introduction to cns pharmacology
DESCRIPTION
Introduction to CNS pharmacology. By S.Bohlooli, PhD School of medicine, Ardabil University of Medical Sciences. Ion channels & neurotransmitter receptors. Voltage gated channels Ligand gated channels Ionotropic receptors Metabotropic receptors Membrane delimited - PowerPoint PPT PresentationTRANSCRIPT
Introduction to CNS pharmacology
By S.Bohlooli, PhDSchool of medicine, Ardabil University of Medical Sciences
Ion channels & neurotransmitter receptors Voltage gated channels Ligand gated channels
Ionotropic receptors Metabotropic receptors
Membrane delimited Diffusible second messenger
The synapse & synaptic potentials Excitatory
Excitatory post-synaptic potential (EPSP) Ionotropic receptor
Inhibitory Inhibitory post-synaptic potential (IPSP) Presynaptic inhibition
Channel Types Mode of Toxin Action SourceVoltage-gated
Sodium channels
Tetrodotoxin (TTX) Blocks channel from outside Puffer fish
Batrachotoxin (BTX) Slows inactivation, shifts activation Colombian frog
Potassium channels
Apamin Blocks "small Ca-activated" K channel Honeybee
Charybdotoxin Blocks "big Ca-activated" K channel Scorpion
Calcium channels
Omega conotoxin (-CTX-GVIA) Blocks N-type channel Pacific cone snail
Agatoxin (-AGA-IVA) Blocks P-type channel Funnel web spider
Ligand-gated
Nicotinic ACh receptor
-Bungarotoxin Irreversible antagonist Marine snake
GABAA receptor
Picrotoxin Blocks channel South Pacific plant
Glycine receptor
Strychnine Competitive antagonist Indian plant
AMPA receptor
Philanthotoxin Blocks channel Wasp
Some Toxins Used to Characterize Ion Channels
Identification of central neurotransmitters
More difficult for CNS Anatomic complexity Limitation of available techniques
Criteria for neurotransmitter identification
Localization Microcytochemical immonocytochemical
Release Simulation of Brain slices Calcium dependency of release
Synaptic mimicry Microiontophoresis Physiological view Pharmacological view
Cellular organization of the brain Hierarchical systems
Sensory perception, motor control Phasic information, delineated pathways Two types of neurons
Projection or relay Local circuit neurons
Limited number of transmitters Nonspecific or diffuse neuronal systems
Affecting global function of CNS Small number of neurons, projections to wide
area of CNS
Central neurotransmitters Amino acids
Neutral amino acids Acidic amino acids
Acetylcholine Monoamines
Dopamine Norepinephrine 5-hydroxytryptamine
Peptides Nitric oxide endocananbiniods
Transmitter Anatomy Receptor Subtypes and Preferred Agonists
Receptor Antagonists Mechanisms
Acetylcholine Cell bodies at all levels; long and short connections
Muscarinic (M1): muscarine Pirenzepine, atropine Excitatory: in K+
conductance; IP3, DAG
Muscarinic (M2): muscarine, bethanechol
Atropine, methoctramine Inhibitory: K+ conductance; cAMP
Motoneuron-Renshaw cell synapse
Nicotinic: nicotine Dihydro--erythroidine, -bungarotoxin
Excitatory: cation conductance
Dopamine Cell bodies at all levels; short, medium, and long connections
D1 Phenothiazines Inhibitory (?): cAMP
D2: bromocriptine Phenothiazines, butyrophenones
Inhibitory (presynaptic): Ca2+; Inhibitory (postsynaptic): in K+
conductance, cAMP
GABA Supraspinal and spinal interneurons involved in pre- and postsynaptic inhibition
GABAA: muscimol Bicuculline, picrotoxin Inhibitory: Cl–conductance
GABAB: baclofen 2-OH saclofen Inhibitory (presynaptic): Ca2+ conductance; Inhibitory (postsynaptic): K+ conductance
Summary of Neurotransmitter Pharmacology in the Central Nervous System
Summary of Neurotransmitter Pharmacology in the Central Nervous System
Transmitter Anatomy Receptor Subtypes and Preferred Agonists
Receptor Antagonists Mechanisms
Glutamate Relay neurons at all levels and some interneurons
N-Methyl-D-aspartate (NMDA): NMDA
2-Amino-5-phosphonovalerate, dizocilpine
Excitatory: cation conductance, particularly Ca2+
AMPA: AMPA CNQX Excitatory: cation conductance
Kainate: kainic acid, domoic acid
Metabotropic: ACPD, quisqualate
MCPG Inhibitory (presynaptic): Ca2+ conductance cAMP; Excitatory: K+ conductance, IP3, DAG
Glycine Spinal interneurons and some brain stem interneurons
Taurine, -alanine Strychnine Inhibitory: Cl–conductance
5-Hydroxytryptamine (serotonin)
Cell bodies in midbrain and pons project to all levels
5-HT1A: LSD Metergoline, spiperone Inhibitory: K+ conductance, cAMP
5-HT2A: LSD Ketanserin Excitatory: K+ conductance, IP3, DAG
5-HT3: 2-methyl-5-HT Ondansetron Excitatory: cation conductance
5-HT4 Excitatory: K+ conductance
Summary of Neurotransmitter Pharmacology in the Central Nervous System
Transmitter Anatomy Receptor Subtypes and Preferred Agonists
Receptor Antagonists Mechanisms
Norepinephrine Cell bodies in pons and brain stem project to all levels
1: phenylephrine Prazosin Excitatory: K+ conductance, IP3, DAG
2: clonidine Yohimbine Inhibitory (presynaptic): Ca2+ conductance; Inhibitory: K+ conductance, cAMP
1: isoproterenol, dobutamine
Atenolol, practolol Excitatory: K+ conductance, cAMP
2: albuterol Butoxamine Inhibitory: may involve in electrogenic sodium pump; cAMP
Histamine Cells in ventral posterior hypothalamus
H1: 2(m-fluorophenyl)-histamine
Mepyramine Excitatory: K+ conductance, IP3, DAG
H2: dimaprit Ranitidine Excitatory: K+ conductance, cAMP
H3: R--methyl-histamine Thioperamide Inhibitory autoreceptors
Summary of Neurotransmitter Pharmacology in the Central Nervous System
Transmitter Anatomy Receptor Subtypes and Preferred Agonists
Receptor Antagonists Mechanisms
Opioid peptides Cell bodies at all levels; long and short connections
Mu: bendorphin Naloxone Inhibitory (presynaptic): Ca2+ conductance, cAMP
Delta: enkephalin Naloxone Inhibitory (postsynaptic): K+ conductance, cAMP
Kappa: dynorphin Naloxone
Tachykinins Primary sensory neurons, cell bodies at all levels; long and short connections
NK1: Substance P methylester, aprepitant
Aprepitant Excitatory: K+ conductance, IP3, DAG
NK2
NK3
Endocannabinoids Widely distributed CB1: Anandamide, 2-arachidonyglycerol
Rimonabant Inhibitory (presynaptic): Ca2+ conductance, cAMP