Neurotransmitter synthesis

Numerous processes modulate neurotransmitter synthesis, presynaptic excitabihty, neurotransmitter release, post-synaptic receptors, and post-synaptic excitabihty. 

The term pharmacodynamics encompasses all the processes that influence the relationship between drug concentration and resulting effects. Psychotropic drugs have a wide variety of targets within neuro transmitter systems, including neurotransmitter synthesis, degradation of enzymes, storage, receptors, and specific transporter proteins. 

Manns, I. D., Mainville, L. 8r Jones, B. E. (2001). Evidence for glutamate, in addition to acetylcholine and GABA, neurotransmitter synthesis in basal forebrain neurons projecting to the entorhinal cortex. Neuroscience 107, 249-63. 

Several independent laboratories have now demonstrated that both lithium and valproate (VPA) exert complex, isozyme-specific effects on the PKC (protein kinase C) signaling cascade (reviewed in [3, 5, 11-13]). Not surprisingly, considerable research has recently attempted to identify changes in the activity of transcription factors known to be regulated (at least in part) by the PKC signaling pathway - in particular the activator protein 1 (AP-1) family of transcription factors. In the CNS, the genes that are regulated by AP-1 include those for various neuropeptides, neurotrophins, receptors, transcription factors, enzymes involved in neurotransmitter synthesis, and proteins that bind to cytoskeletal elements [14]. 

The synthesis of 5-HT can increase markedly under conditions requiring more neurotransmitter. Plasticity is an important concept in neurobiology. In general, this refers to the ability of neuronal systems to conform to either short- or long-term demands placed upon their activity or function (see Plasticity in Ch. 53). One of the processes contributing to neuronal plasticity is the ability to increase the rate of neurotransmitter synthesis and release in response to increased neuronal activity. Serotonergic neurons have this capability the synthesis of 5-HT from tryptophan is increased in a frequency-dependent manner in response to electrical stimulation of serotonergic soma [7]. The increase in synthesis results from the enhanced conversion of tryptophan to 5-HTP and is dependent on extracellular calcium ion. It is likely that the increased 5-HT synthesis results in part from alterations in the kinetic properties of tryptophan hydroxylase, perhaps due to calcium-dependent phosphorylation of the enzyme by calmodulin-dependent protein kinase II or cAMP-dependent protein kinase (PKA see Ch. 23). 

Regulation of neurotransmitter synthesis tyrosine hydroxylase. This protein is the rate-limiting enzyme in... 

Recently, it has been appreciated that some of these growth factors serve a much wider role. For example, nerve growth factor has been shown to acutely regulate aspects of neurotransmitter synthesis and release, as well as mediating both synaptic plasticity and the stabilization of synaptic contacts. It is likely that in subsequent years we will discover additional novel actions of these molecules. 

One result of the selective localization of brain enzymes is that astrocytes must provide certain substrates (e.g. glutamine) to neurons for replenishment of the neuronal TCA cycle and for neurotransmitter synthesis [58]. Thus, astrocytes and neurons are essential partners in brain function. See also discussion in Chapter 15. 

Given the high dependency of cerebral energy production and neurotransmitter synthesis on glucose and oxygen, limitations in supply of these substrates results in metabolic encephalopathy. 

Normal biochemical events surrounding the maintenance and functions of the nervous system centers around energy metabolism, biosynthesis of macromolecules, and neurotransmitter synthesis, storage, release, uptake, and degradation. Measurement of these events is complicated by the sequenced nature of the components of the nervous system and the transient and labile nature of the moieties involved. Use of measurements of alterations in these functions as indicators of neurotoxicity is further complicated by our lack of a complete understanding of the normal operation of these systems and by the multitude of day-to-day occurrences (such as diurnal cycle, diet, temperature, age, sex, and endocrine status) which are constantly modulating the baseline system. For detailed discussions of these difficulties, the reader is advised to see Damstra and Bondy (1980, 1982). 

Hormone and neurotransmitter synthesis and catabolism signal transduction cascades. 

Several of the neurotransmitters are small-molecule amines such as dopamine, serotonin, epinephrine, and norepinephrine. These neurotransmitters are synthesized in the cytoplasm of the axon terminal and subsequently transported into and stored within the synaptic vesicles. The amino acids glycine and glutamic acid are normal constituents of proteins and are present in abundance in the axons. These are also stored in synaptic vesicles. Each electrical impulse that arrives at the presynaptic side of a synapse will cause only a small minority of the synaptic vesicles to fuse with the plasma membrane and discharge their contents. The remaining synaptic vesicles remain, waiting for subsequent electrical impulses. At the same time, neurotransmitter synthesis continues, as does their storage in synaptic vesicles. This tends to restore the full complement of amine neurotransmitters at the axon terminal. 

Figure 9.30 Flow diagram of the energy chain from food to essential processes in human life. The ATP utilised by the NayK ATPase maintains the ion distribution in nerves that is essential for electrical activity and, in addition, maintains neurotransmitter synthesis, both of which provide communication in the brain and hence consciousness, learning and behaviour (Chapter 14). ATP utilisation by myosin ATPase is essential for movement and physical activity. ATP utilisation by the flagellum of sperm is essential for reproduction and ATP utilisation for synthesis of macromolecules is essential for growth.

Figure 14.9 Axonal transport of enzymes, neurotransmitter synthesis, storage in vesicles, release and uptake by presynaptic neurone or enzymic degradation. The neurotransmitter in the synaptic cleft may be removed by the presynaptic neurone (i.e. recycling), by the postsynaptic neurone or by glial cells (not shown). Alternatively, the neurotransmitter may be degraded, and therefore inactivated, by enzyme action. For example, acetylcholine is degraded by acetylcholinesterase in the synaptic cleft (Chapter 3). One of the products, choline, is transported back into the neurone to be reacted with acetyl-CoA to re-form acetylcholine. The vesicle, once empty, may also be recycled for re-packaging (Figure 14.8).

It should be possible to treat the disease by increasing the concentration of the neurotransmitter in the synaptic cleft. There are, in principle, three ways in which this could be achieved, (i) Neurotransmitter synthesis could be increased, (ii) The rate of exocytosis could be increased, (iii) Removal of neurotransmitter from the synapse could be inhibited. Drugs that affect process (iii) have been developed. The tricyclic antidepressants and the specific serotonin (5-hydroxytryptamine) reuptake inhibitors (abbreviated to SSRIs) inhibit uptake of the neurotransmitter into the presynaptic on postsynaptic neurone. The most prescribed SSRI is fluoxetine (Prozac). 

Maintaining a proper balance of neurotransmitter synthesis and storage, release to the postsynaptic cleft, reuptake into neuronal vesicles, and metabolism is an... 

FIGURE 1—9- Neurotransmitter synthesis in a neuropeptidergic neuron. Neurotransmitter synthesis occurs only in the cell body because the complex machinery for neuropeptide synthesis is not transported into the axon terminal. Synthesis of a specific neuropeptide begins with the transcription of the pre-propeptide gene in the cell nucleus into primary RNA, which can be rearranged or edited to create different versions of RNA, known as alternative splice variants or pre-propeptide RNA. Next, RNA is translated into a pre-propeptide, which enters the endoplasmic reticulum, where its peptide tail is clipped off by an enzyme called a signal peptidase to form the propeptide, the direct precursor of the neuropeptide neurotransmitter. Finally, the propeptide enters synaptic vesicles, where it is converted into the neuropeptide itself. Synaptic vesicles loaded with neuropeptide neurotransmitters are transported down to the axon terminals, where there is no reuptake pump for neuropeptides. The action of peptides is terminated by catabolic peptidases, which cut the peptide neurotransmitter into inactive metabolites. 

Stahl, S.M. (1999) Peptides and psychiatry, part 1 How synthesis of neuropeptides differs from classical neurotransmitter synthesis. Journal of Clinical Psychiatry 60(1), 5—6. 

Fig. 3. Schematic representation of the neurochemical events associated with neurotransmitter synthesis, release, re-uptake and metabolism in axons of diencephalic DA neurons terminating in classical synapses (Top Panel), and TIDA neurosecretory neurons terminating in close proximity to the hypophysial portal system (Botton Panel). Arrows with dashed lines represent end-product inhibition of TH activiy by DA (Top + Bottom Panels) or DA presynaptic autoreceptor-mediated inhibition of DA synthesis and release (Top Panel). Abbreviations COMT, Catechol-O-methyltransferase D, dopamine DDC, DOPA decarboxylase DOPA, 3,4-dihydrophenylalanine DOPAC, 3,4-dihydroxyphenylacetic acid HVA, homovanillic acid MAO, monoamine oxidase 3MT, 3-methoxytyramine TH, tyrosine hydroxylase.

Addition of thiamine to thiamine-free cellular preparations or to animals early in the progression of thiamine deficiency results in a rapid normalisation of function and of neurotransmitter synthesis. This reversible metabolic phenomenon is generally referred to as the biochemical lesion in thiamine deficiency. 

Naturally Occurring Peptide Hormones and Neurotransmitters, Synthesis of... 

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