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what is a neurotransmitter?
a chemical released by terminal button; has an excitatory or inhibitory affect on another neuron
NT must meet what 3 criteria?
has o be present at the terminal buttons of a presynaptic neuron
has to be calcium dependent (released due to an A.P/depolarization)
receptors have to be present on the postsynaptic cell
What are the 3 major classes of NTs?
Small molecules, peptides, and lipids/gasses
What is a neuromodulator?
a substance that does not exactly like a NT; they might enhance, reduce, or prolong the effect of a standard NT
a peptide acts like a … when packaged with a …
a peptide acts like a neuromodulator when packaged with a NT
What are the 6 major (small molecule) NTs?
Acetylcholine, Dopamine, Norepinephrine/Epinephrine, Serotonin, Glutamate, GABA
Which of the major NTs are amines?
Dopamine, Norepinephrine/Epinephrine, and Serotonin
Which of the major NTs are amino acids?
Glutamate and GABA
What are the 2 Acetylcholine Receptors?
Nicotonic (ionotropic) receptor
Muscarinic (metabotropic) receptor
Acetylcholine function(s)
released at the neuromuscular junction for contraction/activity of smooth and skeletal muscle
plays a role in memory; decreased ACh is associated with alzheimers
Agonist
a drug that mimics the effect of a NT
Antagonist
a drug that inhibits the NT from binding at its site but has NO EFFECT
effect of Acetylcholine antagonists
inhibit muscle contraction/induce muscle paralysis
effect of Acetylcholine agonists
promotes ACh release
What are Autoreceptors?
NT-specific receptors on the presynaptic cell that take up the same NT that the cell releases (ultimately inhibiting NT release)
What kind of autoreceptor does ACh have?
muscarinic autoreceptors
What are Transporters?
transports NT back into the presynaptic membrane
What is the transporter for ACh called?
Choline transporter
What are Vesicular Transporters?
transports NTs back into vesicles in the presynaptic cell
What is the vesicular transporter for Ach called?
VAChT
Dopamine is taken in through what foods?
hard cheese and bananas
Dopamine function(s)
voluntary muscle movment
attention
learning
reinforcement
planning
problem-solving
Too little DA is associated with… and too much DA is associated with…
too little → Parkinsons
too much → Schizophrenia
Describe the synthesis of Dopamine (starting with tyrosine)
Tyrosine hydroxylase breaks down into L-DOPA
L-DOPA become dopamine
Norepinephrine and Epinephrine can be synthesized by…
the Dopamine pathway; DA beta hydroxylase breaks dopamine into norepinephrine and then into epinephrine
Which step in the synthesis of dopamine is rate limiting?
the breakdown of tyrosine by tyrosine hydroxylase
What are the two major pathways of Dopamine?
Nigrostriatal DA pathway
Mesolimbic DA pathway
The degneration of which DA pathway causes parkinsons?
the nigrostriatal pathway
Describe the Nigrostriatal DA pathway
involved areas: the caudate nucleus and substantia nigra
function: maintains motor behavior
Describe the Mesolimbic DA pathway
involved areas: prefrontal cortex, amygdala, nucleus accumbens, ventral tegmental area
function: responsible for reward/pleasure
What are the 5 Dopmaine Receptors?
D1-D5 are all metabotropic receptors
DA transporter is called…
DAT (in the presynaptic cell)
DA vesicular transporter is called…
VMAT
Norepinephrine/Epinephrine function(s)
related to learning, ADHD, depression, organizing movements involved areas: Locus Coeruleus
What are the Norepinephrine and Epinephrine receptors?
alpha or beta metabotropic adrenergic receptors
The Norepinephrine/Epinephrine transporter is called…
NET
The vesicular transporter for Norepinephrine/Epinephrine is…
VMAT
Serotonin function(s)
regulates mood, pain, arousal, and sleep
involved areas: cortical areas, nucleus accumbes, raphe nuclei, pons and medulla
Describe the synthesis of Serotonin
tryptophan is broken down by tryptophan hydroxylase into 5-HTP which is then broken down into 5-HT by 5-HTP Decarboxylase
The rate limiting step in Serotonin synthesis is…
the breakdown of tryptophan into 5-HTP by tryptophan hydroxylase
What are the receptors for Serotonin?
5-HT receptors (metabotropic and ionotropic); 14 types
The Serotonin transporter is called…
SERT
the vesicular transporter for Serotonin is…
VMAT
LSD does what to Serotonin?
acts as an agonist (mimics its effect)
Ecstasy does what to Serotonin?
is taken up by 5-HT transporters which causes 5-HT release instead of re-uptake (enhances serotonin activity)
Glial cells store which NTs?
GABA and Glutamate
What type of NT is GABA? About what percentage of it is in the brain?
inhibitory (30-40% GABA in brain)
What type of NT is Glutamate? About what percentage of it is in the brain?
excitatory (50% Glutamate in brain)
What’s the effect of caffeine on GABA?
inhibits GABA activity
What’s the effect of alcohol on GABA?
increases GABA activity
What’s the effect of tranquilizers on GABA?
increases GABA activity
What’s the effect of caffeine on Glutamate?
increases Glutamate activity
What’s the effect of alcohol on Glutamate?
decreases Glutamate activity
What’s the effect of PCP “angel dust” on Glutamate?
increases Glutamate activity
What are the Glutamate receptors?
AMPA, NMDA, and Kainate (ionotropic)
and mGLuRs (metabotropic)
Glutamate transporters are called…
EAATs
Glutamate vesicular transporter is…
VGLUT
What are the GABA receptors?
GABA a (ionotropic) and GABA b (metabotropic)
the GABA transporter is called…
GAT
the GABA vesicular transporter is called..
VGAT or VIATT
Drug action process
Route of administration → absorbption/distribution → binding → inactivation → secretion
What are the 4 types of administration?
Oral (the slowest!), Absorption, Inhalation (faster), and Injection (fastest)
Absorption routes
sublingual, intranasal, ocular, intrarectal
What are the types of injections?
intravenous (fastest), intraperitoneal, intramuscular, subcutaneous, intradermal (slowest)
What is the most important factor that determines the rate at which a drug in the bloodstream reaches sites of action in the brain?
lipid solubility (higher lipid solubility = better drug diffusion)
Drug absorption depends on what two factors?
diffusion across the membrane (blood brain or placental barrier) and drug concentration
What’s the structure of typical capillary?
endothelial cells that make up the capillary have spaces in b/w them
What’s the structure of the blood brain barrier? What can go through?
glial cells cover spaces between endothelial cells
small molecules can pass through (O2 and CO2)
lipid soluble molecules can pass through
water soluble molecules CANNOT pass through
What does a Dose Response Curve show?
a graph of the magnitude of an effect of a drug ( x-axis = dose of drug y-axis = effect)
helps determine a safe and effective dosage
What is the Effective Dose 50 (ED50)?
the dose of drug that produces desired effect in 50% of people
What is the Toxic Dose 50 (TD50)?
dose of drug that produce toxic effects in 50% of people
What is the Lethal Dose 50 (LD50)?
dose of drug that is lethal in 50% of people
What is the Therapeutic Index (TI)?
the measure of a drugs margin of safety
TI = TD50/ED50
What does a lower TI mean? What does a higher TI mean?
lower TI = greater risk of toxicity
higher TI = less risk of toxicity
(a higher TI is better)