L5: CNS Neurotransmitters Flashcards
There are 2 groups of NTs: Small molecule transmitters and peptide transmitters. Compare & contrast their synthesis and packaging.
1) Small molecule NTs (eg. ACH, NE)
- synthesis of ENZYMES in cell body
- slow axonal transport of enzymes
- at pre-synaptic terminal, enzymes synthesize NTs from precursors already there
- packaged into vesicles w/ help of transport proteins
2) peptide NTs (VIP, opiods)
- synthesis of ENZYMES & PRECURSORS in cell body
- fast axonal transport
- at pre-synaptic terminal, enzymes modify NT precursors
Why can’t peptide NTs respond quickly to increased demand?
Although the transport down the axon from cell body to pre-synaptic terminal is fast, the fact that the precursors are made at the cell body make it hard for peptide NTs to respond quickly to increased demand. Unlike small molecule NTs, they have precursors at the terminal boutin ready to be synthesized by enzymes.
Compare and contrast the 2 groups of NT receptors
1) ionotropic
- fast
- ligand gated ion channels
- formed by 4-5 subunits
- selective for size
* *very complex b/c many combinations of subunits give rise to diff affinity, selectivity of ion channels
2) metabotropic
- slower
- g-protein coupled receptors
- monomeric
* *similar to ionotropic receptors, these receptors vary with different properties
Acetylcholine is synthesized in the pre-synaptic terminal when enzymes catalyze the rxn btw acetyl-coA & choline. How is ach removed from the synpatic cleft?
acetylcholinesterase into acetate & choline. Choline is re-taken up again
How does Sarin gas (Organophosphates: insecticides) lead to muscle paralysis?
inhibit acetylcholinesterase causing a build up of acetylcholine in the synaptic cleft leading to continued depolarization of post-synaptic cell making it refractory to sub ACH release = muscle paralysis
Describe Ach receptors
1) ionotropic/nicotinic Ach receptors
2) Metabotropic/muscarinic Ach receptors
* **mediate most of Ach effects in brain
Atropine
sympathomimetic leading to pupil dilation by antagonizing AchR
Scopolamine
for motion sickness and is a AchR antagonist
Myasthenia Gravis
autoimmune condition when autoantibodies attack ionotropic/nicotinic AcHr in NMJ. Symptoms include fatigue, diplopia, droopy eyelids (ptosis), difficulty in speaking, swallowing, chewing.
Treatment - acetylcholinesterase inhibitors
Glutamate is the major excitatory NT in CNS. Explain the phenomenon of Excitotoxicity
high extracellular concentration of glutamate is toxic to neurons. During strokes, O2 deprivation, glutamate re-uptake is slow causing more glutamate to remain in synapse, which can cause neuronal damage. Therefore, drugs are targeting glutamate receptors to prevent neuronal damage in such cases.
What is the precursor to glutamate in the pre-synaptic terminal?
glutamine
How is glutamate removed from synaptic cleft?
Mainly by glial cells. Once in glial cells, glutamate is converted back to glutamine b/c glutamine is less toxic and then glutamine is transported back into nerve terminal
What are the 3 types of ionotropic glutamate receptors?
NMDA, AMDA, Kainate = all excitatory Na+ channels
What makes NMDA receptors unique?
Unlike the other ionotropic glutamate receptors (AMDA, Kainate), NMDA receptors are unique:
- Ca2+ can pass thru
- mandatory glycine binding
- Mg2+ blocks receptor which is released by depolarization
Hence, to activate NMDA receptors, you need glutamate, glycine & depolarization to get Mg2+ off
Are there both metabotropic and ionotropic glutamate receptors?
yes
GABA is the major inhibitory NTs in CNS. How is GABA removed from cleft?
glial cells
Epilepsy is related to increase or decrease GABA levels?
decrease GABA
What is the precursor to make glycine in the terminal bouton?
serine
How is glycine removed from cleft?
Glial cells
Increase glycine can be due to defects in glycine transporter, which can lead to what types of problems?
lethargy, mental retardation (neonatal disease)
GABAa, GABAc and glycine receptors are ionotropic receptors. What kind of channels are they?
inhibitory Cl- channels
List some drugs that are GABA receptor agonists
1 - benzodiazepines (Valium) used as tranquilizer
2 - barbiturates (phenobarbital) used as anesthetics for epilepsy