Lecture 3: Regulatory Systems Flashcards

1
Q

PHARMACODYNAMICS

A

DRUG ACTION

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2
Q

Neurotransmitter

A

a chemical used for neuron-to-neuron communication.

Stored in presynaptic neuron (synaptic vesicles)

Released into synaptic cleft

Neurotransmitters (NT) must bind to a receptor to produce an effect.

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3
Q

Termination of Neurotransmitters

A

Reuptake

Enzymatic Deactivation/degradation

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4
Q

Neuromodulator

A

a chemical that affects the neurotransmission of a whole group of neurons.

Ex, suboxone

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5
Q

PHARMACODYNAMICS and neurotransmitters - tolerance

A

Tolerance standpoint:

take cocaine. Neuron releases dopamine (neurotransmitter) to next neuron. Over time, body is like I want to protect you – we need to stop with all this dopamine. We can’t stop the neuron from firing, so we start breaking it down.

But if you take more, still too much dopamine.

So it creates more things to deactivate. If it can’t do that or that is not enough, it reduces dopamine receptors.

So then its harderf for your body to have dopamine at all (raises baseline)

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6
Q

Synaptic Transmission

A

= the process by which neurons communicate with each other and other cells in the nervous system.

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7
Q

Factors that affect synaptic transmission:

A

*Number of receptors on the post-synaptic neuron
*Properties of the receptors
*Neurotransmitter type

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8
Q

Most drugs affecting behavior affect…

A

Synaptic transmissions

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9
Q

Agonist

A

a molecule that by binding to the receptor stimulates a response = ↑ postsynaptic effects

Addictive drugs (heroin, morphine, oxycodone)  stimulation leads to “high”

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10
Q

Antagonists

A

a molecule that by binding to a receptor blocks or inhibits the response = ↓ postsynaptic effects

Drugs like Naloxone and Naltrexone

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11
Q

Agonist vs antagonists

A

Agonists  Activate (3 syllables) and/or remember
they “pick the lock”.

Antagonists  evil villain
trying to block other
characters

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12
Q

Direct agonists

A

Mimics NT

Binds with and activates the receptor
e.g., nicotine and methadone

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13
Q

Direct antagonists

A

Receptor Blockers

Bind and block the receptor from being activated.

Sits on receptor and prevents ion channels from opening e.g., naltrexone

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14
Q

Indirect agonist

A

Attach to alternate binding site

Facilitates/stimulates receptors actions
e.g., Valium, Cocaine

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15
Q

Indirect antagonist

A

Attach to alternate binding site
*
Blocks/reduces the receptor actions
e.g., Reserpine

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16
Q

Non-Competitive

A

Indirect (antagonists and agonists)

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17
Q

Two types of primary neurotransmitters

A

Excitatory - Glutamate

Inhibitory - Gamma-aminobutyric acid (GABA)
- “On” & “Off” Switch in brain
- Impacting one impacts the other

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18
Q

Glutamate

A

Activation = ↑ brain firing

Main excitatory neurotransmitter in brain and spinal cord

Stored in vesicles and released from presynaptic neuron following an action potential.

Normal Conc. support
- Learning and memory
- Energy
- Brain communication
- Sleep/Wake cycles
- Pain signaling

methamphetamines, nicotine, caffeine, cocaine –> INCREASE glutamateG

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19
Q

GABA

A

Activation = SLOWED brain firing

Made from Glutamate precursors

Stored in vesicles and released from presynaptic neuron following an action potential.

Normal conc. Support:
- Reduced stress & anxiety
- Improved sleep
- Sedation/Relaxation

THINK: Benzodiazepines, opiates, alcohol, muscle relaxants (things with sedating effects)

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20
Q

Relationship between GABA and Glutamate

A

GABA made from Glutamate precursors

So it uses it up and you have less glutamate…

how it acts as a “stopper”

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21
Q

GABA agonists

A

GABA agonists - mimic GABA or enhance its activity, increase the inhibitory effect of GABA, thereby raising the seizure threshold.

(makes it less likely to have seizure when you are taking that substance…not worried about having a seizure when they are drunk…worried about when they are withdrawing from alcohol

Example: Benzodiazepines, Barbiturates, Alcohol

Too much = excessive sedation & thinking and memory problems

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22
Q

GABA antagonists

A

block GABA receptors, decrease inhibition, lowering the seizure threshold and potentially triggering seizures

because GABA is low…glutamate is high –> increawswe HR, etc. on clozapine

Examples: Clozapine (hence careful monitoring)

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23
Q

Body wants to achieve homeostasis =

A

tolerance & dependence

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24
Q

Seizure Thresholds with GABA & Glutamate Impacting Substances: Alcohol

A
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25
Pharmacokinetic tolerance
the body impacts the absorption, metabolism, or excretion of the drug in some way. - ↓ Absorption in the intestines (it can't titrate...so just reduces ALL absorption...even of healthy foods) - ↑ Enzymes in liver to break down alcohol faster (In this process....it damages liver itself...leds to serosis) - ↑ Sweating, urinating and bowel movements (DADS, peeing while drunk)
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Pharmacodynamic Tolerance
the body prevents the drug from having it’s desired effect. Receptor down regulation (kills receptors) - Receptor death - Reduced receptor affinity (affinity = propterties) Receptor up-regulation (excess of this in the body or not have enough....let's increase number of receptors to get to homeostasis)
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Terminating the effects of neurotransmitters
Reuptake Degredation Diffusion (floats away)
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Primary Monoamines
Dopamine Norepinephrine Serotonin ALL NEUROTRANSMITTERS *Transported by Monoamine Transporters (MATS)
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Dopamine: primary effect
Primary Effect = movement, attention, learning, and the reinforcing effects of substances. remmeber: made in basal ganglia which is overlearned...habits...etc. why drugs can become a habbit think of someone with parkinsons...they have decrease in dopamine in BG ...so an overflearned behavior like walking becomes hard and unlearned...unsmooth same with withdrawls and tremors
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Dopamine: Reuptake & Deactivation
Reuptake completed by dopamine transporters
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Dopamine Agonists
Cocaine and methylphenidate - block uptake (so more dopamine in synaptic cleft) Amphetamines and methamphetamines - block uptake & reverse transporters (blocks reuptake AND shoots out more - why so addictive)
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Drugs increase dopamine..impact on other rewarding things is
Eating, sex, social connection = no longer impactful Dopamine from drugs way better Can lead to mood disorder
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Dopamine Pathways
Mesolimbic pathway: Originates in the ventral tegmental area (VTA) of the midbrain and ends in the nucleus accumbens. This pathway is associated with reward and motivation. Mesocortical pathway: Also originates in the VTA and ends in the frontal lobes of the cerebral cortex. This pathway is also associated with reward. Nigrostriatal pathway: Carries dopamine from the substantia nigra to the striatum. Plays role in habit building. Tuberoinfundibular pathway: Associated with prolactin production (production of milk by mamary glands...when postpartum depresion...will impact this and bonding)
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Mesolimbic vs mesocorticoal pathways
when limbic system in control mesolimbic pathway most activated when front...mesocortical pathway most activated
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Norepinephrine
Primary effect: vigilance/attentiveness Dopamine in vesicles is converted to norepinephrine by a special enzyme. - when see hyper vigilence in someone using stimulants...this is why Most noradrenergic systems begin in the LocusCoeruleus - Locus Coeruleus is in the Pons - Pons = responsible for arousal in the brain
36
What NT would someone have a lot of with PTSD
Norepinephrine
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Serotonin
Involved in mood and pain regulation, and the control of eating, sleep, arousal, and dreaming. Precursor = Tryptophan Produced by the Raphe Nuclei
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LSD and Seretonin
LSD and several other hallucinogens = direct agonist for Seretonin in frontal lobe -- distortions in visual perception
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Seretonin and gut
we can control serotonin through eating more than 90% of serotonoin receptors are in gut Receptors play a role in nausea & vomiting
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Norepinephrine/Serotonin and MDMA
MDMA binds with norepinephrine and Serotonin transporters --> runs them backwards = selectively damages serotonergic neurons (cog deficits) MDMA therapy is purposefully killing off norepinephrine...works for PTSD because we need to kill them off because they are TOO arroused Norepinephine and serotonin don't come back once killsed becuase not supposed to be part of the dopamine pathway
41
Dopamine in the early stages of a relationship
Dopamine levels are high when you're first pursuing someone you're interested in. = excitement and reward (honeymoon phase) Dopamine can make your loved one seem special and unique
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Dopamine and avoidant atttatchment
Avoidantly attached people may have heightened dopamine activity. This can lead to a cycle of emotional volatility and dissatisfaction. People with avoidant attachment styles may have a relentless pursuit of dopamine-driven rewards. --> on to the next best thing
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After about BLANK years in a relationship, dopamine levels BLANK.
4 years..decreasxe
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Oxytocin and Vasopressin: Attatchment
Oxytocin and vasopressin replace dopamine and create the desire to bond with your partner. Oxytocin is released during orgasm, childbirth, and breast-feeding. Vasopressin plays a role in attachment, and studies of prairie voles have shown that it's important for monogamous bonds. Different: vasopressin is bonding with that one person...oxy. can bond with multiple
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Early Dating: Dopamine, Serotonin, and Norepinephrine
Dopamine ↑ = Person seems unique, special, and exciting. Norepinephrine ↑ = sense of energy, “alert” state, loss of appetite & need for sleep Serotonin ↓: “OCD” type thinking and seeking
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OCD and Serotonin
OCD has decreased levels of serotonin
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Low and high levels of Oxytocin
Low levels = Reduction in pro-social behavior - Combined with low dopamine = avoidant attachment styles Excessive levels = ↑ co-dependency, jealousy, “clingy/needy
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Oxytocin - what releases it
Released during orgasm, childbirth & breast-feeding.
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Vasopressin - what releases it and what is its role
Released during sex, overcoming challenges together, stress bonding. Role in social cognition & selective attachment (monogamy)
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High levels of Vasopressin
Excessive levels = ↑ territorial aggression, mate guarding and pair bonding in males
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Oxytocin and vasopressin BLANK dopamine and create WHAT
Oxytocin and vasopressin replace dopamine and create the desire to bond with your partner
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What NT is the "mood stabalizer"
Serotonin
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Serotonin
Involved in baseline sense of well-being and anxiety and stress regulation, pain, metabolism, digestion, sleep/wake, neurogenesiset (Neurogenesis is the process by which new neurons are generated in the brain. ) *Precursor = Tryptophan (fish, soybeans, chest, poultry, dairy)
54
Where serotonin produced
90% of the body’s total serotonin resides in the enterochromaffin cells in the gut and 10% is in the brain. *Produced in the gut lining and raphe nuclei and sent out to the body via 20 known pathways = widespread and ranging effects
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Physical impacts of low serotonin
*Chronic pain *Nausea *Poor appetite *Disrupted sleep and fatigue
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High serotonin effects
Extremely High Levels = Serotonin Syndrome hallucinations, euphoria, anxiety, fever, seizures, tremors in hands
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Social impacts of low serotonin
*High anxiety towards group exclusion (this in turn can develop a social ‘ladder’ – a competitiveness regarding friendship and reward) *Aggression *Impaired learning and imitation learning ability (stress and anxiety shown to impair frontal and parietal mirror neuron system) *Impaired social bonding (serotonin genes are also linked to autism and Asperger’s) *Slow assessment of social interaction
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Emotional impacts of low serotonin
Decrease serotonin cause increase fear and decrease cognitive function (such as the ability to evaluate situations).
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Dopamine and Serotonin levels
↓ serotonin = ↑ impulsive behavior (dopamine burst seeking) ↓ serotonin & dopamine = depression and suicidal behavior, as well as increased aggression. ↑ serotonin & ↓ dopamine = anxiety and fear (think of anxiety without release/motivation for action)
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SHIVERS
If have 4 go to hospital Encepa...=delirium Hyperreflexia is a condition characterized by exaggerated or overactive reflexes. Myoclonus refers to involuntary, sudden, and brief muscle jerks or twitches
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Dysbiosis Impact on serotonin, dopamine, gaba, and cortisol
Gut microbiome disruptions Processed foods, sugar, alcohol, artificial sweeteners contribute to dysbiosis. Dysbiosis Linked To: * Lowered Serotonin * Dopamine Dysregulation * Reduced GABA production * Increased Cortisol
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Dysbosis: Low-grade inflammation of the body
Lipopolysaccharides (LPS)—toxins produced by harmful gut bacteria—can cross the blood-brain barrier, triggering neuroinflammation. Inflammation reduces serotonin production and impairs brain plasticity, contributing to fatigue, brain fog, and mood swings. People with IBS, Crohn’s disease, and leaky gut syndrome often experience higher rates of depression and anxiety due to gut inflammation.
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Psychobiotics
Prebiotic and Probiotic Foods for Mood Stability. Targeting specific: Probiotics (live beneficial bacteria) improve gut health and neurotransmitter balance. * Sources: Yogurt, kefir, kimchi, sauerkraut, miso, kombucha. Prebiotics (fiber that feeds gut bacteria) enhance microbiome diversity. * Sources: Garlic, onions, bananas, asparagus, oats, legumes.
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Fecal microbiota transplants
85% efficacy in elimination of chronic Clostridioidesdifficile (C. difficile) infections Symptomi mprovement in IBS & IBD Early research in Parkinson’sDisease, Multiple Sclerosis, and AutismSpectrum is positive and encouraging. 2023 – reductions in depressive symptoms in those with treatment resistant depression
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Natural ways to boost serotonin
* Sun Exposure/Light Therapy * Mindfulness * Regular exercise * Massage * Prioritize QUALITY sleep (REM) * Petting an animal
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Serotonergic Substances
Serotonergic agents interact with the neurotransmitter serotonin... They work by increasing, decreasing, or modulating serotonin level * Psilocybin *Mescaline *LSD *MDMA
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Hallucinogens
Most are indirect agonist for 5HTP2A Receptor * Distortions in visual perception & dilated pupils (visual cortex) * Sensory Changes (parietal lobe) * ↓ self-awareness/reality (frontal lobe) Psilocybin and Mescaline = food poisoning in the body * Activates serotonin receptors in the gut. LSD = receptors across brain. * Long duration of effect due to “lid” in LSD neurotransmitter * Brain eventually sucks the receptor into the cell (downregulation) Hallucinogens can damage serotonin receptors but due to slow peak and deficit, not considered to be dependency building.
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MDMA
Can cause damage to the brain structure and nervous system via: *Neuronal damage *Alterations in neurotransmitters *Memory impairments * Excessive use in adolescence can trigger psychosis. MDMA binds with norepinephrine, 5HTP, and oxytocin transporters & receptors *Paralyzes norepinephrine and serotonin enzyme degradation via chemical damage *Releases free radicals which cause neuronal damage *Blocks and reverses serotonin transporters *Increased serotonin and norepinephrine = ↑ Cortisol (CRH) Abstinent MDMA users have impairment in verbal and visual memory.
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Neurobiology of Attachment
Dopamine is released when we are attracted to a substance OR person. * When first in love: ↑ Dopamine & Norepinephrine = giddiness, energy, activated stress response Dopamine in Orbitofrontal Cortex = perseveration, obsession, and compulsions to see and be with the person.
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Oxytocin
Primary role in trust, attachment and bonding Contributes to contradictory feelings depending on receptor location: * Amygdala - Relaxation, Trust, Lowered levels of stress and inflammation * Lateral Septum – social distress, motivates reunification
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Oxytocin: When and where released
Produced in the hypothalamus and released by the pituitary glands Released during: * Prenatal development * Childbirth * Breastfeeding (along with Prolactin) * When with loved ones (you feel secure with) Can also be released through touch, music, and exercise.
72
Oxytocin and newborns
↑ in mother during birth = induces labor, social interactive behaviors, decreased fear, induced anti-stress effects, and stimulated growth. * Activates receptors in amygdala = ↑ dopamine “reward” Newborns = ↑ oxytocin receptors in amygdala = decreased level of anxiety and the enhanced level of social interaction.
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C-section and epidurals (oxytocin)
C-Section Birth? * Scheduled = May be no oxytocin release given absence of labor * 4 days after birth = oxytocin pulsing releases at 90 second intervals  milk ejection release Epidurals *↓ oxytocin during labor *↓ skin temperature in infant (Warmth during parent-infant contact = ↓ cortisol in parent)
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Generational Oxytocin Dysfunction
Chronic Stress = ↓ oxytocin * Adverse Childhood Experiences (children of holocaust survivors) Patterns of insecure attachment
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Low Oxytocin Neurotransmitters or Receptors implicated in what disorders
Autism Social phobias Schizophrenia Anxiety disorders * In animals, spraying oxytocin into their nasal passages = reduced stress response, more pro-social behavior * Difficult to replicate in humans given we cannot get the hormone to cross the blood brain barrier.
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Oxytocin: European Americans and Koreans
Subtype Oxytocin receptor gene (OXTR) found in European Americans but not Koreans * Theorized to be due to decreased likeliness in Korean cultures to seek out socio-emotional support when in distress.
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Oxytocin: Chinese and French
Conversely, in fMRI imaging, oxytocin activation were greater in Chinese > French college students as distance from immediate family grew on a sales task. * Chinese were more generous than French at close social distances. * This difference was confined to family members and no significant difference in social discounting was observed between French and Chinese for non-family members.
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Gender Differences in Oxytocin Activation
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Photos of romantic partners
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Post-orgasm men and womenh
In women - ↑ oxytocin = feelings of attachment & bonding In men - ↑ vasopressin = vigilance and need to guard/protect partner
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Oxytocin boosting activities
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