NEUROCHEMICAL EFFECTS OF STIMULANTS: Relation to their motor effects DA terminal Synaptic cleft .. .. .... . Amphetamines and Ritalin stimulate Release of monamines Including DA Postsynaptic cell DA terminal Synaptic cleft . .. Inactivation: Transmitter is transported back into presynaptic terminal by protein transporter (i.e., uptake or “reuptake”). Amphetamines, Ritalin, Cocaine all block CA uptake, including DA Postsynaptic cell DA terminal Synaptic cleft . . . . . . . Postsynaptic Action. transmitter binds to postsynaptic receptors; apomorphine is a DA agonist that binds to DA receptors . DA Receptor proteins Postsynaptic cell . DA terminal Synaptic cleft .. . Postsynaptic Action. apomorphine is a DA agonist that also induces the same signal transduction effects as DA Physiological and biochemical effects (EPSPs or IPSPs) Postsynaptic cell Brain Anatomy: DA Cingulate cortex Caudate/ Putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus hypothalamus Locus ceruleus Raphe Substantia Nigra Ventral (SNc) Tegmental Area (VTA) cerebellum Dopamine (DA) neuron axons Cell body (point of origin) Presynaptic DA terminals: Amphetamines, cocaine, Ritalin Act Here DA terminals Postsynaptic cells with DA receptors: Apomorphine acts Here Dopamine (DA) neuron axons Cell body (point of origin) DA terminals Postsynaptic cells with DA receptors 6-OHDA kills DA terminals, but not the postsynaptic cells, so it destroys the substrate of action for amphetamine, cocaine & ritalin, but not apomorphine. Dopamine (DA) neuron Cell body (point of origin) Postsynaptic cells with DA receptors After DA depletion, postsynaptic cells make more DA receptors (i.e., receptor supersensitivity) Rotation Model Nucleus accumbens Caudate/putamen (neostriatum or “striatum”) SNc (substantia nigra pars compacta) VTA (ventral tegmental area) Rotation Model Nucleus accumbens Caudate/putamen (neostriatum or “striatum”) Unilateral DA Depletion (inject 6-OHDA) SNc (substantia Nigra pars compacta) VTA (ventral tegmental area) Rotation Model Nucleus accumbens In which direction do the rats rotate? Caudate/putamen (neostriatum or “striatum”) Unilateral DA Depletion (inject 6-OHDA) SNc (substantia Nigra pars compacta) VTA (ventral tegmental area) Amphetamine-induced Rotation Nucleus accumbens Caudate/putamen (neostriatum or “striatum”) AmphetamineRats rotate towards the DA depletion. SNc (substantia Nigra pars compacta) VTA (ventral tegmental area) Unilateral DA Depletion (inject 6-OHDA) Apomorphine-induced Rotation Nucleus accumbens Caudate/putamen (neostriatum or “striatum”) ApomorphineRats rotate away from the DA depletion. SNc (substantia Nigra pars compacta) VTA (ventral tegmental area) Unilateral DA Depletion (inject 6-OHDA) Brain Anatomy: ACh Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus hypothalamus Locus ceruleus Raphe Substantia nigra Ventral Tegmental area cerebellum Brain Anatomy: Adenosine A2A receptors Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus pons hypothalamus Locus ceruleus Raphe Substantia nigra Ventral Tegmental area cerebellum medulla Schizophrenia Pictures by Louis Wain (1860-1939) Schizophrenics show lower prefrontal cortex activity at rest Schizophrenics show lower task-stimulated prefrontal cortex activity NEUROCHEMICAL EFFECTS OF ANTIPSYCHOTIC DRUGS: Antipsychotic drugs are DA antagonists DA terminal Synaptic cleft .. . Postsynaptic Action: Antipsychotic drugs act As DA antagonists; they bind to DA receptors, and have no signal transduction effects. Physiological and biochemical effects (EPSPs or IPSPs) Postsynaptic cell Antipsychotic drugs- correlation between clinical potency and binding affinity for DA receptors Across a large number of antipsychotic drugs, the clinical potency (i.e., the dose needed to obtain a clinical effect) is highly related to the affinity for DA receptors (i.e., the Kd value). Radioactive ligand for D2 receptors binds in the brain CONTROL ANTIPSYCHOTIC DOSE OF HALOPERIDOL Haloperidol occupies DA receptors, reduces binding of radioactive ligand PET IMAGES: D2 RECEPTOR BINDING Clozapine occupies 5-HT as well as DA receptors ANTIPSYCHOTIC CONTROL DOSE OF HALOPERIDOL ANTIPSYCHOTIC DOSE OF CLOZAPINE NEUROCHEMICAL EFFECTS OF ANTIDEPRESSANT DRUGS: Antidepressant drugs generally interfere with the inactivation of monamines by: 1. Blocking the enzyme MAO, or 2. Blocking monoamine uptake Brain Anatomy Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus pons hypothalamus Locus ceruleus Raphe Substantia nigra Ventral Tegmental area cerebellum medulla MA terminal Synaptic cleft MAO . . Inactivation: Transmitter is broken down (i.e. “metabolized”) by enzymes. Many antidepressant drugs block the enzyme MAO. Postsynaptic cell MA terminal Synaptic cleft . .. Inactivation: Transmitter is transported back into presynaptic terminal by protein transporter (i.e., uptake or “reuptake”). Several antidepressants block the uptake of monoamines. Postsynaptic cell NEUROCHEMICAL EFFECTS OF DRUGS USED TO TREAT ANXIETY: Benzodiazepines such as Valium and Xanax facilitate GABA-mediated inhibition. Test Used to Assess Benzodiazepines in Rats: The Elevated Plus Maze Brain Anatomy: Amygdala Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens AMYGDALA Basal forebrain thalamus pons hypothalamus cerebellum Locus coeruleus Raphe Substantia nigra Ventral Tegmental area medulla LIGAND BINDING TO A RECEPTOR inside outside WHEN GABA IS BOUND TO IT SITE ON THE GABAA RECEPTOR, IT CAUSES THE CHLORIDE CHANNEL TO OPEN, ALLOWING Cl- IONS TO ENTER THE CELL, AND THUS INHIBITING THE CELL RECEPTOR + V Signal transduction Mechanism: Cl- Channel GABA GABA BINDING SITE membrane LIGAND BINDING TO A RECEPTOR inside RECEPTOR outside WHEN A BENZODIAZEPINE IS BOUND TO ITS BINDING SITE ON THE GABAA RECEPTOR, IT CAUSES THE GABA SITE TO HAVE A HIGHER AFFINITY FOR GABA; THIS ENHANCES GABA-MEDIATED INHIBITION + BENZODIAZEPINE (e.g. Valium) V Signal transduction Mechanism: Cl- Channel GABA GABA BINDING SITE BENZODIAZEPINE BINDING SITE membrane LIGAND BINDING TO A RECEPTOR inside outside RECEPTOR + V Signal transduction Mechanism: Cl- Channel GABA WHEN A BENZODIAZEPINE INVERSE AGONIST IS BOUND TO ITS BINDING SITE ON THE GABAA RECEPTOR, IT CAUSES THE GABA SITE TO HAVE A LOWER AFFINITY FOR GABA; THIS REDUCES GABA-MEDIATED INHIBITION BENZODIAZEPINE INVERSE AGONIST (e.g. FG7142) GABA BINDING SITE BENZODIAZEPINE BINDING SITE membrane NEUROCHEMICAL EFFECTS OF DRUGS USED TO TREAT ADHD: Stimulant drugs stimulate release or block uptake of catecholamines. DA terminal Synaptic cleft .. .. .... . Amphetamines and Ritalin stimulate release of monamines including DA Postsynaptic cell NEUROCHEMICAL EFFECTS OF DRUGS USED TO TREAT ALHEMER’S DISEASE: Most of the currently available drugs stimulate acetylcholine transmission, typically by blocking acetylcholesterase (the enzyme that breaks down acetylcholine). ACH terminal Synaptic cleft ACHesterase . . Inactivation: Transmitter is broken down (i.e. “metabolized”) by enzymes. Many drugs used to treat Alzheimer’s disease block the enzyme acetylcholinesterase. Postsynaptic cell NEUROCHEMICAL EFFECTS OF VARIOUS DRUGS OF ABUSE: Drugs of abuse have many distinct neurochemical actions. nerve terminal . Synaptic cleft Nicotinic receptors . . Transmitter release can be modulated by presynaptic receptors. Some of these presynaptic receptors are nicotinic ACH. ACH increases release of other transmitters by acting on these receptors. Nicotine mimics the actions of ACH, and stimulates release. Nicotine also has postsynaptic actions. Postsynaptic cell Caffeine and other methylxanthines • • • • bombilla Caffeine Theophylline Theobromine From coffee, tea, sodas, yerba mate • Act as adenosine antagonists Yerba mate gourd from Argentina nerve terminal . Synaptic cleft Adenosine receptors Transmitter release can be modulated by presynaptic receptors. Some of these presynaptic receptors are adenosine receptors. Adenosine decreases release of other transmitters by acting on these receptors. Caffeine and other methylxanthines block the actions of adenosine, and thus they stimulate release. . . Postsynaptic cell nerve terminal Synaptic cleft .. . Postsynaptic action: caffeine and similar compounds also act postsynaptically as adenosine antagonists. Selective adenosine A2A antagonists also have stimulant effects, and are being studied as possible antiparkinsonian drugs. Physiological and biochemical effects (EPSPs or IPSPs) Postsynaptic cell Adenosine Receptors ETHANOL MOLECULE Lipophilic/Hydrophobic H H H C C H H O CH3CH2OH H Lipophobic/ Hydrophilic Endogenous Cannabinoids & CB1 Agonists Synaptic cleft THC and synthetic CB1 agonists act on pre and postsynaptic CB1 receptors. . . . . Presynaptic CB1 stimulation . decreases . . release . . . . . CB1 Receptor proteins Postsynaptic cell . Endogenous Opiate terminal Synaptic cleft . . . . . . Postsynaptic Action. transmitter binds to postsynaptic receptors; morphine, codeine, heroin and synthetic opiates are agonists at these receptors . . Opiate Receptor proteins Postsynaptic cell . Glutamate terminal Synaptic cleft .. . Postsynaptic Action: Dissociative anesthetics Such as PCP and ketamine are NMDA receptor antagonists; they bind to NMDA receptors, and have no signal transduction effects, blocking the effects of the transmitter. NMDA receptor proteins Postsynaptic cell SOURCES OF HALLUCINOGENS Peyote Cactus Ayahuasaca Psilocybe Mushroom Atropa Belladona Brain Anatomy: Serotonin (5-HT) Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus hypothalamus Locus ceruleus Raphe Substantia nigra Ventral Tegmental area cerebellum Brain Anatomy: DA Cingulate cortex Caudate/ putamen neocortex Prefrontal cortex hippocampus Nucleus accumbens amygdala Basal forebrain thalamus hypothalamus Locus ceruleus Raphe Substantia Nigra Ventral (SNc) Tegmental Area (VTA) cerebellum “LIKING” Hedonic Reaction to Drug i.e., pleasure, “high” vs. “WANTING” Intake; Tendency to Consume; Propensity to obtain i.e., reinforcer seeking, effort in working for drug Opponent Process Model