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location of serotonergic neruons
midline of brainstem, raphe nuclei
serotonin anatomy
widespread innervation
dorsal and medial raphe nuclei
serotonergic neuron innervation is…
more widespread than DA
similar to NE
what type of molecule is 5-HT?
an indolamine, a type of monoamine
stages of 5-HT synthesis
tryptophan is converted to 5-HTP using tryptophan hydroxylase
5-HTP is converted to 5-HT using AADC
aromatic amino acid decarboxylase (AADC) function
converts 5-HTP to 5-HT
tryptophan hydroxylase function
converts tryptophan to 5-HTP
parachlorophenylalanine (PCPA) function
irreversibly inhibits tryptophan hydroxylase, reducing 5-HT synthesis
the brain must synthesize new tryptophan hydroxylase to restore 5-HT levels
how to increase 5-HT synthesis?
provide large doses of tryptophan or 5-HTP
5-HTP is more effective - bypasses rate-limiting step
rate-limiting step of 5-HT synthesis
converting tryptophan to 5-HTP using tryptophan hydroxylase
tryptophan hydroxylase is found in…
serotonergic neurons only
is used as a marker to determine which neurons are serotonergic
tryptophan transport
competes with other large neutral amino acids for BBB transport
tryptophan depletion - cocktail
to reduce 5-HT temporarily, we can provide an amino acid cocktail
this lowers brain tryptophan because it competes with other amino acids at the BBB, ratio is smaller
effects of tryptophan depletion cocktail - previously-depressed patients
reappearance of depression symptoms
effects of tryptophan depletion cocktail - non-depressed individuals
no depression symptoms, but increased impulsivity
what is 5-HT transported into vesicles by?
VMAT2
reserpine function
blocks VMAT2 from packaging 5-HT into vesicles, preventing monoamine storage
somatotdendritic autoreceptors - characteristics
slow firing rate of receptor
are usually 5-HT1A type
presynaptic autoreceptor - characteristics
inhibit release of NT at the next AP
how is serotonin reuptaken?
via SERT
what molecule degrades/breaks down 5-HT
MAO
what does 5-HT degradation yield (waste product)
5-HIAA
MAO inhibitor function
prevent breakdown of 5-HT
drugs that enhance 5-HT release
fenfluramine
MDMA/ecstacy
MDMA/ecstacy function
high affinity for SERT
disproportionate 5-HT release
alters sensory perception, some therapeutic use for PTSD
reuptake inhibitors function/examples
SSRIs, eg: fluoxetine (Prozac)
these block SERT to increase 5-HT levels
fenfluramine function
appetite suppressant with cardiac side effects - removed from market
how many 5-HT receptor families?
5-HT1 to 5-HT7
how many subtypes does 5-HT1 have
5
how many subtypes does 5-HT2 have
3
are drugs selective or nonselective for 5-HT receptors?
most are nonselective
location of postsynaptic 5-HT1A receptors
hippocampus
septum
amygdala
location of somatodendritic 5-HT1A autoreceptors
cell bodies/raphe nuclei
mechanism of 5-HT1A receptors
decrease cAMP and/or open K+ channels - resulting in hyperpolarization
full agonist for 5-HT1A receptors
8-OH-DPAT
partial agonist for 5-HT1A receptors
buspirone (anti-anxiety)
5-HT1A receptor antagonist
WAY-100635
systemic 5-HT1A agonists affect…
postsynaptic receptors AND autoreceptors
reduce overall 5-HT release
location/type of 5-HT1B/1D receptors
presynaptic autoreceptors
also postsynaptic, but only in striatum and NAcc
location/type of 5-HT2A receptors
cortex
striatum
NAcc
primarily postsynaptic
5-HT2A receptor mechanism
phosphoinositide system
increased Ca2+ → activated protein kinase C
overactivation of 5-HT2A receptor results in…
perceptual distortion
list of 5-HT2A agonists
DOI
LSD
DOI and LSD functions
5-HT2A receptor agonist
both hallucinogenic
list of 5-HT2A receptor antagonists
ketanserin
ketanserin effect
blocks hallucinations by blocking 5-HT2A receptors (antagonist)
research methods using 5-HT
measuring 5-HIAA in CSF
SSRIs/receptor drugs
genetic polymorphisms, eg: variances in SERT
lesions of 5-HT with neurotoxins
KO mice lacking 5-HT receptors or deleting enzymes that produce 5-HT
psychopharmacology studies
hypophagia is caused by…
SSRIs
5-HT1B receptor agonists
5-HT2C receptor agonists
characteristics of hypophagia
reduce meal size, not number of meals
animals get full faster
food preference shifts away from fatty fods
neural mechanism of hypophagia
disinhibition of neurons in paraventricular hypothalamus
promotes satiety signalling
hyperphagia is caused by…
5-HT1A agonists
activate somatodendritic autoreceptors
reduce 5-HT neuron firing
reduce overall 5-HT release
elevated plus maze - concept
more time in open arms = less anxiety
more time in closed arms = more anxiety
5-HT1A agonists - elevated plus maze
more time in open arms and less anxiety
5-HT1A knockout mice - elevated plus maze
less time in open arms, more anxiety
systemic HT1A agonists…
activate both postsnyaptic 5-HT1A receptors and somatodendritic autoreceptors
when stimulated optogenetically, BNST… (arm time)
increasing 5-HT release = reduced anxiety and more open arm time
decreasing 5-HT release = increases anxiety and less open arm time
conclusion: BNST activation reduces anxiety
which serotonin receptors increase anxiety behaviours?
5-HT2A and 5-HT2C
5-HT depletion in animals - results
attack one another more frequently
tryptophan depletion in humans - results
increased aggression in lab tasks, more likely to attack opponent in a game
low 5-HIAA in CSF is associated with…
impulsive aggression
agonists for what receptor reduce aggression?
5-HT1A and 5-HT1B
overexpression of 5-HT1A receptor is involved in…
lower 5-HT and increased aggression
what receptor agonist decrease impulsivity?
5-HT2C
what receptor ANTAGONIST increase impulsivity?
5-HT2C