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6 Cards in this Set

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GABA (Gamma-aminobutyric acid) - Metabolism and Receptors

What? Inhibitory NT in brain


METABOLISM


1. Synth from L-glutamate by glutamic acid decarboxylase


2. Synaptic removal by GAT -> GABA transporter


3. Catabolism of GABA->succinate by GABA-T


RECEPTORS


GABAa - ligand gated ion-channel, pentameric 4TM subunits, GABAa-rho=5 subunit ligand-gated ion channel


GABAb - heterodimer of two 7TM subunits


-GABAb1 binds only GABA, GABAb2 binds +ve allosteric modulators


- decrease Ca fluxes in presynaptic membrane, increase K fluxes in post synaptic membrane

GABA Cellular Effects - pre and post synaptic inhibition

PRESYNAPTIC (axo-axonal) INHIBITION


-decrease transmitter release from terminals in spinal cord


POSTSYNAPTIC (recurrent) INHIBITION


E.g. dopa overactivity in caudate putamen activates GABA -> inhibits dopa firing


e.g. axon of pyramidal cell activates GABA activity-> inhibits pyramidal cell firing


Drugs:


GABA Ags increase recurrent inhibition e.g. muscimol



Benzodiazepines (BZD) - Overview + Binding

Clinical use? Anxiolytic, hypnotic, sedative, anticonvulsant, muscle relaxant


e.g. diazepam, midazolam, clonazepam


BINDING


properties - high affinity, spec, saturable, stereospec


BZD high displacement capacity=> high clinical efficacy


areas of high BZD bind sites => areas w high level GABA activity


Bind sites - alpha subunit of GABAa receptor and interface of alpha+gamma subunits (BZDs act as allosteric modulators here -> increase GABA activity)


GABA DOESN’T displace BZDs vice versa!!!


GABA facilitates BZD binding to receptor vice versa!!!

Benzodiazepines (BZD) Receptor Drugs

BZD RECEPTOR AGs


+ve allosteric modulators


-increase GABA activity -> anxiolytic, anticonvulsant => treat anxiety, seizures e.g. diazepam, clonazepam


BZD RECEPTOR INVERSE AGs


-ve allosteric modulators => opp effect to ags above


e.g. beta-carbolines, FG-7142


BZD RECEPTOR PARTIAL AGs


-cant produce max response => good anxiolytic but bad sedative e.g. bretozenil, abercarnill


BZD RECEPTOR ANTAGs


e.g. Ro-15-1788 - blocks binding+ effects of ags+inverse ags


e.g. flumazenil - anaesthesia


Treat conditions:


-epilepsy, anxiety, muscle spasm


-used as sedation+anaesthetic


Side effects:


-excessive sleepiness, confusion, memory issues, increased anxiety + aggression, habituation (withdrawal syndrome)

Excitatory Amino Acid Neurotransmission- Glutamate Receptors

METABOTROPIC (mGluR G-protein)


Group 1 - mGlu1+5 -> Gq couples -> increase PLC/IP3/DAG activity


- act as postsynaptic membranes -> when acticvated => increase ion conductance + inhibitory postsynaptic potentials


Group 2 +3 - mGlu2+3, mGLu4,6,7,8 -> Gi/ o coupled -> decrease adeylyl cyclase/cAMP activity


-act at presynaptic membrane to inhibit firing


mGLuR functions - mGlu1 expression treat cancer, mGlu2+3 ags treat schizo, mGlu4 R activation treats Parkinsons


IONOTROPIC (iGLuR - ion channel)


Receptor classes - NDMA, AMPA, kainate, delta


AMPA + kainate receptors - carry put fast excitatory synaptic transmission


Delta receptors - don’t cause channel opening, funcs include synaptogenesis, synaptic plasticity, motor coordination

Excitatory Amino Acid Neurotransmission - Ionotropic receptors cont (NMDA Receptors)

Treat:


Epilepsy - NMDA antags = anticonvulsatns => prevent seizures


excitotoxicity => prevent apoptosis


Alzheimers -> e.g. MK801 blocks long term potentiation => treat memory loss


Schizo - caused by high functioning glutamate receptors => need to inhibit their action to treat schizo


Non-favoured funcs:


e.g. ketamine - NMDA receptor antag causes vivid dreams in adults


e.g. PCP - NMDA receptor antag produces hallucinations + schizo like symptoms