Neurotransmitter receptors mechanisms

Hammond C. Cellular and Molecular Neurobiology, 2nd edn. London Academic Press, 2001. (Neurotransmitter receptor mechanisms.)... 

NEUROTRANSMITTER RECEPTORS Mechanisms of Action and Regulation Edited by Shozo Kito, Tomio Segawa, Kinya Kuriyama, Henry I. Yamamura, and Richard W. Olsen... 

It is often valuable to classify receptors according to their mechanism of action, because this is intimately related to structure. The neurotransmitter receptors in the brain are of two main types classified according to their structure and mechanism of action ... 

Recent evidence indicates that the 5-HT transporter is subject to post-translational regulatory changes in much the same way as neurotransmitter receptors (Blakeley et al. 1998). Protein kinase A and protein kinase C (PKC), at least, are known to be involved in this process. Phosphorylation of the transporter by PKC reduces the Fmax for 5-HT uptake and leads to sequestration of the transporter into the cell, suggesting that this enzyme has a key role in its intracellular trafficking. Since this phosphorylation is reduced when substrates that are themselves transported across the membrane bind to the transporter (e.g. 5-HT and fi -amphetamine), it seems that the transport of 5-HT is itself linked with the phosphorylation process. Possibly, this process serves as a homeostatic mechanism which ensures that the supply of functional transporters matches the demand for transmitter uptake. By contrast, ligands that are not transported (e.g. cocaine and the selective serotonin reuptake inhibitors (SSRIs)) prevent the inhibition of phosphorylation by transported ligands. Thus, such inhibitors would reduce 5-HT uptake both by their direct inhibition of the transporter and by disinhibition of its phosphorylation (Ramamoorthy and Blakely 1999). 

A person who responds to an unusually low dose of a drug is called h y per reactive. Supersensitivity refers to increased responses to low doses only after denervation of an organ. At least three mechanisms are responsible for supersensitivity (1) increased receptors, (2) reduction in tonic neuronal activity, and (3) decreased neurotransmitter uptake mechanisms. 

G proteins regulate intracellular concentrations of second messengers. G proteins control intracellular cAMP concentrations by mediating the ability of neurotransmitters to activate or inhibit adenylyl cyclase. The mechanism by which neurotransmitters stimulate adenylyl cyclase is well known. Activation of those neurotransmitter receptors that couple to Gs results in the generation of free G(IS subunits, which bind to and thus directly activate adenylyl cyclase. In addition, free Py-subunit complexes activate certain subtypes of adenylyl cyclase (see Ch. 21). A similar mechanism appears to be the case for G(IO f, a type of G protein structurally related to G that is enriched in olfactory epithelium and striatum (Ch. 50). 

The mechanism by which neurotransmitters inhibit adenylyl cyclase and decrease neuronal levels of cAMP has been more difficult to delineate. By analogy with the action of Gs, it was proposed originally that activation of neurotransmitter receptors that couple to G, results in the generation of free Gai subunits, which bind to and,... 

Regulation of neurotransmitter receptors the p-adren-ergic receptor. This receptor, of which three subtypes have been cloned, mediates many of the effects of norepinephrine and epinephrine in the brain and peripheral tissues. One of the dramatic features of P-adrenergic receptor function is its rapid desensitization in response to agonist stimulation. It is now known that one important mechanism for this desensitization is phosphorylation of the receptor both by PKA and by a receptor-associated protein kinase, PARK (also called GRK2 Fig. 23-6). 

Fas ligand and interleukin-ip), the neurotransmitter glutamate and thrombin. Like tumor necrosis factor (TNF) receptors, Fas is coupled to downstream death effector proteins that ultimately induce caspase activation (Ch. 22). Fas and TNF receptors recruit proteins called FADD and TRADD respectively FADD and TRADD then activate caspase-8, which, in turn, activates caspase-3 (Fig. 35-4). Calcium ion influx mediates neuronal apoptosis induced by glutamate receptor activation calcium induces mitochondrial membrane permeability transition pore opening, release of cytochrome c and caspase activation. Interestingly, in the absence of neurotrophic factors some neurotrophic factor receptors can activate apoptotic cascades, the low-affinity NGF receptor being one example of such a death receptor mechanism [23],... 

One theory to explain the ultimate mechanism of delayed therapeutic action of antidepressants is the neurotransmitter receptor hypothesis of antidepressant action (Figs. 6—1 through 6—6). This is a hypothesis related to the neurotransmitter receptor hypothesis of depression discussed in Chapter 5 (Figs. 5—60 through 5—62). As previously discussed, this latter hypothesis proposes that depression itself is linked to abnormal functioning of neurotransmitter receptors. 

In this chapter, we have discussed the mechanisms of action of the major antidepressant drugs. The acute pharmacological actions of these agents on receptors and enzymes have been described, as well as the major hypothesis that attempts to explain how all current antidepressants ultimately work. That hypothesis is known as the neurotransmitter receptor hypothesis of antidepressant action. We have also introduced pharmacokinetic concepts relating to the metabolism of antidepressants and mood stabilizers by the cytochrome P450 enzyme system. 

FIGURE 7—22. The mechanism of action of lithium is not well understood but is hypothesized to involve modifying second messenger systems. One possibility is that lithium alters G proteins and their ability to transduce signals inside the cell once the neurotransmitter receptor is occupied by the neurotransmitter. Another theory is that lithium alters enzymes that interact with the second-messenger system, such as inositol monophosphatase, or others. 

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