36. Drug Action on GABA and Receptors Flashcards

1
Q

Describe GABA.

A

Gamma-Amino Butyric Acid, an amino acid
* GABA is a chief inhibitory neurotransmitter in the CNS
* principle role: reducing neuronal exicitability throughout the nervous system + regulate muscle tone

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2
Q

What is the main location of GABA in the CNS?

A

Amygdala

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3
Q

What is the function of GABA in the CNS?

A

Excitatory neurons in the amydgala fire to send excitatory signals to other areas of the brain.
* result: anxiety and fear

GABA can be released to inhibit excitatory signals
* result: calming effect

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4
Q

Where is GABA synthesized?

A

GABA is unable to cross the BBB –> must be synthesized from glutamate in the neurons in the brain.

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5
Q

Explain the human diseases associated with abnormal levels of GABA.

A
  • epilepsy seizure
  • anxiety disorder
  • schizophrenia
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6
Q

Explain the biosynthesis of GABA: Step 1.

A

In the mitochondrion, glutamine (Gln) is converted to glutamate (Glu) by glutaminase.

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7
Q

Explain the biosynthesis of GABA: Step 2.

A

GABA is synthesized from glutamate by glutamic acid decarboxylase (GAD).

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8
Q

Describe the process of GABA storage: Step 3.

A

GABA is uptake into vesicles by vesicular GABA transporter (vGAT).

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9
Q

Describe the release process of GABA: Step 4.

A

Under stimulation by Ca2+, vesicles infuse with presynaptic membrane and release GABA to synaptic cleft during exocytosis.

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10
Q

Describe the process of GABA reuptake: Step 5/6.

A

GABA is reuptake by GABA transporter (GAT) back to vesicles in presynaptic neuron for reuse.
* GABA is uptake into glial cells via GAT

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11
Q

Describe the degradation process of GABA: Step 7/8.

A
  • In the glial cells, GABA is converted to glutamate by GABA transminase (GABA-T) in mitochondrion.
  • Glutamate is converted to glutamine by glutamine synthase.
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12
Q

Describe the process of glutamine reuptake: Step 9.

A

Glutamine is transported back to presynaptic neuron by glutamine transporter.
* glutamine can be reused for GABA synthesis

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13
Q

Describe the difference between GABA and glutamate.

A

GABA - calming neurotransmitter
Glutamate - excitatory neurotransmitter

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14
Q

Explain the effects of too much glutamate.

A

Anxiety, perserervating, restlessness, migraines, tics, motor stereotypies (flapping/stimming)

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15
Q

Explain the effects of too much glutamate.

A

Anxiety, perserervating, restlessness, migraines, tics, motor stereotypies (flapping/stimming)

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16
Q

Tiagabine
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: inhibition of reuptake
Target protein: GABA transporter (GAT)
Therapeutic indication: anticonvulsant

17
Q

Vigabatrin
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: inhibition of degradation
Target protein: GABA transaminase (GABA-T)
Therapeutic indication: epilepsy seizure

18
Q

Explain the process of GABA signaling in the postsynaptic neuron.

A

GABAs move across the synaptic cleft and bind to GABA receptors in postsynaptic neuron for signaling

GABA receptors:
* GABAaR: ionotropic receptors
* GABAbR: metabotropic receptors

19
Q

Explain what happens when GABAaR is activated by GABA.

A

Results in translocation of Cl- ions into postsynaptic neuron, making the cell hyperpolarize and inhibiting action potentials.
* Cl- ions make the neuron harder to be stimulated by other neurotransmitters, thus slowing down its activity and making the person feel more relaxed.

20
Q

Explain what happens when GABAbR is activated by GABA.

A

Results in release of G-coupled proteins –> activate K+ ion channel to effluc K+ ions out of the postsynaptic neuron –> hyperpolarization of the cells.
* also results in inhibition of Ca2+ uptake

21
Q

Muscimol
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: Agonist
Target protein: GABAaR
Therapeutic indication: research on for epilepsy

22
Q

Gaboxadol
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: agonist
Target protein: GABAaR
Therapeutic indication: research only

23
Q

Bicuculline
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: antagonist
Target protein: GABAaR
Therapeutic indication: research only for epilepsy

24
Q

GHB
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: Agonist
Target protein: GABAbR
Therapeutic indication: narcolepsy

25
Q

Baclofen
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: agonist
Target protein: GABAbR
Therapeutic indication: spastic movement disorders + alcohol withdrawal

26
Q

Phenibut
Drug action:
Target protein:
Therapeutic indication:

A

Drug action: agonist
Target protein: GABAbR
Therapeutic indication: anxiety and insomnia

27
Q
A

e. amygdala

28
Q
A

C. GABA transporter on presynaptic membrane.

29
Q
A

b. seven-pass transmembrane domains

30
Q
A

d. efflux of Cl- ions from postsynaptic neuron
* GABAaR receptors trigger influx of Cl- ions into postsynaptic neuron,

31
Q
A

a. activation of Ca2+ channels
* inhibits Ca2+ uptake
* activate K+ ion channels

32
Q
A

d. bicuculline
* GABAaR antagonist