Signalling Flashcards

1
Q

What receptors are there for Glutamate?

A

ionotropic and metabotropic

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2
Q

what is glutamate?

A

main excitatory neurotransmitter in the BRAIN
released in half of the neurones
non-essential amino acid

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3
Q

where is glutamate synthesised?

A

synthesised locally in the brain as can’t cross the BBB

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4
Q

what are glutamates action?!

A

calcium influx = causing action potential

role in plastic changes with memory, learning, and development

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5
Q

what are glutamate’s ionotropic receptors?

A

AMPA
NMDA - requires glycine co-agonist
kainate

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6
Q

What is NMDAs purpose?

A

calcium influx related to synaptic plasticity in memory and learning - NMDA is opened with a high increase in EPSPs - unblocks in LTP

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7
Q

What is AMPAs purpose?

A

plasticity and synaptic transmission

in LTP more of these are inputted in post synaptic membrane

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8
Q

What happens when there’s too much Glutamate?

A

excessive influx of Ca2+ which can lead to cell death

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9
Q

what cell pathways are effected in glutamate excitotoxicity?

A
  • membrane breakdown (phospholipase)
  • cytoskeleton alteration
  • generation of nitrogen oxide free radicals
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10
Q

If GluR2 is non-editing in an adult what disease may it imply?

A

MND

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11
Q

What is Glutamates PD pathology?

A
  • balance between NMDA excitation and D2 inhibition
  • in PD loss of D2 results in over-activation of glutamate receptors (plastic changes)
  • causes excitotoxicity in PD
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12
Q

What does activation of NMDA receptors enhance in AD?

A

Production of amyloid beta plaques and phosphorylates tau

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13
Q

What pharmacological evidence is there for glutamate mediated damage in AD?

A

memantine (NMDA antagonist) leads to functional improvement in AD

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14
Q

What is the distribution of muscarinic recpetors?

A

midbrain, medulla and pons

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15
Q

What is the distribution of nicotinic receptors?

A

sub nig, locus coerleus, septum

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16
Q

where are both muscarinic & nicotinic?

A
putamen
caudate 
cortex
hippocampus
thalamus
hypothalamus 
cerebellum
17
Q

How is ACh used in the sympathetic nervous system?

A

preganglionic (nicotinic)

18
Q

How is ACh used in the parasympathetic nervous system?

A

pre (nicotinic) and post ganglionic (muscarinic)

19
Q

What are the 2 types of ACh receptors?

A

Nicotinic - ionotropic

Muscarinic - metabotropic

20
Q

What is the pathophysiology of Mysthenia Gravis?

A
  • Autoimmune
  • autoantibodies against nicotinic ACh receptors on the post synaptic membrane of the NMJ
  • error in transmission of signal from neurone to muscle cell
  • Muscle can’t contract
21
Q

Name 3 possible affected proteins in MG.

A

Nicotinnic ACh Receptors
MUSK - muscle specific kinase
lipoprotein related protein 4

22
Q

How does nerve agent cause damage?

A

blocks activity of acetylcholinesterase
causing accumulation in the synaptic cleft
=chronic depolarisation

23
Q

What symptoms would be expected from Acetylcholinesterase inhibitors (over activation of acetlycholine) ?

A

SLUDGEM

salivation, lacrimation, urination, defecation, Gastro pain, emesis, miosis.

24
Q

3 drugs that treat opioid poisoning + there action.

A

atropine - antagonist of muscarinic
diazepam - reduces release of Ach
pralidoxime - reactivation of AchE

25
How are Acetylcholinesterase inhibitors used in MG?
prolong Ach in the NMJ to improve transmission
26
Action of Acetylcholinesterase inhibitors in AD.
increases levels of ACh in the synapse improving deficit but DOES NOT alter disease course
27
What is the significance of GluR2 subunit being edited or none edited?
GluR2 when non-edited it causes the glutamate receptor to be more permeable to Ca2+ therefore the more non-edited GluR2 receptors of a neurone means they're more prone to the effects of excitotoxicity