Chapter 4 Flashcards

Psychopharmacology: Life cycle of a Neurotransmitter Types of Neurotransmitters Drug effects Drug actions at the synapse Effects of psychoactive drugs

1
Q

Life Cycle of a Neurotransmitter

A

Synthesis from precursor chemicals

Storage into synaptic vesicles

Release (Exocytosis) from presynaptic terminal
–Triggered by action potentials and the opening of voltage gated Ca2+ channels
–Modulated by presynaptic facilitation and inhibition

Receptor binding
–Ionotropic or metabotropic

Deactivation
–Diffusion, reuptake or enzymatic degradation

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2
Q

Categories of Chemical Messengers

A

Neurotransmitters: communicate locally across the synapse

Neuromodulators: communicate with target cells more distant than the synapse by diffusing away from the point of release

Neurohormones: communicate with target cells at great distance, often by traveling through circulation

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3
Q

Neuromodulators

A

Include serotonin, Dopamine and acetylcholine

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4
Q

The Endocrine System

A

Hormones are secreted into bloodstream by the endocrine glands

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5
Q

Gonads

A

Secrete sex steroid hormones
—estrogen and progesterone in females and androgens in males

Puberty: secondary sexual characteristics

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6
Q

Neurotransmitter Defined

A
  • Must be synthesized within neuron
  • Released in response to AP and has measurable effect on postsynaptic cell
  • Can duplicate action experimentally
  • Mechanism must exist for termination of effect
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7
Q

Acetylcholine (Ionotropic and Metabotropic)

A
  • Nicotinic receptor: Ionotropic
  • Gates Na+, excitatory
  • Found at the neuromuscular junction, autonomic nervous system

•Muscarinic receptor: Metabotropic
•Found predominantly in the brain
•Can be excitatory or inhibitory
(Amanita muscaria is a type of mushroom)

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8
Q

Cholinergic system (Acetylcholine)

A

Functions: Attention, Learning and memory
Deterioration implicated in Alzheimer’s disease

Basal Forebrain, Pons, and Midbrain

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9
Q

Catecholamine

A

Catecholamines are Monoamnines.

Dopamine, Norepinephrine and Epinephrine

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10
Q

Catecholamine Synthesis

A

Tyrosine> l-dopa> Dopamine> Norepinephrine> Epinephrine

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11
Q

Dopamine

A

Receptors:
−Metabotropic
−Can be excitatory or inhibitory

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12
Q

Dopaminergic system (Dopamine)

A
Substantia Nigra
Ventral Tegmental Area
Basal Ganglia
Frontal Lobe
Limbic system:
Nucleus Accumbens, Amygdala, Hippocampus
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13
Q

Systems of Dopaminergic Neurons

A

Mesolimbic system: projections from ventral tegmental area (VTA) to nucleus accumbens, hippocampus, and amygdala
•Function: reward
•Implicated in Addiction

Mesocortical system: projections from VTA to prefrontal cortex
•Functions: planning, problem solving
•Implicated in Schizophrenia

Nigrostriatal System: projections from substantia nigra to basal ganglia
•Function: control of movement
•Implicated in Parkinson’s disease

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14
Q

Serotonin (5-HT)

A

Synthesis: Tryptophan

Receptors:
−Metabotropic
−Can be excitatory or inhibitory

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15
Q

Serotonergic system (Serotonin)

A
  • Functions: Sleep, arousal, appetite, mood
  • Implicated in anxiety and depression

Raphe Nuclei

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16
Q

Glutamate

A

Principle excitation transmitter in the CNS

Ionotropic or Metabotropic postsynaptic receptors

Two principle ionotropic receptors:
•AMPA
•NMDA

AMPA receptor gates Na+, excitatory

NMDA receptor is unique among receptors, requiring both ligand (NT) binding and membrane depolarization

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17
Q

Principle excitatory transmitter in the CNS

A

Glutamate

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18
Q

This receptor is unique among receptors, requiring both ligand (NT) binding and membrane depolarization

A

NMDA receptor
The N-methyl-D-aspartate receptor, a glutamate receptor, is the predominant molecular device for controlling synaptic plasticity and memory function. The NMDAR is a specific type of ionotropic glutamate receptor.

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19
Q

Principle inhibitory NT in the CNS

20
Q

GABA

A

Principle inhibitory NT in the CNS

•GABAA (Ionotropic)
–Gates Cl-, inhibitory (influx)
–Multiple binding sites

•GABAB (Metabotropic)
–Gates K+, inhibitory (efflux)

21
Q

Pituitary peptides

A

–Oxytocin: maternal care; bonding

22
Q

Opioid peptides

A

–β-endorphin: reduces pain, produces

feelings of well being (e.g., runner’s high)

23
Q

Gaseous Neurotransmitters

A

(Rare)

•Nitric Oxide
–Diffuses through membrane independent of vesicle
–Retrograde transmitter influencing presynaptic neuron’s release

24
Q

Drug

A

any substance that alters function of the synapse, in the body (PNS) or brain (CNS)

–Agonist: mimics or enhances the effect of a neurotransmitter

–Antagonist: blocks or decreases the effect of a neurotransmitter

25
Drug Routes of Adminstration
From fastest to slowest: - Injection - Inhalation - Oral - Topical
26
Individual Differences in Drug Effects
- Gender - Body Weight - Genetics - Experience
27
Agonist
mimics or enhances the effect of a neurotransmitter. ``` −Increase synthesis −Promote release −Block reuptake or degradation −Block presynaptic autoreceptors −Activate postsynaptic receptor ```
28
Antagonist
blocks or decreases the effect of a neurotransmitter. ``` −Reduce synthesis −Prevent storage −Block release −Activate presynaptic autoreceptors −Block postsynaptic receptor ```
29
Sites of Drug Action
1. Synthesis 2. Storage 3. Release 4. Receptor Interaction 5. Inactivation 6. Reuptake 7. Degradation
30
Psychoactive Drug
Any drug with psychological effect - passes through blood brain barrier to directly affect brain –Drugs of abuse –Therapeutic drugs
31
Classes of Psychoactive Drugs
Opiates –Morphine, Heroin, Codeine, Endorphins Depressants –Alcohol, barbiturates, Quaaludes, Valium Stimulants –Tobacco, caffeine, cocaine, methamphetamine Psychedelics –LSD, PCP, Psilocybin, Ecstasy Marijuana
32
Depressants
Drugs that reduce CNS activity –Sedative (calming) effects –Anxiolytic (anxiety-reducing) effects –Hypnotic (sleep-inducing) effects
33
Blood Alcohol Content (BAC)
``` Factors influencing BAC: –Number/type of drinks –Weight –Gender –Genetic Background ```
34
Neurochemical Effects of Alcohol
GABAA receptor agonist: −Antianxiety / sedative effects −Motor impairment NMDA receptor antagonist: –Memory problems Dopamine receptor agonist: –Euphoric qualities
35
Stimulants
``` Drugs that increase CNS activity –Increase Heart Rate –Increase Respiration –Increase Blood Pressure –Increase arousal –Increase alertness –Elevate mood ```
36
Cocaine
``` Extracted from coca plant, can be snorted, inhaled, or injected to produce: –Euphoria –Decreased appetite –Increased alertness –Relieved fatigue ```
37
Methamphetamine
Synthetic drug, can be snorted, inhaled, or injected to produce effects similar to cocaine
38
Cocaine/Meth Binding Sites
Mesolimbic system Reward Pathway: –Ventral Tegmental Area (VTA) releases dopamine onto the Nucleus accumbens
39
Neurochemical effects of Cocaine
Blocks dopamine reuptake into VTA presynaptic neurons | More dopamine is available at the NA postsynaptic receptors
40
Neurochemical effects of Methamphetamine
Stimulates dopamine release from VTA Blocks dopamine reuptake More dopamine is available at the NA postsynaptic receptors
41
Psychedelic Drugs
``` Cause perceptual & cognitive distortions Serotonin receptor agonists: –Lysergic acid diethylamide (LSD) –PCP (Angel’s dust) –Psilocybin (Mushrooms) –MDMA (Ecstasy) ```
42
Neurochemical effects of Ecstasy
Increases serotonin release and blocks reuptake More serotonin is available to bind postsynaptic receptors Less serotonin is available for release and autoreceptor activation decreases synthesis and release even further Serotonin levels decrease after use
43
Mesolimbic system
projections from ventral tegmental area (VTA) to nucleus accumbens, hippocampus, and amygdala •Function: reward •Implicated in Addiction
44
Mesocortical system
projections from VTA to prefrontal cortex •Functions: planning, problem solving •Implicated in Schizophrenia
45
Nigrostriatal System
projections from substantia nigra to basal ganglia •Function: control of movement •Implicated in Parkinson’s disease