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Indoleamines. Lisham Ashrafioun Michele San George. Melatonin. vivo.colostate.edu. Melatonin. Receptors (ML1A) CNS locations SCN (biological clock) Anterior pituitary (seasonal breeding) PNS locations Retina - circadian and reproductive responses
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Indoleamines Lisham Ashrafioun Michele San George
Melatonin vivo.colostate.edu
Melatonin • Receptors (ML1A) • CNS locations • SCN (biological clock) • Anterior pituitary (seasonal breeding) • PNS locations • Retina - circadian and reproductive responses • Cardiovascular system - caudal artery that potentiates NE-induced contraction • Reproductive system – ovaries • Immune system – T cells • Kidneys – Na retention • GI Tract – relaxes smooth muscles (melatonin-5-HT feedback)
Serotonin 5-Hydroxytryptamine (5-HT)
Synthesis Tryptophan Tryptophan 5-Hydroxytrophan (5-HTP) Hydroxylase Amino Acid 5-Hydroxytryptamine (5-HT) Decarboxylase
Metabolism Monoamine 5-HT 5-HIAA Oxidase 5-HIAA: 5-Hydroxy indole amine acid
Distribution(PNS) • Majority released from gut • Responsible for smooth muscle contractions • Release stimulated by food intake • Inhibits release of gastric acid • Softens stool • Cardiovascular system – vasoconstrictor/vasodilator of vessels • Bonchioconstriction • Uterine contractions
Distribution: rodent (Cooper, Bloom, Roth, 2003)
receptor 5HT1 5HT2 5HT3 5HT4 5ht5 5ht6 5HT7 subtype 5HT1A, 5HT1B, 5HT1D, 5ht1E, 5HT1F 5HT2A, 5HT2B, 5HT2C 5HT3A, 5HT3B 5ht1A, 5ht1B major signaling pathway cAMP↓ IP3 ion channel cAMP cAMP? cAMP cAMP 5HT Receptors
4 Families of Receptors • Channel linked (Ionotropic) • G-protein coupled (Metabotropic) • Kinase- linked (enzymatic) • Intracellular (gene transcription)
The Major G Proteins • GsStimulatory- Activates Ca channels, activates adenylyl cyclase • GiInhibitory- Activates K channels, inhibits adenylyl cyclase • Gq– Activates phospholipase C • Go - Inhibits Ca channels • G12/13 – Diverse ion transporter interactions
Second Messengers- Adenylyl Cyclase http://www.endocrinesurgeon.co.uk
Second Messenger- Phospholipase C http://www.endocrinesurgeon.co.uk
5HT1A receptor CNSforum.com
Depression Anxiety Social phobia Schizophrenia Obsessive-compulsive Panic disorder Migraine Hypertension Pulmonary hypertension Eating disorders Vomiting Irritable bowel syndrome The Swiss army knife of Neurotransmitters
Serotenergic Drugs • 5HT1A Buspirone, ipsapirone treat anxiety, depression (partial agonist) • 5HT1D Sumatriptan, treat migraine (partial agonist) • 5HT2A/2C methysergide, trazodone, risperidone, ketanserin treat migraine, depression, schizophrenia (antagonist)
Drugs continued… • 5HT3 Ondansetron treat chemotherapy- induced emesis (antagonist) • 5HT4 Cisapride treat GI disorders (agonist) • 5HT transporter SSRIs (Fluoxetine, sertraline) treat depression, OCD, panic disorder, social phobia, post traumatic stress disorder (inhibitor)
Antidepressants • Decreased amounts and impaired function of 5-HT associated with aggression, depression and other forms of antisocial behavior • Antidepressants attempt to increase 5-HT levels
Serotonin Syndrome • Toxic, potentially fatal effects • require a combination of serotonergic agents, such as an SSRI with an MAOI. • Symptoms: euphoria, drowsiness, sustained rapid eye movement, overreaction of reflexes, rapid muscle contraction,abnormal movements of the foot, drunk, dizzy feeling,high body temperature, shivering , diarrhea ,loss of consciousness, death
Treatment • suspected agents should be discontinued • OTC drugs containing ingredients known to increase serotonin levels, such as dextromethorphan, pseudoephedrine or phenylpropanolamine, also should be discontinued. • Benzodiazepines for mild to moderate cases • Cyproheptadine, Methysergide, and Propranolol for severe cases
Oh man I just saw God and he was playing a mandolin and he told me to watch Fear and Loathing in Las Vegas while listening to The Doors self-titled album and dude they totally go togetherLSD • Non-selective 5HT agonist/partial agonist • Ergot derivative • Mimics 5HT at 5HT1A autoreceptors on raphe cell bodies, slows firing rate of serotonergic neurons • Current theories focus on glutamate release in thalamocortical terminals, causing dissociation between sensory relay and cortical output
Hallucinogens and drug discrimination trials • Animal model thought to reflect subjective effects • Mediated by activation of 5HT2A receptors • Acts as partial or full agonist at 5HT2A and 5HT2C receptors • Phenethylamine derivatives (psilocybin) are selective 5HT2A/2C agonists
Human Studies • Psilocybin and PET imaging studies- pattern resembles brain activation in schizophrenic patients • Action of psilocybin is blocked by pretreatment with 5HT2A/2C antagonists
Yeah rub Vaseline on my eyelids – 5-HT & MDMA • MDMA causes an increased release of 5-HT and blocks reuptake • High affinity for SERT • Effects fine axons • Responsible for temperature increases