L4 Chemicals in the Brain Flashcards

1
Q

How are amino acid, monoamine and acetylcholine neurotransmitters synthesised?

A

Locally in the presynaptic terminal.

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2
Q

How are amino acid, monoamine and acetylcholine neurotransmitters stored?

A

In synaptic vesicles.

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3
Q

How are amino acid, monoamine and acetylcholine neurotransmitters released?

A

In response to local increases in Ca2+.

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4
Q

How are neuropeptides synthesised, released and stored?

A

Synthesised in the cell soma and transported to the terminal.

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5
Q

How are neuropeptides released?

A

Released in response to global increases in Ca2+.

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6
Q

How are neuropeptides stored?

A

Stored in secretory granules (dense core vesicles).

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7
Q

Which neurotransmitters are fast?

A

Amino acids as they are docked in vesicles near the membrane.

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8
Q

Which neurotransmitters are slow?

A

Neuropeptides are they are larger and stored further away.

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9
Q

What frequency stimulations are required to release fast and slow neurotransmitters?

A

Fast NT- Low frequency

Slow NT- High frequency

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10
Q

Why do slow neurotransmitters require high frequency stimulation?

A

There needs to be a larger diffuse increase in Ca2+. High frequency is rapid and sustained.

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11
Q

What are the main excitatory neurotransmitters?

A

Depolarises.
Fast transmission.
Glutamate (AA, CNS).

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12
Q

What are the main inhibitory neurotransmitters?

A

Hyperpolarises.
Fast transmitters.
GABA (AA, brain).
Glycine (SC and BS, AA).

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13
Q

What is an example of a diffuse modulatory system?

A

Serotonergic system, a small set of neurones, that mostly arise from the brainstem, whose axons innervate far away.
(Also dopamine or acetylcholine)

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14
Q

What is the function of the serotonergic system?

A

Mood, sleep, pain, emotion, appetite.

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15
Q

What is a diffuse modulatory system?

A

Neurotransmitters that modulate rather than transmit information.

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16
Q

Where and how is glutamate synthesised?

A

Presynaptic terminal from Krebs glucose or glutamine (converted by glutaminase).

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17
Q

How is glutamate stored?

A

Loaded and stored in vesicles by vesicular glutamate transporters (VGLUTs).

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18
Q

How is glutamate reuptaken?

A

Excitatory amino acid transporters (EAATs_ in the plasma membrane and glia.

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19
Q

What go glia do to glutamate?

A

Convert glutamate to glutamine and transport it back to the nerve terminals where it it converted back to glutamate.

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20
Q

How many layers does the cortex have?

A

Six.

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21
Q

How is GABA synthesised?

A

From glutamate, catalysed by glutamic acid decarboxylase (GAD).
A higher proportion is made de novo than through recycling.
Main inhibitory enzymes can be synthesised from the excitatory.

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22
Q

How is GABA stored?

A

Loaded and stored in vesicles by a vesicular GABA transporter (GAT).

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23
Q

How is GABA cleared from the synapse?

A

Reuptake by glia and neurone transporters (co-transport with Na+), including those on non GABAnergic neurones.

24
Q

What happens if you have too much glutamate or too little GABA?

A

Hyperexcitability leading to epilepsy and excitotoxicity.

25
Q

What happens if you have too much GABA?

A

Sedation/coma.

26
Q

What does cerebral ischaemia cause?

A

The metabolism that maintain the electrochemical gradient is abolished, Na/K gradient is reversed.
Transporters release glutamate leading to excitotoxic cell death.

27
Q

How does excitotoxicity cause cell death?

A

Too much calcium from the excitement which activated enzymes that digest cells irreversibly.

28
Q

Which neurotransmitters are local?

A

GABA, glycine and glutamate.

29
Q

What is GHB?

A

Date rape drug.

GABA metabolite that can be converted to GABA, increases the amount causing unconsciousness/coma.

30
Q

Which monoamine neurotransmitters are catecholamines?

A

Dopamine
Noradrenaline
Adrenaline (hormone)

31
Q

Which monoamine neurotransmitters are indolamines?

32
Q

How is dopamine synthesised?

A

Two stages.

From tyrosine to dopa and then dopamine.

33
Q

What drug can be administered to increase dopamine levels and for which disease?

A

Levodopa (dopa) for treat Parkinson’s.

Converted to dopamine by dopa decarboxylase.

34
Q

How are noradrenaline and adrenaline synthesised?

A

Only in the vesicles.

From dopamine to noradrenaline and then adrenaline.

35
Q

How are the catecholamines stored?

A

Vesicular monoamine transporters (VMATs) load into vesicles via a proton gradient.

36
Q

How are catecholamines released?

A

By Ca2+ dependant exocytosis.

37
Q

How are catecholamines reuptaken?

A

Dopamine transporters (DATs) and noradrenaline transports (NETs) using an electrochemical gradient.

38
Q

What happens after the reuptake of catecholamines?

A

Reloaded into vesicles or enzymatically degraded by monoamine oxidases (MAOs) or inactivated by catechol-o-methyl-transferases (COMT).

39
Q

How does amphetamine (adderall) modulate the catecholamines?

A

Reverses the transporter causing the NT to be pumped out and blocks reuptake.
This lengthens the action.

40
Q

How does cocaine and methylphenidate (Ritalin) modulate dopamine?

A

Blocks reuptake, extending action.

41
Q

How does selegiline modulate dopamine?

A

MAO inhibitor, prevents breakdown so more is released in subsequent activations.
Use to treat early PD, depression and dementia.

42
Q

How does entacapone modulate dopamine?

A

COMT inhibitor, increases amount of available NT.

PD treatment.

43
Q

How is serotonin synthesised?

A

2 stages.

Tryptophan to 5-HD then serotonin.

44
Q

How is serotonin stored?

A

Stored in vesicles.

45
Q

How is serotonin reuptaken?

A
Serotonin transporters (SERTs).
Destroyed by MAOs in the cytoplasm.
46
Q

How does fluoxetine (Prozac) modulate serotonin?

A

Selective serotonin reuptake inhibitor (SSRI)

Treatment of depression and OCD.

47
Q

How does fenfluramine modulate serotonin?

A

Stimulates release and blocks reuptake (appetite suppressant in obesity).

48
Q

How does MDMA (ecstasy) modulate serotonin?

A

Amphetamine
Causes noradrenaline and serotonin transporters to run backwards, releasing NT into the synapse.
Therapeutic potential for PTSD.

49
Q

How is acetylcholine synthesised?

A

Choline acetyltransferase converts choline and acetyl coA into acetylcholine which is packaged into vesicles by vesicular acetylecholine transporter (VAChT).

50
Q

How is acetylcholine degraded?

A

In the synaptic cleft by acetylcholinesterase (AChE) and choline is transported back to form acetylcholine.

51
Q

What are acetylcholinesterase inhibitors?

A

Block breakdown of ACh, prolonging its action in the cleft.

Neostigmine, used for myasthenia gravis (MG).

52
Q

What are neuropeptides?

A

Slow transmission
Short peptide chains of 3-36 AAs.
Endorphins, substance P. neuropeptide Y, endogenous opioids and vasopressin (ADH).

53
Q

How are neuropeptides synthesised?

A

Much faster than small molecule transmitters.
Secretory pathway.
Synthesised in the neurone nucleus, precursors and enzymes are transported down the axon to the terminal where the NP is produced.

54
Q

How are neuropeptides degraded?

A

Proteases in the extracellular environment.

55
Q

How can Nitric oxide by used in retrograde signalling?

A

NO is made in the postsynaptic by NO synthase, diffuses to the presynaptic where it acticvates guanylyl cyclase and cGMP.
Used in coord activités of multiple cells in a small region.

56
Q

What gases can be a retrograde signal?

A

NO and CO.

57
Q

What are endocannabinoids?

A

Small lipids which reduce GABA release at inhibitory terminals.