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Neuropharmacology
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16
Pharmacology
Professional
04/19/2011

Additional Pharmacology Flashcards

 


 

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Term




Criteria for Neurotransmitters

Definition

1.  Synthesis and storage in neurons

2.Calcium-dependent release upon depolarization of axon terminals
3.Inactivation by reuptake or catabolism
4.Activation of pharmacologically defined postsynaptic receptors
5.Synaptic mimicry-application of substance exogenously mimics the

  action of nerve stimulation 

Term

 

 

 

Neuropharmacological agents can act to alter:

Definition

1.Neurotransmitter synthesis and storage in neurons


2.Neurotransmitter release from nerve terminals

3.Direct postsynaptic effects of neurotransmitters

  (via activation or blockade of postsynaptic receptors)


4.Neurotransmitter inactivation by reuptake or catabolism

5.Neuronal responsiveness to receptor activation 

Term




Major Neurotransmitters

Definition

Acetylcholine

Catecholamines

lDopamine
lNorepinephrine
lEpinephrine

Serotonin

Histamine

Glutamate

GABA

Term




Classification of Neurotransmitters

Definition

Amines (classical neurotransmitters)
acetylcholine, dopamine,
norepinephrine, serotonin

Amino Acids
glutamate,
glycine, GABA, aspartate, taurine

Neuropeptides
CCK, NPY,
enkephalin, TRH, SP, leptin, NGF

Lipid Mediators
prostaglandins,
thromboxanes, ceramide

Gases
NO, CO

Term




NT receptor classes

Definition

Ligand-gated (or direct-gated or ionotropic) channel receptors

  ion channels open upon agonist binding

  electrical response is fast and of short duration

 

Indirect-gated (or metabotropic) receptors

  channels linked to second messengers or G-proteins

  opens or closes channels,

causing slow and long electrical  response initiates intracellular enzyme cacades  amplifies signal interacts with other second messenger pathways modifies gene transcription

 

Tyrosine kinase receptors

for peptidergic growth factors

Term




NT receptors, general properties

Definition

Membrane-spanning proteins located on dendrites, soma, axon terminals.  Allows neurons to communicate with chemical signals.

 

Inhibitory receptors frequently located on soma: hyperpolarization.


Excitatory receptors frequently located on dendrites: depolarization.

 

Modulatory receptors, located on terminals, do not affect excitability,

but can affect amount of NT released by local terminal.

 

Activity can stabilize receptors in membrane.

Down-regulation can occur after increased activity.

Up-regulation can occur after decreased activity.

 

Term




Acetylcholine (ACh)

Definition

1.Brain: basal forebrain and effector neurons that project to PNS


2.Interneurons: target of benztropine in Parkinson’s

3.Lower motor neurons projecting to neuromuscular junction

4.Sympathetic and parsympathetic preganglionic neurons

5.Parasympathetic postganglionic neurons

Degraded by acetylcholinesterase in synapseCholine is reuptaken for recycling.  Reuptake blocked by hemicholinium.

 

Cholinesterase inhibitors used for Alzheimer’s and myasthenia gravis.

Term




DOPAMINERGIC SYSTEMS

Definition

NIGROSTRIATAL:  Substantia Nigra (pars compacta) to

  Caudate, Putamen (Striatum) and Globus Pallidus

  Motor Functions - Involved in Parkinson's Disease

MESOLIMBIC:  Ventral Tegmental Area (VTA) to

  Striatum, Septum, Amygdala, Olfactory Tubercle

  Involved in Locomotor Activity and Reward

MESOCORTICAL:  Ventral Tegmental Area (VTA) to

  Prefrontal and Cingulate Cortices

  Cognitive Function

TUBEROINFUNDIBULAR:  Hypothalamic Arcuate Nucleus

  to Median Eminence and Posterior and

  Neurointermediate Lobes of Pituitary

  Regulation of hormone release, esp. Prolactin

Term




Major Catecholamine Catabolites

Definition

for Dopamine: 

Homovanillic acid (HVA)

3,4-Dihydroxyphenylacetic acid (DOPAC)

3-Methoxytyramine (3MT)

for Norepinephrine:

Normetanephrine (NM)

3,4-Dihydroxyphenylethyleneglycol (DHPG)

3-Methoxy,4-hydroxyphenylethyleneglycol (MHPG)

Vanillylmandelic acid (VMA) - largely peripheral

for Epinephrine:

Metanephrine (3-Methoxyepinephrine)

Term




Neurotransmitter Uptake

Definition

Uptake I  (Reuptake)

-Very specific, high-affinity transporters
-Limited capacity
-Absolute requirement for Na+
-Only found in neurons releasing that neurotransmitter
-The mechanism for re-uptake

Uptake II

-Specific, but lower affinity than Uptake I
-High capacity
-Does not require Na+
-Found in both neurons and glia
-An overflow mechanism

Term




Additional notes on Dopamine (DA)


Definition

1.L-Dopa crosses blood-brain barrier, dopamine does not.


2.Inactivated by reuptake, which is blocked by cocaine

  and methylphenidate.


3.  Degradation: MAO intraneuronal; COMT extraneuronal.


4.Metabolite HVA in CSF can reflect disease state,

  e.g. low in Parkinson’s


5.  Lithium interferes with DA neurotransmission.


6.  Agonists: bromocriptine, ropinirole, pramipexole

Term




Amphetamine

Definition

As the dose is Increased:

Displaces catecholamines from synaptic vesicles
Inhibits transporters, and hence reuptake
Inhibits MAO
a-Receptor agonist

NE > DA >> 5-HT

Term




Additional notes on Norepinephrine (NE) and Serotonin (5-HT)

Definition

NE Agonists: ephedrine, phenylephrine, propanolol

 

NE function in CNS: arousal, fear, motivation, pleasure

 

MAO inhibitor antidepressants potentiate both

catecholaminergic and serotonergic transmission.

Term

 

 

 

Notes on Amino Acids Glutamate, GABA, Glycine


Definition

glutamate acts on ligand-gated channel (ionotropic) receptors to

mediate fast excitatory transmission and G-protein coupled

(metabotropic) receptors to mediate slower and more complex

responses.  Inactivation by glial uptake.  Glutamate excitotoxicity

causes neurons to undergo apoptosis.

 

GABA is major CNS inhibitory NT.  Inactivated by reuptake into

neurons and gliaValproate is an anticonvulsant to control seizures,

stimulates GAD and inhibits degradation.  Altered GABA function:

basal ganglia disorders, seizures, schizophrenia, sleep disorders. 

GABA-A receptors are GABA-gated Cl- channels.

 

Glycine is inhibitory NT in brainstem and spinal cord.  Strychnine is

antagonist.  Tetanus toxin is carried into inhibitory neurons and

prevents NT release, results in excess motor activity, muscle spasm,

potentially respiratory failure and death.

Term

 

 

 

Notes on Peptides and Nontraditional NTs


Definition

Peptides:

More than one neuroactive peptide may be formed from

larger precursor (proenkephalin).  Made in cell body and

packaged in large dense-core vesicles.  Often co-

localized in terminals with small-molecule NTs

 

Modulate action of NTsTachykinins

(substance P), secretins (VIP), insulins, pituitary peptides, opioids,

neurotrophic factors.  Peptides travel farther and are more potent.

 

Nitric oxide is gas with short duration of action.  Binds and activates

intracellular guanylyl cyclase.  Can act as a retrograde NT. 

Functions: relaxation of blood vessels and synaptic plasticity.

 

Anandamide is cannabinoid receptor ligand that is formed by

cleavage of membrane-bound phospholipid precursor.  

Term

 

 

 

Neurotoxins

Definition

Neurotoxins

 

Botulinum toxin: blocks neuromuscular and autonomic transmission

by blocking ACh release by cleaving vesicle proteins.  Most lethal

toxin known.  Descending paralysis: blurred vision, impaired speech,

swallowing, breathing, dry mouth, muscle weakness.  Death by paralysis

of respiratory muscles.  Therapeutic use: control focal muscle spasm

in cervical dystonia.

 

Tetanus toxin: released into CNS after retrograde transport by peripheral

nerves.  Cleaves vesicle proteins in inhibitory neurons.  Muscle spasms and

tetanus from loss of motor neuron inhibition.

 

alpha-larotoxin (black widow spider): releases NTs at neuromuscular junction

until stores are depleted.  Hyperexcitability, muscle spasms, rigidity, paralysis.

 

Tetrodotoxin (puffer fish): blocks voltage-gated sodium channels. 

Numbness, paralysis, possible respiratory failure.

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