1. Inhibitory Neurotransmitters Most common in CNS are gaba (γ- aminobutyric acid) and glycine

3. Glycine Made from serine Used in spinal cord neurons at about 50% of inhibitory synapses The other 50% use gaba

4. Strychnine Rat poison that blocks inhibitory neurotransmitter and cause excitation in CNS Blocks glycine receptor that leads to membrane depolarizations and over activity and death due to seizures

5. Gaba Most frequently used inhibitory NT in brain & spinal cord. 1/3 of synapses use gaba Precursors are glucose, pyruvate and glutamine GAD= glutamic acid decarboxylase converts glutamine to gaba Requires vitamin B6 derivative for GAD activity, so B6 deficiency can cause gaba deficiency Noted when infant formula lacked B6=fatal seizures

6. Re-Uptake Mechanisms Specific Transport proteins on presynaptic membrane to reuptake intact NT Re-uptake into glial cell Diffusion Degradation by enzymes and re-uptake of metabolite

7. Gaba Removal High affinity gaba transporters Degradative enzymes are mitochondrial

8. Multiple Isoforms Each subunit can be encoded by any one of several gene or mRNA products to make 3 subtypes of receptors A and C are ionchannels, B is a metabotropic receptor –GABA receptor 6 alpha subunit isoforms 3 beta subunit isoforms 2 gamma subunit isoforms

10. From webvisionmed.utah The GABA a and c receptor are members of the ligand-gated channel superfamily. By analogy to the well studied nicotinic acytocholine receptors, GABAc receptors are thought to exhibit the structure shown schematically in Fig. 2. These receptors are pentomers, i.e. five subunits constitute the functional channel (Amin and Weiss, 1996). The receptors have a long extracellular domain containing ligand binding sites and several modulatory sites. In the middle of the receptor, GABA gates an ionic channel. Binding of GABA to the receptor induces a conformational change in receptor structure which leads to the opening of the channel.

11. Neurotransmitter Receptors 100s NTs and 1000s or more NTRs Receptors w/o NTs

12. Multiple Receptors for 1 NT How are they identified & classified How is this information used clinically?

13. Survey of NT Receptors

14. Figure 6-7:The neuropharmacology of cholinergic synaptic transmission

15. Ligand From Latin means to bind (ligare) Any substance that binds a receptor or ion channel –Neurotransmitters –Plant & animal toxins –Chemically synthesized compound

16. MAchR Atropine, derived from belladona flower –Antagonizes mAChR –Ach effect on pupil of the eye is to constrict –Form of atropine is used in dilatory eye drops by opthamologists

19. Basic Structure of NT gated ion channel 100 nm long-barely extends the width of pm Subunits arranged to form a barrel with interior pore through pm All subunits have common domains named M1-M4 that are transmembrane M1-4 form hyophobic alpha helices Most are composed of 4-5 subunits

20. Drugs that bind GABAa Receptors Barbituate –Phenobarbital = anesthetic Benzodiazapines = tranquilizers –valium Binds GABAa subtype with gamma subunit

21. Effect of Drugs on GABA channels In the absence of GABA, drugs have no effect In the presence of GABA, drugs can – Increase frequency of opening/benzodiazepines –Increase duration of opening/barbituates

22. Pharmacology of VALIUM Valium=benzodiazapines bind to gaba gated chloride channel Cause the channel to stay open longer==less brain activity=calmer state of mind Used as anti-convulsant drugs

23. Edvard Munch, the scream Fear and Anxiety and Gaba A modulators Anxiolytic drugs- Librium valium

24. Thebrainmcgill.ca Synapses-Gaba Anxiety Receptor By binding Benzodiazepine Back Three types Metabotropic vs ionotropic Back to anxiety NT Not the only Raphe Hormonal brain

25. Neuromodulation Metabotropic Ion Channels Neurotransmitters bind Receptors that are not ion channels

26. Neuromodulation Neurotransmitter binding and ion flux are provided by two or more individual molecules. Allows for many effects of NT on post- synaptic cell Can regulate several channels, metabolic enzymes and gene expression Stimulates or inhibits second messengers

27. Effect of Second Messenger May directly bind ion channel and regulates its opening or closing Can activate enzyme s.a. cyclic AMP dependent PKA that phosphorylates ion channel to open or close it

28. Effect of Symp & Parasym on Cardiac Muscle Parasympathetic presynaptic nerve ending release Ach and slows heart rate Sympathetic presynaptic nerve ending release NE and increase heart rate BOTH WORK THROUGH NEUROMUDULATION USING G PROTEINS.

29. Parasympathetic Cardiac Neuromodulation Ach binds muscarinic Ach Receptor that inhibits cardiac muscle excitation Ach binds receptor and the G protein alpha subunit binds a potassium channel The K channel opens, hyperpolarizes the cardiac membrane and leads to prolonged relaxation phase of cardiac activity=slows heart rate

31. Sympathetic Cardiac Neuromodulation Ach binds B adrenergic Receptor that strengthen cardiac muscle contractility NE binds B adrenergic receptor and the G protein alpha subunit activates Adenyl cyclase which produces cAMP cAMP activates PKA which phosphorylates voltage gated calcium channel, prolonging its opening time

33. Neuromodulation Effects mediated by second messengers Direct postsynaptic effects last several hundred milliseconds to hours Secondary effects lasts days Postsynaptic electrical responses are weak and slow

35. Second Messengers cAMP cGMP GTP Calcium DAG and IP3 Arachidonic acid May act directly or indirectly on ion channel

36. How do G-proteins Work Can inhibit or activate downstream molecules to increase or decrease levels of second messengers Denoted Gs or Gi

38. G-proteins Link Channel Activity with NT GTP-binding protein cycles between off state (GDP bound) and on state (GTP- bound) NT receptors catalyzes replacement of GDP with GTP. Activated G-protein activates adenylyl cyclase that produces cAMP

39. Short Cut Pathway NT binds receptor that is not an ion channel but is linked to trimeric G protein G protein becomes activated by conformational change transduced from NTR that allows G to bind GTP Dissociates into a and bg subunit components Gb subunit binds directly to ion channel & gates it.

42. Long-Term Effects Ion channel can be regulated by G-protein directly and by second messengers and enzymes s.a. PKA. So the effect of neurotransmitter binding can have prolonged effects on ion channel activity. An activated NT receptor can bind to many G proteins so signal is amplified 700 types of G proteins

43. G Protein Linked to Adenylyl Cyclase Causes formation of cAMP and activation of PKA PKA phosphorylates serine and threonine residues on target proteins

45. Regulation of G protein Some NT bind to both Gi and Gs linked receptors

46. Neuromodulation Allows for amplification of NT signal Allows for long term changes in post synaptic membrane

48. G Proteins linked to Phospholipase Phospholipase cleaves PIP2 in the membrane Generates to metabolic products each are second messengers IP3 and DAG IP3 causes calcium release from intracellular stores DAG activate PKC

52. Nitric Oxide (NO) Made from arginine by NO synthase Chemical exist gas form Released from post-synaptic terminal without vesicles and acts on presynaptic terminal = retrograde communication aka retrograde messenger Lifetime is 5-10 min

53. NO relaxes Blood Vessels NO production is induced by ACh released from parasympathetic nerve endings onto endothelial cells in blood vessels mAchR activation leads to activation of NO synthase & production of NO NO diffuses into underlying smooth muscle cells

54. NO Effect Binds iron co-factor in the active site of guanylyl cyclase –Enzyme that forms cGMP for GTP Leads to increase cGMP cGMP leads to smooth muscle relaxation Increasing diameter of blood vessel and enhances blood flow

55. Viagra inhibits PDE5 Phosphodiesterase degrades cGMP into GMP Viagra inhibits PDE5 isoform expressed primarily in penis End result is prolonged increased levels of cGMP in smooth muscle allows increased blood flow into the cavernous tissue of the penis thereby generating an erection

56. Viagra™ started life as a medicine intended to treat angina pectoris. Alfred Nobel - an explosives manufacturer - suffered from angina. In 1890 he was prescribed nitroglycerine (called trinitrin) to relieve the pain of angina attacks. It is still used today. Over 100 years later, the work of Robert Furchgott, Louis Ignarro and Ferid Murad showed that nitric oxide (NO) was an important signalling molecule in the cardiovascular system. It is released from nerve endings and cells lining the walls of blood vessels. The effect is to make the blood vessel relax, or dilate. It is also involved in the prevention of blood clots. In 1998, they received the Nobel Prize for Physiology. The Nobel prizes were set up by the same Alfred Nobel who had been treated with nitroglycerine

57. Viagra was a failed anti-angina medicine

58. 9 types of PDE PDE5 is expressed in erectile tissue of penis and in the retina

59. Giles Brindley and Drug Therapy for ED Modern drug therapy for ED was advanced enormously in 1983 when British physiologist Giles Brindley, Ph.D. dropped his trousers and demonstrated to a shocked AUA audience his phentolamine-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha- blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered, established the fundamentals for the later development of specific, safe, orally-effective drug therapies, ie, PDE-5 inhibitors. Approved in 1998mechanism of action was clearly corporal smooth muscle relaxation.specific, safe, orally-effective drug therapies, ie, PDE-5 inhibitors.

60. G-Proteins in Photoreception