CNS Flashcards

1
Q

What is glutamate

A

Excitatory neurotransmitter in CNS

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2
Q

Describe the conversion of glutamine into glutamate

A

Glutamine is converted to glutamate presynaptically.
GLU then packaged into a vescicle and removed via exocytosis when an action potential arrives.
Then gets converted back to glutamine after binding to astrocyte

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3
Q

NMDA is a receptor for which neurotransmitter

A

Glutamate

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4
Q

What effect does glycine have on NMDA receptor?

A

It is a positive allosteric modulator. It increases the receptor’s affinity for glutamate

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5
Q

Ketamine and PCP are non-competitive antagonists of which receptor?

A

NMDA

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6
Q

What effect do ketamine and PCP have on the receptor?

A

They bind intracellularly and block ion movement through the channel

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7
Q

GABA is the primary — neurotransmitter in the CNS

A

Inhibitory

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8
Q

What are the 3 monoamine neurotransmitters

A

Dopamine, serotonin and noradrenaline

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9
Q

Current theory for the cause of depression is…

A

Reduced activity of NA and 5-HT

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10
Q

Goal of depression pharmacology is… and …

A

Prevent neurotransmitter reputable by the neuron, and to prevent enzymatic breakdown

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11
Q

Compare TCAs and SNRIs

A

Both inhibit reuptake of 5-HT and NA, but SNRIs are more specific with less off-target binding

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12
Q

SSRI has 2 mechanisms of action. Describe them

A
  • slow reuptake

- slow degradation

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13
Q

Monoamine oxidase inhibitors bind to which receptor?

A

MAO-A

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14
Q

List positive symptoms of schizophrenia

A

Hallucinations, delusions, hyperactivity

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15
Q

List negative symptoms of schizophrenia

A

Withdrawn and flat mood

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16
Q

How did the typical schizophrenia drugs work

A

D2 antagonists, focussed on positive symptoms

17
Q

Main ADR of typical antipsychotics?

A

Extra-pyramidal symptoms.

18
Q

Chlorpromazine and haloperidol were examples of ….

A

Typical antipsychotics

19
Q

Off target antagonism of muscarinic receptors leads to….

A

Constipation.

Opposite of sludge-bbb

20
Q

Clozapine, rispridone and aripiprazole are examples of…

A

Atypical antipsychotics

21
Q

Describe hit and run antagonism of atypical antipsychotics

A

Lower affinity for the D2 receptor lessens the time the drug stays bound to the receptor. This lowers risk of EPS symptoms

22
Q

Purpose of 5-ht antagonism of atypical antipsychotics?

A

Treatment of negative symptoms