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30 Cards in this Set

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Amphetamine: How it effects neurotransmission
Amphetamine: How it effects neurotransmission
1. Blocks re-uptake of DA and NEpi
2. Causes release of DA and NE pi -
3. Mild Inhibition of MAO
4. Tolerance is due to depletion of catelcholamines, primarily by reduced synthesis due to increased autoreceptor activity
Amphetamine/cocaine tolerance
Amphetamine/cocaine tolerance
depletion of neurotransmitter so that additional administration of the drug produces less effects
Sensitization  to cocaine
Sensitization to cocaine
-Chronic use depletes DA
-In response to depleted DA, neurons compensate by UPREGULATING, receptor numbers and INCREASING SENSITIVITY
-Effect of cocaine is enhanced because of number of receptors
Pharmacodynamics of caffeine
-Adenosine receptor ANTAGONIST
-Adenosine normally slows down neural activity
-Relief of inhibition increases neuronal activity
-Therefore, blocking adenosine receptors increases neural activity
-Caffeine is AGONIST of transmitter release
Mechanisms of action: caffeine
-GABA is inihibotory
-GABA receptor ANTAGONIST
-Blocking GABA receptors reduces inhibition in the brain, and leads to overall arousal.
Pharmacodynamic tolerance of caffeine
Due to UP-REGULATION of ADENOSINE receptors as the brain tries to deal with continued suppression of adenosine activity
Pharmacodynamics of Nicotine
-Acts as AGONIST at nicotine acetylcholine receptor
-Stimulates the receptor, then blocks it via inactivation
Alcohol's effect on receptors
-Enhances activity of GAPA receptor: hyperpolarizes neuron by allowing Cl- to enter
-Decreases the activity of some glutamate receptors: inhibits excitatory effects at the NMDA receptor by blocking the ion channel pore decreasing the amount of Na and Ca ion entry
-Net result is to decrease excitability of neurons, and reduce spontaneous firing
CNS (physiological effects) of alcohol
-Mechanism for apparent stimulation is thought to be inhibition of inhibitory neurotransmission
- Loss of inhibitory control in RAS and cortex which are normally used for mental functions
-Inihibition in RAS and Cortex results in a decrease of self-control
1. Reduces release of inhibitory neurotransmission
2. Reduces firing of inhibitory pathways
3. Decreases excitatory neurotransmission
tolerance of alcohol
-Mechanism: induction of liver enzymes
-Decreased neurotransmission may lead to upregulation and sensitization of postsynaptic receptors
-Upregulation of NMDA receptors important to with drawal.
-Little tolerance to lethal effects
Alcohol: Dependence and Withdrawal
-Both physical AND psychological dependence
-Reinforcing properties due to stimulation of 5-HT3 receptor (important step for releasing DA into the NA)
Pharmacodynamic tolerance
-Drugs that amplify or mimic the actions of a neurotransmitter tends to DECREASE receptor activity.
****Down-regulation:decrease in number of functional receptors
****Desentization: decrease in receptor's ability to elicit changes
-Drugs that act as antagonists of tend to INCREASE receptor activity
Cannabis Pharmacodynamics
-effects can be both excitatoy and inhibitory
Cannabis mechanism of action
-Binds to CB1 and CB2 Receptors - localize to hippocampus, cerebral cortex, amygdala
-All canabanoid receptors are METABOTROPIC
-Meteabotropic receptors are linked to G-Proteins
-DECREASE neurotransmission release
-inhibit acetylcholine release in hippo, inhibit NE release
Cannabis receptors in the brain
Few to no cannabanoid receptors in the VTA, however it does activate central reward pathways, leading to release of DA in NA.
-Therefore marijuana's effect on reward pathway is indirect
-THC decreases GABA inhibition of VTA, therefore DA in NA
Cannabis tolerance
Primarily due to desensitization/down-regulation of cannabanoid receptors (because cannabanoid receptors are agonists)
LSD effects at cellular level
-Serotonin receptor AGONIST
-Agonist of 5HT-2 receptors (post-synaptic)
-Actively altered in RAS: No longer filters sensory info.
PCP cellular effects
-Acts as channel blocker for a subtype of glutamate receptor
-Ionotropic NMDA receptor: Precents CA+ and Na+ from flowing into neuron
-Prevents DA re-uptake
MDMA (ecstasy) cellular effects
-Destroy monoamine (DA, NE, and Seratonin) neurons
-Decrease in brain's serantonin transporter
Heroin effects
- Opiates bind to endogenous opioid receptors to produce INIHIBITION
-Increases DA in the NA
-Heroin converted to morphine in the brain which acts at the mu and delta receptors expressed on inihibitory GABA neurons.
-The binding of mu and delta at GABA causes REDUCTION in amount of GABA released. This inhibition leads to increases of DA in NA
Heroin tolerance
desensitization/down-regulation
Tricyclic Anti-depressants vs SSRI
TCAs: block re-uptake of NE and 5-ht, thereby increasing synaptic levels
SSRI: SELECTIVELY blocks 5-ht re-uptake rather than both
Monoamine theory of depression
Monoamines are low in depressed people.
If this is the case, what would you expect to see in the brains of patients: UPREGULATION of 5ht and NE receptors
Kluver-Buchy Syndrome (anxiety)
Reduction of fear after BILATERAL AMYGDALA DAMAGE
HPA (Anxiety)
-Very important in stress
-Boosts cortisol and activates it
Factors implicated in medication of Anxiety disorders
Central: NE, 5HT, GABA
Peripheral: Release of ACTH, adrenal cortisol, and NE
Increased NE firing in Locus Ceruleus
Increased sensitivity in amygdala
HPA activation
Barbituates - Pharmacodynamics
-Barbituates enhance GABA receptor activity
-Noncompetitve Agonist
-Results in opening of Cl- Channel
-Results in hyperpolarization of neuron, less excitable
Benzos
Decreases excitatory neuronal activity in cortex, RAS, limbic system
Difference: seems to decrease hypothalamus activity
Enhance activity of endongenous GABA
INDIRECT GABA AGONISTS
Difference between Benzos and Barbituates
Barbs - Absorbed rapidly, low TI, REM sleep
Benzos - Absorbed slowly, longer duration of action, higher TI, less effects on REM sleep
Anti-psychotic treatment
Primary dopamine receptor ANTAGONISTS