Serotonin PPT Notes 2023

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SEROTONIN

• It is also known as 5-Hydroxy Tryptamine/5-HT.


• The name serotonin is because its action was observed in platelets
during blood clotting that constricts blood vessels.
PHARMACOLOGY OF SEROTONIN
Synthesis
Storage
Release
Metabolism
Mechanism of action
Pharmacological actions
Pathophysiological role
Therapeutic uses
SYNTHESIS OF SEROTONIN
STORAGE & RELEASE
Storage: In mast cells, serotonin is stored in granules as an inactive
complex composed of histamine
STORAGE & RELEASE
Release of Serotonin from mast cells
STORAGE & RELEASE
Release of Serotonin from mast cells
METABOLISM OF SEROTONIN
MECHANISM OF ACTION OF SERTONIN
Serotonin released in response to various stimuli exerts its actions
by binding to various types serotonin receptors –
MECHANISM OF ACTION OF SERTONIN
Serotonin released in response to various stimuli exerts its actions
by binding to various types serotonin receptors –
MECHANISM OF ACTION
Receptor Location and function
HT1 HT1A-Brain→CNS depression
HT1B/1D-Cranial blood vessels → Vasoconstriction
HT2 HT2A/2C- Cranial blood vessels → Vasodilation
HT2A- Smooth muscle → Contraction
HT2A- Platelets → Aggregation
HT2A- Brain → Stimulation
HT3 HT3-Chemoreceptor Trigger Zone (CTZ) of brain →
Vomiting
HT3-GIT → Irritation and Peristalisis
HT4 HT4- Intestinal smooth muscle → Stimulates peristalisis
movement
PHARMACOLOGICAL ACTIONS
Blood vessels: 5-HT causes vasocontraction & Vasodilation based
on type of blood vessels.
Larger blood vessels like arteries and veins get constricted due to
contraction of smooth muscle layer present blood vessels.
Smaller blood vessel are relaxed due to release of Nitric oxide
known as EDRF (Endothelium derived Relaxing Factor).
The net effect of Serotonin on blood vessel is vasodilatation.
PHARMACOLOGICAL ACTIONS
CVS: No marked effect on heart. But larger dose of serotonin
causes bradycardia and hypotension.
PHARMACOLOGICAL ACTIONS
Triple response: Serotonin produces characteristic response on
the skin which characterized by following
Flare: Intense red spot
Flush: redness in affected area
Whale: Odema in affected space
PHARMACOLOGICAL ACTIONS
Smooth muscle: By stimulating 5-HT2 receptors , serotonin causes
contraction of smooth muscles. Some important examples are
Bronchio-constriction and asthma
Contracts intestinal smooth muscle and increases peristalic
movements
PHARMACOLOGICAL ACTIONS
Glands:
Serotonin suppress acid and pepsin secretion in the GIT and can
inhibit formation of ulcers.
PHARMACOLOGICAL ACTIONS
Afferent nerves:
5-HT stimulates sensory nerves and increases their sensitization.
Hence, it increases stimulates all sensations like itching, heat, pain
and etc
PHARMACOLOGICAL ACTIONS
CNS:
Serotonin produces wakefulness/alertness.
Hence along with serotonin histamine responsible for the
regulation of day-night cycle.
PHARMACOLOGICAL ACTIONS
Respiration:
Stimulation of respiration.
Platelets:
Serotonin increases activation/aggregation of platelets
Adrenal Medulla:
Stimulates secretion of adrenaline.
PATHOPHYSIOLOGICAL ROLE
Precursor of melatonin
Nausea & Vomiting
Migraine
Haemostasis
Variant angina
Increases intestinal motility
Hypertension
THANK
YOU

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