Serotonin is also known as 5-Hydroxytryptamine. It is synthesized, stored, released, metabolized, and acts by binding to receptors in the body. Serotonin is involved in various physiological processes like vasoconstriction and vasodilation of blood vessels, smooth muscle contraction, intestinal peristalsis, and regulation of mood and sleep. Abnormal levels of serotonin are implicated in several disorders like migraine, nausea and vomiting, and hypertension.
Serotonin is also known as 5-Hydroxytryptamine. It is synthesized, stored, released, metabolized, and acts by binding to receptors in the body. Serotonin is involved in various physiological processes like vasoconstriction and vasodilation of blood vessels, smooth muscle contraction, intestinal peristalsis, and regulation of mood and sleep. Abnormal levels of serotonin are implicated in several disorders like migraine, nausea and vomiting, and hypertension.
Serotonin is also known as 5-Hydroxytryptamine. It is synthesized, stored, released, metabolized, and acts by binding to receptors in the body. Serotonin is involved in various physiological processes like vasoconstriction and vasodilation of blood vessels, smooth muscle contraction, intestinal peristalsis, and regulation of mood and sleep. Abnormal levels of serotonin are implicated in several disorders like migraine, nausea and vomiting, and hypertension.
Serotonin is also known as 5-Hydroxytryptamine. It is synthesized, stored, released, metabolized, and acts by binding to receptors in the body. Serotonin is involved in various physiological processes like vasoconstriction and vasodilation of blood vessels, smooth muscle contraction, intestinal peristalsis, and regulation of mood and sleep. Abnormal levels of serotonin are implicated in several disorders like migraine, nausea and vomiting, and hypertension.
• 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