| Term 
 
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 Criteria for Neurotransmitters  |  | Definition 
 
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 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  |  | 
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        | 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  |  | 
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        | Term 
 | Definition 
 
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 Acetylcholine  Catecholamines  lDopamine lNorepinephrine  lEpinephrine Serotonin Histamine Glutamate GABA |  | 
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        | Term 
 
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 Classification of Neurotransmitters |  | Definition 
 
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 Amines (classical neurotransmitters)acetylcholine, dopamine, norepinephrine, serotonin
 Amino Acidsglutamate, glycine, GABA, aspartate, taurine
 NeuropeptidesCCK, NPY, enkephalin, TRH, SP, leptin, NGF
 Lipid Mediatorsprostaglandins, thromboxanes, ceramide
 GasesNO, CO
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        | Term 
 | Definition 
 
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 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 |  | 
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        | Term 
 
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 NT receptors, general properties |  | Definition 
 
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 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.   |  | 
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        | Term 
 | 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 synapse.  Choline is reuptaken for recycling.  Reuptake blocked by hemicholinium.     Cholinesterase inhibitors used for Alzheimer’s and myasthenia gravis.  |  | 
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        | Term 
 | 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  |  | 
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        | Term 
 
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 Major Catecholamine Catabolites |  | Definition 
 
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 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) |  | 
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        | Term 
 | 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 |  | 
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        | 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  |  | 
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        | Term 
 | Definition 
 
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 As the dose is Increased: •Displaces catecholamines from synaptic vesicles •Inhibits transporters, and hence reuptake  •Inhibits MAO •a-Receptor agonist NE > DA >> 5-HT |  | 
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        | Term 
 
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 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.     |  | 
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        | Term 
 
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 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 glia.  Valproate 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.   
 |  | 
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        | Term 
 
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 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 NTs.  Tachykinins (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.   |  | 
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        | Term 
 | Definition 
 
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 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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