Final Review Flashcards

1
Q

The chances to develop drug addiction are highest for what drug that we studied?

A

Tobacco (highest)

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2
Q

Chronic opioid use facilitates the release of what neurotransmitter?

A

GABA

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3
Q

What is the strongest opioid?

A

Enkephalins? (met and leu?)

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4
Q

Which receptor agonist, dose-dependently inhibited intravenous cocaine self-administration, cocaine-enhanced locomotion and cocaine-enhanced accumbens extracellular dopamine in wild-type

A

CB2 agonist

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5
Q

Which substances mediate sphingolipid metabolism? How?

A

Cannabinoids modulate sphingolipid metabolising pathways by:

  • Inducing sphingomyelin (SM) breakdown
  • Increasing the levels of the second messenger ceramide.
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6
Q

What prevents obesity in mice? (5)

A
  • Lean mice bacteria
  • White adipose tissue leptin
  • High levels of serotonin transporter
  • Ciliary neurotrophic factor (CNTF)
  • Low fat diet
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7
Q

Symptoms of cushing syndrome? (3)

A
  • Obesity
  • Glucose intolerance
  • Hypertension
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8
Q

Non shivering thermogenesis can be stimulated by?

Agonists/antagonist?

A
  • Adrenergic sympathetic neurons acting on β3 receptors on brown fat.
  • β3 agonists: CL316,243
  • Increased β1 adrenergic signalling can compensate
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9
Q

What are cholecystokinin-1 knockout rats? (3)

A

CCK KO mice = Otsuka–Long–Evans–Tokushima Fatty (OLETF) rats

  • They become obese and develop non-insulin dependent diabetes mellitus.
  • OLETF rats are hyperphagic with characteristic large increase in meal size with a decrease in meal frequency.
  • OLETF rats have elevated hypothalamic NPY mRNA expression, this can be prevented by increased physical activity.
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10
Q

Apart from CB1 and CB2 receptors, what other things are cellular targets of cannabinoids? (3)

A
  • Glycine receptor channels
  • The receptor encoded by GPR55 gene responds to endogenous cannabinoids
  • The presence of another putative cannabinoid receptor CB3 was suggested in hippocampus.
  • TRPV1 (capsaicin) channel (anandamide, endogenous cannabinoid, is agonist)
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11
Q

Describe mechanisms leading to methamphetamine toxicity (3)

A

Processes increasing highly neurotoxic cellular concentration of dopamine.

  • Downregulation of VMAT2
  • Upregulation of tyrosine hydroxylase
  • Inhibition of MAO

Sustained dopamine damages cellular proteins through interactions with cysteine

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12
Q

Describe opioid mediated negative feedback in mesolimbic pathway

A

κ receptors (dynorphin) mediate dysphoric activities of both k opioids and cannabinoids and oppose μ receptors in regulating the hedonic tone.

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13
Q

Why is development of a heroin vaccine so challenging? (2)

A
  • Produces number of active metabolites

- It stays in circulation for a pretty long time

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14
Q

Descirbe abnormalities from CB1 (3) and CB2 (2) KO in mice

A

CB1 KO

  • Reduced locomotor activity and hypoalgesia
  • Impairment of learning and memory and accelerated age-dependent loss of hippocampal neurons
  • No alcohol withdrawal symptoms

CB2 KO

  • Pain sensitivity
  • Bone loss
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15
Q

Describe the possible role of the insular cortex in the addiction to psychostimulants

A

Nicotine addiction is thought to be mediated in right anterior insular cortex

This part of cortex is stimualted by noxious stimuli

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16
Q

What can CB2 KO mice tell us about possible future therapies targeting these receptors?

A
  • KO produces mouse aversions in plus mazes, indicating that CB2 receptors in the
    brain can modify behavior
17
Q

What are the effects of alcohol dehydrogenase and aldehyde on alcohol consumption?

A

Aberrant aldehyde dehydrogenase and alcohol dehydrogenase (ALDH22 and ADH22 alleles) lead to the accumulation of alcohol’s metabolite, acetaldehyde, when a person drinks alcohol. This toxic compound produces nausea, flushing, dizziness, and other unpleasant effects, and slow alcohol metabolizers avoid excessive drinking.

Disulfiram (Calcium carbimide) blocks acetaldehyde metabolism – producing nausea, dizziness, and other unpleasant effects

18
Q

Explain the differential development of tolerance to opioids (eg. tolerance presents differently for different opioids)

A

Eg. Huge tolerance in opiate abusers, opiates for pain can be kept at same level for months.

  • Phosphorylation of protein kinase C can lead to G protein uncoupling. β-arrestins binding to phosphorylated receptors causes endocytosis of receptor.
  • Opioids differ in their ability to internalize opioid receptors (trafficking). Since internalization followed by recycling causes a re-sensitization of the receptors, opiates that don’t induce internalization show a lower development of tolerance.
  • Opioids with a lower intrinsic activity, such as morphine or the partial agonist buprenorphine have to occupy a larger fraction of opioid receptors to produce the same effect. These opioids show therefore a faster tolerance development than opioids with a higher number of spare receptors (spare receptor hypothesis)
19
Q

Heroin or opium and why. Dangerous

A

Heroin is made by morphine diacetylation.

  • It is more dangerous because it crosses the BBB quicker
  • It is metabolized into different parts, which can take a long time to clear from the system
  • It is more addictive (best answer)
20
Q

List 8 orexigenic (appetite stimulating) mediators

A
  • NPY
  • AgRP
  • MCH
  • Orexins (act via OX1)
  • Syndecans
  • Cannabinoids
  • Ghrelin
  • Gastric inhibitory peptide (GIP)
21
Q

List two biomarkers of alcohol abuse

A
  • Erythrocyte volume

- 5-HT metabolites in blood

22
Q

Effects of overexpression of CRF in mice?

A

Acts on receptors present in the anterior pituitary stimulates release of ACTH (HPA axis activation).

CRF over-expressing mice accumulate visceral fat and show Cushing’s-like symptoms, and also develop alopecia (patches of skin without hairs)

23
Q

What is common feature of NPY, PYY and pancreatic peptide?

A

Y1, Y2, Y4, Y5 and Y6 receptors mediate the actions of these peptides

NPY receptor subtypes Y1 and Y5 stimulate feeding while Y2 and Y4 inhibit appetite.

24
Q

Which drug of abuse is most neurotoxic?

25
How are hallucinogens classifed
Hallucinogens that act via serotonergic receptors activation can be classified into two main categories: tryptamines (eg. psylocibin, LSD) and phenethylamines (eg. mescaline). All are agonists of the 5-HT2A receptors.
26
List some actions of CB2 agonists
- Dose-dependently inhibited intravenous cocaine self-administration, cocaine-enhanced locomotion and cocaine-enhanced accumbens extracellular dopamine - Useful to prevent osteoporosis. Positive effects were observed in laboratory animals with ovariectomy-induced bone loss. - prevents the activation of microglia in rodent models of Alzheimer’s disease and reduces the volume of infarcts (necrosis) by 30% in a rodent occlusion model of stroke. They show also positive effect in treatment of allergy, inflammation and MS (autoimmune disorder that results in demyelination of neurons). CB2- selective agonists also suppresses hyperalgesia. - CB2 receptor agonist JWH015 significantly protects retinal pigment epithelial (RPE) cells which provide trophic support to photoreceptor cells in the eye. RPE cell death is observed in the age-related macular degeneration (AMD) and also in the retinitis-pigmentosa. Therefore, CB2-selective agonists also have potential therapeutic use in preventing the onset or progression of vision loss. - CB2-selective agonists stimulate progenitor cell proliferation in vivo, with this effect being more pronounced in older animals indicating that agonists of CB2 can be useful in regenerative medicine.
27
Which drug of abuse is the highest cause of death?
Tobacco
28
True or false? Mescaline is a tryptamine hallucinogen?
false It is a phenethylamine
29
List the tryptamine (3) and phenethylamines (3) hallucinogens
Tryptamine - Serotonin - DMT - Psilocybin/psilocin Phenethylamines - MDMT - Mescaline - LSD
30
Does peptide YY increase or decrease feeding?
It is secreted after ingesting food and inhibits further feeding.
31
What are some similarities and differences between cocaine and methamphetamine?
- MA creates stronger and longer lasting effects than cocaine - in part because cocaine is metabolized almost completely in the body whereas a large percentage of MA remains intact and active in the body longer - Due to chronic levels of MA staying in the body longer, adverse effects such as psychosis are more commonly induced by MA than cocaine - cocaine blocks dopamine re-uptake, prolonging dopamine activity in the brain, whereas MA not only blocks dopamine re-uptake, it also increases the release of dopamine. - Cocaine is from plant, meth is synthetic
32
What is observed when lacking MC3Rs (melanocortin receptor 3)?
More adipose tissue, but otherwise normal bodyweight. MC4R polymorphism leads to obesity.
33
Leptin inhibits appetite by ___?
- Stimulating POMC neurons - Inhibiting AgRP neurons - Inhibiting NPY neurons - Stimulating POMC neurons [maybe]: Once leptin has bound to the Ob-Rb receptor, it activates the stat3, which is phosphorylated and travels to the nucleus to presumably effect changes in gene expression. One of the main effects on gene expression is the down-regulation of the expression of endocannabinoids, responsible for increasing appetite.