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Neuro1: Neurotransmitters and Neuropeptides
Neuro1: Neurotransmitters and Neuropeptides
41
Medical
Graduate
05/03/2012

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Term
Amino Acid Derived Neurotransmitters
Definition
Glu, GABA, Gly
Term
Amine Neurotransmitters
Definition
Ach, Catecholamines (dopa, norepi), Serotonin
Term
Ach is derived from?
Definition
Choline (diet) by choline acetyltransferase
Term
What neurotransmitter is used in the ventral horn of the spinal cord?
Definition
Ach. Also usd in preganglionic neurons and postganglionic parasympathetic.
Term
Myasthenia Gravis
Definition
Autoimmune or congenital. Disorder of synapse between cholinergic motor neurons and skeletal muscle.

Clinical - severe weakness of skeletal tissue

Tx: Anticholesterase
Term
Alzheimer's Disease
Definition
Degeneration of cholinergic neurons in nucleus basalis and loss of projection to neocortex, hippocampus, amygdala.
Cortical Ach deficiency

Tx: Inhibitors of acetylcholinesterase
Term
Nicotinic Ach receptors found?
Definition
Skeletal muscle and preganglionic autonomics.
Term
Effect of L-Dopa
Definition
Turns into dopa after crossing blood brain barrier. Parkinson's tx for low dopa.
Term
Amphetamine effect on neurotransmitters?
Definition
Increased monoamine release (enhances release)
Term
Effect of benzos and barbituates
Definition
Benzos - increase frequency of opening of GABA Cl- channels.
Barbituates - Increase duration of open GABA Cl- channels. These serve to enhance transmission.
Term
Effect of morphine on neurotransmitter?
Definition
Mimmics opiouds (effect on GPCR), causes analgesia.
Term
Effect of fluoxetine on neurotransmission?
Cocaine?
Definition
Both block removal. Fluoxetine blocks serotonin reuptake. Cocaine blocks monoamine reuptake.
Term
Effect of Pyridostigmine (Mestonin)
Definition
Blocks degradation - used in myasthenia graves (blocks acetylcholinesterase).
Term
Six things that enhance transmission of neurotransmitters
Definition
1. Enhance synthesis/packaging
2. Enhance release
3. Effect on neurotransmitter-gated ion channels
4. Effects on G protein coupled neurotransmitter receptors.
5. Blocking removal of neurotransmitter
6. By blocking Degradation
Term
How do drugs/toxins depress transmission of neurotransmitters?
Definition
1. By interfering with synthesis or packaging of neurotransmitters.
2. By interfering with neurotransmitter release
3. By effects on neurotransmitter-gated ion channels
4. By effects on G protein-coupled neurotransmitter receptors
Term
How does reserpine affect transmission?
Definition
Blocks transport of monoamines into synaptic vesicles.
Term
How does Botulinum affect neurotransmission?
Definition
Blocks release of Ach, causes paralysis.
Term
Effect of strychnine, phencyclidine (PCP), curare (arrow tip poison) on neurotransmission?
Definition
Strychnine - blocks glycine gated Cl- channels.
Phenycyclidine blocks NMDA receptors
Curare blocks nicotinic Ach receptors

Note these are ion gated!
Term
Effect of Haloperidol on neurotransmission?
Atropine?
Definition
Haloperidol - blocks dopamine receptors
Atropine - blocks muscarinic Ach receptors.

Note these are G protein!
Term
What is the rate limiting set of catecholamine synthesis?
Definition
Tyrosine Hydroxylase. Tyrosine->Dopa->Dopamine->Norepinephrine->Epinephrine
Term
Degredation of Dopamine (intra and extracellular)
Definition
MAO degrades dopamine to DOPAC (intracellular)
Extracellular - Dopamine is converted to homovanillic acid (HVA) through the sequential action of COMT and MAO. HVA is used as indicator of functional activity of dopaminergic neurons....PRIMARY METABOLITES OF DOPAMINE ARE HVA AND DOPAC
Term
Where are DA receptors found?

D1 receptors?
D2?
Definition
Presynaptic terminal - autoreceptors
Postsynaptic somato-dendritic process.

D1 - stimulate adenylyl cyclase (and D5)
D2 - Inhibit or have no effect on adenylyl cyclase. (and D3,D4)
Term
Where is norepi used as a transmitter?
Definition
Sympathetic ganglia (smooth+cardiac muscle), locus ceruleus, and reticular formation.
Term
Where is Dopamine used a neurotransmitter?
Definition
Substantia nigra, VTA (spared in parkinson's), Hypothalamus, Retina, Olfactory bulb
Term
Serotonin
Definition
Raphe nuclei (widespread in CNS)
Term
Parkinson's Disease (degeneration of what?)
Definition
Degeneration of substantia nigra pars compacta.

L-dopa is tx
Term
Schizophrenia
Definition
Overactivity of mesolimbic and or mesocortical dopamine neurotransmission.

Haloperidol or chrloropmazine are tx - dopamine receptor antagonists.
Term
Steps in dopa synthesis, release, deg
Definition
1. Synthesis of DOPA from tyrosine (stimulated by L-Dopa, blocked by alpha-methyltyrosine)
2. Storage: resperpine and tetrabenazine interfere with uptake and storage of dpa. (reserpine longer)
3. Reelease Amphetamine and tyramide enhance release
4. Receptor interaction
5. Reuptake (cocaine, amphetamine, benztropine inhibit).
6. Degradation by MAO - inside cell (pargyline inhibits).
Term
NE is stored where in the presynaptic terminal?
What does it interact with?
Definition
VMAT (vesicular monoamine transporter) in the axoplasm. Once released, NE can interact with alpha or beta adrenergic receptors. alpha2 modulate synthesis and release of NE (on nerve terminals).

Once released, can interact with alpha or beta adrenergic receptors.
Term
What is MHPG?
Definition
What NE is metabolized to by MAO and COMT for brain NE metabolite.
Term
How is NE action terminated?
Definition
Reuptake into presynaptic terminal by NET (plasma membrane norepi transmitter).

NE broken down by MAO to 3,4-dihydroxyphenylglycolaldehyde. Aldehyde Dehydrogenase turns this to DOMA or aldehyde reductase pathway turns it to MHPG. DOMA broken down by COMT to VMA

alternatively NE metabolized by COMT first in a pathway that ultimately leads to VMA.

EITHER WAY YOU EITHER GET VMA (if COMT or VMA OR MHPG/Sulfate conjugate) if MAO.
Term
Dopamine is degraded how?
Definition
By MAO or COMT first, then the other ultimately yeilding HVA and then a sulfate conjugate. QUESTIONABLE ON COMT - MAINLY MAO. THEREFORE COMT INHIBITORS HAVE AN EFFECT ON NE reuptake, BUT NOT Dopa
Term
Acetylcholine degraded by?
Dopa/Norepi/Epi?
Definition
Acetylcholine - acetylcholinesterase
Dopa/Norepi/Epi - MAO/COMT/reuptake
Term
Depression
Definition
Noradrenergic deficiency in monoamine hypothesis of depression.
Drugs which deplete monoamines can induce depression.

tx monoamine reuptake inhibitors (imipramine) and tricyclics
Term
Anxiety Disorders
Definition
Norepinephrine disfunction
Term
Serotonin Synthesis
Definition
Tryptophan is precursor. Synthetic enzyme is tryptophan hydroxylase. Tryptophan is precursor. Synthetic enzyme is tryptophan hydroxylase. (5HT acetylase in converted by pineal gland to melatonin).
Term
How is serotonin terminated?
Definition
Metabolized VIA MAO
Term
What type of receptors are 5-HT receptors?
Where do they normally occur?
Definition
7 transmembrane spanning - g protein coupled receptors.
Also subtypes (5HT1-7, 5HT3 is ligand gated, not g protein).
5HT2 uses PLC pathway.

5HT1 -Normally occur in brain and cerebral blood vessels. Mediate neural inhibition and vasoconstriction.
5HT2 - CNS+periphery
5HT3 - PNS - nociceptor afferent neurons and autonomic and enteric neurons (excitatory - ion gated).
5HT4 - Brain and peripheral organs like heart, bladder, GI tract.
5HT5 - ?
5HT6 - ?
5HT7 - ? dont know.
Term
Serotonin process
Definition
Synthesized from tryptophan, vesicular storage, release, reuptake, degraded by MAO (released back outside of cell as 5-HIAA)
Term
Properties of neuropeptide transmitters
Definition
Synthesized as larger precursor proteins at the soma (must be transported). Slow postsynaptic effects. Actions terminated by extracellular proteases or by diffusion. Co-released with classical neurotransmitters. Can trigger complex coordinated behavior, and actions do not require point to point synaptic connections.
Term
Stress and Depression and Neuropeptides
Definition
Depression - excessive secretion of ACTH leads to excessive cortisol release. Increased levels of CRF have been correlated to depression.
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