Class 12 Flashcards

1
Q

What are Neurotransmitters?

A

Over 100 different NTs have been identified. Single neuron can produce many different NTs. NTs can interact with other NTs & hormones & body in many different ways. Same NT can have different roles in
different parts of body.

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2
Q

Neurotransmitters are released into one ________________, are ________-acting & produce ________-term response. ________________________ can affect groups of neurons, or effector cells with appropriate receptors. They can have a wide variety of actions across many targets far from release site.

A

• synapse
• fast
• short
• Neuromodulators (neurohormone)

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3
Q

What is a Neurotransmitter Agonist?

A

A NT agonist is a chemical that has the same effect on postsynaptic neuron as neurotransmitter does.

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4
Q

What is a Neurotransmitter Antagonist?

A

molecule that blocks effect of NT or its agonists. Are sometimes called blockers. Usually, transmitter must be inactivated, otherwise, it might “lock up” circuit that must respond frequently. NT may leak over to other synapses & interfere with their functions. Typically, transmitters are taken back into terminals by membrane proteins called transporters in process called reuptake. They are repackaged in vesicles & used again.

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5
Q

Dopamine in the CNS, dopamine functions as a _______ and ____________________.

A

• NT
• & neuromodulator.

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6
Q

Dopamine In the PNS, it has key roles in the ____________________ and ____________.

A

Immune system & kidneys

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7
Q

Dopamine Neural Functions Include?

A

PLEASURE & MOTIVATION PATHWAYS, for eg. frisson (emotional goosebumps that come from any aesthetic experience, especially music). All animals (including fruit flies) can be trained to repeat an action if it is consistently followed by an increase in dopamine levels.

REWARD-MOTIVATED BEHAVIOUR. Anticipation of most types of rewards increases level of dopamine in brain, & many addictive drugs increase dopamine release.

MOTOR CONTROL (e.g., dopamine reduction with aging causes increased rigidity). Midbrain areas including substantia nigra produce most of brain’s dopamine.

Dopaminergic axons project to many other brain regions & exert powerful effects on their targets.

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8
Q

(Dopamine and the Basal Ganglia) The basal ganglia are responsible for?

A

Initiating behaviours, but not for determining details of how they are carried out. BG determine which several possible behaviours occur by release of inhibition (disinhibition). While continuing to inhibit other motor systems that would generate competing behaviours.

When chosen response is successful & is followed by increase in dopamine activity, same response is easier to produce when similar situations arise.

Generally help in directing involuntary movements including postural proximal adjustments. This “background positioning” is necessary before fine, distal movements may take place.

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9
Q

(Dopamine and the Basal Ganglia) Parkinsons disease results from?

A

Loss of dopaminergic neurons in substantia nigra of brain stem.

Beyond age of 60, its most common neurodegenerative disorder after Alzheimer

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10
Q

Parkinson’s beyond age of 60, its most common neurodegenerative disorder after Alzheimer

characterized by movement disorders including?

A
  • resting tremors when muscles are relaxed
  • tremor stops when voluntary movement of body part begins; tremor usually occurs first in hands & is often one of first noticeable symptoms of disease
  • difficulty initiating movement
  • rigidity
  • bradykinesia (slow movement)
  • hypomimia (a reduction in facial expression)
  • when confronted with strong stimuli such as serious threat, PD reactions can be vigorous
  • soft & slurred speech
  • festination: quickening & shortening of normal strides leading to fast- shuffling gait
  • prescription of drugs that are dopamine antagonists, (also often used for schizophrenia) can often result in anhedonia, diminished ability to experience pleasure & slowed reactions
  • drugs that are dopamine agonists (e.g., L-Dopa) can lead to impulsive behavior, such as compulsive gambling
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11
Q

What is Acetylcholine (ACh)?

A

main neurotransmitter of parasympathetic nervous system.Cholinergic drugs stimulate parasympathetic nervous system by copying action of ACh. Anticholinergics can treat variety of conditions, including urinary incontinence.

ACh is also NT at neuromuscular junctions. Chemicals that affect cholinergic systems can have very dangerous effects, ranging from paralysis to convulsions.

Botulinum toxin is a key ingredient of drug Botox. It’s neurotoxic protein produced by bacterium Clostridium botulinum.

Prevents release of ACh from axon terminals at neuromuscular junction thus preventing muscle contractions. This can be helpful in combatting both spasmodic torticollis & wrinkles.

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12
Q

What is Botulinum toxin?

A

Botulinum toxin is a key ingredient of drug Botox. It’s neurotoxic protein produced by bacterium Clostridium botulinum.

Prevents release of ACh from axon terminals at neuromuscular junction thus preventing muscle contractions. This can be helpful in combatting both spasmodic torticollis & wrinkles.

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13
Q

What are Endocannabinoids?

A

NTs & neuromodulators. These chemicals bind to
cannabinoid receptors throughout body.

Endocannabinoids, anandamide, & 2- AG are involved in multiple neural functions. Exogenous cannabinoids are found in cannabis (marijuana) plant.

CBD & THC are two well-known exogenous cannabinoids that mimic endocannabinoids.

THC is main psychoactive component of cannabis.

CBD, or cannabidiol is essential component of medical marijuana, derived directly from hemp plant, relative of marijuana, or manufactured in laboratory.

Research has indicated that cannabis reduces nausea & vomiting during chemotherapy & reduces chronic pain & muscle spasms.

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14
Q

T/F CBD causes a “high” by itself?

A
  • False

CBD does not cause a “high” by itself.

CBD exhibits no effects indicative of any abuse or dependence potential…. To date, there is no evidence of public health related problems associated with use of pure CBD.”

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15
Q

CBD has been touted for management of a wide variety of health issues, including?

A

Several childhood epilepsy syndromes, anxiety, & insomnia. May inhibit inflammation.

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16
Q

Cannabis has various mental effects, which include?

A

euphoria, altered states of mind & sense of time, relaxation, & increase in appetite.

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17
Q

What is Endorphin (endogenous morphine)?

A

Opioid NT & neuromodulator produced & stored in pituitary gland. Also help block perception of pain & increase feelings of wellbeing. Are produced & stored in pituitary gland.

Common factors leading to release of endorphins are pain & stress.

Massage, meditation, laughter, & exercise are known to stimulate endorphin production & to elevate pain thresholds.

Chili peppers can also lead to enhanced secretion of endorphins; spicier the pepper, the more endorphins are secreted.

At least 20 types of endorphins have been found in humans.

Interact with opiate receptors in brain to reduce
perception of pain & act similarly to drugs such as morphine (major component of heroin) & codeine.

play a major role in brain’s inhibitory response to pain. Research shows massage, meditation, laughter & exercise may trigger endorphin release. Though they’re both part of brain’s reward system, endorphins are quickly released during specific act to alleviate pain & stress. In contrast, dopamine is released slowly & thought to be responsible for mood-boosting sensation you feel after activity.

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18
Q

Common factors leading to release of endorphins are?

A

pain & stress

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19
Q

Massage, meditation, laughter, & exercise are known to stimulate _________________________ & to elevate _________________________.

A

endorphin production & to elevate pain thresholds.

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20
Q

Endorphins Interact with opiate receptors in brain to?

A

reduce perception of pain & act similarly to drugs such as morphine (major component of heroin) & codeine.

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21
Q

Endorphins play a major role in?

A

The brain’s inhibitory response to pain.

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22
Q

What is Epinephrine (Adrenalin)?

A

Acts as Sympathetic Nervous System NT. It’s released as hormone via adrenal medulla.

Plays important role in body’s fight or flight response.

release into bloodstream causes increased blood pressure, heart rate, & glucose levels.

Chronic stress & certain health conditions can affect
body’s ability to produce or respond to adrenalin.

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23
Q

What are Epinephrine Auto-Injectors?

A

Used to block progression of allergic response. It causes bronchi to dilate (relax) allowing more air into lungs. Can be lifesaver when someone is experiencing anaphylaxis (severe allergic reaction that is rapid in onset & may cause death).

24
Q

What are Beta blockers?

A

Medications that reduce blood pressure & HR by
blocking adrenalin receptors called Beta adrenergic receptors.

25
Q

What are Beta blockers?

A

Medications that reduce blood pressure & HR by
blocking adrenalin receptors called Beta adrenergic receptors.

26
Q

What is Propranolol?

A

Common beta blocker is often used “off-label” by
performers & public speakers to decrease performance anxiety.

27
Q

What does “Off-label” mean?

A

Unapproved use of drug that was approved for
another disease or medical condition.

28
Q

What is Adenosine?

A

Chemical present in all human cells. Adenosine comes in different forms including adenosine triphosphate (ATP).

When binds to its receptors, it facilitates sleep. Stimulant effect of coffee occurs because caffeine acts as adenosine-receptor antagonist. It binds to same receptors as adenosine.

When this happens, receptors are unavailable to natural “braking” action of adenosine, & neural activity therefore speeds up. Caffeine also activates neural circuits that produce more adrenalin & dopamine in brain’s “pleasure” (motivational) circuits.

29
Q

What is Gamma-Aminobutyric Acid (GABA)?

A

Most common inhibitory NT in CNS. Without GABA, nerve cells can fire too often, which results in their death.

Anxiety disorders eg. panic attacks, seizure disorders, & cognitive impairment are all related to low GABA activity.

Research have shown that GABA taken as supplement doesn’t cross blood brain barrier & most likely works as placebo.

Agonists include prescription medications classified as benzodiazepines, eg. Valium. Used to treat anxiety, alcohol withdrawal, & seizures. Also used to relieve muscle spasms & provide sedation before medical procedures. This medication works by calming brain & nerves.

Medical practitioners noticed some patients who suffered from epilepsy & neuropathies often experienced pain relief when treated with
anticonvulsants. Lyrica (pregabalin) & Neurontin (gabapentin) are both common anticonvulsants that structurally resemble GABA. Drugs are now often used for neuropathic pain syndromes. Many people, however, will get little or no pain relief or cannot tolerate side effects.

30
Q

GABA agonists include?

A

Agonists include prescription medications classified as benzodiazepines, eg. Valium. Used to treat anxiety, alcohol withdrawal, & seizures. Also used to relieve muscle spasms & provide sedation before medical procedures. This medication works by calming brain & nerves.

31
Q

Anxiety disorders eg. panic attacks, seizure disorders, & cognitive impairment are all related to ___________________.

A

low GABA activity

32
Q

What is Glutamate?

A

Common excitatory neurotransmitter in CNS. It’s involved in most aspects of normal brain function including cognition, memory, & learning.

Too much & too little glutamate is harmful. Microglia use glutamate to destroy infected neurons, viruses, & bacteria, can also cause large amounts of collateral damage to healthy neurons.

Microglia can become over-activated as result of chronic inflammation. Can result in a self perpetuating cycle called reactive microgliosis. Thought to be an underlying mechanism of progressive neuron damage across numerous neurodegenerative diseases, regardless of instigating stimuli.

Excessive glutamate release can overstimulate brain & lead to excitotoxicity causing cell death resulting in seizures or strokes. Excitotoxicity has been implicated in certain chronic diseases including epilepsy & Alzheimer’s disease.

Epilepsy is CNS disorder in which brain activity becomes abnormal, causing recurrent seizures or periods of unusual behavior such as staring blankly for a few seconds or repeatedly twitching arms or legs.

33
Q

What is Epilepsy?

A

CNS disorder in which brain activity becomes abnormal, causing recurrent seizures or periods of unusual behavior such as staring blankly for a few seconds or repeatedly twitching arms or legs.

34
Q

Excessive glutamate release can?

A

Overstimulate brain & lead to excitotoxicity causing cell death resulting in seizures or strokes. Excitotoxicity has been implicated in certain chronic diseases including epilepsy & Alzheimer’s disease.

35
Q

What is reactive microgliosis?

A

Microglia can become over-activated as result of chronic inflammation. Can result in a self perpetuating cycle called reactive microgliosis. Thought to be an underlying mechanism of progressive neuron damage across numerous neurodegenerative diseases, regardless of instigating stimuli.

36
Q

What is reactive microgliosis?

A

Microglia can become over-activated as result of chronic inflammation. Can result in a self perpetuating cycle called reactive microgliosis. Thought to be an underlying mechanism of progressive neuron damage across numerous neurodegenerative diseases, regardless of instigating stimuli.

37
Q

What is Hypocretin?

A

NT that influences arousal & wakefulness. It’s produced in hypothalamus.

Depletion of hypocretin results in most common form of narcolepsy in which sufferer experiences daytime sleepiness.

People with narcolepsy may be either undiagnosed or misdiagnosed. People who have narcolepsy often have cataplexy. Brief loss of muscle tone in
response to strong, usually positive emotions, eg. laughing. Can result in collapse to floor while retaining full conscious awareness.

Major role of hypocretin system is to integrate metabolic & circadian cycles’ influence to determine whether an animal should be asleep, or awake & active.

Intranasal hypocretin, esp. under sleep deprived situations, may provide an opportunity for treatment of excessive daytime sleepiness.

38
Q

Major role of hypocretin system is?

A

To integrate metabolic & circadian cycles’ influence to determine whether an animal should be asleep, or awake & active.

39
Q

Depletion of hypocretin results in?

A

Most common form of narcolepsy in which sufferer experiences daytime sleepiness.

40
Q

People with narcolepsy may be either undiagnosed or misdiagnosed. People who have narcolepsy often have cataplexy which is?

A

Brief loss of muscle tone in response to strong, usually positive emotions, eg. laughing. Can result in collapse to floor while retaining full conscious awareness.

41
Q

What is Histamine?

A

Involved in inflammatory response & has central role as mediator of itching. Histamine has been recognized as central neurotransmitter.

First identified in brain about 50 years ago, only in
last few years have researchers gained an understanding of how it regulates sleep/wake behaviour. Hypothalamus is sole neuronal source of histamine in brain, & histaminergic axons extend out throughout CNS.

Antihistamines are often used to decrease formication; sensation that resembles small insects crawling on/under skin when there is nothing there.

Causes of formication include normal states eg. onset of menopause & medical conditions such as pesticide exposure, diabetic neuropathy, skin cancer, Lyme disease, hypocalcemia, or herpes zoster (shingles) & eczema of elderlypeople.

42
Q

Causes of formication include?

A

normal states eg. onset of menopause & medical conditions such as pesticide exposure, diabetic neuropathy, skin cancer, Lyme disease, hypocalcemia, or herpes zoster (shingles) & eczema of elderlypeople.

43
Q

Antihistamines are often used to?

A

Decrease formication; sensation that resembles small insects crawling on/under skin when there is nothing there.

44
Q

_______________ is the sole neuronal source of histamine in the brain.

A

hypothalamus

45
Q

What is Nitric Oxide?

A

Gaseous neurotransmitter, lacks vesicular storage & must be synthesized rapidly following neuronal depolarization. Paranasal sinuses are major producers of nitric oxide. During inspiration through nose, air passing through nasal airway is slowed by shelf-like bony structures called turbinates (conchae). This allows mixing of incoming air with nitric oxide produced in nasal sinuses, which results in increased oxygen & reduction of vascular resistance.

46
Q

What is Oxytocin?

A

Hormone & neurotransmitter that is involved in childbirth & breast- feeding, associated with empathy, trust, & relationship- building.

47
Q

What is Serotonin? (aka 5-HT)

A

NT whose biological function is complex, modulating mood, cognition, & numerous physiological processes such as emesis or vomiting.

48
Q

What does Enuresis mean?

A

involuntary urination

49
Q

Gut-brain axis (GBA) refers to?

A

biochemical & bidirectional signaling that takes place between GI tract & CNS.

50
Q

The vast majority of serotonin is made & contained within the ______. Peripheral functions involve _____________ of ________________. Serotonin signaling
along the GBA may underlie the symptoms present in many GI and mood disorders and also explain their high comorbidity.

A

• gut
• regulation of GI motility

51
Q

What is Comorbidity?

A

Simultaneous presence of two chronic diseases in patient

52
Q

Drugs that alter serotonin levels are used in treating?

A

Depression, generalized anxiety disorder, & social phobia.

53
Q

Psychedelic drugs psilocin/psilocybin, & LSD are serotonin ______________.

A

Agonists

54
Q

Selective serotonin reuptake inhibitors (SSRIs) are?

A

Class of drugs that are most prescribed class of antidepressants. SSRIs block reuptake of serotonin in synapse, making more serotonin available to absorb by receiving neuron.

55
Q

Disorders caused by serotonergic activity potentially contribute to many symptoms of major depression, such as?

A

Overall mood, activity, suicidal thoughts & sexual & cognitive dysfunction.

56
Q

In human brain, MDMA (Ecstasy), triggers?

A

Release of serotonin, causing feelings of happiness & closeness to others. Some octopuses (California two-spot octopus, not shown in picture) normally shy & solitary creature become more sociable & engaged after dose of MDMA (3,4 methylenedioxy-N. -methamphetamine).