Lecture 7 - Pharmacology of reward pathways Flashcards

1
Q

What structures in the brain do dependendence producing drugs act upon to alter synaptic transmission?

A
  • transporters involved in NT uptake
  • enxymes involved NT synthesis/degradation
  • GPCRs
  • NT receptors
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2
Q

What is the process of synaptic transmission at the dopaminergic synapses?

A
  • dopamine is synthesised locally in the persynaptic nerve terminal from L-Tyrosine to L-Dopa (by Tyrosine Hydroxylase)
  • L-dopa is then converted to dopamine by Dopa Decarboxylase
  • VMAT (Vesicular monoamine transporter) then loads the neurotransmitter into vesicles to be released
  • Dopamine bind to the Dopamine Receptor D1 (GPCR) and the αs/olf subunit turns on acteycylase which converts ATP to cAMP
  • Dopamine is taken back up in the presynaptic terminal via the dopamine transporter DAT and recyled into transport vesicles or degraded by Monoamine oxidase (MAO)
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3
Q

What is the result of drugs of abuse interacting with dopamine transporters in the reward pathway?

A

increases synaptic dopamine

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4
Q

What is the mechanism by which cocaine acts?

A

blocks DAT

  • acutely increasing dopamine in the syapse
  • activates VTA Nuc Acc in excessively
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5
Q

How was it shown that cocaine and amphetamines act by blocking the DAT transporter?

A

DAT knockout mice shown no behavioural activation after cocain or amphetamines

  • WT mice given repeated injections of cocaine showed a behavioural phenotype (due to the action of the drug on other parts of the brain), involveing increased motor activity, sniffing, raring, grooming
  • No behaviour detected in DATA knockout mice
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6
Q

What brain regions are involved in the motor functions shown in cocaine response in mice?

A

Dopaminergic projections from substantia nigra to the dorsal striatum (caudate and putamen)

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7
Q

Which affected region(s) of the brain accounts for motor symptoms of individuals with Huntington’s disease?

A

Basal ganglia

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8
Q

What is the region of the brain damaged in Parkinsons disease?

A

Substnatia nigra

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9
Q

How do amphetamines function?

A
  • amphetamines enter post synaptic nerve terminal via DAT (as similar structure to dopamine) and then vesicles via VMAT forcing dopamine into the presynaptic terminal
  • this makes DAT work in reverse
  • leading to monoamine release
  • and an increase in synaptic dopamine
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10
Q

What do high concentration of amphetamies do?

A

inhibit MAO

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11
Q

What is the reward circuitry?

A
  • VTA sends dopaminergic projections to the Nuc Acc and Amygdala (via the mesolimbic pathway) and to the prefrontal cortext (mesocortical pathway)
  • VTA and Nuc Acc recieve glutamatergic inputs from the Amygdala and prefrontal corext
  • local GABAergic interneurons and NAc projections inhibit the VTA
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12
Q

How do opiates function?

A
  • opiates inhibit GABAergic neurons projecting onto VTA
  • this disinhibits VTA neurons causing them to release more dopamine
  • works as there are natural receptors for opiates in the body e.g. for endorphins
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13
Q

How do opiates inhibit GABAergic enurons?

A

-act via a G protein coupled receptor
-reduce the excitability of presynaptic membrane so inhibit GABA release
Via either
1- The Gi/o protein inhibits AC I, acting on the α subunit
-this reduces VGCC Ca2+ currents consequentially inhibiting adenylcyclase levels and decreasing cAMP levels
2- βγ subunits directly open G protein gated inwardly rectifying (GIRK) K+ channels, hyperpolarising the neuron

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14
Q

How was addictive behaviour assessed experimentally?

A

use ‘conditioned place placement’
1- mouse given drug or saline injections in one of two compartments
2-the measure how long the mouse spends in each compartment
SHOW - seek out the place they were originally given the drug, and spend more time there, indicative of addictive behaviour

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15
Q

What is ‘conditioned place preference’?

A

The development of a preference for an environment associated with a repeated administration of a drug of abuse

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16
Q

What were the results shown from the conditioned place preference test on mice for response to morphine?

A
  • Dopamine D2 receptor knocked out in mice
  • SHOW knockout mice don’t show a morphine induced place preference
  • CONCLUSION - morphine utilises the dopemine D2 receptor to induce addictive behaviour
17
Q

What are the features of nicotine as a drug of abuse?

A
  • indirectly modulates the reward circuitry
  • acts via the Nicotinic Acetylcholine receptor (nAChR) as an agonist
  • causes depolarisation and dopamine release by VTA neurons
  • through direct and indirect actions
18
Q

How does Nicotine act?

A

Direct
-Nicotine attached to the nAChR causing an influx of Na+ and K+ efflux leading to a polarisation of the presynaptic membrane and the induction on an AP
-dopamine is released from the presynaptic terminal
Indirect
-Acts on the presynaptic channels on the glutamatergic axons from the amygdala and cortex that project to the VTA and Nac neurons
-this increases its excitability so that more glutamate is released onto the VTA and NucAcc

19
Q

Why are no side effects experienced from natural cannabanoids?

A

e.g. Anandamide
-their synthesis is regulated and restricted
-localised so that there are no side effects
-only naturally released when have high circuitry firing to modulate excitability
However, exogenous molecules have access to all brain circuitry

20
Q

What region of the brain is associated with insomia?

A

The neurons in pons arousal nuclei in the brain stem

21
Q

What region of the brain is associated with poor balance and coordingation in response to abusive drugs?

A

Cerebellum

-phenotypic behaviour of drug abuse similar to that of patients with lesions in the cerebellum

22
Q

What is defined as tolerance to an addictive substance?

A

Homeostatic adaptation/changes in cells and circuitry (lowered sensitivity)

23
Q

What is defined as a dependence on an addictive substance?

A

Drug induced changed that when unmasked by drug cessation lead to withdrawal

24
Q

What is the mechanism of addiction?

A

All addictive stimuli activate the nucleus accumbens neurons leading to homeostatic changes due to routine exposure

  • this leads to a compensatory change because of increased levels of dopamine
  • post synaptic neurons adapt and express less dopamine receptors showing a lowered sensitivity
  • more is needed for the same effects
  • occurs via signalling induced changes in gene expression
25
Q

What region of the brain is associated with increased vigilence?

A

Cerebral cortex

26
Q

What region of the brain is associated with sedation?

A

Temporal lobe