Week 2A Flashcards
Name some anti-depressants
Prozac (Pfizer), Zoloft (Pfizer), Wellbutrin (GlaxoSmithKline) , Paxil (GSK)
What is the synapse?
The “free” space between neurons (~1nm)
Human body contains~100x109 (100 billion) neurons
2 types: Sensory (information gathering)
Motor Neurons (involved in movement or muscle activity)
What happens at the synapse?
Neurotransmitters are released from the end of one neuron into the free space –they diffuse across and bind to the receptor site
Binding is structure specific (lock and key)
This causes a signal to be produced (transmission) and a physiological effect
Composition of neurons
Dendrites: collect information
Cell body: processes it
Axons: conduct the impulse to the next cell
Nerve impulses are unidirectional (one way!)
Ganglions
Are collections of nerve cells and synapses concentrated in one location for easy interconnection and crossover
Nerve fibres leading up to the ganglion are “preganglionic”
Nerve fibres leading the impulse away from the ganglion are “postganglionic”
What terminates the transmission?
Deactivation of transmitter molecules can occur in 2 main ways:
(i) enzymatic breakdown of the transmitter molecule (catabolism)
(ii) Reuptake of the transmitter can occur with the expenditure of energy to release it from the binding site-no structural change
6 important neurotransmitters
- Acetylcholine*
- Norepinephrine (NE) and Epinephrine*
- Dopamine*
- Serotonin
5.GABA (gamma-aminobutyric acid)
(* 3 most imp)
Epinephrine (E) vs Norepinephrine (NE)
Both are neurotransmitters
BUT epinephrine is effective at lower concentrations…thus stronger than NE
More on Acetylcholine
In humans, acetylcholine is the transmitter in nerves that (i) SLOW the heart (ii) control the use of voluntary muscle (iii) constrict involuntary muscle and (iv) keep CNS working as an integrated unit
Works locally-ie is not in circulating blood
Preganglionic: stored in vesicles adjacent to the synapse
CNS Neurotransmitters:in blood
(Nor)Epinephrine(Adrenaline) - stimulant, blood pressure Serotonin - mood, appetite, sensory perception, sleep, body temperature Dopamine - behavioural stability, voluntary muscle coordination GABA(-aminobutyric acid) - inhibitory/mood modulating effects
Norepinephrine (NE)(noradrenaline)
Released by the adrenal gland to STIMULATE heart contractions (opposite to acetylcholine!)
IS in the bloodstream
Very powerful stimulant which increases heart rate and blood flow
Postganglionic (again opposite to acetylcholine)
Receptors for adrenalin and noradrenaline
2 types: Alpha: cause relaxation of smooth muscles around bronchial tubes when stimulated-eases breathing
Beta receptors: when stimulated, cause an increase in heart activity
Propanolol (Inderal, Innopran
The 1st drug specifically designed to fit into a receptor site-possible because the structure of the neurotransmitters was known These drugs (many now) are known as “beta blockers” Used to treat hypertension, tremors, angina, arrythma ,high blood pressure
Deactivation of NE
Chemical change involving oxidation and loss of a N atom
Catalyzed by MAO (monoamine oxidase)
Dopamine
Important neurotransmitter in the human BRAIN
Also in heart and kidney
Governs fine muscle movement,memory,emotions
Parkinson’s disease
Dopamine levels in the brain are very low
Treat with L-Dopa (biogenetic precursor to dopamine: just a COOH extra: Decarboxylation)
L-Dopa crosses the Blood-brain barrier
Dopamine does NOT
GABA
Major inhibitory transmitter in the BRAIN
(accounts for ~33% of all cerebral neurotransmision) :release blocks arousal of higher brain centers
Many drugs that cause its release act as relaxants, antispasmodics & antianxiety
Valium (Important antianxiety drug) : may act on GABA receptor
Serotonin
In human blood, brain and GI tract
Release of serotonin results in painkilling, sleepiness and changes in appetite
Some researchers (Princeton) say that Serotonin plays a general inhibitory role
Prevents overreacting to stimuli
Regulates Circadian rythms
SSRI’s
Selective Serotonin Reuptake Inhibitors ( a fancy term denoting its action by increasing the availability of Serotonin in the synapse)
Used to treat Depression and anxiety
Prozac has been very successful, particularly with geriatrics
4 popular Antidepressants
Paxil (brand name); paroxetine (generic); very useful for post-traumatic stress disorders
Prozac; fluoxetine: leading antidepressant since 1988 (patent expired in 2005)
Wellbutrin; bupropion: sold as Zyban for smoking cessation (not SSRI)
Zoloft; sertraline; good for PMS
Prozac (fluoxetine HCl)
On market in 1988, off patent in 2005
Most highly prescribed antidepressant
Increases levels of serotonin in brain by preventing serotonin reuptake (SSRI)
At the molecular level it binds to the monoamine oxidase (MAO) enzyme, thus inactivating it
Designed again via Molecular modelling!
Tryptophan and Serotonin
Tryptophan is an amino acid found in milk & turkey
Gets converted into Serotonin in the body
Sleep inducer!