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epilepsy, schizo, neurodegen disorders
major cause of brain damage after stroke |
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1) IONOTROPIC: NMDA, AMPA, Kainate 2) METABOTROPIC |
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NMDA R. ion permeability = |
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selective agonists of NMDA R. = |
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NMDA, glycine
(glycine = necessary co-agonist with NMDA or glutamae) |
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NMDA R. competitive antagonist = |
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TETROMER
2 x NR1 = glycine binding site 2 x NR2 = glutamate binding site |
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AMPA R ion permeability = |
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Na+ in K+ out
Ca2+ perm depends on what subunits make AMPA R. |
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AMPA R selective agonist = |
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TETRAMER
GluR5-7, KA1, KA2 |
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Na+ in K+ out Ca2+ perm depends on what subunits make kainate R. |
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Kainate R selective agonists |
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Kainate (natural substance in seaweed) |
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Kainate R competitive antagonist |
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...Mg2+ at RMP (80mV), and can only block the NMDA channel when the channel is open ( need glycine and glutamate/NMDA to be present and bound to NMDA R.) |
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Why are activated NMDA R and AMPA R's often expressed together? |
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activated AMPA R = depo of mb = remove Mg2+ block of NMDA R = activate NMDA R |
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Ca2+ and Na+ influx = EPSP (excitatory post synaptic potential) |
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...synaptic plasticity (imp in learning and memory. |
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Long term potentiation (LTP) = |
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incr. strength/ long term enhancemnt of signal by incr Ca 2+ influx (when NMDA R activated) |
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Long term depression (LTP) = |
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if nerve not activated alot get a decr in Ca2+ influx when NMDA R's are activated = weaker signal |
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excessive Ca2+ entry = neuronal cell death/stroke |
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NMDA R are expressed on sensory neurones and therefore are involved in... |
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...transmission of pain responses ( NMDA R anatgonists v. gd at pain relief, better than morphine, but hasnt reached clinic yet) |
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low affinity uncompetitive NMDA R anatgonists = |
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mechanism of action of Ket as a NMDA R uncompetitive antagonist |
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Like Mg2+ blocks NMDA R when open (blocks NMDA R at high transmission)
Fast dissociation rate = no prolonged blocking effect |
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Effects of Ket as a NMDA R uncompetitive antagonist = |
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Dissociative GA = sedation, immobility and analgesia Used a s an anaesthetic for birds, small animals and large animals SIDE EFFECTS: hallicinergic, loose function of bladder, raised intra-ocular press, mm tremors and involuntary movements, seizures (rare) |
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Memantine advantage over ket = |
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v. low affinity channel blocker = v well tolerated |
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...tx of memory impairment in modeate to severe alzheimers (alzheimers = no uptake of glutamate by glial cells = over stim of NMDA R's) |
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high affinity uncompetitive NMDA R anatgonists |
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adverse effects of MK-801 = |
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1. hallicinations 2. memory impairment 3. can bind for so long = channel closes and MK-801 trapped in channel, take a few times of NMDA channel opening and closing for MK-801 to unbind, therfore NMDA R is blocked for a long time, preventing normal synaptic transmission |
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...blocking pain, but isnt used in vetmed due to its adverse effects |
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6-11mg/kg IM for restraint or mild sedation (can be sprayed in mouth)
22-33mg/kg IM or 1-2mg/kg IV for GA
Give IM see effects in 10mins, give IV see effects in 1min |
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Ket transdermal patch to tx... |
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2mg/kg IV with a mm relxant (eg xylazine) |
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ket is contraindicated in... |
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...1. hypertensive patients 2. eye injurys 3. patients with liver/kidney dz (as cant excrete or metab drug well) 4. known history of seizures |
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IM is painful
eye remains open so should be lubricated to prevent damage to eyes surface by drying |
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glutmate activates metabotropic R's = |
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Activate PLC = Activate mobilistaion of IC Ca2+ |
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subtypes of a)group 1 b) group 2 c) group 3
metabotropic glutmate Rs |
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a) mGlu 1 & 5 b) mGlu 2 & 3 c) mGlu 4, 6, 7 and 8 |
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signal transduction of metabotropic Rs a) group 1 b) group 2 c) group 3 |
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a) + Gq = +PLC = inc IC Ca2+ b) + Gi/Go = - AC = decr cAMP c) + Gi/Go = - AC = decr cAMP |
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mGlu Rs (metabotropic Rs) regulate... |
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...ionotropic Rs and K+ and Ca2+ channels
(as mGlu autoRs control depo of presynaptic nerve = control release of glutamte) |
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post synaptic group 1 mGlu R mediate... |
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presynaptic group 2 & 3 mGluR's... |
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...decr glutamate release = AUTORECEPTERS (block release of own transmitter) |
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necrotic lesions in retina
elevated extracellular glutamate = persistant neuronal depo = excitotoxicity |
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3 key elements leading to cell death = |
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1. NA+ influx (incr water influx = cell lysis = glutamate released = incr neuronal cell death) - reversible if stimulus removed (eg glutmate)
2. Ca2+ influx (release glutamate=incr extracellular glutamate = inr neuronal cell death - primarily responsible for delayed neurodegen)
3. Excocystoiss of glutamate = spread and incr neurodegenerative porcess |
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SOD (superoxide dismutase) normally... |
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...destroys superoxide (superoxide produces free radicals) |
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=mitochondria mop up XS IC Ca2+ = uncoupling of ATP production =production of free radicals (eg superoxide) instead of ATP |
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Failure of ATP dependant NA+/K+ exchanger = loose balance of ions across mb = glutamate transporters reverse ( as need 3Na+ in and 1K+ out for glutamate uptake) = glutamate pumped out of cell. |
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therapeutic time windoe in stroke is how long? |
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3-6hrs (tx should be givin within 3-6hrs after stroke to maximise effectiveness of tx, b4 reperfusion damage has time to take place) |
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protect neurones from excitotxixity by... |
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...txing immediately with glutamate R antagonists or glutamate release inhibitors (NMDA R anatagonists have shown to decr extent of brain lesion in animals but failed to live up to their promise in clinical trials) |
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side effects of glutmate antagonists |
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1. hallucinations 2. amnesia 3. ataxia 4. vacuolation of neurones |
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name an environmental toxin that causes neurodegen |
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DOMoic acid (in sp. of plankton/algae) |
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(shell fish eat algae and then mammal eats shell fish) = crosses BBB = incr NA+ and CA2+ into cell = neuronal cell death = amnesic shell fish poisoning |
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Domoic acid/Domoate mech = |
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v. potent AMPA and KAINATE R agonist that can cross BBB |
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clincial signs of domoic acid poisoning = |
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loss of short term memory (activate hippocampus) motor weakness/lethargy (activate motor neurones) seizures =death |
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is there an antidote for domoic acid poisoning? |
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