Neurotransmitters and neuropeptides Flashcards
What are monoamines and what is their structure?
• Monoamines- class of neurotransmitters o Monoamine neurotransmitters contain one amino group connected to an aromatic ring by a two-carbon chain
What are neurotransmitters?
Neurotransmitters- chemical signals released from a cell (usually from a synapse) to signal one or more other cells
What are different classes of neurotransmitters?
- Amino acids
- Peptides
- Quatemary amines
- Purinergics
- Lipid metabolites
- Biogenic amines
Give examples of amino acid neurotransmitters
• Amino acids
o Glutamate- excitatory neurotransmitter
o Glycine
o GABA- inhibitory neurotransmitter
Give examples of peptide neurotransmitters
o Opioids: enkephalins
o Vassopressin
o Somatostatin
Give an example of quatemary amine neurotransmitters
o Acetylcholine
Give an example of purinergic neurotransmitters
o ATP
Give an example of lipid metabolite neurotransmitters
o Anandamide
Give examples of biogenic amines and their different classes
o Catecholamines Noradrenaline Adrenaline Dopamine o Indoleamine Serotonin o Imidazoleamine Histamine
What is the general role of monoamines?
o Function in the brain to regulate cognitive processes such as emotion, arousal and certain types of memory
What CNS disorders do monoamine drugs treat?
o Drugs that alter monoamine neurotransmission are used to treat psychiatric and neurological disorders, including depression, anxiety, schizophrenia and Parkinson’s disease
Describe what monoamine neurotransmitters are usually synthesised from and how this synthesis occurs
o Synthesised from decarboxylated amino acids
o Synthesis is mainly catalysed by cytosolic enzymes
The type of enzyme present in a typical neuron is what determines what type of monoamine is produced and henceforth the function of the cell
What receptors do monoamines usually activate and why does this make them good drug targets?
o Monoamines mostly activate G-protein coupled receptors
Desirable drug target as means that slow metabotropic neurotransmission is being modulated, which is considered safer
Where are monoamines anatomically distributed?
o Characteristic anatomical distribution: synthesis is limited to a few restricted sub cortical or brainstem regions, which project to multiple cortical and limbic target regions
Describe the process of catecholamine synthesis
L-tyrosine-> through tyrosine hydroxylase (cytoplasmic rate limiting), L-dihydroxyphenylalanine (L-DOPA) is produced through addition of a hydroxyl group-> through aromatic L-amino acid decarboxylase (DOPA decarboxylase, cytoplasmic), dopamine is produced->through dopamine beta-hydroxylase (vesicular), noradrenaline is produced through addition of a hydroxyl group-> through phenylethanolamine N-methyl-transferase (PNMT, cytoplasmic), adrenaline is produced by addition of a methyl group
Describe the process of indoleamine synthesis
o Indoleamines
Both L-tryptophan and 5-HTP can cross the blood brain barrier, but not 5-HT
L-tryptophan-> through tryptophan hydroxylase (cytoplasmic, rate limiting), 5-Hydroxy-L-tryptophan (5-HTP) is produced-> through aromatic L-amino acid decarboxylase (DOPA decarboxylase, cytoplasmic), 5-hydroxytryptamine (5-HT, serotonin) is produced
How are monoamines stored and how do they get to that storage space?
o Active transport into vesicles via vesicular monoamine transporter (VMAT)
Transporter in the membrane of the vesicles and it is non-selective
• Any molecule with structural similarity to monoamines can pass through these transporters
o Stored as bound complex with ATP, protein (chromogranin-like), Ca2+, Mg2+ which prevents them from getting out of the vesicle
o The concentration of the neurotransmitter that gets stored in the vesicle is extremely high (About 1.1 M)
What causes monoamine release and how is it done?
channels
o Calcium enters the cell which promotes fusion of vesicles to terminal membrane
o Exocytosis of monoamines from their vesicles occur
o Note: some monoamines can also be released extrasynaptically
E.g. 5HT
What are the types of dopamine receptors and describe their role
o Dopamine receptors G-protein coupled receptors (GPCRs, metabotropic) D1-like (D1, D5) • D1-like mainly excitatory D2-like (D2, D3, D4) • D2-like mainly inhibitory
What are the types of adrenoceptors and describe their role and their differential affinity to adrenaline and noradrenaline
o Adrenoceptors G-protein coupled receptors (GPCRs, metabotropic) • Alpha-adrenoceptors o Alpha1, alpha2 • Beta-adrenoceptors o Beta1, Beta2 and Beta3 Adrenaline: affinity B2> B1/B3/alpha Noradrenaline: affinity alpha> B1>>B2
What are the types of serotonin receptors, their roles, their tropic type and their classification criteria
o Serotonin receptors
Classified (1992) according to:
• Cloned sequence
• Signal transduction mechanisms
• Pharmacological specificity
5HT1, 5HT2, 5HT3, 5HT4, 5HT5, 5HT6, 5HT7
Subtypes: 5HT1A, 1B, 1D, 1-like, (1E), 1F, 2A, 2B, 2C
5HT3 receptors are ionotropic, the rest are metabotropic
5HT1 receptors mediate inhibition, the rest mediate excitation
How does monoamine reuptake occur?
o Reuptake
Active transport into neurons via high affinity Na+ dependent membrane transporter proteins: DAT, NAT and SERT
Main mechanism for terminating monoamine synaptic action
How does monoamine degradation generally occur?
Cytoplasmic monoamines are broken down by monoamine oxidase (MAO) via oxidative deamination
Where is monoamine oxidase bound and what are its two isoforms? What do they degrade?
MAO is bound to mitochondria
MAO isoforms:
• MAO-A degrades 5-HT, NA, A and DA
• MAO-B degrades DA
Describe how dopamine degradation occurs
• Dopamine
o Breakdown process 1-
Catechol-O-methyl transferase (COMT) breaks dopamine down into 3-methoxytyrosine (3-MT)
3-methoxytyrosine (3-MT) is broken down into homovanillic acid (HVA) by monoamine oxidase and aldehyde dehydrogenase
o Breakdown process 2
Dopamine is broken down into 3,4-dihydroxyphenyl-acetic acid (DOPAC) by monoamine oxidase (MAO) and aldehyde dehydrogenase
3,4-dihydroxyphenyl acetic acid (DOPAC) is broken down into homovanillic acid (HVA) by COMT (catechol-O-methyl transferase)
Describe how noradrenaline degradation occurs
o Breakdown process 1-
Nodadrenaline is broken down into normatadrenaline by catechol-O-methyltransferase (cytoplasmic)
Normatadrenaline is broken down into MOPGAL by MAO-A
MOPGAL is broken down into vanillylmandelic acid (VMA) by aldehyde dehydrogenase
o Breakdown process 2-
Noradrenaline is broken down into DOPGAL by MAO-A (cytoplasmic)
DOPGAL is broken down into DOMA by aldehyde dehydrogenase
DOMA is broken down into vanillylmandelic acid (VMA) by COMT
Describe how serotonin degradation occurs
Monoamine degradation
• Serotonin
o Serotonin (5-HT) is broken down into 5-hydroxyindole acetaldehyde by monoamine oxidase
o 5-hhydroxyindole acetaldehyde is broken down into 5-hydroxyindole acetic acid (5-HIAA) by aldehyde dehydrogenase
Why is urine so useful in detecting monoamine turnover in the periphery and what could this be used for?
Breakdown products are excreted in urine
• Therefore, urine can be used as a diagnostic tool for looking at monoamine turnover in the periphery- e.g. tumours will produce excessive amounts of monoamines
What CNS disorders are affected by monoamine storage/release? Specify the type of neurotransmitter for each disorder
- Substance use disorder (DA)
- Parkinson’s disease (loss of DA neurons in substantia nigra)
- Schizophrenia (DA)
- Depression (NA, 5-HT)
What CNS functions and diseases are monoamines involved in?
- Mood
- Anxiety
- Schizophrenia
- Reward
- Drug abuse
- Movement
- Pain
- Regulation of autonomic function
- Regulation of hormone release
Describe where dopamine is anatomically produced and the dopamine pathways of the brain
o Dopamine is produced at the substantia nigra, the ventral tegmental area and the hypothalamus
o Goes to the:
Nigrostriatal pathway
• Goes from substantia nigra to the striatum through the thalamus
• Affected by Parkinson’s disease
Mesolimbic pathway
• Reward pathway
• Starts in the ventral tegmental area and projects to amygdala, hippocampus and nucleus accumbens
Tubero-hypophyseal pathway
• Starts in ventral tegmental area and goes to the hypothalamus, infundibulum and pituitary gland
• Hormonal regulation
Mesocortical pathway
• Starts in ventral getmental area and projects to frontal cortex
• For high order cognitive processes
Describe where noradrenaline is anatomically produced and the noradrenaline pathways of the brain
• Noradrenaline pathways
o Noradrenaline is produced at the locus coeruleus and reticular formation
o From reticular formation:
Projects down to spinal cord and affects pain
o From locus coeruleus
Projects to amygdala, hypothalamus, thalamus, septum, cerebellum and cortex
Affects movement
Describe where serotonin is anatomically produced and the serotonin pathways of the brain
• Serotonin pathways
o Serotonin produced in raphe nuclei
o Projects to spinal cord to modulate pain
o Projects to hippocampus, amygdala, hypothalamus, thalamus, striatum, septum, cerebellum and cortex
What are the transduction mechanisms of dopamine D1-like receptors, their receptor-mediated actions and their drug targets?
Type: D1-like (D1, D5)
Transduction mechanisms: Mainly Gs coupled- increase adenylate cyclase activity to increase cyclic AMP
Receptor-mediated actions:
- Reward
- Movement
- Hormone regulation
Important drug targets:
-D1/D2 agonist apomorphone for Parkinson’s disease
What are the transduction mechanisms of dopamine alpha2 receptors, their receptor-mediated actions and their drug targets?
Type: alpha2
Transduction mechanisms: Gi coupled: inhibit cAMP and Ca2+, K+ conductance
Receptor-mediated actions: Inhibitory
- Controls release of many neurotransmitters
- Attention
- Mood and anxiety
- Centrally mediated control of autonomic functions
- Arousal and vigilance
Important drug targets:
- Clonidine is a partial agonist used in the treatment of blood pressure
- Mirtazepine and mianserin are alpha2 antagonists used in the treatment of depression
What are the transduction mechanisms of serotonin 5-HT1 receptors, their receptor-mediated actions and their drug targets?
Type: 5-HT1 (1A, 1B, 1D, 1E, 1F, 1-like)
Transduction mechanisms:
Mainly Gi coupled decrease adenylate cyclase activity to decrease cyclic AMP
Receptor-mediated actions:
- Hallucinations partly via 5HT1-induced disinhibition
- Hypothermia (1A)
- Centrally mediated hypotension (1A)
- Mood: anxiety and depression (1A, 1B and 1D)
- Sexual behaviour (1A, 1B)
- Food intake (1A, 1B)
- Extracerebral vasoconstriction (1B, 1D)
- Cerebral vasoconstriction (1D)
Important drug targets:
- 5-HT1A agonist buspirone for anxiety
- 5-HT1D agonist sumaptriptan for migraine
What are the transduction mechanisms of serotonin 5-HT3 receptors, their receptor-mediated actions and their drug targets?
Type: 5-HT3
Transduction mechanisms: Ligand-gated ion channel- conducts Na+
Receptor-mediated actions:
- Mesolimbic DA release-> increase reward and drug withdrawal effects
- Centrally mediated modulation of gastrointestinal function
- Mediates vomit reflex via area postrema in medulla
- Nociception
Important drug targets:
5-HT3 antagonist ondansetron for antiemesis
What are the transduction mechanisms of serotonin 5-HT4 receptors, their receptor-mediated actions and their drug targets?
Type: 5-HT4
Transduction mechanisms: Mainly Gs coupled
-Increase adenylate cyclase activity to increase cyclic AMP
Receptor-mediated actions: -Increase striatal DA release- cognitive performance
-Stimualte peristalsis in GIT
Important drug targets:
- 5-HT4 agonist cisapride for gastroesophageal reflux
- 5-HT4 agonist tegasarod for irritable bowel syndrome