GABA and Glycine Flashcards

1
Q

Cocculus inicus and its case in the House of Commons

A

Hippo toxin is GABA receptor antagonist therfore important in beer

Making beer poor —> Cocculus indicus multum (an extract of coculus indicus)

“Malt, to produceintoxication, must be used in such large quantities as would very much diminish, if not totally exclude, the brewer’s profit.”

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2
Q

GABA is the main inhibitory transmitter in the adult nervous system:

A
  • the major excitatory neurotransmitter is the precursor to the main inhibitory transmitter!
  • GABA is synthesised by the enzyme glutamic acid decarboxylase (GAD)
  • glutamate —> (GAD) —> GABA
  • GAD (either 65 and/or 67) is localised specifically to GABAergic neurons
  • GABA is present in highly diverse inhibitory interneurons (e.g basket, stellate, etc..) and projection neurons (e.g Purkinje) throughout the brain.
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3
Q

GABAergic transmission:

A
  • GABA is transported back into GABAergic terminals via dedicated GABA transporters.
  • It is also buffered by astrocytes where it is degraded by GABA transaminase (GABA-T).
  • Thus, in GABAergic neurotransmission, there is a net flow of GABA from the neuronal to the astrocytic compartment.
  • This net flow needs to be compensated by a flow of a GABA precursor in the opposite direction.
  • GABA - Glutamate - Glutamine —> Glutamine goes back to presynaptic terminal
  • Broken down by GABA-T
  • Involves presynaptic terminals and
    astrocytes
  • Pool of precursor becomes available, replenished for system to function
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4
Q

GABA-proteins

A

GAD - intracellular (GAD65-axon terminal, GAD67-cytosol) —> synthesises GABA

GABAT - mitochondria —> degenerated GABA

GAT (GAT1-neurons and glia, GAT2/GAT3-glia and periphery, GAT4-brain and periphery) —> transport GABA across plasma membrane

GABAA (𝛼, 𝛽, 𝛾, 𝛿, 𝜌 ,𝜋,𝜀) - postsynaptic membrane
—> iontropic receptor (chloride channel)

GABAB (R1, R2) - pre and postsynaptic membrane
—> Metabotropic receptor (G-protein linked)

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5
Q

Is there a GABAC?

A

The distinction between GABAA and GABAC receptors is based only on pharmacological grounds.
GABAC receptors are characterised by their activation by cis-4-aminobut-2-enoate (CACA), whereas classic GABAA receptor agonists such as isoguvacine have no effect.
Because the GABAC receptor is a homomeric complex of “rho”-subunits sharing a considerable amino acid sequence homology with the remaining GABAA receptor subunits, it may be concluded that this receptor subclass should be termed a pharmacologically distinct GABAA receptor.

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6
Q

GABAA agonists and antagonists

A

Agonists:
- GABA
- THIP
- Isoguvacine
- isoipecotic acid
- muscimol

Antagonists:
- Bicucilline
- Picrotixinin

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7
Q

GABAC agonists and antagonist:

A

Agonists:
- GABA
- CACA
- CAMP

Antagonists:
3-APMPA
3-APPA

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8
Q

Composition of GABAA & distribution (a1 and a2)

A

GABAA receptors are thought to be pentameric complexes, comprised of possibly more than 2000 different subunit combinations (~20 widely expressed; fewer dominant).
The most prevalent subunit in the brain is α1, with the major GABAA receptor subtype in brain having a stoichiometry of α1β2γ2.
Receptors containing the α2 subunit are most abundant in regions where the α1 subunit is absent or expressed at low levels, such as the hippocampus, striatum, and olfactory bulb.

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9
Q

Composition of GABAA & distribution (a3, a6)

A

The α3 subunit is expressed in regions
complementary to the α1 subunit, including the lateral septum, reticular nucleus of the thalamus, and brainstem nuclei.
The α6 subunit is expressed almost exclusively in cerebellum.

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10
Q

GABAA subunits

A

19 different subunits, in eight families. The 𝛼 family comprises 6, 𝛽 4, 𝛾 - 3 and 𝜌 - 3 subunits. Remaining 4 subunits (𝛿,𝜀,𝜃,𝜋) have only 1 splice variant identified.
𝛼, 𝛽, 𝛾, 𝛿, 𝜀 subunits can form heteromeric complexes.

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11
Q

GABAA/C receptor

A

Expressed in retina

Homomeric complex of 𝜌-subunits, resistant to both bicuculline and baclofen.

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12
Q

Binding sites on GABAA receptor:

A

GABA site - bicuculline (antagonist)

Benzodiazepine site - agonists (depressants e.g diazepam)

Barbiturate site - e.g pentobarbital

Steroid site - anaesthetics or axiogenics

Picrotoxin - convolusants

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13
Q

GABAB receptor

A

The metabotropic G protein-coupled GABA receptors, originally termed GABAB because they are pharmacologically distinct from GABAA (being activated by baclofen and insensitive to the GABAA receptor antagonist bicuculline).
Two subtypes, GABAB1 and GABAB2 have to form a heterodimeric complex in order to be functionally active. Postsynaptic GABAB receptors normally produce hyperpolarization due to coupling to K+ channels.
Presynaptically, GABAB receptors are coupled to Ca2+ channels, and activation leads to a decrease in Ca2+ conductance, resulting in inhibition of transmitter release. Thus, counterintuitively GABAB agonists can produce muscle relaxation and antagonists act as anti-epileptics.

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14
Q

GABAB synaptic transmission

A

GABAB receptor function regulates neurotransmitter release at both GABAergic and glutamatergic terminals.

Also bind to GABAB receptors - limiting further release of GABA - produces larger activation - where counter interaction comes in. Activation of GABAB receptors on these channels, decreasing their conductance function and decreases activation of excitatory neurons

GABAB receptors can inhibit their own action and also the receptors can inhibit other action

Positive and negative deflections during measurement of EPSPs and IPSP:

GABAB receptor function regulates neurotransmitter release in both GABAergic and glutamatergic terminals
* reduce release of glutamate
* Can be in dopaminergic terminals, not many on GABAergic terminals

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15
Q

GABAA&B receptors in synaptic plasticity

A

Under baseline conditions (a) activation of GABAA and GABAB receptors reduce the postsynaptic depolarisation, preventing NMDAR conductance.
During high frequency activation (b), decreased release of GABA results due to activation of presynaptic GABAB receptors leading to reduction of postsynaptic GABAA activation and thereby greater depolarisation and NMDAR conductance.
Example of how GABAB by inhibiting GABA can produce a greater excitation

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16
Q

Drugs affecting GABAergic transmission:

A

Vigabatrin

Taigabine
Nipecotic acid

Baclofen

Phaclofen

Benzodiapines
Barbiturates
Alcohol

𝛽-carbolines

Neurosteroids

Bisculline
PTZ

17
Q

Fate of ethanol in the body

A

Excitement, relaxation, disinhibition, euphoria (BAC ~ 50 mg%)

Ataxia, incoordination, unconsciousness, coma and death (BAC >400 mg%)

BAC = blood alcohol concentration

18
Q

GABA in disease

A

modulation of spontaneous neuronal activity

GABA may play a role in diverse neuropsychiatric disorders, including epilepsy, Huntington disease, tardive dyskinesia, alcoholism and other addictions, and sleep disorders

19
Q

GABA transaminase (GABA-T) deficiency:

A

GABA-transaminase deficiency is a brain disease (encephalopathy) that begins in infancy. Babies with this disorder have recurrent seizures (epilepsy), uncontrolled limb movements (choreoathetosis), exaggerated reflexes (hyperreflexia), weak muscle tone (hypotonia), and excessive sleepiness (hypersomnolence). Affected babies may grow faster in length than usual (accelerated linear growth), even though they have feeding problems and may not gain weight as quickly as expected (failure to thrive).
Children with GABA-transaminase deficiency have profoundly impaired development. Most do not achieve normal developmental milestones of infancy such as following others’ movement with their eyes or sitting unassisted. Individuals with this disorder usually do not survive past the first 2 years of life, but some live longer into childhood (UK case 2018).

20
Q

GABA is excitatory neurotransmitter in embryonic nervous system:

A

During early developmental stages, neurons can display accumulation of intracellular chloride, causing opposite Cl− fluxes to occur in immature neurons.
Depolarising effects of GABA are often observed in the embryonic nervous system, a property of GABAergic neurotransmission that very likely is important for CNS development.

21
Q

Glycine

A

trychnine
Reduces inhibition —> reduces convulsions etc
Used as rodent poison and many other functions

22
Q

Synthesis, release, re-uptake and degradation of glycine

A
  1. Glycine is synthesised from serine by by serine hydroxymethyltransferase (SMHT), a pyridoxal phosphate-dependent enzyme.
  2. Glycine packaged into vesicles by vesicular transporter (unk).
  3. Glycine is removed from cleft by uptake transporters on astrocytes and presynaptic terminals (GLYT1 & GLYT2). — > GLYT1 exists in three isoforms and is expressed in both astrocytes and neurones. GLYT2 is expressed in axons and presynaptic terminals. Both GLYT1 and GLYT2 are expressed in caudal areas of the brain. GLYT1 is also expressed in the forebrain, where it is likely to regulate NMDAR transmission.
  4. Degradation occurs by glycine cleavage system (GCS) in the mitochondria.
23
Q

Vesicular glycine transporter

A
  • Vesicular GABA transporter is capable of glycine transport and therefore a common vesicular inhibitory amino acid transporter (VIAAT) has been proposed, which function can be controlled by extra-vesicular concentration of the two amino acids. Effectively, glycine has been shown to inhibit GABA uptake and vice versa.
  • However, is some areas of CNS that are rich with GABA and/or glycine - VIAAT is missing, suggesting existence of other transporters. On the other hand, some vesicles contain both glycine and GABA and their co-release, activating dedicated postsynaptic receptors, has also been demonstrated.
24
Q

Glycine receptors

A

Glycine receptors, like GABAA, are believed to possess a pentameric structure (also related to nicotinic cholinergic and 5HT3).
They are composed of α (four subunits) and β single type) subunits. Only α subunits contain glycine binding site. Receptors can be formed of α subunits alone or in combination with β.
Activated by glycine > β-alanine > taurine > L- and D-alanine > L-serine&raquo_space; D-serine.
Inhibited competitively by strychnine or non- copmetatively by picrotoxin and picrotoxinin. Receptors that contain β subunits are insensitive to picrotoxinin

Receptors are developmentally and regionally regulated.

25
Q

Glycine receptor subunits:

A

4 alpha receptors:
α1 corresponds to strychnine sensitive sites in adults.
α2 is expressed early during development
and throughout the CNS, but only few places in adults.
α3 is expressed in parts of the limbic system and the cerebellum.
α4 have not been detected in adult humans.
β mRNA is common throughout CNS, but they do not form glycinereceptors on their own.

26
Q

Glycine is excitatory neurotransmitter in embryonic nervous system

A

Glycinergic synapses become functional early in brain development, and glycine just like GABA can depolarise neurones in embyronic and immature animals
K+/Cl– co-transporter KCC2 is first expressed at 10 days postnatally, which produces a marked negative shift in the Cl– reversal potentials.
Due to high levels of chloride
NKCC1 - responsible for bringing chloride into the neuron
KCC2 brings chloride to adult neurons - neurotransmitters become inhibited

27
Q

Glycine receptor are modulated by alcohols and other drugs

A

Glycine receptors are allosterically modulated by alcohols and anaesthetics (e.g. enflurane and isoflurane).

They are also affected by cocaine and a number of 5HT3 and NMDAR ligands.

28
Q

GABA vs glycine potentiation

A

Potentiation by GABA, much higher than potentiation of Glycine
- due to receptors

29
Q

Hereditary hyperekplexia

A

a glycinergic condition
Alpha 1 receptor dysfunction

Hereditary hyperekplexia (startle disease) is a condition in which affected infants have increased muscle tone (hypertonia) and an exaggerated startle reaction to unexpected stimuli, especially loud noises.

(Misdiagnosed many times as glycine function is very different to epilepsy)

30
Q

What is the main molecular target of picrotoxin?

A

GABAA receptor