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7. Basis for drug action in the CNS
Pharm
24
Nursing
Graduate
08/07/2012

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Term

two major types of neurotransmitters:  fast and slow 


Whether a neurotransmitter’s action is fast or slow depends upon the type of receptor that it binds to.

Definition

Whether a neurotransmitter’s action is fast or slow depends upon the type of receptor that it binds to.


Term

Ligand gated ion channels 

 

G Protein Coupled receptor 

Definition

Ligand gated ion channels = Ionotropic receptors

 

G Protein Coupled receptor = Muscarinic

Term
Fast transmitters bind to ligand-gated ion channels, also called ionotropic receptors.
Definition
.  Binding of neurotransmitter to these receptors opens a gate at the base of the channel, thus allowing ions to flow into or out of the neuron according to their concentration gradients.  Because the gate opens very quickly in response to neurotransmitter binding, the effects of binding are very rapid.  However, the gate also closes very quickly, it’s only open for a matter of milliseconds, so the effects of binding are short-lived.
Term
Neurotransmitters that bind to ionotropic receptors include: 
Definition
acetylcholine (at nicotinic sites), GABA, glycine, glutamate, aspartate, and serotonin.
Term
Slow neurotransmitters bind to G protein-coupled receptors:
Definition
metabotropic receptors
Term
Metabotropic receptors can mediate neurotransmitter effects by two mechanisms:  
Definition

1.         Binding of the neurotransmitter activates the G protein which then binds to the ion channel and opens the gate.

 

2.         Binding of the neurotransmitter activates the G protein which activates an enzyme.  The enzyme catalyzes the production of a second messenger that interacts with the ion channel and opens it.  An example of this type of receptor is the beta adrenoceptor.  Binding of NE to the beta receptor activates adenylyl cyclase that, in turn, generates cAMP which opens the channel.

Term

three criteria that define a substance as a neurotransmitter:  

Definition

1.         The substance must be present within the presynaptic neuron.

2.         The substance must be released in response to presynaptic depolarization, and the release must be Ca2+-dependent.

3.         Specific receptors for the substance must be present on the postsynaptic cell. 

Term
Metabotropic Receptors-GPCR
Definition
  • Ligand binds to the heterotrimer
  • alpha protein picks up a phosphate
  • SECOND MESSENGER binds to ion channel & opens it

 

Once released:

-bind to receptor on post-synaptic terminal

-biotransformed by enzyme (COMT/cholinesterase)

*COMT-->NE

*Cholinesterase-->Ach

-Reuptake into receptor that just released it, open up K channels to repolarized it.

 

 

Term
Ligand Gated Ion channels = Ionotropic receptors
Definition

.  Binding of neurotransmitter to these receptors opens a gate at the base of the channel, thus allowing ions to flow into or out of the neuron according to their concentration gradients.


Nicotinic sites

Term
Glutamate
Definition
  • Excitatory amino acid neurotransmitter 
  • Binds to both ionotropic and metabotropic receptors
  • Opens Na+ and Ca2+ channels 
 
Term

Long term potentiation


process that underlies learning and memory.  LTP is a long-lasting enhancement of synaptic transmission at AMPA receptors (ionotropic glutamate receptors)

Definition

 

Glutamate binds to several different sub-types of receptors on the post-synaptic neuron. Two of these sub-types, the receptors for AMPA and NMDA, are especially important for LTP. 

 

The NMDA receptor is also paired with an ion channel, but this channel admits calcium ions into the post-synaptic cell. When this cell is at resting potential, the calcium channel is blocked by magnesium ions (Mg2+), so that even if glutamate binds to the receptor, calcium cannot enter the neuron. For these magnesium ions to withdraw from the channel, the dendrite’s membrane potential must be depolarized.

 

the post-synaptic neuron becomes depolarized following the sustained activation of its AMPA receptors! The magnesium then withdraws from the NMDA receptors and allows large numbers of calcium ions to enter the cell.

This increased concentration of calcium in the dendrite sets off several biochemical reactions that make this synapse more efficient for an extended period.

Term
Booze inhibits NMDA
Definition
NMDA receptor, has mag. mag cannot un-attach with booze.
Term
GABA
Definition

Inhibitory amino acid neurotrasmitter

Blocks Na & Ca Channels

 

Part of the receptor is modulatory site, when something binds to it, it potentiates receptor, prolongs opening of channel

Term
Types of GABA
Definition

There are two types of GABA receptors:  GABAA and GABAB:


  • GABAA receptors are ligand-gated ion channels.  When activated, they increase membrane permeability to Cl-, thus inducing Cl- influx into the cell.  This Cl- influx induces hyperpolarization of the cell membrane and prevents propagation of action potentials. In contrast,
  • GABAB receptors are G protein-coupled receptors that are located on both presynaptic and postsynaptic neurons. 
Term
Drugs that bind to GABAA receptors:
Definition

Drugs that bind to GABAA receptors include benzodiazepines and barbiturates. 


Benzodiazepines bind to a regulatory site on the GABAA receptor and increase the affinity of GABA for the receptor’s binding site.  The result is an increase in the frequency of chloride channel opening. Anticonvulsant barbiturates, such as phenobarbital, potentiate GABAergic inhibition (although they bind to a different site on the GABA receptor than benzodiazepines) and have anticonvulsant and sedative properties. 

Term
Activation of GABAreceptors can... 
Definition

In contrast, GABAB receptors are G protein-coupled receptors that are located on both presynaptic and postsynaptic neurons.


Activation of GABAB receptors can either close Ca2++ channels or open K+ channels (produces hyperpolarization).  Either effect will inhibit neurotransmitter release. 

Term
Norepinephrine 
Definition

In the CNS, NE pathways originate in the brain stem in lows cerulius

in lower brain stem for stress respons. 


NE controls arousal and mood, and regulates BP.

Term

Dopamine

Definition

majority of dopamine is secreted by neurons that originate in the substantia nigra. regulating mentation and mood), the nigrostriatal tract (extrapyramidal function)


Tyrosine--> dopa--> dopamine

Term
Dopamine receptors
Definition

D1- increase CAMP-->GPCR

Excitatory

 

D2 - Decrease CAMP

keeps K open

Keeps Ca closed

Term
Dopamine 
Definition

-depolarizing current, Na channels open, more (+)--> opens voltage gated Ca channels-->vesicle--> exocytosis--> dopamine in synaptic cleft

 

1. bind to DA receptor

2. biotransformed by COMT

3. Taken back up into neuron by MAOI's 

4. DA receptro on presynaptic terminal, shut it off by repolarizing K & Cl.

5. Extraneuronal degradation of DA: COMT

6: intraneuronal degradation of DA: MAO

Term

Serotonin has strong inhibitory effects in most areas of the CNS. 

Definition
5HT3 are mainly in the vomiting center of the medulla – 5HT3 antagonists, such as ondansetron, are used as antiemetic drugs.  5HT3 are also located in the intestine and their activation produces excitation
Term
Acetylcholine
Definition

secreted specifically by the large pyramidal cells of the motor cortex, by several different neurons in the basal ganglia, and by the motor neuron that innervates the skeletal muscles. In most instances, Ach has an excitatory effect.

 

Term
Parkinson’s disease
Definition

In Parkinson’s disease, there is a loss of dopaminergic neurons.  Since dopamine (an inhibitory transmitter) and acetylcholine (an excitatory transmitter) are normally maintained in a balance, the loss of dopamine tips the balance in favor of Ach. The excess Ach, results in dyskinesias (abnormal involuntary movement), rigidity, and resting tremors.  Many drugs can cause parkinsonian symptoms, such as the anti-psychotic drugs that block dopamine receptors.

Term
clonidine
Definition

alpha 2 agonist(inhibits NE release from CNS, centrally decreases BP.

 

Clonidine binds to alpha-2 receptors in the medulla, thus inhibiting sympathetic outflow.   Interestingly, clonidine is also effective in the management of autonomic symptoms associated with opioid withdrawal.  

 

peripherally constricts-good for allergies.

 

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