the astrocyte by a glutamine transporter (GlnT) back into the presynaptic terminal
- once into the presynaptic terminal: glutamine is again synthesised into Glu by glutaminase

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9
Q

What is the degradation process of Glutamate?

A

Glutamate (SSRRRDD: Degradation)

Glu is quickly removed from synaptic cleft by EAAT (Excitatory Amino Acid Transporter) into presynaptic neurons for recycling, or into astrocytes
> In astrocytes Glu is converted to glutamine by glutamine synthase
> Glutamine is transferred to the presynaptic neuron where it is converted back to Glu by glutaminase to be reused

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10
Q

What are the drugs related to Glutamate?

A

Glutamate (SSRRRDD: Drugs & Diseases)

> For NMDARs (transferring Na+ and Ca2+)

  • Ketamine: dissociative anaesthetic and channel blocker
  • Memantine: competitive antagonist

> For AMPAR/kainateR (transferring Na2+)
- Perampanel: competitive antagonist

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11
Q

What are the diseases related to Glutamate?

A

Glutamate (SSRRRDD: Drugs & Diseases)

  • Recreational use of drugs (PCP, ketamine etc)
  • Epilepsy is associated with the glutamatergic system (controls brain excitability)
  • Glu is critical to all CNS functions
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12
Q

What are the characteristics of GABA?

A
  • Amino acid
  • Widely distributed in the CNS (30% of all synapses)
  • Very little in the PNS
  • Ubiquitous inhibitory NT in the CNS
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13
Q

How is GABA synthesised?

A

GABA (SSRRRDD: Synthesis)

  • Glutamate -> Glutamic Acid Decarboxylase (GAD) -> GABA
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14
Q

How is GABA stored in the presynatpic terminal?

A

GABA (SSRRRDD: Storage)

  • Vesicular storage by vesicular GABA transporter (vGABAT)
  • vGABAT brings GABA in the vesicle
  • H+ ions are pumped out for GABA to get in
  • H+ is brought in the vesicle by a proton pump which converts ATP-ADP energy into high concentration of H+ which can be exchanged for GABA NT
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15
Q

How is GABA released in the synaptic cleft?

A

GABA (SSRRRDD: Release)

Ca2+ dependent vesicular release (like Glu) and mainly occurs at the axon terminal bouton

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16
Q

What are the GABA receptors?

A

GABA (SSRRRDD: Receptors)

  • Ionotropic receptors
  • GABA-A: allows in Cl-
  • Metabotropic receptors
  • GABA-B coupled to G-proteins Gi and Go
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17
Q

What is the process of GABA reuptake?

A

GABA (SSRRRDD: Reuptake)

  • GAT1 - neuronal GABA transporter - takes GABA NT back into presynaptic neuron
  • GAT3 - glial GABA transporter - takes GABA NT back into glial cells, particularly astrocytes
18
Q

What is the GABA degradation process?

A

GABA (SSRRRDD: Degragation)

By an enzyme: GABA transaminase

  • occurs mostly in glial cells (e.g. astrocytes)
  • ⍺-Oxoglutarate converted to Glutamate; GABA converted into succinct semialdehyde
19
Q

What are the drugs related to GABA-A receptors?

A

GABA (SSRRRDD: Drugs & Diseases)

GABA-A (Ionotropic receptors)

  • Clinically useful:
  • benzodiazepines
  • ethanol
  • anaesthetics
  • barbiturates: sedative
  • Not used clinically:
  • Muscimol: agonist activating the receptor
  • Bicuculine: competitive antagonist
  • Picrotoxin - GABA-A receptor channel blocker
20
Q

What are the drugs related to GABA-B receptors?

A

GABA (SSRRRDD: Drugs & Diseases)

GABA-D (Metabotropic receptors)

  • Baclofen: agonist
  • Saclofen: competitive antagonist
  • Tiagabine: interferes with re-uptake by blocking GAT (GABA transporter)
  • Vigabatrine: blocks GABA transaminase (degradation)
21
Q

What are the diseases related to GABA?

A

GABA (SSRRRDD: Drugs & Diseases)

  • Epilepsy
  • Anxiety
  • Insomnia
    are all associated with GABA

GABA’s major function in the CNS associated with the brain inhibitory actions

22
Q

What are the characteristics of dopamine?

A
  • Monoamine, located in a specific areas of the CNS
  • 4 pathways
  • Mesolimbic (associated with Schizophrenia): VTA (ventral tegmental area) to midbrain
  • Mesocortical: VTA to PFC
  • Nigrostriatal pathway (associated with Parkinson’s): substantia nigra to midbrain
  • Tuberoinfundibular: hypothalamus to brain stem
23
Q

How is dopamine synthesised?

A

Dopamine (SSRRRDD: Synthesis)

  • Tyrosine (diet) is converted into DOPA by Tyrosine hydrixylase
  • DOPA is converted into Dopamine by Dopa decarboxylase
24
Q

How is dopamine stored in the presynaptic terminal?

A

Dopamine (SSRRRDD: Storage)

  • Vesicular storage by vesicular monoamine transporter (VMAT)
  • VMAT1 or VTMAT2 (cell type specific) brings dopamine into vesicle
  • H+ ions are pumped out for DA to get in
  • H+ is brought in the vesicle by a proton pump which converts ATP-ADP energy into high concentration of H+ which can be exchanged for DA NT
25
Why are vesicles acidic?
Because they have proton pumps.
26
What is the process of dopamine release?
Dopamine (SS**R**RRDD: Release) 1. Ca2+ dependent vesicular release mainly occurs at the axon terminal bouton OR 2. 'en passant' manner: - small release sites located along the axon - dopamine can be released at all these points
27
What are the dopamine receptors?
Dopamine (SSR**R**RDD: Receptors) Only Metabotropic receptors - all G-protein coupled, class A - D1 and D5 coupled to Gs - D2, D3 and D4 coupled to Go/Gi No ligand-gated ion channels (no ionotropic receptors)
28
What is the dopamine reuptake process?
Dopamine (SSRR**R**DD: Reuptake) * DA transported back into presynaptic neuron by dopamine active transporter (DAT) AND co-transported by Cl- and 2Na+ (1 chloride ion and 2 sodium ions)
29
What is the dopamine degradation process?
Dopamine (SSRRR**D**D: Degradation) * Several biochemical pathways that lead to the breakdown of DA * Monamine oxydase (MAO) and COMT (catechol-O-methytransferase) convert dopamine into Homovanillic acid
30
What are the drugs related to dopamine?
Dopamine (SSRRRD**D**: Drugs & Diseases) * DA synthesis: Levodopa: precursor of DA -\> increase of DA ; for Parkinson's disease * DA storage: Reserpine and Methamphetamine block VMAT * DA release: Amantadine * DA receptors: - full agonist: DA itself, apomorphine, bromocriptine - competitive antagonists: haloperidol, chlorpromazine * DA reuptake: cocaine, bupropion, methylphenidate (Ritalin) * DA degradation: - MAO inhibitors: phenelzineu, selegine (MAO-B) - COMT inhibitors: entacapone, tolcapone - both adjacents with L-Dopa - can be used for Parkinson's
31
What are the diseases related to dopamine? c
Dopamine (SSRRRD**D**: Drugs & Diseases) * Parkinson's, Schizophrenia, Hormonal disturbances, Drug dependance * Dopamine is involved in motor control and pituitary control, and may be involved in reward system and thoughts
32
What are the characteristics of 5-HT?
* 5-HT is also called serotonin * Monoamine * Present in enteric nervous system (gastrointestinal control - part of the PNS) at 80% * 5-HT platelet system
33
What are platelets?
Smallest blood cells involved in regulation of hemostasis and thrombosis.
34
How is 5-HT synthesised?
5-HT (**S**SRRRDD: Synthesis) * Tryptophan (diet) is converted into 5-hydroxytryptophan by Tryptophan hydroxylase * 5-hydroxytryptophan is converted into 5-hydroxytryptamine (5-HT) by Dopa decarboxylase
35
How is 5-HT stored in the presynaptic terminal?
5-HT (S**S**RRRDD: Storage) * Vesicular storage by vesicular monoamine transporter (VMAT) * VMAT1 or VTMAT2 (cell type specific) brings 5-HT into vesicle while ejecting H+ ions - H+ is brought in the vesicle by a proton pump which converts ATP-ADP energy into high concentration of H+ which can be exchanged for 5-HT NT
36
What is the 5-HT release process?
5-HT (SS**R**RRDD: Release) * Ca2+ dependent release mainly occurs at the axon terminal bouton * 5-HT is **co-released** with neuropeptides, e.g. somatostatin or substance P
37
What are the 5-HT receptors?
5-HT (SSR**R**RDD: Receptors) * Ionotropic receptor: 5-HT\_3 - the only 5-HT ligand-gated ion channel - mixed cation channel: allows Na+ and Ca2+ into cell and K+ out * Metabotropic receptors: G-protein coupled - presynaptic: 5-HT1A, 1B, 1D, 1E, 1F - postsynaptic: 5-HT2A, 2C
38
What is the 5-HT reuptake process?
5-HT (SSRR**R**DD: Reuptake) Transported back into presynaptic terminal by serotonin transporter (SERT) - co-transported by Cl- and 2Na+
39
What is the 5-HT degradation process?
5-HT (SSRRR**D**D: Degradation) * 5-HT(hydroxytryptamine) is broken down by MAO into 5-hydroxyindolealdehyde * 5-hydroxyindoleadehyde is broken down by Aldehyde hydrogenase into 5-HIAA (hydroxyindoleacetic acid) - common metabolite that monitors 5-HT
40
What are the drugs related to 5-HT?
5-HT (SSRRRD**D**: Drug & Diseases) * 5-HT synthesis: p-chloropenylalanine (TH inhibitor), L-trytophan (precursor): used in depression * 5-HT storage: tetrabenazine * 5-HT release: MDMA * 5-HT receptors: - full agonist: 5-HT itself, sumatriptan (5-HT1D) used for migraines - partial agonist: buspirone (5-HT1A) - competitive antagonists: ondansetron (5-HT3), ketanserin (5-HT2A) * 5-HT reuptake: - SSRIs: e.g. citalopram - TCAs: e.g. imipramine - amphetamine (MDMA) * 5-HT degradation: - MAOI (phenelzine)
41
What are the disease related to 5-HT?
\> Depression \> Anxiety \> Hallucinations \> 5-HT helps regulates mood, sleep/wake cycle and appetite