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VGLUT
vesicular glutamate transporters: VGLUT1, VGLUT2, VGLUT3
found only in glutamatergic neurons
glutamate transporters (EAATs)
remove glutamate from the synaptic cleft
found in both neurons and glia
EAAT2
glutamate transporter expressed in glia (astrocytes), accounts for ~90% of glutamate uptake in brain
EAAT2 KO mice:
shortened life span
more susceptible to induced seizures
Downregulation in ALS
enhanced EAAT2 improves motor function + lifespan
EAAT1
glutamate transporter expressed in glial cells in the cerebellum
decreased uptake can contribute to neuronal hyperexcitability, cell death
AMPA receptor
ionotropic glutamate receptor
voltage-gated Na+ channel
NMDA receptor
ionotropic glutamate receptor; major source of excitability
Na+ and Ca2+ channel
both glutamate and glycine or D-serine must bind at the same time
Mg2+ block expelled by depolarization (via AMPA receptors)
biological coincidence detector
kainate receptor
ionotropic glutamate receptor
Na+ channel
metabotropic glutamate receptors
mGlur2, 3, 4, 6, 7, 8:
inhibit AC (Gi)
majority presynaptic (autoreceptors)
mGlur1, 5:
activate PLC (Gq)
majority postsynaptic
promote LTP or LTD
glutamate and schizophrenia: NMDA receptor hypofunction hypothesis
NMDA receptor antagonists (PCP/ketamine) induce positive, negative, and cognitive symptoms in normal subjects
exacerbate symptoms in pt with schizophrenia
PCP and ketamine are psychotomimetics - non-competitive antagonists
NMDA receptor deficit in some pts with schizophrenia
domoic acid
kainic acid (KA) analog, 3x potency
neurotoxic
Long-Term Potentiation (LTP)
cellular basis of learning and memory
influx of Ca2+ ions through NMDA channels activates CamKII
phosphorylates existing AMPA receptors
enhances sensitivity to glutamate
more AMPA receptors inserted into postsynaptic membrane
Fragile X Syndrome
mGLur5 activation promotes LTD
loss of FMRP → loss of inhibition in response to mGluR5, excessive mRNA translation, increased LTD
glutamate excitotoxicity
prolonged depolarization of receptive neurons → eventual damage or death
injection of monosodium glutamate (MSG) damages arcurate nucleus of hypothalamus
damage at postsynaptic sites, not nerve terminals
glutamate excitotoxicity: mechanism
excessive Ca2+ influx → activates molecules capable of degrading essential proteins and cellular membranes
necrosis due to lysis
damage may also occur with brain ischemia, TBI, etc.
massive release of glutamate in affected area
GABA
synthesized only by GABAergic neurons
only functions as NT, only in the CNS
made from glutamate, catalyzed by glutamic acid decarboxylase (GAD)
vesicular GABA transporters (VGAT)
move GABA into vesicles
GABA uptake
GABA removed from synaptic cleft by three different membrane transporters
GAT-1 (neurons/astrocytes)
GAT-2 (neurons/astrocytes)
GAT-3 (astrocytes)
GABA aminotransferase (GABA-T)
in GABAergic neurons, GABA metabolized to glutamate and succinate by GABA-T
in astrocytes, metabolized to glutamate by GABA-T
glutamate converted into glutamine by glutamine synthetase
glutamine back into GABAergic neurons
GABAA receptor
ionotropic GABA receptor
allows Cl- to move from outside to inside
pentamer, considerable heterogeneity in pharmacological properties`
GABAB receptor
metabotropic GABA receptor
not activated by BDZs or barbituates
require two subunits to function
as autoreceptors: inhibit VGCC’s or inhibit cAMP formation
as postsynaptic receptors: inhibiting cAMP formation or opening K+ channels
benzodiazepines (BDZs) and barbituates
bind to GABAA receptors at sites distinct from GABA binding → positive allosteric modulation
potentiate effects of GABA on the GABAA receptor
benzodiazepines (BDZs)
increase potency of GABA
cannot open the channel without GABA
only modulatory activity
barbituates
high doses can open channel in absence of GABA → allosteric agonist
lethal
non-BDZ compounds (hypnotics)
dissimilar chemical structure to BDZs
almost entirely the same pharmacodynamics
positive allosteric modulators (PAMs) at BDZ receptor-site on GABAA receptor
gabapentinoids
used for epilepsy, pain (fibromyalgia), GAD, bipolar
do not bind to GABA receptors or have GABAergic function
inhibit specific function or VGCC’s to mediate pharmacological effects