Neurotransmitters and pharmacology Flashcards

1
Q

What are the 4 characteristics of neurotransmission?

A
  1. Rapid timescale
  2. Diversity - neurons receive multiple transmitter influences that integrate to produce diverse functional responses.
  3. Plasticity
  4. Learning and memory - through formation of several synapses
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2
Q

Structure and function of a neurone

A
  • Spines increase the surface area for receipt of information from other parts of the nervous system
  • Positive and negative information is integrated before passage onto axon.
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3
Q

List the 3 stages of synaptic transmission.

A
  1. Biosynthesis, packaging and release of neurotransmitter stored in vesicles in the presynaptic terminal
  2. Binding of a neurotransmitter to a postsynaptic receptor, activating it and inducing a response.
  3. Inactivation of the neurotransmitter by reuptake (may or may not involve break down).
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4
Q

What are the variety of different neurotransmitters in the CNS?

A

Variety of neurotransmitters within the CNS can be:

  • Amino acids (large proportion)
    • Glutamate - single most important excitatory neurotransmitter in the brain),
    • y-aminobutyric acid (GABA) - single most important inhibitory neurotransmitter in the brain
    • glycine (Gly) - inhibitory transmitter, active mainly in the spinal cord and the brain stem.
  • Amines
    • Noradrenaline (NA) - neurotransmitter from the sympathetic nervous system and CNS
    • Dopamine (DA)
  • Neuropeptides
    • Opioid peptides like endorphins and enkephalin.
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5
Q

How does the concentration of neurotransmitters and timescale of effect vary amongst neurotransmitters?

A
  • The concentration of neurotransmitters varies from nM to mM in CNS tissues.
  • The timescale for effect can also vary from rapid (us-ms) to slower effects (secs - mins)
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6
Q

What happens when a CNS synapse is activated?

A
  • Action potential arrives down the axon and depolarises the whole nerve terminal
  • Voltage-gated calcium ion channels open, calcium enters the presynaptic terminal and binds to the vesicles.
  • This promotes vesicle exocytosis and release of neurotransmitters into the synaptic cleft.
  • The neurotransmitters then diffuse across the cleft and bind to the post-synaptic receptors.
  • The synapse in the picture is an excitatory synapse as the receptors allow the influx of Na+ ions, leading to the depolarisation of the postsynaptic cell and generates an action potential.
  • Finally, the rapid inactivation step, in this case, involves reuptake of the neurotransmitter back into the presynaptic cell to be repackaged into vesicles and reused.
  • Alternatively, neurotransmitter inactivation can involve enzymatic degradation within the synaptic cleft (eg breakdown of acetylcholine by acetylcholinesterase of the synaptic cleft).
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7
Q

Mechanisms involved in neurotransmitter release

A
  • Protein complex formation between vesicle, membrane and cytoplasmic proteins allow for vesicle docking leading and a to a rapid response to Ca”+ entry and eventually membrane fusion and exocytosis.
  • Calcium influx causes the vesicles to dock on the presynaptic membrane in the synaptic zone.
  • The vesicles are then primed to release the neurotransmitter.
  • They fuse to the presynaptic membrane and release neurotransmitters by exocytosis.
  • The process requires a good supply of ATP and vesicle recycling.
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8
Q

How do the synaptic vesicles get filled with neurotransmitters?

A

The surfaces of vesicles have various protein pumps that pump neurotransmitters into the vesicles.

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9
Q

What about the synaptic vesicles helps them fuse to the membrane?

A
  • Special proteins on the vesicle (vesicular proteins) and presynaptic membrane enable fusion and exocytosis.
  • SNARE proteins like synapsin, synaptobrevin, SNAP25 are vesicular proteins.
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10
Q

Apart from aiding in vesicular fusion to the presynaptic membrane, what else do vesicular proteins do?

A
  • They can be targets for neurotoxins
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11
Q

What toxins bind to vesicular proteins?

A
  • Alpha latrotoxins
  • Zn2+ dependent endopeptidases
  • Tetanus toxin (C tetani)
  • Botulinum toxin (C botulinum)
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12
Q

What are the effects of the neurotoxin Alpha latrotoxin?

A
  • Alpha latrotoxin from black widow spiders:
    • It stimulates transmitter release until depletion. It focuses on cholinergic neurones
    • The toxin binds to the cholinergic terminal of the nerve and causes a mass release of acetylcholine until it is depleted and this leads to muscular paralysis.
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13
Q

What are the effects of neurotoxins that are Zn2+ dependent endopeptidases?

A
  • Zn2+ dependent endopeptidases:
    • inhibit transmitter release.
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14
Q

What are the effects of the neurotoxin tetanus toxin?

A
  • Tetanus toxin (C tetani):
    • Causes spasms and paralysis by inhibiting the release of two main neurotransmitters GABA and glycine.
    • The inhibition of the release of these inhibitory neurotransmitters leads to over-stimulation.
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15
Q

What are the effects of the neurotoxin Botulinum toxin?

A
  • BOTULINUM Toxin (C botulinum):
    • It is a 2 chain molecule that causes flaccid paralysis due to complete muscle relaxation
    • The first part of it binds to the nerve terminal (cholinergic nerve terminal)
    • The second chain penetrates the nerve terminal and binds to the vesicular protein, cleaving their peptide bonds and inactivating them.
    • Very potent toxin that gives rise to botulism, a very nasty food poisoning.
    • Also injected in botox surgeries to relax muscles in the forehead.
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16
Q

How can you measure the powerfulness of a toxin?

A
  • By measuring the minimum dose that can kill a mouse
17
Q

What are the 2 main types of receptors to know at this stage? Briefly describe how quickly the respond.

A
  1. Ion channel-linked receptors
    • Fast response (msecs)
    • Mediate all fast excitatory and inhibitory transmission.
  2. G-protein-coupled receptors
    • Slow response (secs/mins)
    • Effectors may be enzymes (adenyl cyclase, phospholipase C, cGMP-PDE) or channels (e.g Ca2+ or K+)
18
Q

What are some examples of ion channel linked receptors?

A
  • CNS: Glutamate (Na+), y-aminobutyric acid (GABA) (Cl- inhibitory responses)
  • NMJ: Acetylcholine (ACh) at nicotinic receptors on skeletal muscle fibres (Na+ flux).
19
Q

What are some examples of G-protein-coupled receptors?

A
  • CNS and PNS:
    • ACh at muscarinic receptors e.g in the heart
    • Dopamine (DA)
    • Noradrenaline (NA)
    • Serotonin (5HT)
    • Neuropeptides (e.g enkephalin)
20
Q

Describe how postsynaptic excitatory neurotransmitter receptors are activated and what are the ramifications of this?

A
  • E.g glutamate receptors
  • Release of glutamate causes it to diffuse across the synaptic cleft and bind to the glutamate receptors on the post-synaptic membrane.
  • This causes a rapid influx of Na+ ions down the electrochemical gradient.
  • This generates an excitatory post-synaptic potential
21
Q

Describe how postsynaptic inhibitory neurotransmitter receptors are activated and what are the ramifications of this?

A
  • E.g GABA A receptors
  • Release of GABA causes it to diffuse across the synaptic cleft and bind to the GABA A receptors on the post-synaptic membrane.
  • This causes a rapid influx of Cl- ions down the electrochemical gradient.
  • This generates an inhibitory post-synaptic potential (IPSP).
22
Q

What are the 2 different types of glutamate receptors important to know at this stage?

A
  1. AMPA receptors (named after selective agonists):
    • Mediate majority of the fast excitatory responses to glutamate.
    • Have a rapid onset, offset and desensitisation
  2. NMDA receptors (named after selective agonists):
    • Permeable to Na+ and Ca2+ ions.
    • Provide the slow component of excitatory transmission.
    • Serve as coincidence detectors which underlies learning and memory mechanisms.
    • Hippocampus has a high density of these receptors.
    • Needs another signal before glutamate can activate the receptor.
23
Q

Recall significant events that take place in the pre and postsynaptic membranes, and the synaptic cleft of an excitatory Glu synapse.

A
24
Q

What happens when glutamate is in excess in synapses (when glutamate and GABA don’t balance)?

A
  • Increased concentration of glutamate in synapses can lead to seizures (convulsion) due to cells firing continuously.
25
Q

What are some basic facts about epilepsy?

A
  • One of the most common neurological conditions affecting 50 million people worldwide.
  • About half a million in the UK have it.
  • Despite advances in modulating seizure generation and propagation, the disease can be disabling
  • 25-39% refractory to treatment (do not respond well to current drugs).
26
Q

What is epilepsy characterised by?

A
  • Recurrent seizures due to abnormal neuronal excitability.
  • Overactivity or uncontrolled glutamate excitability in the CNS.
27
Q

What new generation of drugs has proved beneficial in treating epilepsy?

A
  • Drugs targeting the GABA synapse.
28
Q

Recall significant events that take place in the pre and postsynaptic membranes, and the synaptic cleft of an inhibitory GABA A synapse.

A
29
Q

Structure of GABA receptor and its pharmacologically important binding domains.

A
  • Pentameric organisation
  • Barbiturates and benzodiazepines important anticonvulsants.
30
Q

What are some drugs that facilitate GABA transmission?

A
  1. Antiepileptic
  2. Anxiolytic (reduce anxiety)
  3. Sedative
  4. Muscle relaxant
31
Q

Session overview

A