Block 2 Lecture 2 -- DA, 5HT, and Amino Acids Flashcards
What are the 4 major brain DA pathways?
1) nigrostriatal
2) mesolimbic
3) mesocortical
4) tuberinfundibular
Describe the anatomy of the mesolimbic pathway.
VTA projects to:
- NAc
- HP
- Amy
Describe the anatomy of the mesocortical pathway.
VTA projects to PFc
Describe the anatomy of the tuberinfundibular pathway.
arcuate nucleus of HT projects to median eminence; median eminence projects to AP to decrease PRL release
What is the function of the mesocortical pathway?
executive function
- decision-making
- impulsivity
What is the function of the mesolimbic pathway?
1) positive reinforcement
2) learning/memory
3) emotional control
How do drugs of abuse cause addiction?
increase DA in mesolimbic pathway
– positive reinforcement, learning/memory, emotional control
Describe the anatomy of the nigrostriatal pathway.
Substantia nigra projects to striatum
What pathway is affected in PD?
nigrostriatal DA pathway
For what conditions are DAr agonists used?
1) PD
2) ADHD
3) hyper-PRL
4) RLS
For what conditions are DAr antagonists used?
1) anti-emetics
2) anti-psychotics
3) movement disorders (Huntingtons, Tourettes, dystonias)
What are the main receptor classes of DAr’s?
1) Gs (D1 and D5-like)
2) Gi (D2-, 3, and 4-like)
What is the function of D1/D5 Gs receptors?
- in CNS
- typically post-synaptic
- increase cAMP
What is the function of D2/3/4-like Gi receptors?
- in CNS
- pre and postsynatpic (like a2 and M2)
- decrease cAMP
Which DAr is cloned?
D5-like
What are the peripheral roles of 5-HT?
1) platelet aggregation (storage granules of platelets)
2) peristalsis, n/v (enterochromaffin)
3) blood vessels and cardiac valves
What are the central roles of 5-HT?
1) mood
2) appetite
3) sleep
4) n/v
5) nociception
In what conditions is 5-HT dysregulation implicated?
1) migraine
2) anxiety
3) schizophrenia
4) depression
5) n/v
6) aggression/hostility
7) OCD/phobias
Where is 5-HT synthesized?
from Trp in Raphe Nucleus
How is 5-HT broken down?
1) MAOb
2) synthesized into melatonin
Where is melatonin synthesized?
pineal gland
Where is serotonin stored?
serotonergic cell groups
Where are melatonin receptors located?
1) SCN
2) anterior pituitary
3) periphery
What are the 5-HT receptors?
1) 5HT1 (A,B,D) Gi
2) 5HT2 (A,B,D) Gq
3) 5HT3 LGIC
4) 5HT4 Gs
Where does LSD act?
5HT2 antagonist
Where do the triptans act?
5HT1 antagonist
5HT4 agonist
Which serotonin receptor is inhibitory?
5HT1 Gi
Which serotonin receptor is an LGIC?
5HT3
What are the signs/sxs of serotonin syndrome?
1) diarrhea
2) euphoria
3) drowsiness/dizziness
4) rapid eye movement and muscle contraction
5) hyperthermia
6) shivering, seizures
7) arrhythmia
8) loss of consciousness, death
What drugs can cause serotonin syndrome?
1) SSRIs
2) MAOIs
3) TCAs
4) triptans