Neurotransmitters and Excitotoxicity Flashcards

1
Q

Inhibitory post-synaptic potentials

A

Small, localized hyperpolarizations almost always associated with chloride entry into the cells. The move the cell further from threshold and make AP less likely

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2
Q

Excitatory post synaptic potentials

A

Small, localized depolarizations commonly produced by entrance of sodium and/or calcium into the cell.

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3
Q

Summations

A

Occurs in the post synaptic cell when multiple IPSPs and EPSPs are elicited by different synapses or by repetitive action of the same synapse (temporal or spatial summation). If there are more IPSPs than EPSPs, the cell is inhibited and no AP occurs and visa versa

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4
Q

Gs metabotropic receptors

A

Proteins activate adenylate cyclase which leads to increased production of cAMP from ATP. cAMP activates PKA which phosphorylates downstream targets, either increasing or decreasing activity.

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5
Q

Gq metabotropic receptors

A

Activate phospholipase C, which then creats IP3 (PIP) and DAG
IP3/PIP activates calcium release, or it can work with DAG to activate PKC which will phosphorylate downstream targets.

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6
Q

Fast transport

A

Usually associated with synaptic vesicles containing peptide neurotransmitters which cannot be made or recycled at the pre-synaptic terminal.

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7
Q

Slow transport

A

Used for structural or other components not needed quickly such as mitochondria and synaptobrevin. Also used for protein/chemicals needed at other locations of neurons such as voltage-gated sodium channels which are used at nodes of ranvier, not the pre-synaptic terminal. Fast route is direct route to pre synaptic terminal

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8
Q

Excitotoxicity

A

When something blocks the delivery of oxygen or glucose to the brain, the neurons in the brain will start to depolarize as the ATP levels fall. There is excess activation which allows huge amounts of calcium to enter the post-synaptic cell. This excess calcium leads to activation of enzymes that lead to the production of nitric oxide, damaging the membranes and even triggering apoptosis in the cortex

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9
Q

Catecholamines

A

Includes dopamine, epinephrine, norepinephrine
Synthesized from tyrosine by tyrosine hydroxylase
For epinephrine to be synthesized, its precursor norepinephrine must be released from the vesicle it was made in. Phenylethanolamine-N-methyl-transferase PNMT is then able to convert norepinephrine to epinephrine

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10
Q

4 major pathways using dopamine

A

Substantia niagra- important in controlling voluntary motion, related to Parkinson’s
Mesolimbic- this pathway runs from the ventral tegmental area to the nucleus accumbens. Related to pleasure/reward system
Mesocortical- runs from ventral tegmental area to the cortex, especially the frontal cortex. Crucial to attention and higher levels of consciousness. Damage is associated with alterations in cognition/consciousness. Dysfunction linked to schizophrenia
Tuberinfundibular- runs from hypothalamus to anterior pituitary. Suppresses prolactins release from pituitary

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11
Q

Catecholamine receptors

A

Alpha-1 uses Gq
Alpha-2 uses Gi
Betas use Gs
Dopamine binds its own receptors D1, D2 etc.. and activate Gi proteins

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12
Q

Location of serotonergic neurons in CNS

A

One cluster of neurons in the brain stem known as the midline raphe nuclei

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13
Q

Serotonin destruction

A

Like catecholamines, serotonin is also destroyed by monamine oxidase

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14
Q

Location of histaminergic neurons

A

Very specific nucleus of the posterior hypothalamus known as the tuberomammillary body

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15
Q

Histamine destruction

A

Diamine oxidase degrades histamine

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16
Q

Locations of Ach as neurotransmitter in PNS

A
NMJ
Autonomic preganglionic synapses
Parasympathetic post-ganglionic fibers
Sympathetic post-ganglionic fibers for sweat glands/muscle vasodilators
Amacrine cells in retina
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17
Q

Locations of Ach as neurotransmitter in CNS

A

Striatum (motor control)
Brainstem arousal system
-the circuit involving the peduculopontine tegmental and laterodorsal pontine nuclei
-also the basal forebrain arousal system (ventral output from reticular activating system)
-producing arousal (non-specific increase in cortical activity produced by sensory info arriving at brainstem arousal systems)

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18
Q

Synthesis of acetylcholine done by ___, then transferred into vesicle by

A

Caholine acetyltransferase

Vesicular acetycholine transporter protein VAchT

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19
Q

Ach destruction

A

True cholinesterase on post synaptic cell membrane
Pseudocholinesterase found in blood and acts on other choline esters
Broken into acetate and choline, choline is taken up by presynaptic cell for recycling

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20
Q

Atropine

A

Blocks muscarinic cholinergic receptors

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21
Q

M1-M5 location and effect

A

M1- post ganglionic neurons of ANS, broad distribution in CNS. Gq protein leads to increased IP3 and DAG
M2- cardiac- Gi protein decreases cAMP leading to increased K+ conductance
M3- smooth muscle of bronchi and vasculature- Gq leads to increased IP3 and DAG
M4- presynaptic autoreceptors controlling Ach release; striatum of basal ganglia for motor control- Gi leads to decreased adenylate cyclase
M5- cerebral vasculature and basal ganglia dopaminergic neurons for motor control- Gq protein leads to increased IP3 and DAG

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22
Q

Nicotinic receptor

A
5 subunits, each coded by different gene
Alpha, beta, gamma, sigma, epsilon
May be heteromeric or homomeric
Fetal- 2 alpha, beta, gamma, sigma
Adult- 2 slpha, beta, gamma, epsilon
Change in subunit decreases the open time of the channel but increases sodium entry
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23
Q

Excitatory neurotransmitters in CNS

A

Glutamate, aspartate, maybe taurine

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24
Q

GABA- derivation, removal, metabolism of GABA

A

Major inhibitory neurotransmitter in brain
Found all over CNS
Derived from glutamate by glutamate decarboxylase (GAD)
Removed from synapse via GAT (GABA transporter)
GAT1- on presynaptic terminal (repackaged into vesicle as is)
GAT2- on glial cells like astrocytes (converted to glutamine then released to be taken back up by presynaptic cell and recycled back into GABA)

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25
Q

GABA, Stiff-person and diabetes mellitus diseases

A

Stiff-person: Increased muscle rigidity and muscle spasms associated with decreasing GABA content
Pancreatic beta cells produce and release GABA, so GAD is found in the pancreatic islet. Antibodies to GAD are most common identified type in Type I diabetes

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26
Q

GABA(a) receptor

A

Ionotropic
Related to nicotinic Ach receptor
5 subunits alpha, beta, gamma, delta, epsilon
Chloride chanel causing influx of chloride - IPSP
Benzodiazepine binding site on alpha subunit potentiates increase in chloride conductance
Also metabolites of progesterone and deoxycorticosterone potentiate its effects and produce drowsiness

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27
Q

GABA(b) receptor

A

Metabotropic-serpentine
Coupled to heterodimer G protein (two of them)
Decrease adenylyl cyclase, which leads to an increase in potassium influx and hyperpolarizes
Interacts with Gq system leading to DECREASE in IP3/DAG and decrease in calcium influx
Produce an IPSP

28
Q

GABA(c) receptor

A

Found in retina
Pentamer of any of 3 different units
Ionotropic (also a chloride conductance)

29
Q

Interstitial GABA

A

There is sufficient interstitial GABA to provide a continual background inhibition in the CNS
Mammalian has a lot of GABA receptors that are extrasynaptic and respond to interstitial GABA
It is believed that general anesthetics work primarily at these receptors

30
Q

Glycine

A

Take home message- it does for the spinal cord what we think GABA does for the brain
Most prevalent inhibitory NT in the SC
Does exist in higher CNS but not as prevalent as GABA
Retina, Brainstem, Forebrain
Receptor is a pentamer- alpha subunit is site of binding
Ionotropic- chloride

31
Q

Purines

A

Virtually every cell in body expresses some form of a purine receptor
PNS- sympathetic/parasympathetic nerves, sensory nerves, intrinsic nerves of gut/heart, motor nerves
CNS- Cortex, hippocampus, cerebellum, basal ganglia, midbrain, thalamus, brainstem

32
Q

Strychnine

A

Blocks glycine receptor

33
Q

Purine neurotransmitters

A

ATP- receptors largely post synaptic
Found in virtually all NT vesicles, so it is considered co-transmitter
Adenosine- many receptors are presynaptic (they regulate how much ATP is released). Some are clearly post-synaptic

34
Q

Adenosine production, removal from synaptic cleft

A

ATP is released in ATPase breaks it down to ADP and then AMP
5-nucleosidase converts AMP into adenosine
Adenosine is sometimes considered second messenger since it was not the secreted neurotransmitter
Reuptake of adenosine, then adenosine deaminase in the cleft creates inosine, which is removed via circulation

35
Q

Adenosine receptors

A

P1 receptors
Four subtypes A1, A2a, A2b, A3
Metabotropic, either increase or decrease cAMP production

36
Q

ATP receptors

A

P2X receptros
P2X1-7
Ionotropic
Cationic ion channels- some allow sodium conductance, some allow calcium, others allow both

37
Q

P2Y receptors

A

ATP or ADP can open
All have greater affinity for ADP
Eight different receptors
Metabotropic- most lead to Gq G11 activation, some lead to Gi and inhibition of adenylate cyclase

38
Q

Adenosine functions

A

Sleep induction

Feedback inhibition of ATP release

39
Q

ATP/ADP functions

A

Major role seems to be related to modifying the action of the “main” neurotransmitter that is in the same vesicle
Maintenance of long term potentiation (important for memory)
Modification of NT release- GABA, Norepinephrine, Ach, Glutamate and other excitatory AAs

40
Q

Opioid locations

A
Striatum (basal ganglia)
Hypothalamus
Periaquaductal gray
Nucleus parabrachialis (pontine)
Raphe nuclei in brainstem
41
Q

Opioid precursors

A
All have AA sequence Tyr-Gly-Gly-Phe-X
Met-enkephalin
Leu-enkephalin
Octapeptide (X=Met-Arg-Gly-Leu)
Heptapeptide (X=Met-Arg-Phe)
42
Q

Pro-opiomelanocortinins (POMC)

A

Found primarily in pituitary and hypothalamus
Beta-endorphins
Other endorphins

43
Q

Prodynorphins

A
Localized in hypothalamus, thalamus, brainstem, retina
Gives rise to:
3 molecules of leu-enkephalin
Dynorphin
Alpha-neoendorphin
Beta-neoendorphin
44
Q

Nociceptin (orphaning FQ)

A

Has its own opioid receptor, does not bid to others

May participate in opioid induced Hyperalgesia

45
Q

Opioid metabolism

A

All is enzymatic, likely after uptake
Enkephalinase A splits Gly-Phe bond
Enkephalinase B splits Gly-Gly bond
Aminopeptidase splits Tyr-Gly bond

46
Q

Mu opioid receptor - binding causes what

A
Analgesia
Respiratory depression
Constipation
Euphoria
Sedation
Increase GH and prolactin secretion
Miosis
47
Q

Kappa opioid receptor- binding causes what

A
Analgesia
Diuresis
Sedation
Miosis
Dysphoria
48
Q

Deltoid opioid receptor- binding causes what

A

Analgesia

49
Q

Commonalities b/w opioid receptors

A

All are serpentine receptors
Gi
Inhibit adenylyl cyclase
Indirectly alter other ion flows
Mu- increase K+ efflux and lead to hyperpolarization
Kappa/Delta- produce decrease in calcium influx

50
Q

Endogenous endocannabinoid ligands

A

Anandamide (AEA)-degraded by fatty acid amide hydrolase (FAAH). Polymorphisms in this gene will cause reduced nociception, especially to heat
2-Arachidonylglycerol- degraded by mono-acyl glycerol lipase
Both can be metabolized via cyclooxygenase and ipoxygenase pathways *important- these pathways feed into prostaglandin synthesis

51
Q

CB1 general info

A

Most abundant G protein receptor in the brain
Utilizes Gi- reduces adenylyl cyclase
Located on presynaptic terminals in CNS and PNS, mainly on EAA or GABA releasing neurons
Binds anandamide and 2AG equally well
Decreases NT release, effects are difficult to predict because it interacts with both EAA and GABA as well

52
Q

Spinal cord CB1

A

Associated with modification of nociceptive inputs

53
Q

Neocortical CB1

A

Associated with neuroprotection against excitotoxicity

54
Q

Hippocampal CB1

A

Associated with changes in affect

55
Q

CB2

A

Binds 2-AG better than anandamide
Located on microglia
Can be found on neurons in response to neuronal injury, brain inflammation responses
Modify cytokine release, can be anti-inflammatory
Found on GI tissue, linked to IBD treatment

56
Q

Endocannabinoids are derived from

A

Membrane lipids- arachidonic acid

Occurs in presynaptic terminal

57
Q

EAAs

A

Aspartate and Glutamate

58
Q

NMDA receptor

A

Activated by EAAs
Ionotropic- allows calcium influx
NO is a byproduct of activating NMDA receptor
Glycine binding site- glycine must be present with EAA to activate channel
Magnesium binding site- Mg sits in channel and prevents Ca2+ influx when membrane is at resting potential (makes channel both voltage and ligand gated)
PCP binding site- PCP blocks the channel

59
Q

Non-NMDA receptors

A
Ionotropic- primarily Na influx
AMPA- Activated by EAAs
AMPA has a Benzodiazepine binding site- reduces sodium influx when channel opens
Kainate- Activated by EAAs
-sodium and calcium influx
60
Q

EPSP of EAA receptors

A

Activation of Non-NMDA receptors produces normal EPSP

NMDA receptor produces a long and slow EPSP because of the magnesium receptors blocking the channel at rest

61
Q

Functions of Non-NMDA receptors

A

Primary sensory afferents

Upper motor neurons

62
Q

Functions of NMDA receptors

A

Critical in short and long term memory formation

Synaptic plasticity in many forms

63
Q

Getting rid of EAAs

A

EAAs are taken into glial cells after used and then converted glutamine and then released to be taken back up by pre-synaptic neuron to reform glutamate

64
Q

NO effects on neurons

A

Long-term potentiation
In hippocampus & cerebellum
Cardiovascular and respiratory controls in pons/medulla
In high concentrations it is toxic to neurons and will kill the neighbors of the neuron that made it

65
Q

Non-neural functions of NO

A

Relaxation of smooth muscle and vasodilation