Serotonin Flashcards

1
Q

What type of neurotransmitter is Serotonin?

A

Monoamine neurotransmitter alongside Noradrenaline and Dopamine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where is 5-HT found?

A

In the gut
In platelets and has a role in platelet aggregation
In the CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the synthesis pathway of Serotonin.

A

Serotonin is derived from the precursor Tryptophan which is derived from our diet. Tryptophan is converted by two enzymes within the cascade to Serotonin. The first Tryptophan hydroxylase converts it to 5-hydroxytryptophan before being converted by L-aromatic acid decarboxylase (also known as dopa decarboxylase or 5-Hydroxytryptophan decarboxylase) to 5-Hydroxytryptamine (Serotonin). The neurotransmitter is then packaged into synaptic vesicles and used.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the metabolism of Serotonin.

A

Monoamine oxidase present intercellularly is responsible for the degradation of 5-Hydroxytryptamine (Serotonin) into an intermediate which is then further metabolised by aldehyde dehydrogenase into 5-Hydroxyindoleacetic acid which is then excreted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the process of serotonergic neurotransmission.

A

Within the nerve terminal, tyrpothophan is broken down into 5-Hydroxytryptamine (Serotonin). Vesicular monoamine transporter (VMAT) facilitates the loading of Serotonin into synaptic vesicles. Similar to the release of other neurotransmitters, depolarisation of the pre-synaptic terminal leads to an increase in Ca2+ permeability. Calcium ion influx then facilitates Ca2+ dependent exocytosis controlling the release of 5-HT into the synaptic cleft. Serotonin is then able to act on their post-synaptic receptors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does Serotonin re-uptake occur?

A

The reuptake of Serotonin from the synaptic cleft to the pre-synaptic serotonergic neuron is facilitated by the presence of the monoamine transporter protein SERT encoded by the SLC6A4 gene. Also known as sodium-dependent serotonin transporter it is a 12 transmembrane domain symporter that relies on the presence of sodium as a co-transporter ion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are serotonergic neurons?

A

Any neuron that uses 5-HT (Serotonin) as a neurotransmitter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where are serotonergic neurons specifically found?

A

Their cell bodies lie within the Ralphe nucleus and are able to project to different areas within the brain.
They have a similar distribution to noradrenergic neurons.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which physiological processes is 5-HT involved in?

A

Sleep
Appetite
Pain
Thermoregulation
Mood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What type of receptors are Serotonin receptors?

A

14 known 5-HT receptors and all but one are GPCR.
5-HT3 is a ligand gated ion channel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the seven different types of Serotonin receptor?

A

Seven different types:
◦ 5-HT1 receptors (1A, 1B, 1D, 1E, 1F)
◦ 5-HT2 receptors (2A, 2B, 2C)

◦ 5-HT4, 5-HT5A, 5-HT6 and 5-HT7
receptors

Categorised based on the G-protein they couple to and their downstream signalling response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the signalling pathways for 5-HT1 receptors?

A

As all 5-HT1 receptors (1A, 1B, 1D, 1E, 1F) are GPCRs they all couple to the inhibitory G protein Gi/G0 which when activated, inactivates adenylyl cyclase, decreasing cyclic AMP levels and may modulate calcium channels. This results in an overall inhibitory effect.
Specifically 5-HT1A when activated initiates a downstream signalling cascade which causes neuronal inhibition whereas 5-HT1B causes presynaptic inhibition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where is 5-HT1A located?

A

Chiefly in the CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where is 5-HT1B located?

A

CNS
Vascular smooth muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where is 5-HT1D located?

A

CNS
Blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where is 5-HT1E located?

A

CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where is 5-HT1F located?

A

CNS
Uterus
Heart
GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the signalling pathways for 5-HT2 receptors?

A

As all 5-HT2 receptors (2A, 2B, 2C) are GPCRs they all couple to the G-protein Gaq/11 to regulate the activity of phospholipase C resulting in an increase in IP3 and Ca2+ causing neuronal excitation.
5-HT2A specifically when activated initiates a downstream signalling pathway which leads to neuronal excitation as it is expressed in the CNS.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where is 5-HT2A located?

A

CNS
PNS
Smooth muscle
Platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Where is 5-HT2B located?

A

Gastric fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Where is 5-HT2C located?

A

CNS
Lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe the signalling pathway of 5-HT3A.

A

As a ligand gated ion channel which is cation selective and mediates neuronal depolarization and excitation within the central and peripheral nervous systems.
The 5-HT3 receptor consists of 5 subunits centralised around the central ion conducting pore and is permeable to sodium, potassium and calcium ions. Upon serotonin binding the pore opens and there is an inward current of sodium and potassium ions resulting in neuronal excitation (maybe due to depolarisation which then increase permeability to calcium inducing Ca2+ dependent exocytosis of neurotransmitters).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Where is 5-HT3A located?

A

CNS
PNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe the signalling pathway of 5-HT4, 5A, 6 and 7.

A

All couple to Gas which upon activation, activates adenylyl cyclase in turn increasing levels of cAMP causing neuronal excitation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Where is 5-HT4 located?
PNS (GI) CNS
26
Where is 5-HT5A located?
CNS
27
Where is 5-HT6 located?
CNS Leukocytes
28
Where is 5-HT7 located?
CNS GI Blood vessels
29
Describe the purpose of using 5-HT2 antagonists for migraine prophylaxis.
5-HT2 causes neuronal excitation, smooth muscle contraction by inducing activation of phospholipase C and increasing intercellular calcium and vasoconstriction. This vasoconstriction occurs during migraines due to release of Serotonin, with rebound vasodilation causing throbbing headaches.
30
Which drug targets 5-HT3 receptor?
Ondansteron which is a 5-HT3 antagonist. 5-HT3 receptors are expressed mostly highly on the solitary tract nucleus (STN) and the chemoreceptor trigger zone (CTZ). Therefore by Ondansetron antagonising receptors on neurons found in the chemoreceptor trigger zone this provides relief of nausea and vomiting. Ondansetron is highly used in chemotherapy induced nausea and vomiting.
31
Which agonists act at 5HT1A receptor?
8-OH-DPAT, triptans, clozapine, buspirone (PA), cabergoline
32
Which antagonists act at 5HT1A receptor?
Methiothepin, yohimbine, ketanserin, pizotifen, spiperone
33
Which agonists act at 5HT1B receptor?
8-OH-DPAT, triptans (PA), clozapine, cabergoline, dihydroergotamine
34
Which antagonists act at 5HT1B receptor?
Methiothepin (IA), yohimbine, ketanserin, spiperone
35
Which agonists act at 5HT1D receptor?
8-OH-DPAT, triptans, clozapine, cabergoline (PA), dihydroergotamine/ ergotamine
36
Which antagonists act at 5HT1D receptor?
Methiothepin (IA), yohimbine, ketanserin, methysergide, spiperone
37
Which agonists act at 5HT1E receptor?
8-OH-DPAT, triptans; clozapine, dihydroergotamine
38
Which antagonists act at 5HT1E receptor?
Methiothepin, yohimbine, methysergide
39
Which agonists act at 5HT1F receptor?
8-OH-DPAT, triptans; clozapine dihydroergotamine/ ergotamine, lamistidan
40
Which antagonists act at 5HT1F receptor?
Yohimbine, methysergide
41
Which agonists act at 5HT2A receptor?
LSD, cabergoline, methysergide (PA), 8-OH-DPAT, ergotamine (PA)
42
Which antagonists act at 5HT2A receptor?
Ketanserin, clozapine, methysergide
43
Which agonists act at 5HT2B receptor?
LSD, cabergoline, methysergide (PA), 8-OH-DPAT, ergotamine (PA)
44
Which antagonists act at 5HT2B receptor?
Ketanserin, clozapine, yohimbine
45
Which agonists act at 5HT2C receptor?
LSD, cabergoline, methysergide (PA), 8-OH-DPAT, ergotamine (PA)
46
Which antagonists act at 5HT2C receptor?
Ketanserin, clozapine (IA), methysergide
47
Which agonists act at 5HT3 receptor?
2-Me-5-HT, chloromethyl biguanide
48
Which antagonists act at 5HT3 receptor?
Granisetron, ondansetron, palonosetron.
49
Which agonists act at 5HT4 receptor?
Metoclopramide, tegaserod (PA), cisapride
50
Which antagonists act at 5HT4 receptor?
Tropisetron
51
Which agonists act at 5HT5A receptor?
Triptans, 8-OH-DPAT
52
Which antagonists act at 5HT5A receptor?
Clozapine, methysergide, yohimbine, ketanserin
53
Which agonists act at 5HT6 receptor?
LSD, ergotamine
54
Which antagonists act at 5HT6 receptor?
Clozapine (IA), spiperone, methysergide, dihydroergotamine
55
Which agonists act at 5HT7 receptor?
Buspirone (PA), bromocriptine, cisapride, 8-OH-DPAT, LSD,
56
Which antagonists act at 5HT7 receptor?
Clozapine (IA), methysergide, buspirone, dihydroergotamine, ketanserin, yohimbine
57
What are the clinical effects mediated by 5-HT1A?
Behavioural effects: sleeping, feeding, thermoregulation and anxiety
58
What are the clinical effects mediated by 5-HT1B?
Behavioural effects, pulmonary vasoconstriction
59
What are the clinical effects mediated by 5-HT1D?
Cerebral vasoconstriction Locomotion
60
What are the clinical effects mediated by 5-HT2A?
Behavioural effects Platelet aggregation Smooth muscle contraction Vasoconstriction/Vasodilation
61
What are the clinical effects mediated by 5-HT2B?
Contraction
62
What are the clinical effects mediated by 5-HT3?
Emesis (anti-emetic use) Behavioural effects (anxiety)
63
What are the clinical effects mediated by 5-HT4?
GI motility
64
What are the clinical effects mediated by 5-HT5A?
Modulation of exploratory behaviour
65
What are the clinical effects mediated by 5-HT6?
Learning and memory Modulation of neurotransmission
66
What are the clinical effects mediated by 5-HT7?
Thermoregulation Circadian rhythm