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Pharmacokinetics
process by which drugs are absorbed, distributed within the body, metabolized, and excreted
Oral administration (by mouth)
not all drugs can pass the barriers of digestive tract contents (stomach acid, enzymes) and walls
Weak acids
from stomach to bloodstream
Weak bases
from intestines to bloodstream
Liquid more easily
absorbed than solids
Must be hydrophilic
to be carried in blood
Blood brain barrier
Non-ionized (fat soluble); Active transport system
Needs to travel from blood to extracellular fluid
Must be small enough to pass through pores of capillaries
Sublingual
drug placed beneath the tongue absorbs into blood via capillaries that supply mucous membrane of mouth
Intrarectal
suppositories inserted into rectum; Used when drug would cause stomach upset
Inhalation
vaporous substance inhaled into lungs Fast acting - short route from lungs to brain Ex: Nitrous oxide
Topical administration
drug absorbed directly though skin (e.g., topical anesthetics, nicotine patches)
Insufflation
drug makes contact with mucous membrane of nasal passage
Intravenous (IV)
injection of substance directly into vein (bloodstream) Rapid effect - travels to brain within seconds Fewest barriers to brain, but must be hydrophilic
Intraperitoneal (IP)
substance injected though abdominal wall into peritoneal cavity Slower effect than IV, but still fast
Intramuscular (IM)
substance injected into muscle Absorbed into bloodstream via muscle capillaries
Subcutaneous (SC)
substance injected into space under the skin Small quantities
Intracerebral administration
substance injected directly into brain Only requires small doses because no barriers to target Used when substance cannot cross BBB
Intracerebroventricular (ICV)
substance injected into ventricular system of brain Widely distributed throughout brain Rarely employed Used to administer antibiotics for infection
Larger people less sensitive to drugs than smaller people
Greater dilution of drug in body fluids
Females 2x as sensitive to drugs as males
Small size and hormonal differences
Elderly may be 2x as sensitive to drugs as young
Less effective barriers to drug absorption; Less effective processes for metabolism and elimination
Dose-response curve
graph depicting the magnitude of a drug's effect as a function of quantity administered
Therapeutic index
measure of drug's margin of safety which provides a ratio of dose that produces desired effect in 50% of animals and dose that produces toxic effects in 50% of animals
Effects of a drug can change
one administration to another
Tolerance
decrease in effectiveness of a substance due to increased administration
Metabolic tolerance
reduced sensitivity to a substance that results from the increased ability of cells to metabolize the substance
Learned tolerance
with increased administration, people learn to function under the influence of substance
Cellular tolerance
a change that takes place in a cell in which the activity of the cell adjusts to the excitatory or inhibitory effects of a drug Decrease in # of receptors Decrease in affinity for drug
Sensitization
Increased behavioral response to the same dose of drug More likely to develop with occasional use
Affinity
the readiness with which two molecules join together
Agonist
A drug binds to a receptor and increases the effectiveness of neurotransmission
Direct agonist
binds to receptor of NT and mimics effects (competitive)
Indirect agonist
Binds to alternative site on receptor and results in ion channel opening (non-competitive)
Antagonist
A drug that binds to a receptor and causes a decrease in the effectiveness of neurotransmission (blocks or inhibits) natural effect
(site of drug action)Interference with NT re-uptake from synapse
Drug binds to transporter to inactivate - blocks re-uptake (agonist)
(site of drug action)Interference enzymatic deactivation of NT in synapse
Drug binds with enzyme to prevent enzyme function (agonist)
Regulate quantity of NT release
Drugs that excite/ stimulate receptor-DECREASE NT release (antagonist)
Drugs that block receptor-INCREASE NT release (agonist)
Dendritic autoreceptor Neuro-regulators that affect NT release
Drugs that stimulate- DECREASE NT release (antagonist)
Drugs that block - INCREASE NT release by preventing hyper-polarization (inhibitory agonist)
Glutamate
excitatory effect in the brain; interacts with other neurotransmitter systems. o Most common excitatory NT in the CNS
Gamma-aminobutyric acid (GABA)
Inhibitory effect in the brain; interacts with other neurotransmitter systems.
Glycine
inhibitory effect; found in spinal cord and lower brain stem.
Acetylcholine
Learning, memory, REM sleep. o PNS Functions: muscle contraction.
Dopamine
Voluntary movement, attention, learning, reinforcement, planning, problem solving. • Produces both excitatory and inhibitory effects based on receptor
Norepinephrine/ Epinephrine
Vigilence. o PNS Functions: Autonomic nervous system regulation (regulate heart rate, blood pressure, etc.)
Serotonin
Mood regulation, eating, sleep, dreaming, arousal, impulse control. o PNS Functions: involved in the enteric nervous system (digestive tract)
Histamine
wakefulness. o PNS Functions: Immune response
Opioids
Reinforcement, pain modulation. o PNS Functions: Pain modulation.
Synthesis of neurotransmitters Glutamate.
• Synthesized from glutamine (precursor) by glutaminease (enzyme) o After, they are stored in vesicles. ▪ Vesicle glutamate transporters: proteins in the vesicle membrane that pump glutamate into a vesicle.
Synthesis of neurotransmitters GABA
• Synthesized from glutamic acid (precursor) by the action of glutamic acid decarboxylase or GAD (enzyme)
Neurotransmitter clearance from synapse Glutamate
• Removed from the synapse by excitatory amino acid transporters and broken down into its building block precursor glutamine by the enzyme glutamine synthase. o Too much glutamate in synapse can cause glutamate excitotoxicity: toxic overstimulation of the postsynaptic cell by excess glutamate
Neurotransmitter clearance from synapse GABA
• Take up by the presynaptic neuron that released it and surrounding glial cells. • 3 different transporters that take up GABA: GAT1, GAT 2 (located on neuron), and GAT3 (located on glial cell) o Glial cell is primary mechanism for clearing synaptic GABA. o Inhibitors of GATs- reuptake inhibitors- nipecotic acid and tiagabine (anticonvulsant)
Dopamine 3 major systems
nigrostriatal, mesolimbic, mesocortical
Nigrostriatal- substantia nigra—> neostriatum (caudate + putaman)
▪ Movement control ▪ Parkinson's disease
Mesolimbic- VTA—> nucleus accumbens, amygdala, hippocampus
▪ Reward system
Mesocortical- VTA—> prefrontal cortex
▪ Short-term memory, planning, problem solving
Neurotransmitter Release
• Molecules of neurotransmitters are stored in small "packages" called vesicles (see the picture on the right). Neurotransmitters are released from the axon terminal when their vesicles "fuse" with the membrane of the axon terminal, spilling the neurotransmitter into the synaptic cleft.
GABAA
Ionotropic receptor o Associated with post-synaptic Clchannel (opens) o Many binding sites ▪ Bicuculline- direct antagonist- produces seizure ▪ Picrotoxin- indirect antagonist (Channel Blocker) • Stimulant and convulsants effects • Can be used to treat barbiturate overdose. ▪ Target for sedative hypnotics and anti anxiety agents • Muscimol- direct agonist- derived from mushrooms and has sedative hypnotic effect. • Indirect agonists o Binds alcohol, barbiturates, benzodiazepines, and neurosteroids ▪ Benzodiazepines require binding of GABA to work ▪ Barbiturates do not need GABA to open channe
GABAB
Metabotropic receptor (G-protein coupled receptor- GPCR) o Presynaptic- autoreceptor that decreases Ca2+ influx therefore decreasing GABA release. ▪ Mainly found in autonomic nervous system o Post-synaptic- increases effluent of K+ o Baclofen- agonist- muscle relaxant and anti-spastics agent. ▪ Used to treat muscle issues related to multiple sclerosis and cerebral palsy Saclofen- agonist does not produce seizure and can be used as anti epileptic
GABAC [or GABA- rho]
ionotropic receptor o Slow to initiate Cl- influx o Found in retina
The ability to sense electromagnetic radiation has two important benefits:
As electromagnetic energy travels quickly, we receive optical information about objects and events without much delay
Electromagnetic radiation travels in straight lines. As a result the images produced by radiation retain the geometrical characteristics of objects.
Wavelength
how far radiation travels between oscillations.
Sensory transduction
conversion of a sensory stimulus from one form to another • A receptor cell converts the energy in a stimulus into a change in the electrical potential across its membrane
Short wavelength
HIGH frequency High rates mean that radiation travels a short distance between oscillations
Long wavelength
LOW frequency
Photon
smallest unit of light energy
Color of light determined by hue, saturation and brightness.
o Wavelength determines hue o Intensity of light corresponds to brightness o Saturation refers to purity of light (mixtures of wavelengths that make up light)
If light made of all wavelengths
white
Pupil
an opening or gap in the iris that regulates amount of light coming in.
Iris
pigmented ring of muscles located behind the cornea. Gives eye its characteristic color.
Cornea
transparent structure located at the front of the eye. Responsible for 80% of eyes focusing ability.
Lens
transparent structure composed of layers located behind the iris. Provides 20% of eye's focusing power.
Retina
interior lining of the back of the eye.
Photoreceptors
rods and cones
Rods
o Low light illumination, contrast. o Located at the periphery.
Cones
o Responsible for our color vision, daytime vision, and information regarding fine details in the environment. o Fovea- central region of retina and contains only cones. o Located at the back of the eye.
Bipolar layer
contains bipolar and horizontal cells
Ganglion layer
contains ganglion and amacrine cells
Opsin
large protein (several forms) o Rhodopsin- opsin in human rods.
Components of Visual Photopigments
enzyme cascade, isomerization, opsin, retinal
Retinal
Small light sensitive lipid molecule. o Synthesized from vitamin A o Reacts to light triggering visual transduction
Isomerization
process whereby a photopigment changes its shape in response to the absorption of light. o Breaking photopigment —> hyperpolarization of photoreceptor. o Isomerizing a single visual pigment —> thousands of chemical reactions.
Enzyme cascade
sequence of reactions generated by the activation of a visual pigment molecule whereby
Accommodation
process whereby the lens changes its shape in order to bend light ray so that images are focused more sharply on the retina. o Near point- distance at which one can no longer adjust lens to bring objects into focus.
Rods resting potential
-40 (baseline= dark) currently releasing glutamate o Response to light (stimulus)- hyperpolarized (-90)—> reduce amount of glutamate its releasing to the bipolar cell
BIPOLAR resting potential
(At baseline dark—> hyperpolarized (-90), not releasing NT ▪ Response to light: depolarize; release glutamate
GANGLION resting potential
(at baseline-dark- hyperpolarized, no AP, no NT ▪ Response to light: fire AP, transmits it signal to brain
Receptive field
region of the environment that is detected by a particular neuron in retina or other area of visual system.
Fixation point
visual field of receptors that receive input from photoreceptors in fovea. ▪ One receptor provides info to one ganglion cell
Acute vision
detects fine detail.
Peripheral region/ on one side
visual field of receptors that receive input from photoreceptors in the periphery. (Outside the fovea) ▪ Many receptors converge on single ganglion cell. • Less acute; detects illumination
Round receptive fields
On Cells, Off Cells, On/ Off Cells
On Cells
Respond to light with increased firing rate.
Off Cells
Respond to lack of light with increased firing rate.
On/ Off Cells
respond briefly to light with increased firing rate and respond again briefly when light turned off
round receptive cells are involved
in visual reflexes ▪ Not directly involved in form perception
Daltonism
color deficiency; named for John Dalton.
Monochromat
person who needs only one wavelength to match any color. ▪ Very rare hereditary condition. ▪ Only rods and no functioning cones ▪ Ability to perceive only in white, grey, and black tones. ▪ True color-blindness ▪ Poor visual acuity. ▪ Very sensitive eyes to bright light. ▪ Less drastic form has one functioning cone • Still lack ability to discriminate color • Wavelengths perceived as gradations in intensity
Dichromat
person who needs only two wavelengths to match any color.
3 types of dichromat
protanopia, deuteranopia, tritanopia