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Neurotransmitters

Dr Urfa Zaryab Mir


FCPS Biochemistry , CHPE
Assistant Professor Biochemistry, CKMC
Instructional Objectives
• Introduction and biochemical functions of neurotransmitters
• Synthesis, biochemical effects and clinical significance of
➢ Catecholamines
➢ Histamine
➢ Serotonin
➢ Acetylcholine
➢ GABA
➢ Nitric Oxide
➢ Glutamate
➢ Glycine

Recommended Books

•Fundamentals Of Biochemistry By Dr. U.


Satyanarayana & Dr. U. Chakrapani

•Lippincott Illustrated Book Of Biochemistry -


Good
Neurotransmitters
are chemical signals
(“messages”) from
one neuron (nerve
cell) to the next
target cell
The next target cell
can be another
nerve cell a muscle
cell or a gland

Neurotransmitters transmit one of 3 possible actions in their messages


1) Excitatory : “Excite” the neuron and cause it to “fire off the message,”
meaning, the message continues to be passed along to the next cell e.g.,
glutamate, epinephrine and norepinephrine

2) Inhibitory : Block the chemical message from being passed along any farther
e.g., Gamma-aminobutyric acid (GABA), dopamine, glycine and serotonin

3) Modulatory : Modulatory neurotransmitters influence the effects of other


chemical messengers. They “tweak” or adjust how cells communicate at the
synapse
Catecholamines

•Dopamine, norepinephrine and epinephrine are collectively termed as


catecholamines
•Dopamine and norepinephrine are synthesized in the brain and function as
neurotransmitters
•Epinephrine is synthesized from NE in the adrenal medulla both regulate
carbohydrate and lipid metabolisms
•They ↑ the degradation of TAGs and glycogen, ↑ BP and heart rate
• They prepare the individual for stress / “fight-or-flight” reactions
The metabolic products of these reactions are excreted in the urine
VMA is ↑ in pheochromocytomas, rare tumors of the adrenal gland
characterized by excessive production of catecholamines
Stimulators of dopamine
• Food
• Sex
• Exercise
• Good, uninterrupted sleep
• Leisurely activities like
music, movies or books
• Meditation
• Being out in the sun or in
nature Caffeine
• Alcohol
• Painkillers

Dopamine
Deficiency
Dopamine deficiency is associated with
• Parkinson’s disease
• Huntington’s disease Attention deficit
hyperactivity (ADHD)
• Schizophrenia
• Depression
• Addiction

Parkinson's Disease

● Mostly caused by ↓ production of


dopamine due to degeneration of
substantia nigra and locus
coeruleus
● Treatment : Dopamine cannot
enter the brain, hence levodopa /
L-dopa is used in the treatment
● In the brain, L- DOPA is →
dopamine which reduces the sign
and symptom of disease
Serotonin

● 1% of tryptophan → serotonin PLP


● Synthesis occurs in the target tissues
(brain and argentaffin cells of GIT)
Functions of serotonin
● Neurotransmitter that regulates
cerebral activity e.g., behavior, mood,
sleep, BP and body temperature (its ↓
causes depression)
● Vasoconstriction and smooth muscle
contraction in bronchioles and
arterioles
● ↑ release of peptide hormones from
GIT and ↑ peristalsis
Its Synthesis and secretion from
pineal gland is controlled by light
Degradation of 5HT / Serotonin
Selective serotonin reuptake inhibitors
(SSRI) are the drugs that maintain serotonin
levels in brain, thereby used as
antidepressants
Malignant Carcinoid Syndrome

•Un-controlled growth of argentaffin


cells is called malignant carcinoid /
argentaffinomas

•Symptoms are respiratory distress,


sweating, hypertension etc
Histamine

•A powerful vasodilator that mediates


allergic and gastric acid secretion
•Regulates body functions including
wakefulness, feeding behavior and
motivation
•Secreted by mast cells as a result of
allergic reactions / trauma and plays a
role in asthma, bronchospasm mucosal
edema and multiple sclerosis

Anti-histaminics are
therapeutically used
to treat allergies and
gastric ulcer disease
Acetylcholine
This excitatory neurotransmitter does a
number of functions in CNS and in PNS
Released by most neurons in the autonomic
nervous system regulating heart rate, blood
pressure and gut motility
Plays a role in muscle contractions,
memory, motivation, sexual desire, sleep
and learning
Imbalances in acetylcholine levels are
linked with Alzheimer’s disease,
depression, psychosis, seizures and muscle
spasms

Choline acetyltransferase is markedly deficient


in patients of Alzheimer's disease
Glutamate
Most common excitatory neurotransmitter of brain
Plays key role in cognitive functions like thinking, learning
and memory
Imbalances in glutamate levels are associated
with Alzheimer’s disease, dementia, Parkinson’s
disease and seizures

Gamma-aminobutryic acid
(GABA)
most common inhibitory
neurotransmitter particularly
of brain
Regulates brain activity to
prevent problems in the
areas of anxiety, irritability,
concentration, sleep, seizures
and depression
Glycine. Glycine is the most common inhibitory
neurotransmitter in your spinal cord
Involved in controlling hearing processing, pain
transmission and metabolism

Serotonin and Drugs of Abuse


THANK YOU

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