Lecture 4 Flashcards
What is a catechol group?
Phenol ring with -OH groups in 3 and 4 positions.
What are catecholamines synthesised from in the body?
Tyrosine.
What 4 major transmitters are catecholamines?
Adrenaline, Noradrenaline, Dopamine, Serotonin.
Why is Tyr transported into the brain from the blood?
Because the brain lacks phenylalanine hydroxylase (enzyme that converts Phe to Tyr).
Which transmitter is associated with motor function and lost in Parkinson’s disease?
Dopamine.
Catabolism of catecholamines is performed by which 2 enzymes?
Monoamine oxidase (MAO), Catechol 0-methyltransferase (COMT).
How is Dopamine synthesised from Tyrosine?
Tyrosine reacted with enzyme Tyrosine β-hydroxylase, forming L-Dopa.
Dopa reacted with enzyme Dopa decarboxylase forming Dopamine.
How is Noradrenaline synthesised from Dopamine?
Dopamine reacted with enzyme β-hydroxylase forming Noradrenaline.
How is Adrenaline formed from Noradrenaline?
Noradrenaline reacted with enzyme Phenylethanolamine N-methyl transferase (PNMT), forming Adrenaline.
Who was Parkinson’s first described by and when?
James Parkinson. 1817.
Mean age of onset of Parkinson’s?
~60 years.
How many over 65s does Parkinson’s affect?
1-2%.
Three main symptoms of Parkinson’s?
Muscle rigidity, tremor, bradykinesia.
Parkinson’s is a multifactorial disease. Name 3.
Age.
Environmental factors.
Genetics.
What happens neurologically in Parkinson’s?
Degeneration of pigmented cells of the ‘substantia nigra pars compacta’ in basal ganglia.
What does Parkinson’s result in neurologically?
> 50% depletion of Dopamine.
What catecholamine is administered to treat Parkinson’s disease, and what is it converted into?
L-DOPA.
Transported to brain and converted to dopamine.
Why is a Dopa decarboxylase inhibitor simultaneously administered alongside the L-DOPA when treating Parkinson’s?
Because this inhibitor can’t penetrate into the brain, and so prevents the rest of the body metabolising the L-DOPA into Dopamine, which can’t cross the blood-brain barrier.
What inhibitors can also be administered to reduce Dopamine degradation?
Inhibitors of MAO and COMT.
What is serotonin (5-HT) synthesised from, and via which enzymes?
Synthesised from tryptophan, using tryptophan hydroxylase and 5-hydroxytryptophan (5-HTP) decarboxylase.
How many different types of 5-HT receptors are there?
14.
What class of drugs can act as 5-HT agonists, mimicking serotonin at 5-HT2A receptors?
Hallucinogenic drugs, e.g. LSD.
How is serotonin action terminated?
Mainly by re-uptake from synapse via 5-HT re-uptake transporter on presynaptic neurone.
By what enzyme can 5-HT be catabolised (therefore inactivated)?
MAO.
What is the intermediate product between L-Tryptophan and Serotonin?
5-Hydroxy-L-Tryptophan (5-HTP)