CNS 4 Flashcards

1
Q

what is glutamate?

A

most abundant amino acid

is intermediate in neuronal metabolism (precursor for GABA)

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2
Q

what does glutamate act as?

A

major excitatory neurotransmitter in brain

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3
Q

glutamate is synthesised in the nerve terminals from 2 sources

what are these?

A
  • from glucose via Krebs cycle

- from glutamine by enzyme glutamine
glutamine is synthesised by glia cells + taken up by neurones

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4
Q

where is Glu stored?

A

vesicles + released by ca2+ dependent mechanism

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5
Q

how is Glu removed?

A

from synapse by high affinity reuptake into nerve terminals + neighbouring glial cells

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6
Q

the action of glutamate is not stopped by…

A

enzymatic breakdown

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7
Q

what is the action of glutamate stopped by?

A

2 transport pumps (Na+/K+ coupled glutamate transporters)

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8
Q

where are the Na+/K+ coupled glutamate transporters located?

A
  • first pumps in pre-sn

- second pumps in nearby glia cells

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9
Q

glutamate taken up by …. is converted to glutamine

A

astroglial cells

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10
Q

what is glutamine inactive in the sense?

A

it cannot activate glutamate receptors

it is released from glial cells into extracellular fluid

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11
Q

what does glutamate act at?

A

3 different types of ionotropic receptors + at family at G protein coupled receptors

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12
Q

describe the binding at ionotropic receptors?

A
  • NMDA receptors bind glutamate + NMDA
  • AMPA receptors bind glutamate, AMPA and quisqualic acid
  • kainate receptors bind glutamate + kainic acid
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13
Q

what are metabotropic glutamate receptors (mGluRs)?

A

members of G protein coupled receptor (GPCR) superfamily

most abundant receptor gene family in human genome

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14
Q

what do mGluRs mediate?

A

slow synaptic glutamate response by coupling to second messenger cascades + ion channels via heterotrimeric G proteins

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15
Q

what are mGluRs linked to?

A

second messenger systems

lead to inc of intracellular ca2+ / dec of cAMP

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16
Q

when mGluRs bind glutamate, what neurotransmitter do they create?

A

excitatory

17
Q

what members of the G protein coupled receptor family are mGluRs part of?

18
Q

what do group I mGluRs couple to?

A

Gq/G11

  • activate phospholipase C
  • leads to hydrolysis of - phosphotinositides
  • generation of IP3 + DAG
19
Q

what do group II and III mGluRs couple to?

A

Gi/o

  • inhibit adenylyl cyclase
  • regulate ion channels + downstream signalling pathways
20
Q

what are glutamatergic neurones and NMDA receptors in the hippocampus important in?

A

creation of LTP (long term potentiation)

—> memory

21
Q

research studies show that the glutamate synapse is a potential target for wide range of neurological + psychiatric disorders.

give examples of these?

A
  • epilepsy
  • pain
  • anxiety
  • amnesia
22
Q

what is gamma-aminobutyric acid (GABA)?

A

amino acid with high conc in brain + spinal cord

23
Q

GABA is the most…

A

prevalent inhibitory neurotransmitter in CNS

24
Q

in the spinal cord, about half of inhibitory neurones use what instead?

25
GABA does not penetrate through the blood brain barrier, therefore where is it synthesised?
in situ
26
how is glutamate converted into GABA?
using L-glutamic acid decarboxylase (GAD)
27
what does GAD require?
pyrodixal phosphate (active vitamin B6) as co factor
28
where is GAD found?
in GABA-ergic neurones present in nerve endings of brain as well as beta cells of pancreas
29
what 2 forms of GAD are found in the brain?
GAD65, GAD67
30
what are the 2 types of receptors for GABA in the mammalian CNS?
- GABAA (ligand gated ion channels) | - GABAB (G protein coupled)
31
give examples for GABAs normal + perturbed function?
- cortical + thalamic - GABA neurones needed for inhibition of excitatory neurones - modulation of GABAa needed for treatment of anxiety disorders, insomnia + agitation - BZDs = helpful in treatment /prevention of seizures - BZDs also used in ethanol detoxification
32
BZDs have a wide range of unwanted side effects what are these?
- hypotension - addition - impaired cognitive function - decreased libido / erection problems
33
what are BZDs now replaced with?
SSRIs