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Direct Agonist
binds directly to same bonding site as endogenous neurotransmitter, activates it
Indirect Agonist
binds to different site, activates receptor
Direct Antagonist
actively binds to receptor, does not activate it
Indirect Antagonist
binds to alternative site, changes receptor, does not activate it
Peripheral Administration
intromuscular, oral, intranasal, intravenous
Intracerebral
injected directly into the brain
Intrathecal
get to CSF through subarachnoid space around spinal cord or brain
Intracerebroventricular
through ventricles (ex. chemo)
Potency
amount of drug necessary to produce a biological response of a certain magnitude
Affinity
how well ligand binds to receptor
Effective Dose (ED50)
dose required to produce 50% of effect â potency
higher potency = low on the dose-response curve
Lethal Dose (LD50)
dose that leads to the death of 50% of subjects
Therapeutic Index
margin of safety, goal of research to optimize this
Tolerance
decrease in potency as the drug is administered more frequently
Naloxone (Narcan)
opiate antagonist, high affinity for opiate receptor, knocks opioids out of the way and take their place
Sensitization
increase in the effectiveness of a drug that is administer repeatedly
Presynaptic Acetylcholine Drugs
dietary choline, black widow venom, boton
Postsynaptic Acetylcholine Drugs -
nicotine, curare, muscarine, atropine
Acetylcholinesterase
enzyme that breaks down acetylcholine
Nicotinic Acetylcholine Receptors
ionoptropic, bind nicotine, mediate transmission â neuromuscular junction
spinal cord to smooth muscles
Muscarinic Acetylcholine Receptors
metabotropic (G-protein) â most prevalent, autonomic nervous system
slow the heart
Atropine
blocks muscarinic receptors, reduce siliva production
Curare
blocks ACh receptors â paralysis
Black widow venom
promotes ACh release, hyperactivity â reduced regulation, uncontrollable muscle movement
Adenosine
product of enzymatic degradation of ATP
made by neurons + glial cells
accumulates during wakefulness and reduces during sleep
neuromodulator: neuronal inhibition, sleep
Adenosine receptors
metabotropic
caffeine(stimulant): direct antagonist for adenosine receptors
Glutamate AMPA Receptor
mediates fast EPSP in brain/spinal cord
multi-sub unit, oligomer
permeable to Na+, not Ca2+
Glutamate NMDA Receptor
6 different binding sites
channel passes both Na+ and Ca2+
plasticity/excitoxicity
glycine, Mg2+, PCP, ketamine
Glycine
excitatory co-agonist â needs glutamate + glycine
Mg2+ Block
site sucks in an Mg2+, no Na+ or Ca2+ can get in
Phencyclidine (PCP)
indirect antagonist, shuts down excitatory transmission, leads to psychosis
Ketamine
indirect antagonist, antidepressant
GABAa Receptors
ionotropic receptors
when GABA binds â leads to influx of Cl- = hyperpolarization
Vitamin B
deficiency = diminished GABA synthesis
can lead to seizures + death in infants
GABA Agonists
Benzodiazepines, Barbituates
Benzodiazepines
anti-anxiety + mmuscle relaxants
increase frequency of channel being open
Barbituates
anesthesia + control of epilepsy
prolong duration of open channel
Picrotoxin
pro-convulsant
decreases time channel is open
Types of Monoamine Transmitters
dopamine and serotonin
modulatory effects w/ G-protein receptors
Meso/nigrastraital Dopamine Pathway
SN â Striatum
voluntary movement
degeneration = parkinsonâs â L-dopa helps treat it
Mesolimbic Dopamine Pathway
VTA â Limbic System
motivation, reward
drug abuse + schizophrenia
Mesocortical Dopamine Pathway
VTA â PFC
emotion, exec functions
could be dysfunctional in schizophrenia
Tyrosine Hydroxylase
converts tyrosine into L-dopa
D1 Receptors
D1 and D5
stimulatory, increase cAMP, increase PIP2 hydrolysis
D2 Receptors
D2, D3, D4
inhibitory, decrease cAMP, increase K+, decrease voltage-gated Ca2+
classical antipsychotic drugs = antagonists
Dopamine-related Addiction
cocaine, amphetamine, methylphenidate = inhibit dopamine reuptake by blocking dopamine transporter
repeated exposure can have long-lasting effects on pathways
Raphe Nuclei
serotonigergic cell body location
Tryptophan
precursor of serotonin
synthesized into serotonin in axon terminal
LSD
(serotonin) 5-HT2 partial agonist
Monoamine Hypothesis
deficiency of norepinephrine + serotonin causes depression
Iproniazid
developed to treat tuberculosis (MAOi)
depression = decrease monamine transmitters
Reserpine
treats hypertension
interferes with storage of serotonin
Tricyclic Anti-depressants
block 5-HT reuptake
Monoamine Oxidase (MAO)
enzymes that break down monoamine neurotransmitters + dietary amines
oxidation
Monamine Oxidase Inhibitors (MAOis)
prevents the break down of monoamine neurotransmitters (serotonin, norepinephrine, dopamine)
Endorphin
combination of endogenous and morphine
built in stress relievers and painkillers
respiratory depression
Dynorphin
regulate stress, mood, pain, addiction
sedation, dysphoria, aversion
Enkephalin
short chain of 5 amino acids
neurotransmitter and neuromodulator to regulate pain perception
convulsions and hyperlocomotion
Mu opioid receptor (MOR)
endorphin receptor
Fentanyl
synthetic opioid
direct agonist
Morphine
direct agonist for mu opioid receptor