Neurochemistry Flashcards
1
Q
Blood brain barrier (BBB)
A
- Is different from the blood-CSF barrier, but both together maintain the CNS environment
- BBB is dependent on tight junctions btwn endothelial cells in (non-fenestrated) capillaries within the CNS
- Blood-CSF barrier is from tight junctions btwn ependymal epithelial cells in the choroid plexus
- Some specific areas of the brain do not have a BBB for neurosecretory products to pass into circulation (posterior pituitary)
2
Q
Other cells involved in BBB
A
- Endothelial cell tight junctions create the BBB, are surrounded by basement membrane, astrocytes, and pericytes
- Astrocytes dictate the endothelial cells to form these tight junctions (foot processes will completely surround the capillary)
- Pericytes play a role in angiogenesis and communicate to other cells (one pericyte will be directly adjacent to the capillary)
- Pericytes also are source of adult pluripotent stem cells
3
Q
Developmental aspects of BBB
A
- Tight junctions begin to form early during fetal development
- Permeability to substances is greater in developing brain
- Before 6 mos the brain is susceptible to hormones, neurotoxins, and other chemicals
4
Q
Brain uptake index (BUI)
A
- Relative uptake of a molecule as compare to deuterium water (DOD)
- DOD BUI is arbitrarily set to 100%
- Some substances (nicotine and alcohol) are over 100%, while most are under 100% (caffeine, heroine, ect)
- The ability of a substance to pass through the BBB w/o aid of a transporter is based on its hydrophobicity
- The more hydrophobic a substance, the more easily and quickly it will pass through the BBB
- Mannitol is poorly permeable and is used to dehydrate the brain via osmosis to reduce swelling
5
Q
Partition coefficient (PC)
A
- The partition btwn an oil and aqueous phase, to predict the accumulation behind the BBB
- The higher the PC (the more hydrophobic a substance), the greater the brain uptake
- Gases (NO) and volatile anesthetics can rapidly diffuse into CNS
- Glucose is taken up by facilitate transport mechanism, driven by concentration gradient but doesn’t require energy
- GLUT transporters are on endothelial cells, ependymal (?) cells, astrocytes, microglia and neurons
6
Q
General features of BBB
A
- Enz barriers are found at the luminal side of the endothelial cells
- Toxic materials can destroy the BBB: bordatella pertussis (whooping cough) toxin destroys tight junctions, LPS from GN cause neuro-inflammation and disrupts the BBB by elevating matrix metalloproteinases
- Drug abuse may lead to permanent BBB damage
- Aging and diabetic condition have profound negative effect on BBB
- BBB dysfunction is observed in AD pts who also have HTN and CVD
- Free bili in newborns is toxic as it can pass thru the BBB and be deposited in the brain
- Bili levels increase when a mother develops Abs to the fetal Hb. Bili breakdown is stimulated by light
7
Q
Formulations to penetrate BBB
A
- Abs to transferrin receptors (TR) may sneak drugs through BBB
- BBB contains many TRs that transport Fe-TF to the interstitium
- If an Ab to the TR is made and linked to a drug, that drug could be transported across the BBB via the TR
- CAMs are also upregulated in capillaries within the CNS at sites of inflammation/hypoxia
- Therefore finding proteins that bind to CAMs and coupling them w/ certain drugs can carry those drugs to specific sites of inflammation
- WBCs use these CAM markers to exit the blood and enter the CNS at times of inflammation/hypoxia
8
Q
Electrical vs chemical synapse
A
- Chemical synapse is the typical and most common synapse (using NTs)
- Electrical synapse is directly passing current from one cell to another (gap junctions)
9
Q
Steps of synaptic transmission
A
- Presynaptic neuron depolarizes down to nerve terminal, causing an influx of Ca by voltage-gated Ca channels
- Increase in [Ca] leads to fusion of synaptic vesicles w/ plasma membrane (botox interferes w/ this step), causing the NTs in those vesicles to be released into the synapse
- NTs diffuse across and bind to postsynaptic cell at their receptors, causing a change in postsynaptic membrane conductance
- This can either be excitatory (EPSP, depolarization) or inhibitory (IPSP, hyperpolarization), PSP= postsynaptic potential, in neurons
- In muscles the depolarization of the motor-end plate is called end-plate potential (EPP)
- If the depolarization is enough for Vm to reach threshold the postsynaptic cell will fire an action potential (AP)
10
Q
Synaptic delay
A
- Time btwn depolarization of presynaptic cell and initiation of postsynaptic response
- Is the time required for release of NT from the presynaptic cell in response to the presynaptic AP
11
Q
Neuromuscular junctions (NMJ) 1
A
- A chemical synapse that results in EPP in the muscle cell (leading to contraction)
- The NT acetylcholine (ACh) is released from the neuron onto the NMJ where it binds to the nicotinic ACh receptor (nAChR)
- The other AChR is the muscarinic receptor (in the heart)
- Normally gNa«gK, due to no movement of Na but loss of K from leaky channels, but conductance of both ions changes to gNa=gK upon ACh binding to AChR (both ions move thru the channel)
12
Q
Neuromuscular junctions (NMJ) 2
A
- When ACh binds to nAChR, the receptor opens its channel and lets Na in and K out, making gNa=gK
- While both ions are moving in opposite directions, the overall increase in conductance of Na is greater than the increase in conductance of K so the Vm increases, closer to Ena (which is +60, as opposed to Ek which is -80)
- This change in Vm is high enough to reach threshold (when gNa=gK depolarization occurs), thus beginning an AP along the membrane of the muscle, ultimately leading to contraction
13
Q
Stopping EPPs
A
- EPPs must be transient or else tetanus would occur
- To stop EPPs, nzs called acetylcholinesterases are synthesized and present on the post junctional membrane
- These rapidly breakdown the ACh
- Some of the ACh diffuses out of the synaptic cleft
- Inhibitors of these nzs are called anticholinesterases
14
Q
nAChR structure
A
- nAChRs at the NMJ are composed of 2A,B,D,E subunits
- nAChRs in neurons are composed only of A and B subunits
- nAChR formed from different subunit combinations vary in gating kinetics, single channel conductance, sensitivity to ACh, Ca permeability, and affinity for pharmacological drugs
15
Q
Nicotine addiction
A
- Nicotine minmics the NT ACh in the brain and stimulates dopaminergic neurons in the mesolimbic reward pathways
- Desensitization occurs when the nAChRs enter a permanently closed state (at high nicotine or ACh concentrations) due to repetitive and prolonged binding
- Desensitization leads to acute tolerance and subsequent receptor upregulation (to compensate for the desensitization)
- Chronic nicotine use leads to multiple neuroadaptations that underlie nicotine withdrawal symptoms
16
Q
Neuron-neuron synapses
A
- Use many different NTs such as ACh, AAs (glutamate, glycine, aspartate, GABA), peptides (endorphins), amines (norepinephrine, DA, serotonin), lipophilic arachidonic acid (ADA) derivatives (cannabinoids)
- Each neuron can innervate many different neurons and can be innervated by many other neurons
- Synaptic transmission is terminated by breakdown of NT, reuptake of NT into glial cells or presynaptic neuron, and diffusion out of synapse
- Cocaine inhibits reuptake of DA, and prozac inhibits reuptake of serotonin (both transport mechanisms are Na dependent)