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Catecholamines Stored in vesicles Release tightly controlled Presynaptic receptors Activators include NE (2), DA (D2), Ach, prostaglandins, other amines, glutamate and/or endorphins Autoreceptors important target for antidepressant drugs eg mirtazapine Amphetamines can stimulate release of stored catecholamines Behavioural activation Vesicular Packaging Vesicular monoamine transporter (VMAT) VMAT1 found in adrenal medulla VMAT2 found in brain Both blocked by reserpine Elevated intracellular breakdown of DA and NEebox Low levels in brain Sedation in animals, depressive symptoms in humans Reserpine 5mg kg-1 Plus DOPA 200mg kg-1 (Carlssen et al 1957) MAO Mono amine oxidase; COMT catechol-O-methyltransferase MOA inhibitors Eg Phenelzine, tranylcypromine COMT inhibitors Entacapone Tolcapone DAT; 5-HTT (or SERT), NAT, NET Transport blocking drugs: Cocaine - DA, - NE, - 5HTT Reboxetine -NE; tricyclic antidepressants –NE, -5HTT Post Synaptic Catecholamine Receptors Class 2; Metabotropic; GPCR Open ion channels and/or influence metabolism by 2nd messenger system Receptors may down-regulate in presence of antidepressant drugs which inhibit re-uptake (eg maprotilene, bupropion) Receptor types: Dopamine Dopamine 5 subtypes D1 – D5 D1, D5 similar D2, D3, D4 separate family D1 and D2 most common Found in: striatum (basal ganglia) and nucleus accumbens (limbic) D1, D2 have opposite effects: activate different G proteins (Gs, Gi) Also, D2 activates G protein that opens K+ gates Dopamine Pathways I NIGROSTRIATAL DA PATHWAY substantia nigra (mesencephalon) basal ganglia Role in movement control Parkinsonism Antipsychoticinduced extrapyramidal side effects Dopamine Pathways II Midbrain (VTA10) near substantia nigra MESOCORTICAL MESOLIMBIC cerebral cortex (esp. frontal cortex) limbic system (esp. limbic cortex, nucleus accumbens, amygdala, hippocampus Underlies reward system Noradrenaline Receptor Types Norepinephrine (and epinephrine) exert effects via two primary types: , adrenoreceptors each has two subtypes 1, 2; 1, 2 1, 2 similar to DA D1 receptor effect 2 similar to DA D2 receptor effect (commonly an autoreceptor) 1 operates through phosphoinositide 2nd messenger system Ca2+ influx within postsynaptic cell (Gq) The Locus Coeruleus LC and Vigilance Aston Jones 1985 Effect of 1 and adrenergic agonists injected into the rat medial septum on time spent awake Berridge et al 2003) LC 2 receptor: effect blocked by 2 antagonist (eg yohimbine) and mimicked when 2 agonist (eg clonidine) replaces NE (Wellman et al 1992) Serotinin: 5-hydroxytryptamine (5-HT) “Serotonergic neurones” Same VMAT2 VMAT2 blocker reserpine depletes 5HT Serotonergic autoreceptors Somatodendritic 5-HT1A Terminal autoreceptors 5HT1B or 5-HT1D More similarities…….. Release directly stimulated by amphetamine-type drugs Para-chloramphetamine fenfluoramine 3,4-methylenedioxymethamphetamine (MDMA – ecstasy) 5-HT uptake also similar 5-HT transporter Key site of drug uptake eg Fluoxetine (Prozac) Antidepressant Selective serotonin reuptake inhibitors (SSRIs) nb MDMA and cocaine interact with 5-HTT, but not selective (also influence DA transporter) Catabolism DA, NE metabolised by MAO and COMT 5-HT not a catecholamine, therefore COMT not effective MAO + 5-HT 5-hydroxyindoleacetic acid (5-HIAA) Brain or CSF 5-HIAA used as a measure of serotonergic activity “B” 1-8: The Raphe Nuclei – in midbrain and pons Major source of seroternergic fibres: B7 Dorsal Raphe; B8 median Raphe To: all forebrain: neocortex, striatum, nucleus accumbens, thalamus, hypothalmus, and limbic structures – hippocampus, amygdala, septal area 5-HT receptors: horrible! 15 subtypes, so far Including: 5-HT1 large family: 5-HT1A, 5-HT1B……etc Smaller 5-HT2 family 5-HT2A, 5-HT2B……etc : Plus 5-HT3, 5-HT4, 5HT5, 5-HT6, 5-HT7 All metabotropic (class II), except 5-HT3 – excitatory ionotropic receptor 5-HT1A Receptor: hippocampus, septum, amygdala, raphe nuclei (Gi) inhibits adenylate cyclase (cAMP Opens K+ channels Receptor agonists Buspirone, ipasapirone, 8-hydroxy-2-(di-npropylamino) tetralin (8-OH-DPAT) Hyperphagia (5-HT tends to reduce appetite) Reduced anxiety Hypothermia Inhibits motivation to drink alcohol 5-HT2A Receptor: large numbers in cerebral cortex, also striatum, nucleus accumbens (Gq) activates phosphoinositide 2nd messenger system Agonists 1-(2,5 dimethoxy-4-iodophenyl)-2-aminopropane (DOI) Hallucinogenic (cf Lysergic acid diethylamide; LSD) Head twitch response in rats/mice Measure of 5-HT2A receptor stimulation Antagonists: ketanserin, ritanserin Acetyl Choline HC-3 hemicholinium AChE blocked by (eg) Physostigmine, Neostigmine Insecticides (malathion) Nerve gas (sarin, soman) Ach central pathways Note: basal forebrain cholinergic system (BFCS) Ach Receptors Two families Nicotinic Ionotropic, 5 subunits, Muscarinic Metabotropic M1 – M5 Agonists: (parasympathomimetic) eg pilocarpine Antagonists: (parasympatholytic) eg atropine, scopolamine Glutamate: excitatory amino acid Glutamate receptors (and kainate) MGluR1- MGluR8 Phencyclidine, ketamine Roles AMPA (selective agonist: amino 3 hydroxy 5 methyl 4 isoxazole proprionic acid) – rapid excitation NMDA (N-methyl-D-aspartate) Learning, memory, cognitive ability MGluR1 Normal locomotor activity, motor co-ordination, learning Normal cerebellum control of motor function High levels of glutamate are neurotoxic Depolarisation-induced excitotoxicity Gamma Amino Butyric Acid GABA Receptors GABAA Ionotropic: opens chloride channels Classic agonist = muscimol Macroscopia Hyperthermia Pupil dilation Elevation of mood Difficulties with concentration Anorexia Catalepsy, hallucinations GABAA Antagonist Bicuculline – best known competitive antagonist Convulsant Pentylenetetrazol, picrotoxin Non competitive convulsants GABAA sensitivity to CNS depressant drugs Benzodiazepines (BDZs), barbiturates, Potentiates the action of GABA on GABAA Receptors on GABAA for other ligands Eg BDZ (diazepam = valium) “sensitises” the receptor to GABA BDZs cannot activate the GABAA receptor on their own No effect in the absence of GABA GABAB Metabotropic receptor Inhibition of cAMP K+ opening GABAB agonists/antagonists have no effect on GABAA GABAB activated by selective agonist baclofen (Lioresal) Muscle relaxant, anti-spastic agent