T1 L9: How Drugs control the Brain (NS)

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Which of the following neurotransmitters is considered the main inhibitory neurotransmitter in the brain?

GABA

What type of receptors respond to the neurotransmitter GABA?

Metabolite tropic receptors

Which neurotransmitter is also a type of local hormone found throughout the body, but is used as a neurotransmitter in the brain?

Histamine

What happens if there is too much GABA in the brain?

Loss of consciousness and coma

Which type of neurons are responsible for keeping the excitation in the cortex in check?

GABAergic interneurons

What is the main function of GABAergic interneurons in the cortex?

Output control

Which neurotransmitter is important for working memory?

Dopamine

Which neurotransmitter is primarily synthesized in the brainstem and projects diffusely in different parts of the cortex, spinal cord, and cerebellum?

Serotonin

Which neurotransmitter is responsible for maintaining the balance between excitation and inhibition?

Acetylcholine

Which type of receptor is responsible for fast, inhibitory, postsynaptic potentials?

Ligand gated chloride ion channel

What is the main function of gabaergic interneurons for beta receptors?

To modulate the release of GABA

What is the main function of g protein coupled receptors?

To modulate the release of GABA

What is the role of chloride ions in the GABA receptor?

They flux through the channel depending on the resting potential of the membrane

Which of the following is a function of the dopaminergic projections in the basal ganglia?

Control of working memory

What is the role of dopamine receptor agonists in the treatment of Parkinson's disease?

They enhance the function of dopamine receptors

Which system is responsible for reinforcement of natural reinforcers and is also hijacked by drugs of abuse?

The limbic system

What is the mechanism of action of typical antipsychotics like chlorpromazine and haloperidol?

They block dopamine receptors

Which of the following substances can bind to the GABA receptor and enhance its activity?

Benzodiazepine

Which of the following substances can cause amnesia when administered?

Benzodiazepine

Which of the following substances can act as an inverse agonist on the GABA receptor, producing anxiety and predisposing to convulsions?

PCP

Which of the following substances can have additive effects on the GABA receptor when combined, potentially leading to fatal outcomes?

Barbiturates

What are the side effects caused by chronically blocking the receptors on the motor system?

Tardive dyskinesia

Which generation of antipsychotics is more specific to receptor subtypes found in the cortex?

Second generation antipsychotics

Which receptors do second generation antipsychotics, like clozapine, tend to antagonize?

D4 receptors

What are the symptoms of tardive dyskinesia mentioned in the text?

Jerky movements on the limbs

Do the side effects caused by chronically blocking the receptors on the motor system go away after stopping the drugs?

No

What is the role of chloride ions in the GABA receptor?

They enhance the activity of the GABA receptor

Which type of neurons are responsible for keeping the excitation in the cortex in check?

GABAergic interneurons

Which system is responsible for reinforcement of natural reinforcers and is also hijacked by drugs of abuse?

Dopaminergic system

Which neurotransmitter is primarily synthesized in the brainstem and projects diffusely in different parts of the cortex, spinal cord, and cerebellum?

Serotonin

Which neurotransmitter is responsible for maintaining the balance between excitation and inhibition?

GABA

Which neurotransmitter does NOT have ionotropic receptors, but only metabotropic receptors?

Serotonin

Which neurotransmitter is responsible for reinforcement of associated behaviors and is increased by drugs like cocaine and amphetamine?

Dopamine

What are the immediate effects of cocaine and amphetamine?

All of the above

Which neurotransmitter is primarily synthesized in the brainstem and projects diffusely in different parts of the cortex, spinal cord, and cerebellum?

Serotonin

What is the role of dopamine receptor agonists in the treatment of Parkinson's disease?

Increase dopamine levels in the brain

What is the main function of GABAergic interneurons in the cortex?

Maintain the balance between excitation and inhibition

Which antipsychotic medication is specific to receptor subtypes found in the cortex and reduces psychosis associated with schizophrenia without causing extrapyramidal side effects?

Clozapine

Which type of receptor is responsible for fast, excitatory, postsynaptic potentials?

Nicotinic receptors

What is the main function of GABAergic interneurons in the cortex?

To regulate the balance between excitation and inhibition

Which neurotransmitter is primarily synthesized in the brainstem and projects diffusely in different parts of the cortex, spinal cord, and cerebellum?

Norepinephrine

Which system is responsible for reinforcement of natural reinforcers and is also hijacked by drugs of abuse?

The dopaminergic system

Which neurotransmitter is responsible for motor control?

Acetylcholine

What is the mechanism of action of typical antipsychotics like chlorpromazine and haloperidol?

They act as antagonists at dopamine receptors

Which of the following substances can bind to the GABA receptor and enhance its activity?

Benzodiazepines

Which neurotransmitter does NOT have ionotropic receptors, but only metabotropic receptors?

Dopamine

Which of the following is true about GABA(A) receptors?

They are ionotropic receptors

Which of the following is an indirect agonist of GABA(A) receptors?

Benzodiazepine

What is the main effect of benzodiazepines on GABA(A) receptors?

All of the above

Which of the following substances can enhance GABA(A) activity and have additive effects when combined?

All of the above

What is the main function of GABAergic interneurons in the cortex?

Maintain balance between excitation and inhibition

Which of the following is true about dopamine receptors?

Dopamine receptors are involved in motor control

What is the main role of the mesolimbic system in the dopaminergic system?

Reinforcement of stimuli

The majority of the Dopamine in the brain is found in the:

mesolimbic system

Which family of GABA receptor is this?:

Ligand gated Cl- channel Fast IPSPs Mainly GABAergic interneurons

GABA(A) ionotropic receptors

Which family of GABA receptor is this?

G protein coupled receptors Indirectly coupled to K+ or Ca2+ channel through 2nd messengers(opens K+ channel, closes Ca2+ channel) Slow IPSPs Both pre- and post- synaptic

GABA(B) metabotropic receptors

What is NOT true regarding GABA(A) receptors?

Cl- channel gated by the binding of three agonist molecules

What is NOT true regarding GABA(A) receptors and drugs? GABA (A) is a complex receptor with multiple binding sites Direct and indirect agonists and antagonists.

Direct: Barbiturates increase the duration of channel openings(anaesthesia, epilepsy treatment)

What is NOT true regarding GABA(A) Receptor - benzodiazepine actione.g. diazepam (Valium)?

Direct agonist - benzodiazepine binds to a subunit, changes conformation of the receptor so GABA activation of receptor is more effective

What is NOT true regarding GABA(A) Rs - barbiturates and alcohol?

Bind at same sites on the receptor

What is NOT true regarding GABA(B) receptor – metabotropic?

Inhibition of GABA(B) transmission has same behavioural outcome as inhibition of GABA(A) receptors(e.g. seizure)

Which of these does not bind to a GABA(A)R?

PCP (phencyclidine)

GABA is always an inhibitory neurotransmitter?

No

What is NOT true regarding Neurotransmitter systems?

GABA neurons - project neurons, maintain balance between excitation and inhibition

What are specific populations of neurons that project diffusely and modulate theactivity of Glutamate and GABA neurons in their target areas called?

.Dopaminergic (DA)Serotonergic (5-HT)Noradrenergic (NA/NE)AdrenergicCholinergic (ACh)Histaminergic

The Diffuse Modulatory Systems

What is part of the the dopaminergic system?

Dopamine neurons- cell bodies in the midbrain- project into the forebrain

all of the above

What is NOT true regarding Dopamine (DA) receptors?

They are Metabotropic receptors D1-4

What is true regarding Nigrostriatal system?

cell bodies in the substantia nigra project to the striatum (caudate nucleus and putamen)Important part of the basal ganglia involved in movement.

Which statement is NOT true regarding dysfunction to the Nigrostriatal system?

Huntington’s disease destruction of DA target neurons in basal ganglia

What is NOT true regarding The dopaminergic system contd: Mesolimbic system

Dysfunction:Addiction - most drugs of abuse lead to reduced DA release in the NAcc

What is NOT true regarding the The dopaminergic system contd: Mesocortical system

Mesocortical system –prefrontal cortex to VTA projections

DA acts through ionotropic receptors

No

What is NOT true regarding The Serotonergic system?

raphe nuerons loud during sleep

The Serotonergic system function in:-mood sleep pain emotion appetite and can be ionotropic or metabotrophic. Which statement is NOT true regarding grugs with effects on serotonergic receptors

Methylenedioxymethamphetamine (MDMA) - ecstasy blocks serotonin (and norepinephrine) transporters and decreases release of serotonin

What is NOT true regarding The Noradrenergic System?

Only Alpha adrenergic receptors

What is NOT true regarding the The Adrenergic system?

Acts on β- adrenergic receptors

What is NOT true regarding Disorders of the cholinergic system?

Addiction: alcohol addiction

Test your knowledge on Parkinson's and Huntington's diseases and their relation to the basal ganglia. Learn about the destruction of dopaminergic projections and the role of L-dopa in treatment.

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