Lecture 6 Flashcards

(90 cards)

1
Q

What are cholinergic neurons, and where are three major places they are found?

A

Neurons that use acetylcholine (ACh) as their primary neurotransmitter.

Key Locations:

Motor neurons at neuromuscular junctions. (used to excite muscle).

Neurons throughout the autonomic nervous system.

Neurons in the brainstem regulating arousal, sleep, and attention. to make sure we are awake during the day.

Local interneurons in other brain regions (e.g., the striatum).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the specific and different usage of acetylcholine in the sympathetic vs. parasympathetic nervous systems.

A

Autonomic Nervous System Context: Controls involuntary bodily functions (e.g., heart rate, digestion). It uses a two-neuron chain: preganglionic and postganglionic.

Parasympathetic Nervous System (“Rest and Digest”): ACh is used as the neurotransmitter for BOTH neurons in the chain.

Preganglionic neurons → ACh → Postganglionic neurons → ACh → Target Organs

Sympathetic Nervous System (“Fight or Flight”): ACh is used ONLY by the preganglionic neurons.

Preganglionic neurons → ACh → Postganglionic neurons → Norepinephrine → Target Organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the specific roles of cholinergic neurons within the central nervous system?

A

Arousal, Sleep, and Attention: Specific cholinergic neurons in the brainstem and basal forebrain are crucial for maintaining the sleep-wake cycle, promoting wakefulness, and ensuring we are attentive to sensory stimuli.

Local Circuit Computation: Interneurons in regions like the striatum use ACh for specialized local processing, distinct from the long-range arousal systems.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two precursors for acetylcholine, and what enzyme catalyzes their reaction in the presynaptic terminal?

A

Precursors:
Acetyl-CoA: A central metabolic compound from the citric acid cycle.
Choline: An amino alcohol used in lipid synthesis.

Enzyme: Choline acetyltransferase (ChAT).

Reaction: This enzyme transfers the acetyl group from acetyl-CoA to choline, forming an ester bond to create acetylcholine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is acetylcholine concentrated inside synaptic vesicles?

A

Transporter: The Vesicular Acetylcholine Transporter (VAChT).

Mechanism: VAChT is a solute carrier that performs secondary active transport.

Energy Source: It functions as an antiporter, using the energy from protons flowing out of the vesicle (down their gradient) to power the transport of acetylcholine into the vesicle against its concentration gradient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How is the acetylcholine signal in the synapse terminated, and how is the choline precursor conserved?

A

Degradation: The enzyme Acetylcholinesterase (AChE) in the synaptic cleft rapidly hydrolyzes acetylcholine, breaking the ester bond.

Products: This reaction yields acetate and choline.

Recycling: The choline is taken back up into the presynaptic terminal by specific transporters to be reused for synthesizing new acetylcholine.How is the acetylcholine signal in the synapse terminated, and how is the choline precursor conserved?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the underlying cause of the autoimmune disease Myasthenia Gravis?

A

Mechanism: The body produces autoantibodies that attack and bind to nicotinic acetylcholine receptors on the postsynaptic membrane of muscle cells at the neuromuscular junction.

Result: This reduces the number of functional receptors, impeding synaptic transmission and causing muscle weakness and fatigue, especially during sustained activity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do acetylcholinesterase inhibitors help treat the symptoms of Myasthenia Gravis?

A

Drug Action: They inhibit the enzyme acetylcholinesterase (AChE) in the synaptic cleft.

Effect: This inhibition slows the breakdown of acetylcholine, leading to a longer-lasting presence of the neurotransmitter in the cleft.

Therapeutic Benefit: The prolonged ACh activity partially compensates for the reduced number of receptors, allowing for more effective synaptic transmission and helping to prevent muscle weakness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What type of receptor is a nicotinic acetylcholine receptor (nAChR), what ions does it conduct, and what is the resulting postsynaptic potential?

A

Type: Ionotropic receptor (ligand-gated ion channel).

Ion Permeability: Permeable to sodium (Na⁺) and potassium (K⁺), and some subtypes are also permeable to calcium (Ca²⁺).

Result: Its reversal potential is far more positive than the action potential threshold, so its activation always generates a fast Excitatory Postsynaptic Potential (EPSP).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the structure of a nicotinic receptor and explain the source of its functional diversity.c

A

Structure: A pentameric complex composed of five protein subunits that form a central ion pore.

Source of Diversity: The subunits are encoded by several different genes. The specific combination of subunits used to assemble the receptor determines its functional properties, such as calcium permeability, conductance, and activation kinetics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where in the nervous system are nicotinic acetylcholine receptors found?

A

Neuromuscular Junctions: On muscle cells.

Autonomic Nervous System: At synapses between preganglionic and postganglionic neurons in both the sympathetic and parasympathetic divisions.

Central Nervous System: At many cholinergic synapses throughout the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the key agonist and antagonist for nicotinic receptors, and what are their effects?

A

Agonist: Nicotine
Source: Tobacco.
Effect: Stimulates the receptor, acting as an agonist.

Antagonist: α-Bungarotoxin
Source: Venom of the banded krait snake.
Effect: Binds to the receptor and prevents it from opening, causing paralysis by blocking neurotransmission at neuromuscular junctions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What type of receptors are muscarinic acetylcholine receptors (mAChRs), and how can they produce opposite effects?

A

Type: A family of metabotropic receptors (GPCRs), with five subtypes (M1-M5).

Divergent Signaling: They couple to different G proteins:

Gq protein: Activation decreases potassium (K⁺) channel conductance, leading to slow Excitatory Postsynaptic Potentials (EPSPs).

Gi protein: Activation increases potassium (K⁺) channel conductance, leading to slow Inhibitory Postsynaptic Potentials (IPSPs).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where are muscarinic acetylcholine receptors primarily located in the body?

A

Peripheral Nervous System: On the target cells of parasympathetic innervation, such as smooth muscle cells (e.g., in airways, iris) and secretory cells.

Central Nervous System: In neurons of the forebrain, especially in regions like the striatum.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name three clinical antagonists of muscarinic receptors and their medical applications.

A

Atropine:
Source: Plant alkaloid from deadly nightshade (Atropa belladonna).
Use: Causes pupillary dilation (mydriasis) for eye examinations.

Scopolamine:
Use: Prevents motion sickness.

Ipratropium:
Use: Treats asthma by inhibiting parasympathetic input, leading to bronchodilation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the dual role of glutamate in the body?

A

Primary Role: An abundant non-essential amino acid used for protein synthesis.

Neurotransmitter Role: It is the major excitatory neurotransmitter in the central nervous system (CNS).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How prevalent is glutamate as a neurotransmitter in the brain?

A

Prevalence: It is used by more than 50% of all synapses in the brain.

Function: It is the primary neurotransmitter for most excitatory synapses throughout the central nervous system (CNS).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where is glutamate used as a neurotransmitter outside of the brain (in the peripheral nervous system)?

A

Location: It is the neurotransmitter for many primary sensory neurons and sensory receptor cells.

Examples:
Photoreceptors in the retina.
Olfactory receptor neurons in the nose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How is the neurotransmitter glutamate synthesized and concentrated into synaptic vesicles?

A

Synthesis: In the presynaptic terminal, the enzyme glutaminase converts the precursor glutamine into glutamate by hydrolyzing its amide group.

Packaging: The vesicular glutamate transporter (VGLUT) loads glutamate into synaptic vesicles via secondary active transport.

Energy Source: VGLUT is an antiporter that uses the energy from protons flowing out of the vesicle down their gradient to power glutamate uptake against its concentration gradient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe the process that clears glutamate from the synapse and recycles it for re-use.

A

Step 1 - Clearance: After release, glutamate is rapidly cleared from the synaptic cleft by excitatory amino acid transporters (EAATs) on nearby glia and neurons.

Step 2 - Conversion in Glia: Inside glial cells, glutamate is converted back into glutamine.

Step 3 - Shuttling: Glutamine is transported out of the glia and taken up by the presynaptic neuron.

Step 4 - Re-synthesis: In the neuron, glutamine is converted back to glutamate by glutaminase, completing the cycle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Why is it critical to rapidly clear glutamate from the synaptic cleft?

A

Reason: Glutamate is the main excitatory neurotransmitter.

Consequence: If it persists in the extracellular space, it can cause overexcitation of surrounding neurons, leading to excitotoxicity and potential cell damage. The glutamate-glutamine cycle ensures precise, transient signaling.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the three families of ionotropic glutamate receptors, and how did they get their names?

A

Families:

AMPA receptors

NMDA receptors

Kainate receptors

Naming: They are named after synthetic agonists that selectively activate them: AMPA, NMDA, and kainic acid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What ions do ionotropic glutamate receptors conduct, and what type of postsynaptic potential do they always produce?

A

Ion Permeability: All conduct sodium (Na⁺) and potassium (K⁺) ions. Some subtypes are also permeable to calcium (Ca²⁺).

Result: Their reversal potential is always more positive than the action potential threshold. Therefore, their activation always generates a fast Excitatory Postsynaptic Potential (EPSP).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe the structure of ionotropic glutamate receptors and their distribution in the nervous system.

A

Structure: Composed of four subunits. Multiple genes encode these subunits, leading to great diversity in properties like conductance and kinetics.

Distribution:

AMPA & NMDA receptors: Found together at most glutamatergic synapses in the brain.

Kainate receptors: Present at some synapses, and can be located on both postsynaptic and presynaptic membranes ( will change the membrane potenial,, have feedback system with what regulates glutamate).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What makes the NMDA receptor's ion permeability unique among glutamate receptors, and what is a key downstream consequence?
Ion Permeability: It is permeable to sodium (Na⁺), potassium (K⁺), and calcium (Ca²⁺). Key Consequence: The influx of calcium ions acts as a critical second messenger, initiating intracellular signaling cascades that can lead to long-term changes in synaptic strength.
26
What three conditions must be met simultaneously for the NMDA receptor channel to open?
Ligand Binding (Glutamate): The primary neurotransmitter, glutamate, must bind to its site. Co-agonist Binding: The co-agonist site must be occupied by either glycine or D-serine (secreted by glia). Membrane Depolarization (Voltage): The postsynaptic membrane must be strongly depolarized to relieve the magnesium (Mg²⁺) block in the pore.
27
How does the magnesium block work, and why does it make the NMDA receptor a "coincidence detector"?
Magnesium Block: At resting potential, a Mg²⁺ ion is lodged in the channel pore, physically blocking it. This block is relieved by strong depolarization, which electrostatically repels the Mg²⁺ ion out of the pore. Coincidence Detector: The NMDA receptor only opens when it detects the coincidence of two events: Presynaptic Activity: Glutamate release. Postsynaptic Activity: Strong depolarization (e.g., from many other simultaneous EPSPs). This property is fundamental for learning and memory.
28
NMDA receptors are both what?
Volatge and ligand channel
29
What does the current-voltage (I-V) graph reveal about the NMDA receptor's magnesium block and its reversal potential?
With Extracellular Mg²⁺ (Red Line): At negative membrane potentials, there is no current because Mg²⁺ blocks the pore. Current only flows once the membrane is depolarized enough to eject the Mg²⁺, allowing an inward current. Reversal Potential: The current reverses direction at about 0 mV. At potentials more positive than 0 mV, an outward current is seen. Without Extracellular Mg²⁺ (Blue Line): The block is absent. The I-V relationship becomes linear, and the receptor can conduct current even at negative potentials, losing its voltage-dependence.
30
Why is the NMDA receptor called a "coincidence detector"?
Definition: It requires the coincidence of two distinct events to open. The Two Events: Presynaptic Activity: Glutamate release (binding to the receptor). Postsynaptic Activity: Strong postsynaptic depolarization (to relieve the Mg²⁺ block). Result: It detects when a presynaptic neuron is active at the same time as the postsynaptic neuron is strongly excited, contributing little to signaling unless this coincidence occurs.
31
How does calcium influx through the NMDA receptor lead to a long-lasting change in the synapse?
Initial Trigger: Coincidence detection leads to NMDA receptor opening and Ca²⁺ influx in the postsynaptic neuron. Key Signaling Pathway: Calcium binds to calmodulin, forming a complex that activates Ca²⁺/calmodulin-dependent kinase II (CaMKII).
32
What are the two main mechanisms by which activated CaMKII strengthens the synaptic response?
Mechanism 1: Phosphorylation of Existing Receptors: CaMKII phosphorylates existing AMPA receptors in the membrane, increasing their conductance and making each one more effective. Mechanism 2: Insertion of New Receptors: CaMKII promotes the exocytosis and insertion of new AMPA receptors from intracellular stores into the postsynaptic membrane. Overall Effect: Both mechanisms lead to a long-term increase in the amplitude of EPSPs at that specific synapse, a process called Long-Term Potentiation (LTP), which is a cellular model for learning and memory.
33
How are metabotropic glutamate receptors (mGluRs) classified, and what is the source of their functional diversity?
Classification: They are divided into three groups (Group I, II, and III), encoded by multiple genes. Source of Diversity: The different receptor types activate different heterotrimeric G proteins, which in turn initiate distinct intracellular signaling pathways.
34
What are the effects of activating metabotropic glutamate receptors on the postsynaptic neuron?
Location: Postsynaptic membrane. Effect: They generate slow postsynaptic potentials. Mechanism: By modulating potassium (K⁺) channels via G proteins and second messengers, they can produce either: Slow Excitatory Postsynaptic Potentials (EPSPs) Slow Inhibitory Postsynaptic Potentials (IPSPs)
35
What is the role of presynaptic metabotropic glutamate receptors?
Location: Presynaptic membrane (on the axon terminal). Mechanism: When activated by high glutamate levels, they inhibit voltage-gated calcium channels. Result: This diminishes neurotransmitter release. Overall Role: This acts as a negative feedback mechanism to prevent excessive glutamate release and potential excitotoxicity.
36
What is GABA, and what is its role and prevalence in the brain?
Identity: GABA (Gamma-Aminobutyric Acid) is an amino acid neurotransmitter. Role: It is the most important and abundant inhibitory neurotransmitter in the brain. Prevalence: It is used by approximately 20-30% of all synapses in the brain to inhibit postsynaptic neurons.
37
What is glycine, and where is it the primary inhibitory neurotransmitter?
Identity: Glycine is a non-essential amino acid. Role & Location: It is the most prominent inhibitory neurotransmitter in the spinal cord. Function: In the spinal cord, it inhibits both motor neurons and other excitatory glutamatergic neurons.
38
How is the inhibitory neurotransmitter GABA synthesized, packaged, and cleared from the synapse?
Synthesis: In the presynaptic terminal, the enzyme glutamate decarboxylase removes a carboxy group from glutamate to produce GABA. Vesicular Packaging: GABA is loaded into synaptic vesicles by the vesicular inhibitory amino acid transporter (VIAAT) using proton antiport (secondary active transport). Synaptic Clearance & Recycling: After release, GABA is taken up from the cleft by GABA transporters (GATs) on neurons and glia for recycling and re-use.
39
How is the inhibitory neurotransmitter glycine synthesized, packaged, and cleared from the synapse?
Synthesis: In glycinergic neurons, the enzyme serine hydroxymethyltransferase converts L-serine into glycine. Vesicular Packaging: Glycine is loaded into synaptic vesicles by the same transporter as GABA, the vesicular inhibitory amino acid transporter (VIAAT). Synaptic Clearance & Recycling: After release, glycine is taken up from the cleft by specific glycine transporters on neurons and glia for recycling.
40
GABA and glycine -- ionotropic receptors
GABA A receptors and Glycine receptors
41
What ion do GABA-A receptors conduct, and what two types of inhibitory effects can they produce?
Ion Permeability: They are chloride (Cl⁻) channels. Creating fast IPSPs. Effect 1 - Hyperpolarizing IPSP: If the reversal potential (E_Cl) is more negative than the resting potential, Cl⁻ influx causes hyperpolarization. Effect 2 - Shunting Inhibition: If E_Cl is close to or slightly more positive than the resting potential, Cl⁻ flux clamps the membrane near E_Cl, making it harder for excitatory currents to depolarize the cell. The effect depends on the neuron's internal chloride concentration.
42
What is the structure of the GABA-A receptor, and what accounts for its functional diversity?
Structure: A pentameric complex composed of five subunits that form a central chloride-conducting pore. Source of Diversity: The subunits are encoded by multiple genes. Different subunit combinations create receptors with varied properties, including sensitivity to drugs and modulation.
43
What are two major classes of drugs that modulate GABA-A receptors, and what is their clinical use?
Drugs: Benzodiazepines (e.g., Valium) and Barbiturates. Mechanism: They are positive allosteric modulators. They bind to sites distinct from GABA and enhance the chloride current when GABA is bound, making inhibition more powerful. Clinical Use: Used as sedatives, anxiolytics (anti-anxiety drugs), and anticonvulsants.
44
What is the function and structure of the glycine receptor?
Function: It is an ionotropic receptor that, when activated by glycine, opens a chloride (Cl⁻) channel. Effect: This typically leads to fast Inhibitory Postsynaptic Potentials (IPSPs), as the chloride equilibrium potential is usually more negative than the action potential threshold. Structure: It is structurally similar to the GABA-A receptor, forming a pentameric complex of five subunits.
45
What is a potent inhibitor of glycine receptors, and what are the physiological consequences?
Potent Antagonist: Strychnine, a plant alkaloid. Mechanism: Strychnine blocks glycine receptors, preventing them from opening. Toxic Effect: By inhibiting these major inhibitory receptors in the spinal cord, strychnine causes a severe loss of inhibition, leading to convulsions and uncontrolled, violent muscle contractions. This makes it a potent poison.
46
What type of receptor is the GABA-B receptor, and what is its primary effect on the postsynaptic neuron?
Type: A metabotropic receptor (G protein-coupled receptor). Postsynaptic Effect: Its activation leads to slow Inhibitory Postsynaptic Potentials (IPSPs). Mechanism: It activates G proteins that increase potassium (K⁺) conductance, hyperpolarizing the cell.
47
What is the role of presynaptic GABA-B receptors?
Location: Found on presynaptic terminals. Mechanism: When activated, they trigger a G protein pathway that inhibits voltage-gated calcium channels. Result: This diminishes neurotransmitter release. Overall Role: At GABAergic synapses, this creates a negative feedback loop that helps to tightly control and limit GABA release.
48
How do neuromodulators differ from fast neurotransmitters like glutamate and GABA?
Fast Neurotransmitters (e.g., Glutamate, GABA): Mediate fast, precise communication that directly initiates or prevents action potentials. Neuromodulators (e.g., Biogenic Amines): Exert slower, longer-lasting effects that alter a neuron's excitability and its responsiveness to other synaptic inputs.
49
What are biogenic amines, and what are their three structural subgroups?
Definition: A large group of neuromodulators derived from amino acids. Structural Subgroups: Catecholamines: Characterized by a 3,4-Dihydroxyphenyl group. (dopamine, norephrine, epinephrie) Indolamines: Characterized by a heterocyclic indole group. (serotonin) Imidazole Amines: Characterized by an imidazole group. (Histamine)
50
Where are the cell bodies of dopaminergic neurons located, and where do they project?
Cell Bodies: Located in two main nuclei of the midbrain: Substantia Nigra Ventral Tegmental Area (VTA) Projections: These neurons send widespread projections to the forebrain, including the cortex and the striatum.
51
What is the function of dopaminergic neurons in the substantia nigra, and what happens when they degenerate?
Function: They are critical for the facilitation and initiation of body movements. Disorder: Their degeneration causes Parkinson's Disease. Symptoms: Hypokinesia: Difficulty starting new movements. Bradykinesia: Slowness of movement, characterized by a shuffling gait.
52
What is the function of dopaminergic neurons in the ventral tegmental area (VTA), and what disorders are linked to them?
Function: They control motivation and reinforcement, providing a "reward signal" that encourages survival-oriented behavior. Clinical Relevance: A relative lack of VTA dopamine is thought to contribute to depressive disorders, making it hard to initiate goal-directed behavior. This pathway is heavily implicated in addiction, as drugs of abuse hijack its reward signaling.
53
What type of receptors does dopamine act on, and what is their effect?
Receptor Type: Dopamine acts exclusively on metabotropic receptors (GPCRs). Diverse Effects: There are multiple receptor subtypes. Depending on the subtype and the G protein it couples to, activation can either increase or decrease postsynaptic excitability, often through the modulation of potassium channels.
54
What is the two-step synthesis pathway of dopamine from tyrosine, and what is the rate-limiting enzyme?
Precursor: The essential amino acid tyrosine. Step 1 (Rate-Limiting): Tyrosine hydroxylase adds a second hydroxyl group to the phenyl ring, creating DOPA (3,4-dihydroxyphenylalanine). Step 2: DOPA decarboxylase removes a carboxyl group from DOPA, forming dopamine. Regulation: Tyrosine hydroxylase is tightly regulated by kinases like PKA, PKC, and CaMKII.
55
How is dopamine cleared from the synapse, and how does cocaine interfere with this process?
Clearance Mechanism: After release, dopamine is rapidly taken back up into neurons and glia by the dopamine transporter (DAT). Cocaine's Action: Cocaine is a powerful DAT inhibitor. It blocks the transporter, preventing dopamine reuptake. Effect: This leads to a large increase in extracellular dopamine levels in reward pathways, which reinforces drug-taking behavior and causes addiction.
56
What is the primary enzyme that initiates dopamine degradation, and what is the clinical use of its inhibitors?
Degrading Enzyme: Monoamine oxidase (MAO) is the key enzyme that breaks down dopamine inside neurons (catechol-O-methyltransferase is less important). Clinical Use: Monoamine oxidase inhibitors (MAOIs) are a class of antidepressants. Mechanism: By blocking MAO, these drugs increase the concentration of dopamine (and other biogenic amines) in the brain, which can alleviate symptoms of major depression.
57
Where are noradrenergic neurons located, and what are their primary functions?
Peripheral Nervous System: Postganglionic neurons of the sympathetic nervous system use norepinephrine to activate target organs (e.g., heart, blood vessels). Central Nervous System: Neurons in the locus coeruleus of the brainstem project throughout the forebrain to regulate alertness, attention, and the sleep-wake cycle.
58
Norepinephrine is released by what?
noradrenergic neurons
59
What is the primary source of epinephrine, and what is its main role?
Neurotransmitter Role: A small number of adrenergic neurons in the brainstem (rostral medulla) use it for autonomic control. Endocrine Role (Primary Source): The adrenal gland synthesizes and releases epinephrine into the bloodstream as a hormone. Overall Function: Both sources of epinephrine, along with norepinephrine, activate adrenergic receptors on target cells to mediate the "fight or flight" response.
60
What type of receptors are adrenergic receptors, and how can they produce different effects?
Receptor Type: They are all metabotropic receptors (GPCRs). Diversity & Effects: Different subtypes (α1, α2, β1, β2, β3) activate different G proteins. Example - β-receptors: Activate Gs proteins, increasing cAMP. This leads to effects like increased heart contractility and bronchodilation. Example - α2-receptors: Activate Gi proteins, decreasing cAMP, which can relax other smooth muscles. In the Brain: They can cause either slow EPSPs or slow IPSPs, depending on the receptor subtype expressed by the neuron.
61
How are norepinephrine and epinephrine synthesized from dopamine?
Norepinephrine Synthesis: The enzyme dopamine-β-hydroxylase adds a hydroxyl group (-OH) to the β-carbon of dopamine, creating norepinephrine. Epinephrine Synthesis: The enzyme phenylethanolamine-N-methyltransferase (PNMT) adds a methyl group (-CH₃) to the amino group of norepinephrine, creating epinephrine.
62
How is norepinephrine cleared from the synapse, and how do amphetamines interfere with this?
Clearance Mechanism: After release, norepinephrine is taken back up into neurons and gila by the norepinephrine transporter (NET). Amphetamine Action: Amphetamines are powerful NET inhibitors. Effect: By blocking reuptake, amphetamines cause a large increase in extracellular norepinephrine, leading to increased alertness and contributing to their addictive potential.
63
What is the primary enzyme that degrades norepinephrine, and what is the clinical use of its inhibitors?
Degrading Enzyme: Monoamine oxidase (MAO) is the key enzyme that breaks down norepinephrine inside neurons (catechol-O- methyltransferase). Clinical Use: Monoamine oxidase inhibitors (MAOIs) are a class of antidepressants. Mechanism: By blocking MAO, these drugs increase the concentration of norepinephrine (and other biogenic amines) in the brain, which can alleviate symptoms of major depression.
64
What is the structural class of serotonin, and where are its cell bodies located in the brain?
Structural Class: Serotonin is an indolamine, characterized by its indole ring. Cell Body Location: Exclusively in the midline of upper brainstem, within clusters known as the raphe nuclei.
65
Where do serotonergic neurons project, and what are their primary functions?
Projections: Neurons from the raphe nuclei send widespread projections throughout the entire brain. Functions: They are key regulators of: Sleep and wakefulness Arousal Emotions
66
What are the two main classes of serotonin receptors, and what effects do they mediate?
Metabotropic Receptors (Main Class): A large family of GPCRs that activate different G proteins. Depending on the receptor subtype, they can produce either: Slow Inhibitory Postsynaptic Potentials (IPSPs) Slow Excitatory Postsynaptic Potentials (EPSPs) Ionotropic Receptors (One Group): A smaller group of ligand-gated ion channels that are nonselective cation channels, mediating fast Excitatory Postsynaptic Potentials (EPSPs).
67
What is the two-step synthesis pathway of serotonin from tryptophan?
The amino acid tryptophan, which contains the characteristic indole ring. Tryptophan is hydroxylated at the 5-position of its indole ring to get 5-Hydroxytryptamine. The resulting molecule is decarboxylated at the alpha carbon to get serotonin. This two-step process (hydroxylation then decarboxylation) is analogous to the synthesis of dopamine from tyrosine.
68
How is serotonin cleared from the synapse, and what is the mechanism of the most common antidepressants?
Clearance Mechanism: After release, serotonin is taken back up into neurons and glia by the serotonin transporter (SERT). Drug Class: Selective Serotonin Reuptake Inhibitors (SSRIs). Mechanism: SSRIs are a class of antidepressants that block SERT, preventing serotonin reuptake. Effect: This leads to increased extracellular serotonin levels and enhanced serotonergic signaling, which helps treat depression and anxiety disorders.
69
How is serotonin degraded, and what other class of drugs affects this process?
Degrading Enzyme: Monoamine oxidase (MAO) is the primary enzyme that breaks down serotonin inside neurons. Clinical Connection: Monoamine oxidase inhibitors (MAOIs), another class of antidepressants, work by blocking this enzyme, thereby increasing serotonin levels (along with other monoamines like dopamine and norepinephrine).
70
Where are histaminergic neurons located, and what is their primary function in the brain?
Location: Their cell bodies are found exclusively in the hypothalamus. Projections: They send widespread projections throughout the brain. Primary Function: They are crucial for the regulation of sleep and wakefulness, promoting wakefulness and alertness.
71
What type of receptors does histamine act on, and what are its two main roles in the body?
Receptor Type: It acts exclusively on metabotropic receptors (GPCRs). Different subtypes can elicit either slow EPSPs or IPSPs. Role 1: Neurotransmitter: In the brain, it regulates arousal and wakefulness. Role 2: Paracrine Mediator: In the immune system, it is a key inflammatory factor released during allergic reactions (e.g., hay fever).
72
Antihistamines
Are used to block central histamine receptors, to alleviate people suffering from allerges.
73
How is the neurotransmitter histamine synthesized?
Precursor: The amino acid histidine, which contains a characteristic imidazole group. Reaction: A single decarboxylation reaction. Enzyme: This reaction is catalyzed by the enzyme histidine decarboxylase.
74
How is histamine cleared from the synapse and degraded?
Clearance: After release, histamine is taken up into glia and neurons for recycling, similar to other monoamines. Degradation Pathway: Inside neurons, histamine is degraded by enzymes including monoamine oxidase (MAO) and histamine methyltransferase.
75
Peptide neurotransmitters
More than 100 neuropeptides. Often dual function as NTs and hormones.
76
Prominent functional classes:
Substance P Opioid peptides Hypothalamic-releasing peptides Pituitary neuropeptides Brain-gut peptides
77
Substance P
is released from sensory neurons in the spinal cord. And Substance P is really involved in the transmission of pain information.
78
Opioid peptides
(e.g endorphins): Synthesizing neurons distri- buted throughout brain, spinal cord. Suppress pain transmission.
79
Hypothalamic-releasing peptides
(e.g. TRH): Released by specialized hypothalamic neurons. Stimulate release of hormones from anterior pituitary.
80
Pituitary neuropeptides (e.g. oxytocin):
Released by hypothalamic neurons. Endocrine release & function.
81
Brain-gut peptides (e.g.VIP):
Synthesized by secretory cells in gut and hypothalamic neurons. Diverse functions (metabolic, neuronal control of feeding & sleep, ...)
82
Where and how are peptide neurotransmitters synthesized and processed?
Location: Synthesized in the cell body (soma), unlike small-molecule neurotransmitters made in the terminal. Initial Form: Ribosomes at the endoplasmic reticulum synthesize long pre-propeptides, which contain signal peptides and sequences for multiple neuropeptides. Processing: The signal peptide is cleaved off, forming a propeptide. In the Golgi apparatus, the propeptide undergoes proteolytic cleavage to excise the individual, active neuropeptides.
83
How are neuropeptides packaged and released?
Packaging: Processed neuropeptides are packaged into dense-core vesicles. Transport: These vesicles are transported to the presynaptic terminal via fast axonal transport. Co-Release: A neuron often co-releases a neuropeptide (from dense-core vesicles) and a small-molecule neurotransmitter (e.g., GABA, from synaptic vesicles) from the same terminal when activated.
84
How is the signal of a neuropeptide terminated after its release?
Mechanism: Neuropeptides are not recycled. Clearance: They are degraded by extracellular peptidases (proteases) present on the surface of the plasma membrane. Contrast: This is different from the reuptake and recycling of small-molecule neurotransmitters like GABA or serotonin.
85
What type of receptors do neuropeptides typically act on, and what are their key characteristics?
Receptor Type: Overwhelmingly metabotropic receptors (GPCRs). Key Characteristics: High Affinity: They bind their ligand with very high affinity (nM to µM range), allowing them to be activated by low concentrations. Long-Distance Signaling: This high affinity enables neuropeptides to act in a paracrine or endocrine fashion, diffusing over long distances to reach distant target cells. Effect: They elicit slow EPSPs or IPSPs via G protein-coupled pathways
86
What are opioid receptors, what activates them, and where do they act?
Receptors: A prominent family of neuropeptide receptors (µ, δ, κ). Agonists: Endogenous: Opioid peptides like enkephalins. Exogenous: Morphine (plant alkaloid), fentanyl, and methadone (synthetic). Sites of Action: Periphery & CNS: Powerful suppression of pain transmission. CNS: General depressant effects, including respiratory depression. Ventral Tegmental Area: Activation of the reward system, leading to feelings of euphoria ("feel-good peptides") and contributing to addiction.
87
What is a key opioid receptor antagonist and its use?
Antagonist: Naloxone (Narcan). Use: It is a competitive antagonist that binds to opioid receptors (primarily the µ-opioid receptor) without activating them. It is used as an emergency treatment to reverse opioid overdose by displacing opioids and blocking their effects, particularly life-threatening respiratory depression.
88
Where and how are endocannabinoids synthesized, and what is the key trigger?
Synthesis Site: Synthesized on-demand in the postsynaptic neuron (unlike classical neurotransmitters made in the presynaptic neuron). Composition: They are unsaturated fatty acids (e.g., anandamide) derived from lipids in the plasma membrane. Key Trigger: A strong rise in postsynaptic calcium concentration, typically from NMDA receptor or voltage-gated calcium channel activation. This calcium activates phospholipase D, which cleaves endocannabinoids from membrane lipids.
89
How do endocannabinoids travel and what is their effect on the presynaptic neuron?
Travel: Due to their lipophilic nature, they diffuse backwards across the synaptic cleft without a vesicle, a process called retrograde signaling. Target: They bind to presynaptic cannabinoid (CB1) receptors, which are metabotropic receptors that activate Gi proteins. Effect: The activated Gi proteins inhibit voltage-gated calcium channels, which reduces neurotransmitter release from the presynaptic terminal. This provides a depressive, negative feedback on synaptic transmission.
90
How does THC from cannabis interact with the endocannabinoid system?
Mechanism: THC (Tetrahydrocannabinol) is a plant alkaloid that acts as an agonist for CB1 receptors. Effect: It mimics endocannabinoids, leading to similar depressive effects on neurotransmission (e.g., reduced GABA release). Key Difference: Its effects are much more sustained than those of natural endocannabinoids because THC is not easily metabolized and cleared from the body.