Serotonin Flashcards

1
Q

Source

A

Tryptophan==> 5 hydroxy 1 tyryptophan==> serotonin

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2
Q

Rate limiting steps

A

availability of tryptophan

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3
Q

Synthesis enzymes

A

tryptophan hydroxylase

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4
Q

Breakdown enzymes

A

MAO

-preferably MAO A

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5
Q

Breakdown product

A

5-hydroxyindoleacetic acid (5- HIAA)

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6
Q

Reuptake

A

Serotonin reuptake channel (TCAs, SSRIs inhibit this)

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7
Q

Function

A

Mood, perception of pain, feeding, sleep wake cycle, motor activity, sexual behaviour and temperature regulation

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8
Q

Receptors

A
  • 14 known subtypes of serotonin receptors

- All except 5-HT3 are G-coupled receptors

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9
Q

5 HT3

A

-predominantly in the gut, associated with motility

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10
Q

5 HT 1A

A

Gi coupled postsynaptic receptor

  • antidepressant response (agonist)
  • anxiolytics (partial agonist)
  • sexual behaviour
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11
Q

5-HT1B receptors

A
  • Gi coupled presynaptic

- Aggression

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12
Q

5-HT1D

A
  • Gi coupled, both presynaptic and post-synaptic

- antimigraine (antagonist)

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13
Q

5-HT2 receptors

A
  • phospholipase C coupled
  • post-synaptic
  • 5HT2A antagonism leads to antipsychotic response (atypicals) and sedation
  • LSD causes 5-HT2A stimulation- agonist/partial agonist
  • down regulation noted after antidepressant treatment/ECT2orking memory
  • also seen in platelets and smooth muscles
  • 5HT2B stimulation may produce cardiac valvular fibrosis (dexfenfluramine)
  • 5 HT2c- anxiogenic and anorexic effect (agonists)
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14
Q

5-HT6

A
  • may be involved in antidepressant action

- antagonism

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15
Q

5-HT7

A

-regulation of circadian rhythm

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16
Q

Disorders

A
  • low serotoin levels==> increased depression, aggression ,suicide and impulsivity
  • role in psychosis as regulate dopamine system
17
Q

5-HT3

A

-antagonism causes antiemetic effect

18
Q

DOPA decarboxylase (DDC)

A
  • enzyme implicated in 2 metabolic pathways, synthesising dopamine and serotonin
  • particularly abundant in the basal ganglia