Serotonin Flashcards

1
Q

What is the precursor to serotonin?

A

Tryptophan and the rate limiting step is Tryptophan Hydroxylase

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2
Q

Where is melatonin produced at?

A

Pineal Gland

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3
Q

How is serotonin metabolized?

A

Monoamine Oxidase

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4
Q

Where is most of the serotonin located in the body?

A

GI System 90% and the rest is in platelets and CNS. GI has 1 day turnover and CNS has constant turn over

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5
Q

CNS neurons that use serotonin cell bodies are located where?

A

Raphe Nuclei

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6
Q

What is the type of secondary messengers of serotonin receptors?

A

All G-protein coupled, except 5-HT3 receptor, which is ligand gated channel.

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7
Q

What are serotonin effects in the GI?

A

Serotonin causes smooth muscle contraction, which can induce emesis and/or diarrhea.

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8
Q

Serotonin effects on the cardiovascular system?

A

Vasoconstriction of large vessels both arterial/venous and cranial. Vasodilation of coronary arteries and skeletal muscle.

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9
Q

What is a reflexive (Bezold-Jarisch Reflex) response to serotonin?

A

Activates the chemoreceptor causing bradycardia, hypotension, and hypoventilation.

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10
Q

What are some conditions serotonin is involved in the CNS?

A

sensory preception, deep sleep, temp regulation, short term memory, pain, drug abuse, and EMESIS

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11
Q

How is serotonin released from the neuron?

A

Pumped into vesicle via VMAT and released into the cleft

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12
Q

What drug is a potent hallucinogen?

A

Lysergic Acid Diethylamide. 5HT2 partial/full agonist.

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13
Q

Anti-Anxiety agent?

A

Buspirone. partial 5-HT1a agonist

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14
Q

What is Sumatriptan and what is a contraindication?

A

Treats migraine headaches during and preventatively. 5-HT1D Agonist. Contraindicated if recent MI due to side effect of angina.

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15
Q

What are two ways to increase serotonin in the synaptic cleft?

A

SSRI - Fluoxetine

MAOI - Phenelzine

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16
Q

What are illnesses that can be treated with increased serotonin?

A

SSRI –> affective disorder, OCD, panic attacks

MAOI –> depression and narcolepsy

17
Q

What drug is both 5HT2 and H1 antagonists?

A

Cyproheptadine. Used to treat urticaria and carcinoid (releases serotonin and bradykinin)

18
Q

What is used for anti-nausea during chemotherapy?

A

Ondansetron

19
Q

How does Ondansetron work?

A

Serotonin antagonist of 5-HT3 in both the GI and CNS to prevent nausea.

20
Q

What is used for IBS when conventional treatments fail?

A

Alosetron. Selective 5-HT3 antagonist in GI.

21
Q

Melatonin is used to treat what?

A

Insomnia. Synthesized in the pineal gland.