Catecholamines and 5HT- Salmen Flashcards

1
Q

which neurotransmitters are catecholamines (CA)? what is the difference between serotonin and other CAs?

A
  • Dopamine
  • Norepinephrine
  • Epinephrine
  • Serotonin- is an indolamin and derives from the amino acid tryptophan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where is dopamine produced? what are the 3 projection pathways of dopamine?

A

dopamine is produced in 3 locations:

  1. Substantia nigra
  2. Ventral tagmental area (VTA)
  3. Hypothalamus

Each production site projects to other areas in the brain:

  1. from substantiated nigra–> to the dorsal striatum
  2. from VTA–> ventral striatum, amygdala, hippocampus, cortex (PFC, cingulate)
  3. Hypothalamus–>anterior pituitary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in which brain regions would you find the highest density of different types of dopamine receptors?

A
  1. D1-D5 - cortex and limbic system, basal ganglia (very dense with all DA receptors)
  2. D1 + D2- corpus striatum
  3. D3 + D5- hypothalamus
  4. D4- basal ganglia and limbic system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where is norepinephrine produced?

A
  • 50% of NE is produced in the locus ceruleus (main NE supplier)
  • Brainstem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following answers is/are correct?

a. both dopamine and NE are synthesised from tyrosine
b. CA synthesis: tyrosine–>L-DOPA–>dopamine–>NE–>epinephrine
c. Dopamine is synthesised from L-tyrosine and NE is synthesised from D-tyrosine
d. dopamine and serotonin are synthesised from tyrosine
e. all WAs are synthesised from tyrosine

A

a, b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the rate limiting step in dopamine synthesis?

A

Dopamine is synthesised from L-Tyrosine. different enzymes are involved in its synthesis, but the rate limiting step is the synthesis of L-DOPA from L-tyrosine by the enzyme Tyrosine hydroxylase using O2, Fe2+ and TBH as cofactors)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tyrosine hydroxylase….(which of the following answers is/are correct)?

a. is an important enzyme but deficiency can be compensated by other enzymes
b. is a crucial enzyme- deficiency can be lethal
c. can also hydroxylate phenylalanine
d. uses Fe2+ as an electron donor
e. b, c, d are correct

A

e

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where are DA and NE stored in the cell and how are thy transported?

A

in synaptic vesicles. transported into vesicles by VMAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

pathways of clearance of dopamine and NE…

A
  • DAT- dopamin transporter- uptake of dopamine from the synaptic cleft
  • NET - NE-transporter- uptake of NE from the cleft

–> after reuptake: inactivation of monoamines by MAO and COMT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

in what ways can catecholamines get inactivated? what key molecules are involved in the process?

A

catecholamines inactivation occurs in 2 ways:
1. neuronal activity - not very efficient, but fluctuates as neurons fire more rapidly or slowly

  1. enzymatic inactivation- key enzymes: MAO and COMT; both can be localised intra or extracellularly and breakdown of CAs can occur also either within cell or in the cleft.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how can one test if CAs are metabolised properly?

A

monoamines are broken down into VHA and AMA. these can be used as markers for dopamine breakdown, by measuring the concentration in the cell after DA release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the characteristics of CAs transporters (NET, DAT)?

A
  • perisynaptic
  • energy dependent
  • depending on Na+ gradient across neuronal membrane (Na+/K+ ATPase)
  • not dependent on Mg2+
  • The main target of cocaine and amphetamines (block NET and DAT activity)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the target of reserpine? what is the outcome?

A

reserpine inhibits VMAT and depletes dopamine stores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the target of cocaine? what is the outcome?

A

cocaine blocks the DA transporter DAT –> increase in extracellular dopamine and overexcitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the target of amphetamine? what is the outcome?

A

amphetamine binds VMAT and releases NT from vesicles. in addition, it interacts with CA transporters and reverses the activity of DAT and NET so dopamine and NE are RELEASED instead of being taken up.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the target of Pramipexole? what is the outcome?

A

partially selective D3 agonist; used to treat PD; pramipexole may directly stimulate the underfunctioning dopamine receptors in the striatum, thereby restoring the dopamine signals needed for proper function of the basal ganglia.

17
Q

what is the target of Tropolone? what is the outcome?

A

Tropolone inhibits COMT–> blocks metabolism of CAs

18
Q

what is the target of AMPT? what is the outcome?

A

inhibits tyrosine hydroxylase–> reduces dopamine and NE synthesis

19
Q

what is the target of selegiline? what is the outcome?

A

inhibits MAOb –> blocks CA metabolism

20
Q

how do antipsychotic drugs act on the brain? what is the groundbreaking difference between apriprazole and other antipsychotic drugs?

A

most antipsychotic drugs block D2 receptor, and thus, prevent binding of dopamine to the receptor. this reduces the overstimulation of neurons by dopamine in psychotic patients, but also can lead to DA depletion and PD symptoms.

  • Apriprazole acts as a partial D2 agonist . by partially agonising D2 receptors it increases DA in the mesocortical pathway so PD symptoms don’t occur
21
Q

what is the target of NRI and SNRI antidepressant in the norepinephrinergic synapse?

A

inhibit NET–>increased concentration of NE in the synaptic cleft

22
Q

what is the target of propranolol? what is it used for?

A

propranolol is a beta blocker, inhibits beta adrenoreceptors. it is used to reduce BP and to treat anxiety (physical symptoms)

23
Q

what animal models of PD do you know?

A
  • TH-KO- 6-OH-DA
  • VAMT-KO - MPTP/MPP*
  • DAT-KO-
24
Q

where is 5HT synthesised?

A

in the Raphe nuclei (and project to the ENTIRE brain)

25
Q

what are the steps in serotonin biosynthesis? (+key enzymes)

A
  1. Tryptophan –> TPH hydroxylates tryptophan –>
  2. 5-Hydroxytryptophan (5THP) –> AACD cuts amino group –>
  3. 5HT (serotonin)
26
Q

what is the effect of reserpine on the serotonergic synapse?

A

reserpine inhibits VMAT thus depletes serotonin stores

27
Q

what is the effect of SSRI/SNRI on the serotonergic synapse?

A

inhibit serotonin transporter and block the reuptake of serotonin from the cleft

28
Q

how would you block/reduce serotonin synthesis pharmacologically ?

A

application of PCPA can be used to block TPH activity and thus block serotonin synthesis. (used to study the effects of serotonin depletion)

29
Q

what is the medical used of 5HT1D receptor antagonists?

A

anti-migrane meds (triptans)