Exam 2 Flashcards

1
Q

What are the 3 catecholamine neurotransmitters?

A

Dopamine, epinephrine, and norepinephrine

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2
Q

Why are catecholamines named the way they are?

A

They have a catechol nucleus with an additional amine group attached.

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3
Q

Most neurotransmitters are derived from ______ ______.

A

Amino acids

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4
Q

What is the amino acid precursor for all 3 catecholamine NTs?

A

Tyrosine (non-essential amino acid the body can make without food). Tyrosine is derived from the essential amino acid phenylalanine.

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5
Q

What are the derivatives of each catecholamine NT?

A

Dopamine is made from tyrosine. Norepinephrine is CNS version of epinephrine and is derived from dopamine. Epinephrine is adrenaline made in the adrenal glands. It is deprived from norepinephrine.

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6
Q

Describe the enzymes and groups added/removed to get tyrosine to DOPA, then dopamine, then to norepinephrine.

A
  1. Tyrosine converted to DOPA via tyrosine hydroxylase (TH) enzyme. A hydroxyl (-OH) group is added.
  2. DOPA is immediate precursor to dopamine. DOPA is converted to dopamine via the enzyme aromatic amino acid decarboxylase (AADC). Removes carboxylic acid (-COOH) from molecule.
  3. Dopamine converted to norepinephrine via enzyme dopamine Beta-hydroxylase (DBH). Adds a hydroxyl group.

Norepinephrine is then N-methylated in chromaffin tissue to become epinephrine via the enzyme phenyl-ethanonolamine-N-methyltrasnferase (PNMT). Adds a methyl group (-CH3) to NE.

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7
Q

After catecholamines are produced, what transporter slurps them up and stores them in a vesicle?

A

The Vesicular Monoamine Transporter-2 (VMAT2) is an active transporter that slurps up dopamine and NE to be stored at high concentrations within the neuron.

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8
Q

How is catecholamine release regulated by a negative feedback system?

A

Catecholamine release is inhibited by autoreceptors on neuron cells bodies, terminals, and dendrites. When autoreceptors sense enough NE or dopamine has been released from pre-synaptic neuron, they open up K+ channels and they flow out of the cell to hyperpolarize and stop the action potential. This change reduces the influx of calcium and vesicle exocytosis of these NT. Dopamine transporter then slurps dopamine back up into the presynaptic cleft. Dopamine can also be broken down in the synaptic cleft and presynaptic membrane.

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9
Q

What enzyme breaks down catecholamines in the synaptic cleft?

A

Monoamine oxidase breaks down these NTs!

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10
Q

What are monoamine oxidase inhibitors?

A

These were the first drug class used to treat depression but is not widely used today. This drug stopped the breakdown of dopamine and NE in the CNS. This inhibition causes the activity of dopamine and NE to increase. Increase in concentration of dopamine and NE in the limbic system is good for mood disorders.

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11
Q

What are the main 3 areas where dopamine is made in the brain?

A
  1. Nigrostriatal tract- axons in the substantia nigra (on top of brainstem in midbrain) extend to the basal ganglia
  2. Mesolimbic dopamine pathway- from the ventral tegmental area to various structures in the limbic system.
  3. Mesocortical dopamine pathway- starts in ventral tegmental area but axons go up to the prefrontal cortex.
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12
Q

Loss of dopaminergic neurons in what brain area leads to Parkinson’s disease?

A

Substantia nigra dies away during Parkinson’s disease.

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13
Q

What are characteristics of the nigrostriatal tract in dopamine production?

A

This tract is right on top of the brainstem. This pathway facilitates voluntary movement. Loss of dopamine neurons here results in Parkinson’s disease.

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14
Q

What are characteristics of the mesolimbic dopamine pathway in dopamine production?

A

Arises from the ventral tegmental area (right next to substantia nigra) and goes to various structures within the limbic system. This is thought to be the PRIMARY reward pathway. Drugs of abuse totally hijack this pathway.

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15
Q

What are characteristics of the mesocortical dopamine pathway in dopamine production?

A

Dopaminergic neurons starting in the ventral tegmental area but leading into the prefrontal cortex. This is also a reward pathway that can contribute to addiction. This is also the pathways that stimulants work through.

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16
Q

What happens to dopamine receptors in the brain of heavy coke or alcohol users?

A

When dopamine receptors are overstimulated by lots of dopamine, they will down regulate to have less receptors. This is why drug and alcohol addicts have less dopamine receptors. This then causes more of the drug to be consumed to feel the same effect since there are less receptors.

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17
Q

There are 5 types of dopamine receptors. All of which are ______________.

A

Metabotropic. All interact with G proteins and function via second messengers.

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18
Q

Where is epinephrine secreted from?

A

Secreted from the adrenal glands in response to sympathetic nervous system activation.

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19
Q

What are some basic functions of epinephrine?

A

Short-term stress hormone that prepares the body for strenuous activity. It causes breathing rate to increase, blood flow to muscles to increase, increased heart rate, pupils dilate, and more.

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20
Q

What are other common terms used when referring to norepinephrine?

A

Noreadrenaline and noradrengeric

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21
Q

How does the epi-pen work?

A

Local injection of epinephrine that reaches general circulation. Causes relaxation of airways, increase vasoconstriction to reduce swelling and increases heart rate to increase oxygen intake.

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22
Q

Where is norepinephrine made in the CNS?

A

Locus coeruleus in the pons is the main collection of NE neurons. They are in the hindbrain with axons that extend throughout the brain and spinal cord.

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23
Q

Norepinephrine receptors have two subtypes. Both of these receptors are _____________.

A

Metabotropic

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24
Q

Why is the neurotransmitter Acetylcholine named like it is?

A

It is an acetyl group attached to a choline group. It is a NT derived from nutrients and not amino acids.

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25
Q

What is Chantix?

A

This is a partial agonist of the nicotinic acetylcholine receptor.

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26
Q

What neurotransmitter is important in Alzheimer’s disease?

A

Acetylcholine

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27
Q

How is acetylcholine made?

A

Ach is formed from choline (consumed from foods like meat, eggs, veggies) and acetyl coenzyme A (made during sugar metabolism). Choline acetyltransferase is the enzyme that takes the acetyl group and places it onto the choline to make acetylcholine.

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28
Q

How and where is acetylcholine stored?

A

Ach is stored in vesicles at axon terminals. The vesicular ACh transporter (VAChT) is the transporter that places ACh into vesicles.

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29
Q

How is acetylcholine inactivated?

A

Acetylcholine is broken down into choline and acetic acid via the enzyme acetylcholinesterase (AChE). This enzyme is found in presynaptic and postsynaptic cells. Choline left in the cleft after breakdown is taken back into the cholinergic nerve terminal by a choline transporter. There is no ACh reuptake pump!

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30
Q

What is the first line treatment for Alzheimer’s disease?

A

A reversible inhibitor of the acetylcholinesterase enzyme allowing ACh to hang out longer and exert its effects.

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31
Q

What is the action of nerve gases and some pesticides?

A

Nerve gases are irreversible inhibitors of the acetylcholinesterase enzyme. ACh is primarily an excitatory NT so blocking its breakdown leads to seizures. Some pesticides are weak and reversible AChE inhibitors and causes insects to die from seizures.

32
Q

Where does Acetylcholine exert most of its effects?

A
  1. Neuromuscular junctions
  2. Sympathetic and parasympathetic divisions of ANS
  3. Isolated fibers in CNS
33
Q

Where are acetylcholine producing neurons and interneurons found within the brain?

A

Projecting ACh cell bodies are found in the basal forebrain and brainstem. Basal forebrain cells that make ACh project to the hippocampus and aid in memory formation. ACh interneurons are found in the striatum.

34
Q

Regulation of movement is a balance between what two NTs?

A

Dopamine and Acetycholine.

35
Q

What are the two families of cholinergic (ACh) receptors?

A
  1. Nicotinic receptors- respond to the agonist nicotine (alkaloid found in tobacco plant). These are ionotropic.
  2. Muscarinic receptors- respond to muscarine (alkaloid derived from agaric mushrooms). These are metabotropic.
36
Q

Describe the characteristics of the nicotinic acetylcholine receptor.

A

Nicotinic receptors are ionotropic. When ACh binds, ion channels open and Na+, K+, and Ca2+ enter the neuron or muscle cell to depolarize it. Alpha 4 beta 2 is the most abundant nicotinic ACh receptor. It is important in the rewarding effects of nicotine. Chantix is partial agonist of this receptor.

37
Q

What is the function of the neuronal alpha 7 nicotinic ACh receptor?

A

This is an ionotropic receptor. Most important on memory formation. Has neurotropic effects meaning it keeps the neurons healthy.

38
Q

What is the primary inhibitory neurotransmitter?

A

GABA

39
Q

What is the primary excitatory neurotransmitter?

A

Glutamate

40
Q

What receptors do glutamate bind to?

A

Glutamate binds to NMDA receptors.

41
Q

What are the two most abundant NTs?

A

GABA and glutamate

42
Q

Why do rats flail around after you have cut their heads off?

A

GABA is constantly being released to keep neurons at rest until there is a stimulatory signal. When the spinal cord is severed, GABA no longer is inhibiting motor neurons and they depolarize and move around.

43
Q

Do GABA and glutamate only act on metabotropic or ionotropic receptors?

A

They act on both!

44
Q

Not all neurons have glutamate within them (T or F).

A

False! All neurons contain some amount of the NT glutamate.

45
Q

What amino acid creates glutamate?

A

The non-essential amino acid glutamine is converted to glutamate.

46
Q

How is glutamate created?

A

Start with the non-essential amino acids glutamine since cells produce a lot of this during the Krebs cycle. The enzyme glutaminase converts glutamine to glutamate via cleaving off NH2 group,

47
Q

Describe the steps of glutamate NT release.

A
  1. Glutamine transporter picks up glutamine from the extracellular space and slurps it into the presynaptic neuron.
  2. Glutamine is converted to glutamate within neuron by enzyme glutaminase.
  3. Vesicular glutamate transporter then sucks up glutamate into vesicle to be stored for later release.
  4. NTs is released and binds and actions exerted. Once in synaptic cleft, a nearby astrocyte with an excitatory amino acid transporter (EAAT) slurps up glutamate from the cleft.
  5. Glutamate is instantly converted back to glutamine via glutamine synthetase in the astrocyte.
  6. Glutamine is kicked out of the astrocyte into the extracellular space and can be sucked up by a nearby neuron for the process to start over again.
48
Q

What are the 3 types of ionotropic glutamate receptors?

A
  1. AMPA receptor- flow of Na+ into the cell to depolarize it
  2. NMDA receptor- receptor that alcohol inhibits. Let sodium and calcium flow into cell to depolarize.
  3. Kainate receptor- flow of Na+ into the cell.
49
Q

Describe memory formation in relation to NMDA and AMPA ionotropic glutamate receptors.

A

At rest, NMDA receptors are blocked by a magnesium ion acting like a plug in a bathtub. When an action stimulates the hippocampus to form memories, these receptors are activated. Glutamate binds to AMPA receptors which opens up the ion channel and Na+ flows into the neuron and it is depolarized. That slight stimulation of Na+ rushing in depolarizes nearby membranes causing the shape of the NMDA receptor to change and magnesium pops out. Glutamate can then bind to the NMDA receptor. This allows Na+ and Ca2+ to flow into the neuron. The influx of Ca2+ ions through NMDA activates several protein kinases resulting in long-term potentiation of memory formation.

50
Q

Why does drinking lots of alcohol result in memory loss?

A

Alcohol binds to the NMDA receptor like magnesium does and blocks ions from passing through. Without ion exchange, no memories can be formed.

51
Q

How is GABA made?

A

GABA is made from glutamate. Glutamate is converted to GABA via glutamic acid decarboxylase (GAD) enzyme. GABA neurons will have glutaminase and GAD enzymes!

52
Q

Describe the steps of GABA release.

A
  1. Glutamine in extracellular space is slurped up by glutamine transporter into presynaptic neuron.
  2. Glutamine is converted to glutamate via glutaminase enzyme.
  3. Glutamate is converted to GABA via glutamic acid decarboxylase (GAD).
  4. GABA is transported into synaptic vesicles for storage by vesicular GABA transporters (VGAT).
  5. GABA is released and binds to receptors and is in the synaptic cleft. The GABA transporter (GAT) on nearby astrocytes slurps GABA back into its astrocyte.
  6. Astrocyte converts GABA to glutamate by enzyme GABA transaminase.
  7. Glutamate is converted to glutamine via enzyme glutamine synthetase which is pumped out of astrocyte into extracellular space for process to begin again.
53
Q

What are the two types of GABA receptors?

A

GABA A receptor- ionotropic

GABA b receptor- metabotropic

GABA receptors are everywhere throughout the CNS.

54
Q

What is the function of the ionotropic GABA A receptor?

A

GABA A receptors allow Cl- to move from outside the cell to inside to cell causing hyperpolarization of the neuron and therefore inhibition. Drugs affecting this receptor include alcohol, benzos, barbiturates, and neurosteriods.

55
Q

What is the affect of positive allosteric modulators binding to GABA receptors?

A

Positive allosteric modulators cause a conformational change of the GABA receptor leading to an INCREASED affinity of endogenous GABA. For example, alcohol and benzos activate GABA A receptors by allowing GABA to better activate the receptor.

56
Q

What is the drug diazepam?

A

This is a classic benzo used to treat anxiety and alcohol withdrawal. Works by increasing the inhibitory effects of GABA.

57
Q

What is the drug Topamax?

A

This is an agonist of the GABA-A receptor and an antagonist of the AMPA receptors. This drug is used to treat epilepsy.

58
Q

What is the drug Depakote?

A

This drug inhibits GABA transaminase allowing GABA to build up within the astrocyte and leak back out into the synaptic cleft. It is an anticonvulsant.

59
Q

Receptors for GABA can be stimulatory or inhibitory (T or F).

A

False! Every receptor for GABA is inhibitory since it allows Cl- to flow into neurons.

60
Q

What is serotonin?

A

This is a neurotransmitter also known as 5-HT! It is in the class of indoleamines with melatonin. Serotonin is also a catecholamine because it has a catechol nucleus. This NT has wide range of behavioral and physiological functions including regulation of mood, sleep, hunger, anxiety, pain, learning, and memory.

61
Q

What is the distribution of serotonin throughout the body?

A

90% of serotonin exists in the GIT to regulate intestinal movements. Only 2% of serotonin is in the CNS because it can not cross the BBB.

62
Q

What amino acid is serotonin derived from?

A

Serotonin is derived from the essential amino acid tryptophan.

63
Q

How does tryptophan enter into the CNS?

A

It needs to be actively transported into the CNS via the large amino acid transporter (LAT). It competes for entry into CNS with other amino acids.

64
Q

What is a food coma?

A

When we eat a large amount of foods with carbohydrates in it, insulin is released so cells can take up the glucose. Insulin activates LAT transporters in the brain allowing more tryptophan to enter into the CNS. More tryptophan more means serotonin which means more melatonin. Melatonin then makes us tired.

65
Q

Where are serotonergic neurons found in the brain?

A

In the CNS, 5-HT producing neurons are in clusters. In the raphe nuceli of the midbrain, pons, and medulla. These clusters project broadly and are mostly inhibitory.

66
Q

How is serotonin made from tryptophan?

A

Tryptophan is converted to 5-HTP via the enzyme tryptophan hydroxylase adding an -OH group. 5-HTP is then converted to 5-HT via aromatic L-amino acid decarboxylase (AADC) enzyme by removing a carboxyl group from side chain.

67
Q

How is serotonin released and taken back up?

A

Tryptophan is converted to serotonin within the presynaptic neuron. Serotonin is slurped into vesicles for storage via the vesicular monoamine transporter (VMAT2). Serotonin is released into cleft and then taken back up via the SERT/ 5-HT transporter into the presynaptic terminal. Some serotonin is broken down while others are recycled. Monoamine oxidase is the enzyme that breaks down serotonin within the cleft.

68
Q

How do SSRIs function?

A

These block the action of SERT and allow more serotonin to stay in the cleft and exert its actions.

69
Q

What is serotonin broken down into? This is a value that can be measured as well.

A

Serotonin (5-HT) is broken down into 5-HIAA and can be detected and measured in cerebrospinal fluid.

70
Q

There are at least 14 5-HT receptors throughout the body. All of these are metabotropic except one (T or F).

A

True! All are metabotropic except 1 which is ionotropic!

71
Q

Describe the 5-HT 1A autoreceptor for serotonin.

A

5-HT 1A is the serotonin autoreceptor. It is an inhibitory G protein receptor. When serotonin binds to this receptor, K+ channels open and leave cell to hyperpolarize it.

72
Q

Describe the 5-HT 2A serotonin receptor.

A

This is a Gq receptor meaning it likely activates. When serotonin binds to this receptor activity in post-synaptic neurons bringing them closer to firing through the IP3 second messenger system. This results in increased calcium in postsynaptic cells that activate protein kinase C.

73
Q

What are some antagonist and agonist for the 5-HT 2A receptor?

A

Agonists include hallucinogenics like LSD. When we increase serotonin at 5HT-2A receptors, we are overstimulating sensory relay area making us see things.
Antagonist include clozapine and are used as antipsychotics.

74
Q

What is the one 5-HT receptor that is the exception and is ionotropic?

A

5-HT3 receptor is a ligand gated ion channel permeable to Na+, K+, and Ca2+. Lots of these receptor in the area postrema which is portion of brain without BBB. This is the vomit center and responses need to be quick here so we can get toxins out of the system. We also have 5-HT3 receptors in the stomach and gut.

Antagonist of the 5-HT3 receptor include Zofran which is used to treat nausea.

75
Q

What is serotonin syndrome?

A

This is when we have too much serotonin in the CNS and results in confusion, agitation, headache, increased heart rate, nausea, vomiting, and sometimes death.