Neurotransmitters

*Glutamate (Glu)

Glutamate
Receptors

  • ALL main glutamate
    receptors are ionotropic

Glutamate Re-uptake
= Glutamate > Glutamine Cycle

Drugs

Glutamate synthesis

  • amino acid NT
    --> absorbed through diet
    --> cannot pass the BBB
    --> synthesized in the CNS by alpha-ketogluterate from Citric Acid Cycle = Krebb's Cycle
  • note glutamate can be converted to GABA
    --> this is a self regulating NT since if too much is made, it can be converted into GABA to inhibit itself

*GABA
(Gamma aminobutyric acid)

GABA Receptors

  • either sub-type A or B
  • both hyperpolarize the cell either by the two main hyperpolarizing ions Cl- and K+:
    --> Cl- ions in
    --> K+ ions out

GABA Re-Uptake

  • the GABA cycle requires both the
    --> excitatory EAAT transporter for glutamine intermediate
    --> inhibitory VIAAT transporter for vesicle packaging

Recreational Drugs

  • Alcohol
    --> GABA agonist
  • Benzodiazapines
    --> think BENZ = freQUENZy of GABA receptors
  • Barbituates
    --> think barbiDURates = DURation of GABA receptors

Actions/Pathways

AMPA Receptors

  • allow in BOTH Na+ and K+ ions
    --> think Glu main excitatory ion
    --> Na+ and K+ main NTs for APs
    --> only a small # of K+ actually pass through
  • AMPA receptors are the main Glutamate receptors
  • they give fast AP conduction

NMDA ligand gated (Mg+) Ion Receptors

  • AMPA are the same as NMDA receptors since they allow both Na+ and K+
    --> NMDA also allow Ca2+ though
  • NMDA receptors are used to modulate AMPA receptors
  • NMDA receptors are also needed in learning and memory
  • note NMDA receptors are gated by Mg+ ions
    --> the Mg+ doesn't move unless AMPA receptors on post synaptic cell have caused enough depolarization for the regulatory NMDA to kick in
  • NMDA mneumonics
    --> NM = need more ions = also let in Mg+ ions
    --> NM = need memories
    --> Need modulation

Neurotransmitter and Synthesis

  • main inhibitory NT of CNS
  • GABA is made from glutamate
    --> Glutamate is a self regulating NT since if too much is made, it can be converted into GABA to inhibit itself
  • Glu-Dec = glutamate decarboxylase
    --> converts glutamate into GABA
    --> think if you get too excited in making boards for a deck
    --> you need to "GLU the DECK"

*Endocannabinoid
System (ECS)

  • "endo" meaning endogenous

Anandamide
(mimetic = THC)

  • tetrahydrocannabinol

2-AG = arachadonoylglycerol
(mimetic = CBD = cannabidiol)

Receptor

  • binds to ONLY CB1 receptors

Receptor

  • binds to both CB1 and CB2 receptors

Actions

  • regulation of appetite
  • regulation of immune system functions and
  • regulation of pain management

Actions of Anandamide

  • GABA normally released in CNS to inhibit DA release
  • binds to CB1 receptors on Gabanergic neurons
  • inhibits release of GABA
    --> no inhibition of dopamine

Functions of Anandamide

  • Anandamide supresses DA and other NTs to get rid of useless short term memories
  • Anandamide also used to inhibit some movements to make us feel relaxed and calm
  • Anandamide broken down very quickly in synaptic cleft
    --> reason why anandamide doesn't give a high, but THC does

NT Size Comparison and Synthesis

Peptide NTs

  • endogenous opioids
    --> enkephalin
    --> endorphins
  • since peptides they are made in the soma and transported to the terminal through axon by FAST axon transport on microtubules
  • dense large vesicles
  • require high frequency APs and diffuse Ca2+ for release
  • neuropeptides ONLY bind to GPC Receptors
  • are too big to be re-uptaken by proteins
    --> either broken down through enzymatic degredation
    --> diffusion

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Non-peptide NTs

  • made mostly in the terminal of the presynaptic neuron or
    --> also made in the soma, but then transported to terminal by SLOW axonal transport
  • small and cleear vesicles
  • require ONLY a single AP or low frequency signal for vesicle release
  • are more variable in receptors and re-uptake or cycling
    --> can bind to both GPC Receptors = metabotropic and ion channels = ionotropic
    --> have specialized protein carriers for each NT, can be degraded or they can diffuse

Kainate Receptors

#1 - EAATs (on glial cell)

  • Excitatory Amino Acid Transporters
    --> remember the main excitatory NT = glutamate
    --> it must be EATEN UP quickly before it excites too much
  • present mainly on glial cells (mostly astrocytes)
    --> also present on glutaminergic pre-syn neurons
  • transport glutamate out of the cleft after use into astrocytes

#2 - Glutamine synthetase

  • enzyme in glial cells (mostly astrocytes)
  • converts Glutamate into Glutamine
    --> think this is necessary to convert to Glutamine
    --> Glutamine is not a NT and thus will be safely transported back to the Glutaminergic neuron without binding to anything

#3 - EAATs (on glutaminergic neuron)

  • Excitatory Amino Acid Transporters on glutaminergic pre-syn neurons
  • EAATs can also transport glutamine
  • need to get back into glutaminergic neuron to synthesize more glutamate

#4 - Glutaminase

  • enzyme in glutaminergic cells (mostly astrocytes)
  • breaks down Glutamine into Glutamate
    --> changes amide group into carbonic acid group

#5 - VGLUT

  • VGLUT = Vesicular Glutamate
  • transports Glutamate into vesicles for release

GABA-a Receptors

  • Ionotropic receptors
    --> means they directly allow in ions
  • allow in Cl- ions
    --> hyperpolarize the cell
    --> cause inhibition of APs

GABA-b Receptors

  • metabotropic
    --> means they are GPCR = G-protein coupled receptors
    --> think metabo has a B in it
  • allow K+ ions out of cell
    --> hyperpolarize the cell
    --> cause inhibition of APs

#1 - GAT on Glial cell + GABA-neurons

  • GAT = GABA transporter
    --> similar pathway to Glutamine since GABA made from Glutamine
  • GAT brings GABA into astrocytes
  • GAT also directly can reuptake GABA to repackage

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#2 - Mitochondria breakdown of GABA

  • mitochondria breaks down GABA
    --> think that once in glial cell (astrocyte) GABA must convert to glutamate and finally glutamine to get back to the GABA-neuron
  • mitochondria converts GABA to alpha-ketoglutarate
    --> alpha-ketoglutarate --> glutamate

#3 - Glutamine Synthase

  • glutamine synthase makes glutamine from glutamate

#4 - EAAT Transporter

  • EAAT = excitatory amino acid trasnporter
    --> just like in Glutamate cycle it brings Glutamine from astrocyte to GABA neuron this time

#6 - VIAAT

  • VIAAT = vesicular inhibitory amino acid transporter
    --> packages GABA into vesicles for release

#5 - GLU-DEC = GAD

  • GLU-DEC = glutamine decarboxylase
    --> converts glutamate into GABA

Medium Size = Monoamine NTs and Purines

  • Monoamines made from tyrosine and tryptophan
    --> think dopamine addictive drugs bout from TYRONE the drug dealer
  • tyrosine monoamines
    --> L-DOPA (DA precursor)
    --> Dopamine (DA)
    --> Norepinephrine (NE)
  • tryptophan monoamines
    --> Serotonin (5 HT hydroxythiamide)

Smallest size = Amino Acid NTs

  • note both main excitatory and inhibitor NTs are the smallest amino acids
    --> Glutamate (Glu)
    --> GABA

*ACh = Acetylcholine

ACh Synthesis

  • ACh made in the brainstem

ACh Re-Uptake

#4 - VAT = Vesicular ACh Transporter

  • VAT brings ACh into vesicles so it can be released at the terminal

#1 - ACh Esterase

  • Acetyl choline esterase breaks down ACh in the synaptic cleft into:
    --> Choline group + acetyl group

ACh Receptors

Recreational Drugs

#2 - Na+/Choline Cotransporter

  • Choline is brought back into the cell with Na+ that is in excess outside the cell

#3 - CAT enzyme = Choline Acetyl Transferase

  • CAT enzyme transfers an acetyl group from the Citric acid cycle of mitochondria onto the choline
    --> makes ACh

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nicotonic ACh receptors

  • ionotropic receptors that are non-specific for cations
    --> Ca2+, Na+, K+

*Glycine

  • inhibitory NT
  • mainly in the brainstem and spinal cord

Glycine Synthesis
-

Glycine Re-Uptake

#2 - SeTHM = serine transhydroxymethylase enzyme

  • SETHM converts serine into glycine

#1 - GLAT

  • GLAT = Glycine transporter
  • transports Glycine directly back into the glycinegetic neuron
    --> NO re-uptake intervention by glial cells like in Glutamate

Glycine Receptors
-

Recreational Drugs

#3 - VIAAT = vesicular inhibitory Amino acid transporter

  • note VIAAT is the same transporter for vesicles as GABA since they are both inhibitory

Neurotrasnmitter Release and Recycling


H+ proton Gradient for loading vesicles with NTs

  • NTs get pumped into secretory vesicles by antiporters
  • think just like the ETC = Electron transport chain the secondary active transport is given by Hydrogen protons H+
    --> H+ protons are pumped into the vesicles by ATP pumps
  • Co-transporter then anti-ports H+ ions out and NTs in

Vesicle General cycle

  • vesicles dock at active zones
    --> active zones are areas where voltage-gated calcium channels are dense so the vesicles can be reached easily by calcium for release
  • are primed for release
  • then fuse withe the membrane
  • then they bud off the membrane, fuse into endosomes, and again bud off endosomes to resume cycle

Distinct Pools of Vesicles

  • Reserve Pool of vesicles
    --> a reserve pool of vesicles are held away from the active zones by actin filaments
    --> readily releasable pool are at the active zones and begin docking through the RAB- RIM proteins


SNARE Proteins, Docking and Release

  • RAB- RIM proteins
    --> initial docking starts when the Rab protein on vesicle binds to RIM protein on terminal membrane
    --> think the vesicle wants to gRAB = RAB the RIM of the membrane
  • V-SNARE protein = vesicle protein
    --> synaptobrevin
  • t-SNARE proteins = target proteins
    --> syntaxin
    --> SNAPP-25
  • SNARE Complex
    --> the SNARE complex is formed by the v-SNARE and t-SNARE proteins binding to form a helix
  • Release TAG protein
    --> synaptotagmin
    --> note that synaptotagmin without bound calcium is slightly attracted to the t-SNARE proteins
    --> Calcium binding to synaptotagmin increases the affinity of synaptotagmin for the t-SNARE proteins
    --> Calcium enters through voltage gated calcium channel at the active zone
    --> Ca2+ binds to synaptotagmin and the vesicle fuses with the plasma membrane

Recycling of the Vesicle

  • NSF is special protein that disassembles the SNARE complex so the vesicle can be recycled
    --> think of NSF = "NO SNARE FUSION"

Botulism and Tetanus

  • both botulism and tetanus stop vesicle fusion and thus NT release
    --> they selectively cleave SNARE proteins to stop vesicle docking
  • both come from clostridium bacteria that release toxins
    --> clostridium botulinum
    --> clostridium tetani
  • death comes from no NT release for muscles
    --> mainly die from respiratory/diaphragmatic failure
  • Botulism
    --> cleaves SNARE proteins in motor neurons
    --> facial BOTOX is Botox-type A
  • Tetanus
    --> cleaves SNARE proteins in inhibitory spinal cord neurons (Glycine mainly)
    --> causes sustained contraction

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NOTES
Ionotropic and Metabotropic NT Receptors


IntroductionfdIonotropic receptors = ion channel receptors
--> directly allow ions to pass through

  • Metabotropic receptors = GPCR = G protein coupled receptors
    --> have cascade signals that amplify
    --> think GPCRs have long term effects and will effect metabolism = metabotropic

Classifying Ionotropic and Metabotropic Receptors


  • the main excitatory and Inhibitory NTs and their main receptors are ionotropic with the lesser known ones being metabotropic
    --> think that they are the main NTs for generating or stopping APs, thus they act directly through ions
  • GABA receptors
    --> GABA-a is ionotropic and allows in Cl- ions
    --> GABA-b is metabotropic
  • Glycine receptors are ionotropic
    --> being the other inhibitory NT, Glycine receptors are similar to GABA-a in that they are also ionotropic and also let in Cl- ions to hyperpolarize
  • Glutamate receptors


    --> main Glutamate receptors: NMDA, AMPA, and Kainate are all ionotropic


    --> lesser known mGluR is metabotropic


  • Acetylcholine receptors are based off their names

  • nicotinic ACh receptors
    --> start with an N so they are Ionotropic
  • muscarinic ACh receptors


    --> start with an M so they are metabotropic


  • Monoamine NTs and All Neuropeptides (opioid agonists)


    --> ALL are metabotropic = GPCR


    --> again think Monoamines start with an M


    --> dopamine, serotonin = 5HT, NE

  • the only exception is serotonin subtype 3 is ionotropic

Metabotropic = GPCR Receptors

  • have 2 actions
    --> modulate other ion channels
    --> start cascade effects for protein synthesis, etc.
  • Trimeric GTP binding proteins = alpha, beta, and gamma
  • Alpha subunit
    --> has a bound GDP to it
    --> once NT binds to GPCR, Alpha unit replaces GDP with GTP
    --> when GTP is bound to alpha, it disassociates from beta and gamma
    --> alpha causes downstream effects and cascade
    --> ex: Adenylate Cyclase
  • bound beta and gamma subunits modulate other membrane proteins or ion channels

2 Most Common GPCR Pathways

  • cyclic nucleotide pathways
    --> cAMP or cGMP
  • phosphoinositol pathway = Phospholipase C Pathway
  • note it is the alpha subunit type that determines what "primary effector" a GPCR will effect
  • Main GPCR types:
    --> Gs = cAMP stimulation through Adenylate Cyclase
    --> Gi = cAMP inhibition through inhibiting Adenylate Cyclase
    --> Gq = Phospholipase C pathway
  • note 2ndary effectors are always kinases

Gs cAMP GPCR Pathway

  • primary effector = Adenylate Cyclase
  • 2nd messenger = cAMP
  • secondary effector = PKA = protein kinase A
  • final effect = increase protein phosphorylation
    --> since the 2nd or final effector is a kinase

Gq cAMP GPCR Pathway

  • primary effector = Phospholipase C
    --> note PhosphoLipase C stands for CHOPPER since this protein chops the head off of PIP2 = a lipid that makes DAG and IP3
  • 2nd messenger = Diacylglycerol (DAG) and inositol triphosphate (IP3)
  • secondary effector = PKC = protein kinase C and Ca2+ release
  • final effect = increase protein phosphorylation due to kinase and also increase Ca2+ levels
    --> note the C in Phospholipase C is for both the kinase and for the Calcium release

4 Ways Ca2+ levels are controlled and kept low in cell

  • Ca2+ ATPase pumps calcium out of the cell
  • Na+/Ca2+ exchanger at the cell membrane uses the sodium gradient to pump calcium out
  • calbindin is a bufferring protein that bufffers Ca2+ in the cell
  • Endoplasmic Reticulum stores intracellular calcium

3 effects of 2nd effectors (protein kinases) on ion channels

  • Direct modualtion of ion channels by kinases
    --> phosphorylating them modulates them
  • Indirect modulation of ion channels by kinases
    --> kinases may phosphorylate another protein that woul increase or decrease ion channel expression
  • Transcriptional regulators of ion channels
    --> may increase or decrease the production ion channels
  • examples:
    --> Beta NE GPCR Gs type --> PKA directly phosphorylates K+ channels
    --> stops K+ from leaking out of the cell

muscarinic ACh receptors

  • metabotropic = GPCR

NMDA Glutamate receptors and LTP

  • LTP = long term potentiation
  • note by NMDA also allowing in Ca2+ in addition to Na+ and K+ from AMPA
    --> think NM in NMDA = Need Memory!
  • Ca2+ binds to calmodulin nd activates Ca2+/Calmodulin dependent protein kinase 2
  • Ca2+ causes plasticity and strengthening of synapse
  • Ca2+ also causes more AMPA receptors to go to the cell membrane to increase the response

Ionotropic and Metabotropic NT Receptors (cotinued)


--> this lowers the threshold for APs in the heart to allow it to pump faster or harder
--> possible for weaker EPSPs = excitatory post synaptic potentials to give an action potential

  • GABA-b GPCR receptors - 2 effects
    beta gamma subunits directly activate K+ channels or deactivate Ca+ channels for inhibition
  • PKA downstream casues dephosphorylation of NMDA glutamate receptors to stop allowing them to bring in Ca2+
    --> recall the NM in NMDA stands for NEED MORE OR NEED MEMORY (more cations other than Na+ and K+ let in by AMPA glutamate receptors)

CREB protein

  • CREB = cAMP response element binding protein
  • transcription factor that becomes activated when phosphorylated by PKA
  • CREB is a key protein in memory formation for long term potentiation

Main GPCRs types

  • recall Glutamate, GABA-a, Glutamate, 5HT type3,nicotinic are ionotropic receptors
  • All Monoamine (minus type 3 5HT) and neuropeptides are GPCRs
  • Dopamine
    --> D1,5 = excitatory = Gs
    --> D2,3,4 = inhibitory = Gi
  • NE
    --> Beta 1,2 = Gs
    --> Alpha 1 = Gq
    --> Alpha 2 = Gi
  • ACh Muscarinic
    --> M1,3,5 = MNOPQ = Gq
    --> M2,4 = Gi

CB1 and CB2 receptors

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*monoamines

  • dopamine, NE, and 5 HT = serotonin

*Dopamine (DA)

  • SIMPLE 2 step process like Serotonin
  • also uses the same VMAT as serotonin

Dopamine Synthesis

  • monoamine made from tyrosine
    --> think of TYRONE the drug dealer
    --> TYRONE sells dopamine
  • tyrosine
    --> L-DOPA
    --> dopamine
    --> NE = norepinephrine
    --> Epi = epinephrine
  • tyrosine hydroxylase converts tyrosine into dopamine
    --> think TYRONE also sells alcohol
    --> hydroxylase needed to form dopamine

Dopamine Re-Uptake

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#2 - VMAT

  • VMAT = vesicular monoamine transport
  • transports ALL monoamines into vesicles for release
    --> dopamine
    --> serotonin 5 - HT
    --> NE = Norepinephrine

#1 - DAT

  • DAT = dopamine transporter
  • transports Dopamine directly back into the dopaminergic neuron
    --> NO re-uptake intervention by glial cells like in Glutamate

Dopamine Receptors

  • G protein coupled receptors
  • allow in ALL cations?

4 Dopamine Pathways

Nigro-Striatum DA Pathway

  • substantia nigra (midbrain) --> striatum (caudate + Putamen)
    --> remember striatum as mix of a STRAIGHT CAUTIOUS DATER + PutaMEN
    --> Striatum = Caudate + Putamen

MesoLimbic DA Pathway

  • VTA = Ventral Tegmental Area (midbrain) --> Nucleus Accumbens (also to other limbic structures)
    --> remember "V-TA DA-NA" song makes DANA very positive, happy and hallucinate

MesoCortical DA Pathway

  • VTA = Ventral Tegmental Area (midbrain) --> Frontal cortex (mainly the prefrontal cortex)

Tuberoinfundibular --> Prolactin DA Pathway

  • Infundibulum (= pituitary stalk of hypothalamus) --> anterior pituitary gland (causes release of prolactin)

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Recreational Drugs

Dopamine/Catecholamine Breakdown

  • MAO and COMT
  • think that MAO is a COMMUNIST CAT
    --> MAO is in the mitochondria
    --> COMT is in the cytosol

MAO = Monoamine oxidase

  • MAO breaks down catecholamines (NE mainly) in the mitochondria
  • also breaks down these NTs:
    --> histamine
    --> serotonin
    --> NE
  • MAO inhibitors used to treat depression due to the monoamine theory of depression
    --> note MAO inhibitors can cause hypertension since they stop NE breakdown in the periphery

MAO A

  • mainly used for 5HT and NE breakdown

MAO B

  • mainly used for Dopamine breakdown

COMT = catechol-o-methyl transferase

  • COMT breaks down catecholamines (NE mainly) in the cytosol

*Serotonin = 5 HT
(5 hydroxytriptamine)

Function/Pathways

  • serotonin mainly controls mood
    --> reason why MDMA = increases mood and openness
  • many other unknown functions

Synthesized

  • made from tryptophan
    --> think of Raph the turkey server
    --> think also of a Rave where people use ecstasy = MDMA that affects serotonin
    --> RAVE = Raphe Nuclei = MDMA serotonin

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Serotonin-Reuptake

  • SIMPLE 2 step process

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#2 - VMAT

  • VMAT = vesicular monoamine transport
  • transports ALL monoamines into vesicles for release

#1 - SERT

  • serotonin transporter
  • transports serotonin directly back into the serotoninergic cell
    --> NO re-uptake intervention by glial cells like in Glutamate

Recreational Drugs

  • increased 5-HT release
    --> MDMA = 3,4-methylenedioxy-methamphetamine = ecstasy
    --> cocaine (dopamine also)
    --> Amphetamines (dopamine also)
  • LSD
    --> 5 HT = serotonin agonist

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Serotonin = think of the turkey server RAPHE (5 HIAA 5s) and the Tyrant DOPES:


"2 Tyrant DOPES at TABLE 4 TRY to TRYP Raphe the TURKEY SERVER while he gives 5 HIAA 5s to each table"


  • 5 HIAA 5s = 5 HIAA = 5 - hydroxyindoleacetic acid


    --> breakdown product of Serotonin


    --> serotonin metabolized in the liver into 5 HIAA normally so would be in the liver


    --> in Carcinoid Syndrome, mets to liver gives 5-HIAA in the urine insteads


  • "TABLE 4 " = tetrahydrobiopterin


    --> needed for both major NT monoamines serotonin and dopamine


    --> deficiency leads to PKU and tryptophan build up

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