5) Neurotransmitters Flashcards

1
Q

Describe the features of a neuron:

A

Dendrites at receiving end
Soma (cell body)
Axon +/- myelin sheath
Terminal buttons

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2
Q

What are the two main neurotransmitters involved in depressive disorders?

A

Noradrenaline

Serotonin

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3
Q

What other neurotransmitter are involved in psychiatric conditions?

A

Dopamine
GABA
ACh
Glutamate

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4
Q

What are the functions of noradrenaline in the brain?

A

Mood
Role in behaviour (arousal and attention)
Implicated in memory functions

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5
Q

Where is noradrenaline made in the brainstem?

A

Locus coeruleus

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6
Q

What role do alpha receptors play in the brain?

A

Arousal and mood

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7
Q

What enzymes break down noradrenaline?

A

Monoamine oxidase

COMT

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8
Q

Describe the synthesis of noradrenaline:

A

Tyrosine -> DOPA -> Dopamine -> noradrenaline (-> adrenaline)

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9
Q

What evidence is there for noradrenaline being implicated in depression?

A

AMPT inhibits formation of NA and cause depressive symptoms
Antidepressants block reuptake of NA
Reserpine depletes nerve ends of NA (causes depressive symptoms)

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10
Q

What is the role of serotonin in the brain?

A

Sleep
Impulse control
Appetite
Mood

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11
Q

Where in the brainstem is serotonin produced?

A

Raphe nuclei

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12
Q

What is serotonin synthesised from?

A

Tryptophan

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13
Q

What can serotonin go on to form?

A

Melatonin (control of sleep)

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14
Q

What evidence is there for serotonin being implicated in depression?

A

Metabolite of serotonin in CSF is depleted in depression
Tryptophan depletion causes depression
PET and SPET studies
Antidepressants (SSRIs)

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15
Q

What disorders are changes to dopamine associated with?

A

Parkinson’s disease

Schizophrenia

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16
Q

What effect does dopamine have?

A

Feelings of pleasure

Drive

17
Q

What evidence is there for dopamine being implicated in depression?

A

HVA (metabolite of dopamine) low in depressed
ECT affects dopamine system
40% of those with Parkinson’s have depression

18
Q

Describe some neurotransmitter changes in mania:

A

NA increased

Dopamine agonists cause manic symptoms

19
Q

How does lithium act as a mood stabiliser?

A

Positive effect on BDNF transcription

Positive effect on serotonin production

20
Q

How do GABAa receptors cause an effect?

A

Chloride ion channels (inhibitory)

21
Q

How do GABAb receptors cause an effect?

A

Secondary messengers