Week 22 Flashcards
What are the main groups of neurotransmitters?
Acetylcholine
Biogenic amine
Amino acids
Peptides
When was acetylcholine discovered?
1912
How is acetylcholine synthesised? How is it broken down?
Synthesis:
Acetyl coA + Choline –> (by choline acetyl transferase) Acetylcholine
Breakdown:
Acetylcholine –> (by Acetylcholinesterase) Acetate + choline
Acetylcholine binds to receptors on postsynaptic neurons. What are the two main types of Acetylcholine receptors?
Nicotinic (neuromuscular junction, brain, autonomic nerves)
Muscarinic (smooth muscle, exocrine glands, brain))
What is a neuromuscular junction also known as?
Motor end plate
Nicotinic receptor agonists and antagonist?
Agonist: Nicotine (tobacco) - stimulatory
Antagonist: Curare - paralysis + poison
Muscarinic receptor agonists and antagonist?
Agonist: Muscarine (toadstool)
Antagonist: Atropine (deadly nightshade)
What is Alzheimer’s disease? What neuropathological changes occur?
First described by Dr. Alois Alzheimer it is the Progressive onset of dementia, including problems with memory
Neuropathological changes include loss of brain weight, enlargement of ventricles, numerous senile plaques and neurofibrillary tangles (NFTs) in the brain
Acetylcholine is important for memory and attention. What neurons die early in Alzheimer’s disease?
Cholinergic neurons
(Hence why drugs aim to boost acetylcholine to reduce symptoms, despite no direct cure)
AChE inhibitors are one of only 2 approved drugs for the treatment of Alzheimer’s. What are examples of this?
donepezil (1997)
rivastigmine (2000)
galantamine (2001)
- These drugs aim to reduce the breakdown of ACh in the synaptic cleft to improve ACh volume. Reducing cognitive decline.
How are catecholamines synthesised?
Synthesised from tyrosine, which is transported into the brain from the blood.
Break down involves enzymes monoamine oxidase (MAO) and catechol 0-methyltransferase (COMT) in a process called catabolism
What are the two major families of dopamine receptors? What are these coupled to?
D1-like: D1 & D5 (coupled to stimulatory g-protein)
D2-like: D2, D3, D4 (coupled to inhibitory g-protein)
(all signal via adenylate cyclase and second messengers)
When was Parkinson’s disease first described? What is it characterised by?
First described in 1817 by James Parkinson
Mean age of onset ~ 60 yrs
Affects 1-2% over 65 yrs
Characterised by:
muscle stiffness
slowness of movement
tremor at rest
How does Parkinson’s disease occur? What is the % depletion of dopamine?
Occurs due to the Degeneration of dopaminergic (DA) neurons in the substantia nigra pars compacta and loss of dopamine in the caudate-putamen
> 50% depletion of dopamine
How are motor symptoms of Parkinson’s disease alleviated?
Treatment with L-dopa which is transported into brain and converted to dopamine.
Administration of a peripherally active Dopa decarboxylase inhibitor prevents premature conversion of L-dopa to dopamine
What inhibitors prevent dopamine degradation to help relieve motor symptoms of Parkinson’s?
COMPT and MAO-B can also be given to inhibit dopamine degradation
How is serotonin synthesised and catabolised?
Synthesised from tryptophan by tryptophan hydroxylase and 5-hydroxytryptophan (5-HTP) decarboxylase
Broken down to 5-hydroxyindoleactic acid (5-HIAA) by MonoAmineOxidase and aldehyde dehydrogenase
how does Serotonin (5-HT) signalling occur?
5-HT can bind to 14 different receptors which are all G-protein-coupled (not 5-HT3, as this is a ligand-gated ion channel)
Some receptors are excitatory, others inhibitory
Action terminated mainly by reuptake from the synapse via the 5-HT transporter on the presynaptic neuron
How does SSRI act as a treatment for depression and anxiety?
Selective serotonin reuptake inhibitors (SSRIs) block the action of SERT = more serotonin at the synapse
Can help to reduce symptoms of depression, anxiety, OCD, PTSD, etc.
What are examples of SSRI drugs to treat depression and anxiety?
citalopram (Cipramil)
escitalopram (Cipralex)
fluoxetine (Prozac or Oxactin)
paroxetine (Seroxat)
Amino acid transmitters: Glu, Asp, Gly, GABA are all non-essential amino acids, however which are excitatory, which are inhibatory?
All are non-essential amino acids (made in situ from glycolytic and citric acid cycle intermediates)
Glutamate and aspartate are excitatory whereas glycine and GABA are inhibitory
GABA receptors are inhibatory but what is the difference between GABA A and GABA B?
GABA A - Ionotropic receptor coupled to Cl- channel. This has modulatory binding sites for benzodiazepines, barbiturates, neurosteroids and ethanol. (Faster effect)
GABA B - Metabotropic receptor coupled to Ca2+ and K+ channels via G proteins and second messenger systems. (Slower effect)
Glutamate receptors are excitatory. What are examples of these receptors, what do they do?
NMDA receptor bind glutamate, glycine, Mg2+, Zn2+ and polyamines. Form channels that are permeable to cations (Ca2+ > Na+ and K+)
Kainate and AMPA receptors interact only with glutamate and their specific agonists (Na+ and K+ > Ca2+)
mGluRs are G-protein coupled receptors and trigger a second messenger cascade (eight different types of mGluRs - an enhance or supress depending on binding)
How do astrocytes buffer glutamate concentrations?
Glutamate is removed from the synapse by astrocyte uptake via excitatory amino acid transporters (EAAT)