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115 Cards in this Set

  • Front
  • Back
Where are central neurotransmitters synthesized?
In the terminals
Where are central neurotransmitters stored?
In the terminals, two types:

Long-Term storage: not readily accessible
Short-term storage: readily available
What are the two methods of neurotransmitter release?
Vesicular - calcium dependent
Non-Vesicular - not calcium dependent

Most drugs target non-vesicular release
What are your fast receptors for neurotransmitters?
ligand-gated ionophores

excitation (EPSP) - depolarizes postsynaptic neuron
inhibition (IPSP) - hyperpolarizes postsynaptic neuron
What are your slow receptors for neurotransmitters?
membrane-bound enzymes
G-couples receptors
What tasks do the slow receptors for neurotransmitters perform?
1) Modulates signals of fast neurotransmitters
2)Can change hyperpolarization or depolarization
3) Regulate RNA transcription and protein translation
What are your really slow receptors for neurotransmitters?
Intracellular receptors - receptor is inside the nucleus of the cell
What tasks do the really slow receptors for neurotransmitters perform?
regulate RNA transcription and protein translation
What are the mechanisms for rapid removal of neurotransmitters?
Metabolism - enzymes
Reuptake - transporter proteins, involved in recycling the neurotransmitter
Why are presynaptic receptors autoreceptors?
They induce negative feedback and inhibit themselves
What are the functions of fast receptors?
Control membrane potential and ionic composition
What commonly lines the center of the fast receptors?
M2 subtype, located in the second spanning region
Where does GABA bind on the GABAa receptor?
Between the alpha and beta subunits
Where do benzodiazepines bind on the GABAa receptor?
Between the alpha and gamma subunits
What does binding of a benzodiazepine to the GABAa receptor cause?
It does not activate (open/close) the channel, it changes the shape of GABA binding allowing for higher potency with lower doses of GABA.

Allows Cl into the cell, leading to IPSP and sedation
Why is benzodiazepine sedation safe?
It is self limiting to the concentration of GABA in the body.
How many regions does the g-protein-coupled receptor span?
7 membrane spanning regions
What is a G-protein?
Protein made of 3 subunits (Beta, Gamma, and alpha)
Which subunits of the G-protein are bound?
Beta and Gamma
Where is the alpha subunit of the G-protein located?
Bound to the other subunits (Beta and Gamma) or free floating
What occurs when the alpha subunit of the G-protein is released?
It becomes activated, GDP becomes GTP, and the alpha subunit then binds to an effector
What does the G-protein interact with?
The loop between the membrane span of 5 and 6 of the G-protein-coupled receptor.
What does Go do?
Inhibits calcium channels
What does Gs do?
Activates calcium channels

Activates Adenylate Cyclase to increase cAMP production by converting ATP to cAMP.

cAMP then activates Protein Kinase A
What does Gi do?
Activates potassium channels

Inhibits Adenylate Cyclase to decrease cAMP production.

Activates phospholipase A2 (PLA2)
What does Gq activate?
Phospholipase C
What is phospholipase C?
Activated by Gq to make inositol triphosphate (IP3) and diacylglycerol (DAG) from PIP2.
What is IP3?
Created from PIP2 via PLC and stimulates the IP3 receptor on the calcium storage vesicle to release calcium into the cell.

Calcium then activates Protein Kinase C and other Calcium dependent protein kinases.
What is DAG?
Created from PIP2 via PLC and activates Protein Kinase C
What is CREB?
Cyclase response element - activated by Protein Kinase A.

Travels into the nucleus where it modulates DNA transcription and RNA translation.

It is this action that makes the G-coupled receptors both slow and really slow.
What does PLA2 do?
Phospholipase A2 liberates arachidonate from the membranes.

Arachidonate can then be broken down via 2 pathways: Cyclooxygenase type 1 or 2 and Lipoxygenase
Detail the cyclooxygenase pathway
Arachidonic Acid is broken down into PGG2 via cyclooxygenase 1 and 2. PGG2 becomes PGH2 which then is broken down into:

1) PGE2, PGF2, and PGD2
2) PGI2 via Prostacyclin synthase
3) TXA2 via Thromboxane synthase
Detail the Lipoxygenase pathway
Arachidonic acid is broken down to 5-HPETE via lipoxygenase. 5-HPETE becomes LTA4 which is then broken down into LTB4, LTC4, LTD4, and LTE4.
What are some examples of really slow receptor stimulators?
Steroid hormones, fatty acids, anything lipid soluble.
How do the really slow receptors operate?
Interact with the response element to activate or inhibit mRNA transcription.
What is the rate limiting step for glutamate?
Glutaminase
How is glutamate reabsorbed?
Na-dependent transporters specific for glutamate, located on both the glial cells and neurons.
What are the receptors for glutamate?
kainate, NMDA, AMPA, and metabotropic.
What is the NMDA receptor?
Excitatory receptor for glutamate that is coupled to an ionophore for Calcium, Na, and Potassium.

Potassium exits, Na and Ca enters.
What is the AMPA receptor?
Excitatory receptor for glutamate that is coupled to an ionophore for Na and Potassium. Potassium exits and Na enters.
What is the Kainate receptor?
Excitatory receptor for glutamate that is coupled to an ionophore for Na and Potassium. Na enters and Potassium exits.

Kainate is also the autoreceptor on the neuron for glutamate
What is the metabotropic receptor?
Also called the G-coupled receptor, stimulates the creation of IP3 and cAMP.
How does the glial cell aid in glutamine uptake?
The glial cell helps remove glutamate from the cell, converts it to glutamine via glutamine synthase. Glutamine is then added back to the neuron.
How does glutamate affect learning?
Long-term potentiation, hippocampal NMDA receptors activated when two or more neurons are simultaneously firing.
What affects does glutamate have on the CNS?
learning, excitotoxicity, epilepsy, and motor control/
How does glutamate affect epilepsy
Excess excitation and depolarization in the foci caused by glutamate.
How is glutamate linked to excitotoxicity?
Excessive glutamate release during reperfusion of blood following a stroke leads to NMDA/kainate stimulation and an increase in intracellular Ca. Excessive Ca leads to cell swealling and cell death.
What is the cortico-striatal pathway?
Goes from the motor cortex to caudate putamen. Stimulates (initiates) movement.

An important pathway for glutamate.
Where are glutamate neurons, kainate, and AMPA receptors located in the brain?
Everywhere, ha.
What is the rate limiting step in the synthesis of GABA?
Glutamic acid decarboxylase
What is the GABA-A receptor?
A ligand-gated ionophore for chloride with multiple subtypes of:

alpha (6)
gamma (3)
beta (4)
Also delta, epsilon and rho subunits.
What effects does GABA have on the CNS?
anxiety, sedation, epilepsy, and motor function
How does GABA affect anxiety?
Decreases locus ceruleous output and inhibits the amygdala and hippocampus
How does GABA affect sedation?
GABA inhibits neuronal firing
How does GABA affect epilepsy?
Inhibits neuronal hyperactivity in the foci and the substantia nigra inhibits the colliculi
How does GABA affect motor function?
5 of 6 cerebellar neurons are GABAergic. Caudate/putamen inhibits globus pallidus and the substantia nigra via GABA
What is Huntingtons chorea?
degeneration of striatal GABA neurons, results in excessive movement
How does the glial cell convert GABA to glutamine?
GABA is converted to glutamate via GABA transaminase. Glutamate is then converted to glutamine via glutamine synthase.
What are the two GABAergic pathways?
Striatum to substantia nigra and substantia nigra to colliculi
What is the rate limiting step in norepinephrine synthesis?
tyrosine hydroxylase
What is DBH?
Dopamine Beta-Hydroxylase, converts dopamine into norepinephrine. If DBH is not present, then the cell is a dopamine cell.
What is tyrosine hydroxylase?
The rate limiting enzyme in the formation of DOPA from tyrosine.
What is DOPA?
Product of the breakdown of tyrosine by tyrosine hydroxylase. It is converted to dopamine by decarboxylation.
What receptors does NE stimulate?
Alpha-1, Alpha-2, and Beta
What is the alpha-1 receptor?
Stimulated by NE and Gq linked, results in the activation of PLC and an increase in IP3 and DAG.
What is the alpha-2 receptor?
Stimulated by NE and Gi linked to inhibit adenylate cyclase and stimulate G-coupled potassium channels.

Also linked through Go to inhibit calcium channels.

Alpha-2 also serves as the autoreceptor for NE.
What is the Beta receptor?
Stimulated by NE and Gs linked to stimulate adenylate cyclase.
In what forms is NE metabolized?
Majority of NE is metabolized by MAO-A in the neuron.

Some NE is metabolized by MAO-B in the glial cells.

NE may also be metabolized by COMT into an inactive metabolite.
How does NE affect the nucleus tractus solitarius?
NE stimulates alpha-2 receptors in the nucleus tractus solitarius and increases the baroreceptor reflex, resulting in decreased blood pressure.
Where are most norepinephrine cell bodies located?
In the locus ceruleus in the midbrain, but it branches throughout.
What is the reticular activating system?
Regulates alertness and part of the ascending NE system.
What is the descending NE pathway involved in?
Pain transmission
What do opoids do?
Increases enkephalin in the spinal cord, which results in decreased pain transmission.
What is the rate limiting step in serotonin synthesis?
Dietary tryptophan levels
How is serotonin metabolized?
Neuronal MAO-A
What are the serotonin receptors?
5-HT1, 5-HT2, 5-HT3, 5-HT5, 5-HT4,6,7
What is 5-HT1?
Serotonin receptor linked to Gi that inhibits cAMP and stimulates potassium channels
What is 5-HT2?
Serotonin receptor linked to Gq that activates PLC
What is 5-HT3?
Serotonin receptor linked to a ligand-gated ionophore for sodium and potassium
What is 5-HT4, 6, 7?
Serotonin receptor linked through Gs to stimulate cAMP
What is What is 5-HT5?
Serotonin receptor linked to Gi, resulting in decreased cAMP
What is likely to occur if an agent that acts as an antagonist to serotonin release is taken?
Increased sensory information and hallucinations
How does serotonin affect pain transmission?
Increases enkephalin in the spinal cord and decreases pain
Where are the serotonin cell bodies located?
In the raphe nuclei, with projections throughout the brain
What is the area postrema chemoreceptor trigger zone?
Leaky area of the blood brain barrier that detects products in the blood that will alter neurotransmission. If the product exists 5-HT3 is stimulated to induce vomiting.
Which serotonin receptor is involved in migraines?
5HT1D on the cranial blood vessels
Which serotonin receptor is involved in emesis?
5HT3 in the area postrema
Which serotonin receptor is involved in psychosis?
5HT2 in the prefrontal cortex and NAc
Which serotonin receptor is involved in anxiety/depression?
5HT1A in the hippocampus and amygdala
How does serotonin affect inhibiting pain?
caudral RAS to lamina II spinal cord
How does serotonin affect inhibiting sensory transmission?
Rostral RAS to thalamus and cortex
How does serotonin affect sleep/arousal?
Rostral RAS to cortex and hypothalamus
What acts as the autoreceptor for serotonin?
Alpha-2
What is the rate limiting step in the synthesis of dopamine?
Tyrosine hydroxylase
How is dopamine metabolized?
MAO-A, MAO-B, COMT
What are the dopamine receptors?
D1, D2, D3, D4, D5
What is D1?
Inhibitory receptor for dopamine, linked to Gs and increases cAMP
What is D2?
Inhibitory receptor for dopamine, linked to Gi, decreases cAMP and Potassium
What is D3?
Dopamine receptor that commonly forms a heterodimer
What is D4?
Dopamine receptor linked to Gi, decreases cAMP
What is D5?
Dopamine receptor that increases cAMP
What is the autoreceptor for dopamine?
D2 and D3
What receptors are located in the chemoreceptor trigger zone?
Alpha 2 and D2
What are the dopaminergic pathways?
1) Substantia nigra to caudate/putamen
2) Ventral tegmental area to nucleus accumbens/Prefrontal cortex
3) Hypothalamus to pituitary gland
What occurs if you utilize a D2 blocker?
Too little dopamine, too much ACh and too much GABA. Results in Hypokinesia, rigidity and tremors (Parkinson's like symptoms)
What occurs if you have too much dopamine?
Too little ACh, too little GABA, results in hyperkinesia and chorea (Huntington's disease)
What is the rate limiting step in the synthesis of ACh?
Choline uptake
How is ACh metabolized?
Acetylcholinesterase converts ACh into choline (which can be reabsorbed) and acetate.
What are the receptors for ACh?
M1, M2, M3, M4, N
What is the M1 receptor?
Excitatory ACh receptor that is linked through Gq to activate PLC (increases DAG and IP3)
What is the M2 receptor?
Inhibitory ACh receptor that is linked through Gi to decrease cAMP and Potassium
What is the M3 receptor?
Excitatory ACh receptor that is linked through Gq to activate PLC (increases DAG and IP3)
What is the M4 receptor?
Inhibitory ACh receptor that is linked through Gi to decrease cAMP and Potassium
What is the N receptor?
Excitatory ACh receptor that is linked to a ligang-gated ion channel. Increase Na and Calcium, decreases Potassium.
What are the cholinergic pathways?
1) Short interneurons in caudate/putamen
2) Basal nucleus to frontal and parietal cortex and thalamus
3) Septal nucleus to hippocampus
4) Pons to thalamus and hypothalamus