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TSM 82
CNS Neurotransmitters
33
Medical
Undergraduate 2
01/01/2013

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Cards

Term
What are the monoamine neurotransmitters?
Definition
1) Noradrenaline
2) Dopamine
3) 5-HT.
Term
What are the catecholamines?
Definition
1) Noradrenaline
2) Dopamine.
Term
Where are the cell bodies of the ACh neurons?
Definition
Partly in the medial septal nucleus and the nucleus basalis of Meynert.
Term
Where are the cell bodies of the dopamine neurons?
Definition
The substantia nigra and ventral tegmental area (VTA).
Term
Where are the cell bodies of the noradrenaline neurons?
Definition
The locus coereleus and lateral tegmental area.
Term
Where are the cell bodies of the 5-HT neurons?
Definition
Dorsal and median raphe nucleus.
Term
What is the standard structure of classical neurotransmitter neurons?
Definition
1) Cell bodies grouped in discrete nuclei
2) Long ascending projections innervating other brain regions.
Term
What are the amino acid neurotransmitters and what is there function?
Definition
1) Glutamate: excitatory
2) GABA: inhibitory.
Term
What is the difference between GABA and glutamate neuron structure?
Definition
Glutamate: long projections
GABA: short interneurons.
Term
What stages are involved in neurotransmission?
Definition
1) Synthesis
2) Storage (vesicles)
3) Release (Ca2+ dependent)
4) Interaction with target
5) Termination of action (reuptake or enzymatic degradation).
Term
What are the 2 main types of neurotransmitter receptors?
Definition
1) Ligand gated ion channels
2) G protein linked.
Term
What ions do lignad-gated ion channels allow into cells?
Definition
-Excitatory:
1) NMDA: Na+
2) Nicotinic: Na+ & Ca2+
3) 5-HT3: Na+
-Inhibitory
4) GABA: Cl-
Term
Describe the two methods of action of G protein receptors.
Definition
1) Increase/decrease adenylate cyclase-Inc/dec cAMP- Activation of kinases
2) Increse phospholipase C/ PI turnover- Increase IP3 and DAG. IP3 Increases intracellular calcium whilst DAG acts directly on kinases.
Term
How is the action of neurotransmitters terminated?
Definition
1) DA, NA, 5-HT GABA and glutamate are removed from the synapse by plasma membrane transporters
2) ACh is broken down by acetylcholinesterase as there is no transporter.
Term
Explain the effect of L-DOPA.
Definition
It is an intermediate in dopamine synthesis.
Term
Explain the effect of MAOIs.
Definition
They inhibit intraneuronal metabolism of monoamines and increases the releasable pool.
Term
Explain the role of amphetamines.
Definition
They cause the non-exocytotic release of noradrenaline and dopamine.
Term
What is the role of TCAs and SSRIs?
Definition
They inhibit the reuptake of monoamine neurotransmitters.
Term
What is the role of TRP?
Definition
It is the precursor form of 5-HT.
Term
What is the role of rivastigmine?
Definition
It blocks acetylcholinesterase. Used in Parkinsons'.
Term
What is L-DOPA used in?
Definition
Anti-parkinsons.
Term
What are TRP and 5-HTP used in?
Definition
Adjunct to anti-depressant therapy
Term
What is a modulator?
Definition
It can enhance or attenuate receptor function indirectly.
Term
What is the difference between drugs that target presynaptic mechanisms and post synaptic mechanisms?
Definition
'Presynaptic' drugs affect the amount of neurotransmitter available to interact with all receptors whilst 'postsynaptic' drugs will have a more specific effect.
Term
What do benzodiazepines and barbiturates do?
Definition
Modulate the GABA complex.
Term
What do ketamine and phencyclidine do?
Definition
NMDA antagonists.
Term
What does ondansetron do?
Definition
5-HT antagonist.
Term
What does nicotine do?
Definition
Nicotinic agonist.
Term
Where do antiparkinson's drugs act?
Definition
D2 receptor agonists.
Term
Where do antipsychotics act?
Definition
D2 receptor antagonists.
Term
Where does Buspirone act?
Definition
5-HT1a receptor agonist.
Term
Where does LSD act?
Definition
5-HT2 agonist.
Term
Where does clonidine act?
Definition
A2 adrenoceptor agonist.
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