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What determines the effect of a neurotransmitter at a synapse?
The type of receptor on the post synaptic cell.
Do neurotransmitters bind only one receptor type?
No
What are the two major classes of receptors?
Ionotropic and Metabotropic
What are ionotropic receptors?
Ligand gated ion channels
What are metabotropic receptors?
Receptors that activate second messenger systems and alter cell metabolism.
Types of metabotropic receptors?
G-protein, Tyrosine Kinase, Cytoplasmic
Ionotropic onset/termination speed?
Fast
Metabotropic onset/termination speed?
Slow
Ionotropic response ratio?
1:1
Metabotropic response ratio?
Amplified
Why do metabotropic receptors allow more diversity?
Due to second messenger effects
Where are ionotropic receptors located?
Near transmitter release sites
Where are metabotropic receptors located?
Distant from release sites
Where can both receptor types be found?
Presynaptic, post synaptic, glial cells.
Name transmitters that bind both ionotropic and metabotropic receptors.
Ach, GABA, Glutamate
Ionotropic ACh receptor type?
Nicotinic
Metabotropic ACh receptor type?
Muscarinic
Muscle nAChR activation level?
µM ACh
Neuronal nAChR affinity?
nM ACh
Why does smoking affect neuronal but not muscle receptors?
Nicotine levels (~nM) activate neuronal receptors only
What ion enters with Na⁺ in neuronal nAChRs?
Ca2+
Major ionotropic receptor families?
Pentameric "cys-loop"
Glutamate
Trimeric
TRP
What receptors are included in the cys loop family?
Nicotinic ACh
GABA-A
Glycine
Serotonin (ionotropic)
How many subunits in Nic Receptor?
5
Composition of Nic receptor subunits?
2 alpha, 1 beta, 1 gamma, 1 delta
How many transmembrane regions per subunit in Nic?
4 (M1-M4)
Which region lines the pore in Nic?
M2
Which subunits bind ACh in Nic?
Alpha subunits
How many ACh binding sites in Nic?
2
What happens with one ACh bound?
Channel flickers (brief opening)
What happens with two ACh bound?
Normal opening
What increases opening probability?
Higher ACh concentration
What blocks Ach binding?
Alpha-bungarotoxin
Curare
Which ions pass through nAChRs?
Na⁺
K⁺
Ca²⁺
Which subtype is highly Ca²⁺ permeable?
α7
NMJ receptor affinity?
Low (µM)
CNS receptor affinity?
High (nM)
Do CNS receptors always have γ and δ subunits?
No
α4β2 function?
Addiction & reward
α7 structure?
Homomeric (5 α7 subunits)
How many bindings needed for α7 activation?
3
α7 function?
Cognition
Where is α7 abundant?
Hippocampus
Time for nicotine to reach brain?
10-20 seconds
Where does addiction begin?
At the synapse
Nicotine addiction mechanism 1
Depolarization → VG Ca²⁺ channels
Nicotine addiction mechanism 2
Direct Ca²⁺ entry
Results of nicotine addiction
Increased dopamine in reward pathway
What block is removed during nic addiction?
Mg²⁺ block of NMDA receptors resulting in increased calcium entry.
Key pathway in addiction?
VTA → Nucleus Accumbens
What happens if antagonist injected into VTA?
Stops nicotine self-administration
What happens if antagonist injected into nucleus accumbens?
No effect
Critical receptor for addiction?
α4β2
β2 knockout effect?
No nicotine self-administration
How does nicotine affect the firing of dopamine neurons in the VTA?
It increases the firing rate from "tonic" (regular, slow) to "phasic" (burst firing), which significantly increases dopamine release.
What role does the a7 nAChR play in nicotine addiction?
a7 receptors are often located presynaptically on glutamate terminals. Nicotine binds to them, increasing calcium influx and stimulating glutamate release onto dopamine neurons, further driving their activity.
How does cigarette smoke (aside from nicotine) prolong dopamine effects?
It contains alkaloids (like Harman) that inhibit Monoamine Oxidase (MAO), the enzyme responsible for breaking down dopamine. This inhibition can last up to 30 days after quitting.
What is the "Dual-Reinforcement Model" of nicotine?
1. Primary Reinforcement: Nicotine directly triggers dopamine release. 2. Secondary Reinforcement: Nicotine enhances the reward value of "non-drug" stimuli (e.g., the smell of a bar, a coffee break).
Homy many subunits make up an ionotropic glutamate receptor, and how many transmembrane domains does each subunit have?
4 subunits and 3 domains
What is the exact subunit composition of an NMDA receptor?
2 GluN1 proteins and 2 GluN2 proteins.
What are the 2 mandatory agonists for NMDA receptor activation?
Glutamate and Glycine/D-Serine
Where does glutamate bind on an NMDA receptor?
GluN2 subunit
Where does glycine/D-serine bind on an NMDA receptor?
GluN1 subunit
NMDA permeability to Ca2+
high
Explain the mechanism of the Mg2+ block
At resting Vm, Mg2+ physically blocks the pore due to electrostatic attraction.
Explain the mechanism behind the removal of the Mg2+ block?
Post-synaptic DP electrostatically repels Mg2+ out of the pore.
Why is the NMDA receptor a coincidence detector?
It requires 2 simultaneous events to open (glutamate release and depolairzation)
What inhibitors target NMDA receptors?
H+, Zinc, Polyamines, Ifenprodil, Ketamine, Memantine, PCP/MK-801.
What are the key differences between AMPA and NMDA receptors regarding Mg2+?
AMPA is not blocked by Mg2+ at rest.
What are the key differences between AMPA and NMDA receptors regarding kinetics?
AMPA is fast (peaks and decays quickly).
Role of AMPA
AMPA provides the initial depolarization to unblock NMDA.
Define silent synapses
Synapses that only have NMDA receptors, no AMPA. They show no current at resting Vm even if glutamate is released.
To which structural family do GABA-A and Glycine receptors belong?
Pentameric (ligand gated Cl- channels)
Explain shunting inhibition
When GABA-A channels open, they increase membrane conductance (by reducing resistance). This creates a short circuit where the excitatory current leaks out through Cl- pores before it can reach the axon hillock.
Describe the Developmental Shift of GABA-A action (NKCC1 vs. KCC2).
Immature: NKCC1 pumps Cl- in. Internal Cl- is high. GABA causes Cl- efflux leading to depolarization.
Mature: KCC2 pumps Cl- out. Internal Cl- is low. GABA causes Cl- influx leading to hyperpolarization.
How do benzodiazepines affect the GABA-A receptor?
They are positive allosteric modulators and bind at a site distant from GABA, destabilizing the closed state making it easier for the channel to open when GABA is present.
What is the specific antagonist for Glycine receptors, and how is the synapse cleared?
Strychnine. A pump removes glycine from the cleft to maintain sensitivity.
What is "Excitotoxicity" and what causes it?
Over-activation of NMDA receptors leading to excessive Ca2+ influx.
What is a "Back-Propagating Action Potential" and why is it important for NMDA receptors?
It is an action potential that starts at the axon hillock but travels backward into the dendrites. It provides the depolarization necessary to repel the Mg2+ block from NMDA, allowing them to open if glutamate is also present.
Define the "Dual-Reinforcement Model" of nicotine
1. Primary: Nicotine directly triggers dopamine release in the VTA. 2. Secondary: Nicotine enhances the reward value of "non-drug" environmental stimuli (like the smell of a bar or coffee).
How does the NMDA receptor contribute to "Hebbian Plasticity"?
Because it is a coincidence detector (requiring both pre- and post-synaptic activity), it ensures that the synapse is only strengthened when both neurons are active at the same time ("Cells that fire together, wire together").