Serotonergic Neurotransmission Flashcards

1
Q

What is the history of 5-HT?

A
  • In past, found when applied to muscles 5-HT causes v.strong contraction
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2
Q

What is the structure of 5-HT?

A
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3
Q

5-HT and hallucinating?

A
  • Serotonin structure – hallucinogenic – compounds with very similar structures found in hallucinogenic mushrooms (e.g. LSD and DMT)
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4
Q

Where are serotonergic neurons located?

A
  1. Rostral (and median) rephe nuclei -
    * Project to forebrain and thalamus cerebellum
  2. Caudal raphe neurons-
    * Raphe obscrus, pallidus and magnus
    * Project to spinal cord and cerebellum
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5
Q

How is serotonin synthesised?

A
  1. Precursor for serotonin production is tryptophan
  2. Converted to Serotonin by 2 enzymatic convertions
  3. Tryptophan enters brain via BBB and is converted to serotonin when there is enough in brain - 2 forms of of tryptophan, only free one can cross BBB
  4. Cortisol can inhibit tryptophan from crossing BB - links to stress etc linking to decreased serotonin
  5. Synthesis directly in neuron than transported into vesicles via VMAT2
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6
Q

What is melatonin?

A

Controls sleep and hormone rhythms?

  • Transformation of 5-HT into melatonin occurs in pineal gland, inv 2 enzymatic steps
  • Melatonin levels in pineal gland show circadian variations:
    1. Following changes in N-acetyl transferase activity, inc during night and dec in day
    2. Light inhibits melatonin biosynth
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7
Q

How does a decrease in light exposure cause negative problems?

A
  • Melatonin acts as anti-aging, senescence-delaying and strong-antioxidant molecule in brain
  • There are decd levels of melatonin in Alzheimer’s, and aging brains.
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8
Q

Explain serotonin metabolism?

A
  1. Primarily metabolised to 5-hydroxyindole acetic acid (5-HIAA) in a two-step process by enzymes in neurons and glial cells
  2. First, monoamine oxidase MAO-A oxidises the amine group
  3. Next, it is oxidated again by the aldehyde de-hydroxylase to 5-HIAA
  4. 5-HIAA is secreted by kidneys
  5. The ratio of 5-HIAA to 5-HT measured as an index of 5-HTY turnover and neuronal activity
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9
Q

What are Multiple forms of MAO?

A
  • MAO-A in neurons, glia, and liver
  • MAO-B in neurons, glia, platelets
  • Very similar structure
  • MAO-A main enzyme for serotonin,noradrenaline, andrenaline
  • MAO-B main enzyme for DA
  • Clorgyline selective MAO-A inhibitors - Can treat painic disorders and depression
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10
Q

What is SERT?

(Serotonin transporter Protein)

A
  • The main form of serotonin deactivation
  • Removes serotonin from synp cleft back into the synaptic terminals for resuse in veicles
  • SERT is a 12 transmembrane-spanning protein found in serotonergic nerve terminals
  • Binds a Na+, then 5-HT, then a Cl-, and due to the membrane potential, SERT flips inside the cell and frees bound 5-HT in the cytoplasm
  • SERT then binds a K+ ion to flip back outside the cell membrane and return to its active state to take up more 5-HT
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11
Q

What are 5-HT receptors?

A
  • Different genes code 14 distinct receptors in 7 diff families (5-HT1-7): G-protein coupled receptors and one ion channel with 40-50% AA homology
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12
Q

Explain what 5-HT receptors do?

A
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13
Q

What cells does 5-HT?

A
  • Multiple cells, not just postsyn neurons
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14
Q

Explain how serotonin signalling occurs?

A
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15
Q

What are the pathophysiological roles of 5-HT?

A
  1. Release from raphe neuorns in brain regulates:
    * Sleep, Body temp, food intake, coginition, mood, vom and pain perception

2.Precursor Melatonin reg biological clock and circadian rhythm.
3.Hypothalamic neurons with neuroendocrine function are regulated by 5-HT
4.In migraine chronicallly low 5-HT disposition due to synth distur
5.Alterations in some receptor subtypes in epilepsy
6.Red CNS 5-HT in depression
7.SERT mutations associated with anxiety related disorders.

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16
Q

Why is the 5-HTA receptor special?

A
  • Form complexes with other receptors
  • Has been reported that thses dif subtypes give dif outpurs
17
Q

Why else is 5-HT important?

A
  • Important is synaptic plasticity and signalling