31: Drug Action Dopamine Flashcards
Draw the structure of dopamine.
Describe the function of dopamine in the brain.
Dopamine plays a major role in the motivational component o reward-motivated behavior in the brain.
* signals the perceived motivational desirability of an outcome and behavior towards or away from achieving it.
* pleasure chemical
Describe the function of dopamine in the PNS: blood vessels.
Inhibit norepinephrine release and acts as a vasodilator.
Describe the function of dopamine in the PNS: digestive system.
Reduces sodium excretion and urine output.
Describe the function of dopamine in the PNS: pancreas.
Reduces insulin production.
Describe the function of dopamine in the PNS: immune system.
Reduces the activity of lymphocytes.
Explain the outcomes of excess dopamine.
- excess movement (involuntary movement)
- euphoria, hallucinations, and psychosis
- inhibition of prolactin
Explain the outcomes of regular, normal regulated levels of dopamine.
- motion
- emotion and reward
- hormones
Explain the outcome of not enough dopamine.
- less movement; parkinson’s disease
- lack of emotion; anhedonia, feeling flat
- increased prolactin; amenorrhea in women; impotence in men
What is the association of dopamine with Parkinson’s Disease?
Loss of dopamine-secreting neurons in an area of substantia nigra.
What is the association of dopamine with Restless legs syndrome?
Decrease dopamine activity.
What is the association between dopamine and ADHD?
Decreased dopamine activity.
What is the association between dopamine and heart failure/shock?
Decreased dopamine activity.
What is the association between dopamine and schizophrenia?
Increased levels of dopamine activity.
Describe effects of drug action on dopamine.
Altered…
* biosynthesis in presynaptic neuron
* release from a presynaptic neuron to a synaptic cleft
* reuptake back to a presynaptic neuron
* removal in a synaptic cleft
Explain step 1 of dopamine biosynthesis.
Starts from L-tyrosine
* L-tyrosine is taken into the presynaptic neuron by Na+-dependent tyrosine transporter (TryP)
Explain step 2 of dopamine biosynthesis.
L-tyrosine is hydroxylated into L-DOPA by tyrosine hydroxylase (TH)
* RATE-LIMITING STEP
What is Metirosine? What does it do?
Metirosine is an antihypertensive drug.
* depletes the levels of dopamine
Explain step 3 of dopamine biosynthesis.
L-DOPA s converted into dopamine by aromatic L-amino acid decarboxylase (AADC)
What is Carbidopa used for?
Used for Parkinson’s disease in conjugation with levodopa.
Explain step 4 of dopamine biosynthesis.
Dopamine is taken into the presynaptic vesicles for storage by a H+-coupled vesicular monoamine transporter 1 (VMAT1) in the CNS and PNS.
* OR VMAT2 only in the CNS.
What is Reserpine used for?
Used for high blood pressure treatment
* VMAT1 and VMAT 2 inhibitor
Explain step 5 of dopamine synthesis.
Vesicles move to the presynaptic terminal, which enforces Ca2+ channel to open and uptake of Ca2+ into the neuron.
Explain step 6 of dopamine biosynthesis.
Ca2+ ions activate the vesicles to fuse with the presynaptic membrane and release dopamine into synaptic cleft.