unit 8 Flashcards

1
Q

cns stimulants

A

drugs that increase activity of the central nervous system and the body, that produce arousal and have sympathomimetic effects
- drugs that increase the rate of behavior

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2
Q

cns depressants

A

drugs that reduce activity of the central nervous system and the body to decrease arousal
- drugs that decrease the rate of behavior

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3
Q

behavioral arousal exists on a continuum

A

Over the course of time, physiological, behavioral and cognitive functions vary in level of arousal/intensity.
- An obvious example of change in arousal levels is the sleep/wake cycle.
- The fluctuations depend upon changes in neural activity at both the systems and cellular levels.
At a systems level, there are neural substrates that control rhythmic changes in level of arousal.
At a cellular level, neurotransmitters and drugs affecting these neurotransmitters act to change levels of activity and arousal.

Details :Organisms display a wide spectrum of frequencies in their rhythmic processes. The left side shows the various frequencies, and the right side shows the periods of selected examples. (Note: period = 1/frequency.)

The sine wave or sinusoid wave is a mathematical curve that describes a smooth repetitive oscillation.

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4
Q

circadian

A

entrained = 24 hours; free running = 24 +/- 2 hours (ex: daily temperature cycle)

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5
Q

ultraradian

A

period of <24 hours (ex: human basic rest activity cycle)

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6
Q

circatidal

A

based on tides; entrained = 12.4 hours, free running = 11-14 hours

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7
Q

infradian

A

period is a multiple of the circadian period (ex: menstrual cycle)

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8
Q

circalunar

A

based on moon; entrained = 29.5 days; free running = 26-32 days

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9
Q

seasonal running

A

seasonally dependent (ex: breeding season)

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10
Q

types of biological rhythms

A

High-frequency events include the electrical activity of the brain (EEG: electroencephalogram), heart rate (cardiac), rate of breathing (respiratory), and sleep-stage (rate of progression through different levels of sleep). These cycles are often referred to as ultradian rhythms (processes having periods much less than 24 hrs). Circadian rhythms are often arbitrarily defined as having periodicities between 20 and 28 hrs. Two examples of low-frequency cycles are the menstrual cycle of women and the seasonal (circannual) cycle of hibernation. Such long-period rhythms are referred to as infradian rhyth

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11
Q

body temperature circadian rhythm

A
  • Almost every physiological or behavior response you can measure will show a rhythmic pattern.
  • Body temperature change is an excellent example of a circadian rhythm.
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12
Q

when cycles get out of phase,

A

adverse effects may ensue
- For example, when the sleep-wake cycle is out of phase with the rhythms that are controlled by the circadian clock (e.g., during shift work or rapid travel across time zones disturbances, e.g., jet lag, may result.

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13
Q

geophysical determinants of circadian, seasonal and circannual rhythms

A

The earth’s yearly revolution about the sun and its daily rotation on its axis determine the light-dark patterns to which we are exposed. Seasonal changes occur because the earth’s axis of rotation is tilted with respect to its plane of revolution. In the northern hemisphere, the north pole is tilted toward the sun from March to September. Therefore, the northern hemisphere receives more sunlight per day than the southern hemisphere. Then from September to March, the southern hemisphere is tilted toward the sun and determines the seasons of spring and summer for that hemisphere.

Main Points:
- Many biological rhythms are related to the earth’s rotation on its axis (circadian rhythms  24 hr) and the earth’s revolution around the sun.
- Some rhythms are related to multiples of circadian rhythms.
- Some rhythms are related to other environmental stimuli such as tides and the lunar cycle.

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14
Q

recording the wheel-running activity of a hamster

A

how is the circadian rhythm studied?
(left) Methods of recording the wheel-running activity of a hamster. In the traditional method, each wheel rotation activates a sideways movement of a pen on a moving sheet of paper. When the 24-hour strips are arranged one under the other, the human eye can easily pick out rhythmic behavior in the daily patterns of activity. The 24-hour strips are often plotted so that the continuity of the rhythmic pattern can be visualized (lower left); on the first line, day 1 is plotted, and on the next line day 2, and so on. For more objective analyses, a digital record can be made. The amount of activity can then be plotted against time and analyzed statistically. Rodents may run for miles during a night, and a digital record may be necessary to distinguish between different amounts of activity. (right) An actogram demonstrating a light-dark entrained circadian rhythm and demonstrating the effects of removal of the light-dark cycle (i.e., removal of the Zeitgebers) to produce a free running rhythm.
- Zeitgeber = time giver

Main Points:
- Rodents have been used extensively in circadian rhythm research.
- Behavioral patterns associated with locomotor activity, eating, drinking, etc. are frequently used as dependent variables.
- Data are collected on paper or by computer and are presented as actograms.

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15
Q

entrainment

A

helps animals maintain an adaptive phase relationship with the environment as well as prevent drifting of a free running rhythm
- means to match a body cycle with an environmental cycle
- e.g matching of sleep/wake cycle with light/dark cycle

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16
Q

free running cycles are not

A

adjusted to an environmental cycle

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17
Q

the circadian system model

A

assumes that there is a central pacemaker that generates the oscillation in biological and physiological rhythms. A stimulatory input, namely light activating an input pathway, is used by the central pacemaker to entrain the rhythms. Drugs that affect circadian rhythms may act on any, or each, part of this system.

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18
Q

suprachiasmatic nucleus ablation results in loss of circadian rhythms

A

Evidence suggests that the suprachiasmatic nucleus is part of the central pacemaker. The suprachiasmatic nucleus is located in the hypothalamus right at the base of the brain. It is located just above (“supra”) the fiber crossings of the visual system called the optic chiasm.

The lower left figure shows the locations of electrolytic lesions of the suprachiasmatic nucleus in a squirrel monkey. The lesions are just dorsal to the optic tracts.

Right: Double-plotted drinking record from a squirrel monkey before (A) and after (B, C) receiving a histologically verified total SCN lesion. The approximately 25-h drinking rhythm prelesion (A) persisted with a reduced amplitude for over 90 days postlesion (B) before finally decaying into arrhythmia (C).

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19
Q

projections of the SCN / subparaventricular zone complex and their likely functions

A

The SCN projects to many areas of the CNS including the sub paraventricular zone (SPVZ). Projections from the SCN and SPVZ influence many physiological and behavioral functions. For example, the projections from the SCN/SPVZ to the tuberal-posterior hypothalamic areas are implicated in controlling sleep-wake cycles. It isn’t necessary for you to know the specific projections and their associated functions but rather the principal that the SCN controls the rhythmicity of many functions via its influence on other brain structures.

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20
Q

circadian rhythms in mammalian cells are controlled by

A

a mechanism involving a molecular transcription-translation feedback loop

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21
Q

circadian rhythm in mammalian cells

A

The majority of the identified clock components are transcriptional activators or repressors that modulate Clock protein stability and nuclear translocation. A primary feedback loop, involves and BMAL1 whichheterodimerize in the cytoplasm to form a complex that translocate to the nucleus to initiate transcription of target genes such as PER and CRY. Negative feedback is achieved by PER:CRY heterodimers that inhibit the activity of the CLOCK:BMAL1 complex.
- The clock is located in each of the cells

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22
Q

continuum of states of behavioral arousal

A
  • Over the course of time, physiological, behavioral and cognitive functions vary in level of arousal/intensity.
  • The fluctuations depend upon changes in neural activity at both the systems and cellular levels.
  • At a systems level, there are neural substrates that control rhythmic changes in level of arousal.
  • At a cellular level, neurotransmitters and drugs affecting these neurotransmitters act to change levels of activity and arousal.
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23
Q

electroencephalographic recording and the psychological basis of the EEG

A

A) Cortical pyramidal cell showing an example of the momentary distribution of positive and negative charges at different points on the neuron. B) The arrangement of pyramidal cells across cortical sulci and gyri. C) The net result of the distribution of positive and negative charges across a region of cortex.

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24
Q

electroencephalographic recording and the physiological basis of the eeg

A

The brain wave patterns on the EEG are the net sum of the electrical activity from billions of cortical neurons.
Examples of human EEG records (3 upper traces) and a frequency analysis (lower trace) of the EEG records. The wave analysis, which has a separate peak for each frequency component, indicates that the frequencies most commonly present with eyes shut are 8-12/second (large peaks on the wave analysis).

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25
Q

arousal is associated with what wave forms?

A

low voltage high frequency

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26
Q

sleep is associated with what wave forms?

A

high voltage low frequency wave forms

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27
Q

electrophysiological correlates of waking and sleep stages

A

Characteristic EEG patterns seen during different stages of sleep in humans are shown here. The sharp wave called a vertex spike appears during stage 1 sleep. Brief periods of sleep spindles are characteristic of stage 2 sleep. Deeper stages of slow-wave sleep show progressively more large, slow delta waves. Note the similarity of activity during waking, stage 1 sleep, and rapid eye movement (REM) sleep.

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28
Q

properties of slow-wave and REM sleep

A

These are examples of different levels of activation of various physiological systems between slow-wave and REM sleep. These differences in physiological status are reflections of the differences in cortical arousal between the two states.

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29
Q

evidence for Bremer’s 1937 passive sensory theory of sleep

A

Sleep studies were important for helping determine how arousal works. Bremer proposed the first influential theory of the physiology of sleep. He hypothesized that sleep is caused by a reduction of sensory input to the forebrain. To test his hypothesis, he transected the neuraxis at the level between the superior and inferior colliculi to disconnect the forebrain from ascending sensory input. This produced a cat that appeared to be sleeping. The EEG produced almost continuous slow-wave sleep waveforms, hence, Bremer concluded that depriving the rostral brain produced sleep.

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30
Q

evidence for moruzzi and magoun’s active reticular-activating-system theory of sleep

A

Bremer’s “passive” theory of sleep was eventually replaced by the theory that sleep is actively regulated by an arousal mechanism in the reticular formation, i.e., by a reticular activating system.

In the late 1940’s Moruzzi and Magoun made small lesions in the core of the brain stem so that most of the classic ascending sensory pathways were left intact. Nevertheless, these animals displayed a sleep-like EEG pattern. Hence, they concluded that the reticular formation produced sleep through an active process.

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31
Q

the nature and extent of the reticular formation

A

Left- Midsagittal view of a cat brain with a schematic diagram of the reticular formation. Reticular cells are found all the way from the spinal cord up through the thalamus. (MBRF=midbrain reticular formation; MRF = medullary reticular formation; PRF= pontine reticular formation; TRF= thalamic reticular formation; HYP=hypothalamus.) Pathways taken by the axons of the MBRF are shown in blue. Some axon branches swing in dorsal direction from the MBRF to synapse within the TRF, whereas other branches grow in a ventral direction through the hypothalamus. (The hypothalamus is the area from the mammillary bodies forward to just anterior of the optic chiasm.) In the hypothalamus, MBRF axons are joined by TRF axons, and both course forward into the cortex

Main Points:
- The concept of a reticular activating system has changed dramatically from the time of Moruzzi and Magoun’s experiments.
- Specific cell groups containing NE, ACh and 5HT have been implicated in projections to the thalamus and cortex and as being important in the control of arousal.

32
Q

ascending arousal systems

A

sends projections from the brainstem and posterior hypothalamus throughout the forebrain. Neurons of the laterodorsal tegmental nuclei and pedunculopontine tegmental nuclei (LDT and PPT) (blue circles) send cholinergic fibers (ACh) to many forebrain targets, including the thalamus, which then regulate cortical activity. Aminergic nuclei (green circles) diffusely project throughout much of the forebrain, regulating the activity of cortical and hypothalamic targets directly. Neurons of the tuberomammillary nucleus (TMN) contain histamine (HIST), neurons of the raphé nuclei contain 5-HT and neurons of the locus coeruleus (LC) contain noradrenaline (NA). Sleep-promoting neurons of the ventrolateral preoptic nucleus (VLPO, red circle) contain GABA and galanin (Gal).

33
Q

descending projections from the ventrolateral preoptic area that terminate on major brain stem

A

Axons from the VLPO directly innervate the cell bodies and proximal dendrites of neurons in the major monoamine arousal groups. Within the major cholinergic groups, axons from the VLPO mainly innervate interneurons, rather than the principal cholinergic cells. Abbreviations: LC, locus coeruleus; LDT, laterodorsal tegmental nuclei; PPT, pedunculopontine tegmental nuclei; TMN, tuberomammillary nucleus; VLPO, ventrolateral preoptic nucleus. The blue circle indicates neurons of the LDT and PPT; green circles indicate aminergic nuclei; and the red circle indicates the VLPO.

34
Q

hypocretin/orexin arousal mechanisms

A

Additional arousal pathways use the neuropeptide orexin, also known as hypocretin. Orexin regulates arousal, wakefulness and appetite. Interestingly, the most common form of narcolepsy, in which the sufferer experiences brief losses of muscle tone (cataplexy), is caused by a lack of orexin in the brain due to destruction of the cells that produce it. There are only 10,000–20,000 orexin-producing neurons in the human brain, located predominantly in the perifornical area and lateral hypothalamus.

35
Q

a model of sleep employing the concept of an interaction between a circadian rhythmic process and a sleep-wake process

A

The Borbely and Daan model of sleep regulation. Sleep is assumed to result from the actions of process C and process S. Process C follows a circadian rhythm and is independent of sleeping and waking. Process S, on the other hand, depends on sleep-wake behavior; S declines during sleep and rises continuously during sleep deprivation. The period of recovery sleep that follows sleep deprivation is more intensive but only slightly longer than normal. If curve C represent the threshold for waking up, then at any time, “sleep pressure” is the (vertical) distance between the S and C curves. The greater the distance, the greater the pressure to fall asleep.

36
Q

the neural substrates for the control of sleep-wakefulness by the SCN

A

The SCN and behavioral state control. The SCN projects to the ventrolateral preoptic area (VLPO), an area mediating sleep. VLPO inhibits the arousal activity of the tuberomammillary nucleus during sleep. The SCN provides an arousal-promoting input to the posterior hypothalamic area, particularly to hypocretin neurons, which project upon the neocortex and subcortical arousal areas.

37
Q

CNS catecholamine systems

A

The main “classic” neurotransmitter systems we will focus on are the catecholamine systems.
The catecholamines are organic compounds that have a catechol (benzene with two hydroxyl side groups next to each other) and a side-chain amine.

38
Q

synthesis of dopamine, norepinephrine, and epinephrine

A

You should already know the metabolic cascade of the following 4 substances (i.e., what comes from what): Tyrosine → Dopa → dopamine (DA) → norepinephrine (NE). Now you need to also know the enzymes that are involved in conversion of one metabolite to another.

39
Q

schematics of noradrenergic neurons

A
  • Schematic drawing of a noradrenergic neuron in the peripheral autonomic nervous system. Examples of innervated structures are illustrated.

– Schematic illustration of a central monoamine-containing neuron. The general appearance and intraneuronal distribution of norepinephrine and the enzymatic degradation of NE.

40
Q

classification and coupling of adrenoreceptors

A
  • Adrenergic receptor sub-types. The two main sub-types of adrenergic receptors are classified as alpha-adrenergic receptors and beta-adrenergic receptors. Alpha adrenergic receptors are further classified as alpha 1 and alpha 2. Beta adrenergic receptors are classified as beta-1, beta-2 and beta-3.
  • This shows the actions of epinephrine and norepinephrine on alpha- and beta-adrenergic receptors. Both alpha- and beta-adrenergic receptors are metabotropic receptors and are coupled through different types of G proteins.
41
Q

catecholamine cell groups and fiber tracts

A

It isn’t important that you know all the anatomical locations of the cell groups and projection systems summarized in this table. There will be a few key NE and DA cell groups and systems that we will identify later. What is worth noting is that both NE and DA cell groups are known as the “A” groups and that the NE groups (A1 to A7) are located in brain structures that are more caudal than the DA groups (A8 to A16).

42
Q

noradrenergic pathways in the rat brain

A

The projections of noradrenergic neurons are shown in a sagittal view. Clusters of cell bodies are shown as dots and are differentiated by numbers prefixed by the letter A, according to the schema of Dahlström and Fuxe.

43
Q

arousal of the locus coeruleus

A

The firing of LC neurons is activated by arousing sensory stimuli and inhibited during the performance of maintenance functions such as sleeping, grooming, and ingestive behaviors. From these and other findings, it is hypothesized that NE plays an important role in vigilance; that is, attentiveness to salient and relevant external stimuli. The structures shown at the top of the figure represent some of the projection areas of LC neurons.

44
Q

dopamine pathways

A

Dopaminergic cell bodies are represented by triangles and axonal fibers by solid lines. (a) Dorsal mesostriatal (nigrostriatal) system. (b) Ventral mesostriatal (mesolimbic) system. (c) Mesolimbocortical and mesodiencephalic (mesothalamic) systems. (d) Periventricular, diencephalospinal, incertohypothalamic, and tuberohypophyseal systems. Groups A8-A15 represent dopaminergic cell groups.
There are four major dopaminergic tracts in the brain: (1) the nigrostriatal, from the substantia nigra to the putamen and caudate; (2) the tuberoinfundibular, from the arcuate nucleus of the hypothalamus to the pituitary stalk; (3) the mesolimbic, from the ventral tegmental area to many components of the limbic system; and (4) the mesocortical, from the ventral tegmental area to the neocortex, especially prefrontal areas. The mesolimbic system may be involved in the positive symptoms of schizophrenia and the mesocortical system in the negative symptoms.
Left – A midsagittal section shows the approximate anatomical routes of the four tracts.
Right – A coronal section shows the sites of origin and the targets of all four tracts.

45
Q

ultrashort

A

brain dopamine systems
- retina - interplexiform amacrine-like neurons
- olfactory bulb - periglomerular dopamine cells

46
Q

intermediate length brain dopamine system

A

-tuberohypophyseal
-incertohypothalamic
-medullary periventricular

47
Q

long length brain dopamine systems

A
  • nigrostriatal
  • mesolimbic
  • mesocortical
48
Q

dopamine synapse

A

Illustrating the processes of dopamine (DA) synthesis and metabolism, presynaptic and vesicular DA uptake, and vesicular DA release. Pre- and post-synaptic DA receptors and sites of action of some dopaminergic drugs are also shown. The table lists important dopaminergic agonists and antagonists.

49
Q

how many subtypes of DA receptors

A

6 subtypes
- all have 7 membrane spanning regions, they are metabotropic receptors coupled to G proteins

50
Q

some drugs interacting with dopamine systems

A

Notably, three antagonists are well-used antipsychotics.
Amphetamines were some of the first appetite suppressants.
Reserpine causes depletion of dopamine from synaptic vesicles and is an antihypertensive drug and an antipsychotic drug.
Cocaine inhibits reuptake and is therefore a stimulant and also causes euphoria.
Iproniazid was first developed for tuberculosis but was better at improving mood.
DOPA is the precursor molecule, so its administration yields more dopamine production. It has been used to treat Parkinson’s disease.

51
Q

damage to the nigrostriatal pathways and the rotometer

A
  • A wire connected to a harness fitted to the rat’s chest extends to a swivel switch and a counter that records circling behavior. The hemisphere-shaped bowl encourages circling behavior in animals with unilateral striatal lesions.
  • Effects of 6-OHDA lesion of the nigrostriatal dopamine pathway on DA content in the striatum.
52
Q

alpha-methyl-para-tyrosine (AMPT)

A

depletes catecholamines by inhibiting tyrosine hydroxylase

53
Q

reserpine

A

depletes catecholamines by inhibiting vesicular uptake

54
Q

6-hydroxydopamine (6-OHDA)

A

damages or destroys catecholaminergic neurons

55
Q

amphetaime

A

releases catecholamines

56
Q

cocaine and methylphenidate

A

inhibit catecholamine reuptake

57
Q

despiramine

A

selectively inhibits NE reuptake

58
Q

phenylephrine

A

stimulates alpha receptors (agonist)

59
Q

propranolol

A

blocks beta receptors generally (antagonist)

60
Q

dopamine pathways

A

Dopaminergic cell bodies are represented by triangles and axonal fibers by solid lines. (a) Dorsal mesostriatal (nigrostriatal) system. (b) Ventral mesostriatal (mesolimbic) system. (c) Mesolimbocortical and mesodiencephalic (mesothalamic) systems. (d) Periventricular, diencephalospinal, incertohypothalamic, and tuberohypophyseal systems. Groups A8-A15 represent dopaminergic cell groups.

Middle and Right– There are four major dopaminergic tracts in the brain: (1) the nigrostriatal, from the substantia nigra to the putamen and caudate; (2) the tuberoinfundibular, from the arcuate nucleus of the hypothalamus to the pituitary stalk; (3) the mesolimbic, from the ventral tegmental area to many components of the limbic system; and (4) the mesocortical, from the ventral tegmental area to the neocortex, especially prefrontal areas. The mesolimbic system may be involved in the positive symptoms of schizophrenia and the mesocortical system in the negative symptoms.
Left – A midsagittal section shows the approximate anatomical routes of the four tracts.
Right – A coronal section shows the sites of origin and the targets of all four tracts.

61
Q

investigation of the actions of dopamine in the nigrostriatial system

A

6-hydroxydopamine = catecholamine
amphetamine = indirect acting agonist
apomorphine = DA receptor agonist
L-dopa = DA agonist

(a) Amphetamine (which releases DA from the undamaged nigrostriatal nerve terminals) causes the animal to rotate toward the side with the lesion. (b) Apomorphine and L-DOPA both cause rotation away from the lesioned side by stimulating supersensitive DA receptors on that side.

62
Q

stimulant classes

A

psychomotor stimulants, convulsants and respiratory stimulants, psychomimetic drugs

63
Q

primary psychomotor stimulants

A

cocaine, amphetamine, methylphenidate, nicotine, caffeine, theophylline (tea), theobroma (cocoa)

64
Q

cocaine (benzoylmethylecgonine)

A

General
* Sole clinical use is as a local anesthetic (vasoconstrictor)
* Intense initial euphoria followed by dysphoria
* Cheap, widely available, highly addictive
* Currently abused by over 3 million in U.S.
* Alkaloidal cocaine (free base), “crack”, delivers cocaine to the vascular bed of the
lung, producing an effect comparable to that achieved by intravenous injection
* Vasoconstriction of the nasal mucous membranes limits the absorption of cocaine
Pharmacokinetics
* Well absorbed across mucous membranes and GI mucosa
* Degraded in plasma and liver
* ½ life is approximately 1 hour
Mechanism of Action
* Blocks neuronal reuptake of NE and DA
* Acts to increase DA in nucleus accumbens to produce euphoria
* Sympathomimetic – induces fight-flight syndrome
Adverse Effects
* High doses – hallucinations, delusions, paranoia, tremors, convulsions, respiratory and cardiovascular depression and collapse
* Crosses the placenta
* Cocaine intoxication in breast-fed babies of users
Routes of Administration
* Chewing
* Intranasal (snorting; perforation of nasal septum)
* Smoking (freebase; crack)
* IV

65
Q

amphetamine (beta-phenylisoproplamine)

A

General
* Amphetamine, dextroamphetamine, methamphetamine
* Alertness, decreased sense of fatigue, elevation of mood
* Stimulates the medullary respiratory center
* Effects like cocaine, but action longer
* Methylphenidate (Ritalin)
* Dextroamphetamine and methamphetamine are preferred to amphetamine because
of their increased CNS action and reduced peripheral effects
Pharmacokinetics
* Completely absorbed from GI tract
* Freebase form – speed; ice
* Metabolized by liver
* Excreted in urine
Mechanism of Action
* Enhances release of NE, 5-HT and DA
* Also, mild MAO inhibitor
* Probably acts to increase DA in nucleus acumens to produce euphoria
* Sympathomimetic
Adverse Effects
* Dysphoria, insomnia, irritability, weakness, dizziness, tremor, headache, hyperactive reflexes, confusion, delirium, panic states, suicidal tendencies
* Amphetamine psychosis
* Palpitations, anginal pain, cardiac arrhythmias, hypertension, headaches, chills, sweating, anorexia, nausea, vomiting, abdominal cramps, diarrhea
Therapeutic Uses
* Weight control
* Treatment of narcolepsy
* Paradoxical calming effects in hyperactive children

66
Q

attention deficit/hyperactivity disorder

A

Children with ADHD
* Inattentive
* Impulsive
* Hyperkinetic
Subtypes of ADHD
* Inattentive
* Predominantly hyperactive-impulsive
* Combined
Pharmacotherapy
* Dextroamphetamine
* Methylphenidate (Ritalin)
* Pemoline (Cylert) FDA Withdrew in 2005
Mechanisms of Action
* Enhanced dopaminergic function
* Enhanced noradrenergic function
Concerns
* Growth retardation
* Abuse potentialAttention Deficit Hyperactivity Disorder can be treated with amphetamines. Brain imaging studies have demonstrated that stimulant medication increases metabolic activity in the prefrontal cortex, specific subcortical regions, and the cerebellum which all are important centers for executive function. Thus, these areas of the brain appear more active and “turned on” to cognitive tasks when neurotransmitter levels are elevated.

Methylphenidate (Ritalin) inhibits reuptake.

67
Q

nicotine

A

General
* Active ingredient in tobacco
* Second only to caffeine in use as a CNS stimulant
* Has no therapeutic use
Mechanism of Action
* Absorbed from oral mucosa, lungs, GI and skin
* Low dose – ganglionic agonist
* High dose – ganglionic blockade
* Highly lipid soluble
* Low doses – arousal, relaxation, improves attention, learning and reaction time
* High doses – depress central respiratory and cardiovascular areas
* Complex peripheral effects and action depends on dose
* Exacerbates peripheral vascular disease and angina
Dependence
* Nicotine is an addictive drug
* Withdrawal syndrome varies in intensity between individuals
* Onset of syndrome is usually within 24 hours
* Symptoms include irritability, impatience, restlessness,
headaches, increased appetite, insomnia, difficulty in concentrating. There is a decrease in heart rate, blood pressure and circulating epinephrine. Blood flow to the skin increases and thus skin temperature increases.

68
Q

effects of nicotine

A

Subjective Effects
* Memory facilitation (cortical ACh)
* Improved concentration (frontal lobe DA)
* Euphorigenic effects (frontal lobe DA and increased endorphin release)
* Reinforcing effects (n. accumbens DA)
* Decreased appetite, especially for sweets (increased 5-HT)
Physiological Effects
* Reduced deep tendon reflexes (ACh action on Renshaw cells)
* Increased metabolic rate (ACh-mediated increase in muscle tone and
SANS activation of epi release)
* Increased heart rate and pulse (SANS)
* Reduced muscle tone in some muscles
* Nausea and vomiting (direct stimulation of the CTZ*)
* Reduced taste and smell (ACh effects on sensory trafficking and effects of
smoke contaminants upon tongue and nasal receptor systems)
* Tremor (SANS)
Withdrawal Syndrome
* Craving
* Irritability, impatience, and anxiety
* Lack of concentration
* Insomnia, but drowsiness during the day
* Headaches
* Increased appetite and weight gain
* Short-term memory defects
* Decreased heart rate and blood pressure
* Peripheral blood flow increases
* Increased skin temperature

*CTZ – chemoreceptor trigger zone (area postrema)

69
Q

nicotine concentrations in blood resulting from different nicotine delivery systems

A

Blood nicotine concentrations during and after the use of cigarettes, oral snuff, chewing tobacco, and nicotine gum (two 2-mg pieces). Data represent average values for 10 subjects: vertical bars indicate standard errors; shaded bars above the time axis indicate the period of tobacco or nicotine gum exposure.

Snuff is finally ground substance into a powder. Can be placed between cheek and gum or snorted.

70
Q

nicotine: stimulant effects on heart rate

A

The heart rate is stimulated by nicotine in a dose-dependent way. Also, the nicotine effect is stronger after overnight abstinence (color bars) than after the 1-h abstinence between the first and the second cigarettes of the day (gray bars).

71
Q

six types of postsynaptic dopamine receptors

A
72
Q

relationship between cigarette smoking and death from lung cancer

A

Early epidemiological studies on male smokers demonstrated a strong relationship between the number of cigarettes smoked daily and annual death rate from lung cancer (top). However, the lung cancer death rate of former smokers falls over time after smoking cessation (bottom).

73
Q

vaping

A

Vaping is the act of inhaling and exhaling an aerosol, often erroneously referred to as a vapor.
The aerosol is created by heat created by an e-cigarette or similar device.
An aerosol should not be mistaken for water vapor.
Aerosols consist of fine particles which may contain varying amounts of toxic chemicals, which have been linked to cancer, as well as respiratory and heart disease.
Commonly highly concentrated nicotine is the liquid that is aerosolized and inhaled.
However, the aerosolized liquid may contain other pharmacological agents such as (-) delta-9-tetrahydrocannabinol (THC), or synthetic psychoactive drugs.
Current concern about the increasing incidence of acute lung disease and deaths associated with vaped agents.

74
Q

caffeine

A

General
* Caffeine is a methylxanthine
* Most popular and widely consumed drug in the world
Mechanisms of Action
* Well absorbed from oral consumption
* Acts to block adenosine receptors
* Adenosine is an autocoid
* Adenosine acts to inhibit release of several neurotransmitters
* Modest doses relieve fatigue and increase alertness
* High doses (12-15 cups) produce anxiety and tremors
* Increases heart rate and may induce arrhythmias
* Relaxes bronchial smooth muscle
* Diuretic action
* Stimulate gastric HCl
* Adverse effects – insomnia, anxiety and agitation
* Abstinence syndrome – headache, lethargy and irritability

75
Q

effects of caffeine

A

Subjective Effects
* Increased feeling of well being
* Increased energy
* Increased alertness and concentration
* Increased motivation to work
* Increased desire to talk to others
* Decreased desire to sleep
Physiologic Effects
* Diuresis (as a consequence of increased blood flow)
* Parotid gland salivation
* Increased metabolic rate
* Increased blood pressure and pulse (increased NE and Epi release)
* Increased plasma renin activity
* Smooth muscle relaxation
* Increased secretion of products from many endocrine and exocrine glands (e.g., gastric acid, pepsin, gastrin, and parathyroid hormone)
* Anti-inflammatory effects (decreased histamine)
Withdrawal Syndrome
* Headache or cerebral “fullness”
* Drowsiness and yawning
* Increased work difficulty (impaired concentration)
* Anxiety
* Mild depression
* Irritability and decreased contentment
* Decreased sociability
* Flu-like symptoms (muscle aches and heavy feelings in the limbs with nausea)
* Blurred vision

76
Q

cognitive and psychomotor performance as a function of average daily caffeine consumption

A

Over 7,000 men and women in Great Britain were surveyed for information on their coffee- and tea-drinking habits and for other potentially relevant lifestyle variables. They were subsequently tested for their performance on four tasks: simple reaction time, choice reaction time, incidental verbal memory, and visuospatial reasoning. Average daily self-reported caffeine intake from both coffee and tea was converted to coffee equivalents (assuming that coffee contains twice the caffeine content of tea). Caffeine intake was then related to task performance by multiple linear regression, which permitted statistical correction for the influence of potential confounding factors such as educational level and other demographic variables, health, and use of other legal drugs including tobacco and alcohol. The results indicate a significant relationship between overall daily caffeine intake and improved performance on every task.