Glutamate Neurotransmission

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Questions and Answers

Given the intricate homeostatic mechanisms governing neurotransmitter concentrations, what compensatory adaptation would most likely occur in glial cells following chronic exposure to elevated extracellular glutamate levels, potentially altering neuronal excitability?

  • Downregulation of glutamine synthetase activity to prevent excessive glutamine production.
  • Upregulation of neuronal glutamate transporters to directly reduce synaptic glutamate concentrations.
  • Enhanced conversion of glutamate to $\alpha$-ketoglutarate via glutamate dehydrogenase to reduce the glutamate pool.
  • Increased expression of EAATs with altered substrate affinity favoring glutamate over aspartate. (correct)

In the context of long-term potentiation (LTP) within the CA1 region of the hippocampus, what specific post-translational modification of AMPA receptors is most critical for the sustained enhancement of synaptic transmission following the initial calcium influx through NMDA receptors?

  • Palmitoylation of the GluA2 subunit, stabilizing the receptor within lipid rafts of the postsynaptic density.
  • Ubiquitination of the GluA2 subunit, promoting endocytosis and subsequent degradation of the receptor.
  • Phosphorylation of the GluA1 subunit at serine 831, enhancing single-channel conductance. (correct)
  • Glycosylation of the GluA1 subunit, facilitating receptor trafficking to the postsynaptic membrane.

Considering the role of vesicular glutamate transporters (VGLUTs) in neuronal signaling, what would be the most likely consequence of a targeted mutation that selectively disrupts the proton gradient-dependent transport mechanism of VGLUT3 in a population of cortical interneurons?

  • Impaired glutamate release from affected interneurons, leading to altered excitation/inhibition balance. (correct)
  • Increased frequency of spontaneous inhibitory postsynaptic currents (IPSCs) due to enhanced GABA release.
  • Enhanced presynaptic reuptake of glutamate, leading to decreased synaptic availability.
  • Reduced amplitude of evoked excitatory postsynaptic currents (EPSCs) in postsynaptic pyramidal neurons.

Given the intricate interplay between glutamate and GABA in maintaining neuronal excitability, what would be the most likely consequence of a selective pharmacological blockade of glutaminase in astrocytes within the vicinity of a glutamatergic synapse?

<p>Depletion of the glutamate pool available for neurotransmitter synthesis, leading to reduced glutamatergic transmission. (A)</p> Signup and view all the answers

In the context of GABAergic neurotransmission, what post-translational modification of GAD (glutamic acid decarboxylase) would be the most plausible mechanism by which chronic stress could lead to a reduction in GABA synthesis within specific brain regions?

<p>Phosphorylation of GAD at a specific serine residue, resulting in decreased enzymatic activity and impaired GABA synthesis. (A)</p> Signup and view all the answers

Considering the role of GABA-A receptors in mediating inhibitory neurotransmission, what would be the most likely consequence of a point mutation within the receptor's transmembrane domain that selectively disrupts its interaction with the scaffolding protein gephyrin?

<p>Enhanced lateral diffusion of receptors within the postsynaptic membrane, leading to decreased synaptic localization. (C)</p> Signup and view all the answers

In the context of long-term potentiation (LTP) induction at glutamatergic synapses, what specific property of NMDA receptors, beyond their voltage-dependent magnesium block, is most critical for their role as coincidence detectors in postsynaptic neurons?

<p>Their slow deactivation kinetics, allowing for prolonged calcium influx and subsequent downstream signaling. (B)</p> Signup and view all the answers

Given the role of astrocytes in regulating synaptic glutamate levels, what would be the most likely consequence of a selective pharmacological inhibition of glutamine synthetase within astrocytes surrounding a glutamatergic synapse following repetitive high-frequency stimulation?

<p>Prolonged and enhanced NMDA receptor activation due to reduced glutamate clearance. (D)</p> Signup and view all the answers

Considering the intricate interplay between glutamate and GABA in regulating neuronal excitability, what compensatory mechanism would most likely be engaged in response to chronic exposure to a selective NMDA receptor antagonist?

<p>Increased expression of GABA-A receptors in postsynaptic neurons to enhance inhibitory tone. (A)</p> Signup and view all the answers

In the context of GABAergic neurotransmission, what specific structural feature of GABA-B receptors is most critical for their ability to mediate slow, prolonged inhibitory postsynaptic potentials (IPSPs) compared to the fast IPSPs mediated by GABA-A receptors?

<p>Their seven-transmembrane domain structure, enabling G protein activation and downstream signaling cascades. (D)</p> Signup and view all the answers

Given the known mechanisms of long-term potentiation (LTP) at glutamatergic synapses, what intervention would most selectively impair the expression of late-phase LTP (L-LTP) without affecting early-phase LTP (E-LTP) in hippocampal CA1 neurons?

<p>Application of an inhibitor of protein synthesis following the induction stimulus. (B)</p> Signup and view all the answers

Considering the role of excitatory amino acid transporters (EAATs) in regulating synaptic glutamate concentrations, what specific consequence would arise from a mutation that impairs the chloride conductance associated with EAAT2 in astrocytes?

<p>Reduced glutamate uptake capacity due to impaired counter-ion exchange. (C)</p> Signup and view all the answers

In the context of GABAergic neurotransmission, what specific allosteric modulator when bound to GABA-A receptors, would have the most pronounced effect on increasing the duration of channel opening events induced by GABA?

<p>A barbiturate, such as pentobarbital, often used for its sedative effects. (A)</p> Signup and view all the answers

Considering known mechanisms related to high levels of glutamate, what specific molecular alteration would be most directly responsible for the observed excitotoxic neuronal death (necrosis) following prolonged exposure to pathologically elevated extracellular glutamate concentrations?

<p>Disruption of the plasma membrane integrity due to increased intracellular calcium. (A)</p> Signup and view all the answers

Based on the role of ketamine, which specific downstream consequence of NMDA receptor antagonism is most likely to account for its rapid antidepressant effects observed in treatment-resistant depression?

<p>Increased BDNF release and spine formation due to disinhibition of mTORC1 signaling. (B)</p> Signup and view all the answers

In the context of anxiety disorders and their pharmacological treatment, what is the most compelling rationale for using selective serotonin reuptake inhibitors (SSRIs) as a first-line treatment option despite their delayed onset of action compared to benzodiazepines (BZDs)?

<p>SSRIs have a lower risk of dependence and withdrawal symptoms compared to BZDs. (A)</p> Signup and view all the answers

Considering the role of Vigabatrin (Sabril) in treating certain types of epilepsy, what mechanism beyond simply elevating synaptic GABA levels, might contribute to its efficacy in infantile spasms, a particularly severe form of epilepsy?

<p>Modulation of neuroinflammation, reducing the severity of seizure-induced brain damage. (A)</p> Signup and view all the answers

If a novel compound selectively enhances the activity of glutamine synthetase in astrocytes, what downstream effect related to neurotransmission would be the most likely outcome?

<p>Decreased extracellular glutamate concentrations. (D)</p> Signup and view all the answers

What is the most likely consequence of a genetic mutation that causes a complete loss of function of the vesicular GABA transporter (VGAT) in a specific population of inhibitory interneurons?

<p>Impaired GABA release from these interneurons, leading to disinhibition of their target neurons. (A)</p> Signup and view all the answers

Which mechanism best explains how BZDs (benzodiazepines) exert their anxiolytic effects at the synaptic level?

<p>By increasing the affinity of GABA for the GABA-A receptor. (A)</p> Signup and view all the answers

Given that EAAT2 is responsible for ~90% of glutamate uptake in the brain, what is the most likely outcome of a significant down-regulation of EAAT2 expression solely in astrocytes?

<p>Widespread excitotoxicity due to excess glutamate. (D)</p> Signup and view all the answers

Which statement accurately reflects the role and mechanism of ionotropic glutamate receptors in excitatory neurotransmission?

<p>They directly allow the flux of ions across the membrane, resulting in rapid depolarization. (B)</p> Signup and view all the answers

If a researcher discovers a novel compound that selectively inhibits GABA-T, what effect would this compound most likely have on synaptic GABA levels and neuronal excitability?

<p>Increased synaptic GABA levels and reduced neuronal excitability. (D)</p> Signup and view all the answers

Which statement most accurately describes the function of vesicular glutamate transporters(VGLUTs)?

<p>They transport glutamate from the cytoplasm into synaptic vesicles. (B)</p> Signup and view all the answers

If a drug selectively blocks NMDA receptors, what effect would this most likely have on long-term potentiation (LTP) at glutamatergic synapses?

<p>Complete blockade of both early-phase and late-phase LTP. (D)</p> Signup and view all the answers

What is the most accurate description of how astrocytes contribute to glutamate neurotransmission?

<p>They take up glutamate from the synapse and convert it to glutamine. (B)</p> Signup and view all the answers

Describe the most accurate characteristic of GABA-B receptors.

<p>They are G protein-coupled receptors that mediate slow, prolonged IPSPs. (D)</p> Signup and view all the answers

If a patient is experiencing anxiety and is prescribed a benzodiazepine, what is the most accurate mechanistic explanation for how this medication alleviates their symptoms?

<p>It enhances the effect of GABA at GABA-A receptors. (C)</p> Signup and view all the answers

What is the most significant distinction between early-phase LTP (E-LTP) and late-phase LTP (L-LTP) at a molecular level?

<p>E-LTP is independent of protein synthesis, while L-LTP requires protein synthesis. (D)</p> Signup and view all the answers

If a researcher selectively knocks out the gene for glutaminase in neurons, what would be the most likely consequence on neuronal function?

<p>Impaired synthesis of glutamate from glutamine in neurons. (C)</p> Signup and view all the answers

If a patient ODs and is suffering from an overdose of barbiturates, what is the receptor site of action causing this?

<p>Allosteric modulation of the GABA-A receptor, prolonging the duration of chloride channel opening. (A)</p> Signup and view all the answers

Explain a key way excessive glutamate exposure results in neuronal cell death (necrosis).

<p>Disruption of ion homeostasis and cell swelling. (D)</p> Signup and view all the answers

What are primary mechanisms by which ketamine produces its rapid antidepressant effects?

<p>Increased BDNF release and increased synaptic connectivity. (B)</p> Signup and view all the answers

What is a primary disadvantage of using benzodiazepines for long-term treatment of anxiety disorders?

<p>Increased risk of dependence and cognitive impairment. (C)</p> Signup and view all the answers

Which mechanism is the most accurate explanation of the anticonvulsant effect of Vigabatrin which is used to treat certain types of epilepsy?

<p>Inhibiting GABA transaminase to increase GABA levels. (A)</p> Signup and view all the answers

Which of the following is NOT a known function of astrocytes in the context of glutamate neurotransmission?

<p>Synthesis of glutamate de novo. (B)</p> Signup and view all the answers

Flashcards

Glutamate

The most abundant amino acid in the brain and an excitatory neurotransmitter.

Vesicular glutamate transporter (VGLUT)

A protein that transports glutamate into synaptic vesicles for release.

Excitatory Amino Acid Transporters (EAATs)

Proteins responsible for removing glutamate from the synapse

Glutamine Synthase

Enzyme that converts glutamate into glutamine in astrocytes.

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Ionotropic glutamate receptors

Receptors activated by glutamate that depolarize the postsynaptic membrane.

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Metabotropic glutamate receptors

Receptors activated by glutamate that modulate cognitive functions.

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AMPA & NMDA Role

AMPA and NMDA receptors being strongly implicated in learning and memory

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Long-term potentiation (LTP)

Phenomena of synaptic connections being strengthened for at least one hour.

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Excitatory hypothesis

Excessive glutamate exposure resulting in cell damage or cell death.

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GABA

Principal inhibitory neurotransmitter in the CNS.

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Vesicular GABA transporter (VGAT)

Transports GABA into synaptic vesicles.

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GABA-T

Enzyme responsible for breaking down GABA.

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GABAA receptor

Allows flow of Cl- ions into the cell, inhibiting cell firing.

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Benzodiazepines (BZDs)

Positive allosteric modulator of GABAA.

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Ketamine

A noncompetitive antagonist of NMDA receptors

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Study Notes

Glutamate: Overview

  • It is the most abundant amino acid found in the brain
  • It acts as an excitatory amino acid neurotransmitter
  • Significant amounts are present in all neurons and glial cells
  • Even higher concentrations are found in glutamatergic neurons
  • Glutamatergic neurons keep glutamate for transmission separate from glutamate used in other functions

Glutamate Synthesis and Release

  • Vesicular glutamate transporter (VGLUT) is exclusively found in cells using glutamate as a neurotransmitter
  • VGLUT1 or VGLUT2 is used by most glutamatergic neurons
  • VGLUT3 is not as abundant
  • Glutamine, a precursor, converts to glutamate using glutaminase, an enzyme

Glutamate Uptake

  • Excitatory amino acid transporters (EAATs) facilitate uptake
  • EAAT1 is found in astrocytes in the cerebellum
  • EAAT2 is found in astrocytes throughout the brain, responsible for approximately 90% of glutamate uptake
  • EAAT3 is located in postsynaptic neurons
  • EAAT4 and EAAT5 are found in the cerebellum and retina, respectively
  • Astrocytes are key in the uptake process
  • After glutamate uptake with EAAT1 or EAAT2, astrocytes turn a lot of it into glutamine with glutamine synthase
  • Astrocytes transport glutamine out and neurons convert it back to glutamate using glutaminase

Glutamate Receptors

  • Glutamate receptors are involved in many excitatory neuronal pathways
  • Ionotropic receptors have three subtypes: AMPA, Kainate, and NMDA
  • Ionotropic receptors depolarize the membrane of the postsynaptic cell, causing an excitatory response
  • AMPA and kainite receptors allow Na+ ions to flow into the cell
  • NMDA receptors allow Na+ and Ca+ ions to flow into the cell
  • Metabotropic receptors consist of 8 subtypes, mGluR1 to mGluR8
  • mGluR1 to mGluR8 are distributed throughout the brain and help with cognitive functions

Learning and Memory

  • AMPA and NMDA receptors play key roles in learning and memory
  • Many psychiatric disorders link to cognitive impairment and dysregulation of glutamate receptors
  • AMPA receptor positive allosteric modulators are being researched as new glutamatergic compounds, enhancing learning and memory in experimental animals, but clinical trials lack therapeutic benefits
  • Strong activation of NMDA receptors strengthens the synapse in long-term potentiation (LTP)

Mechanisms of LTP

  • LTP was discovered by Bliss and Lomo
  • LTP is the strengthening of synaptic connections, lasting at least one hour
  • NMDA receptor activation is needed
  • LTP has been most thoroughly studied in the hippocampus, but present in many regions
  • LTP occurs where pyramidal neurons in the hippocampus CA1 region get excitatory glutamatergic inputs from CA3 neurons via the Schaffer collaterals
  • Low levels of excitation produce a small EPSP by activating AMPA receptors
  • A large EPSP is when prolonged activation of AMPA receptors lets magnesium (Mg2+) ions dissociate from NMDA receptor channels
  • The influx of Ca+ (a second messenger) triggers rapid expansion of dendritic spines and insertion of additional AMPA receptors on the spine membranes

Consequences of High Glutamate Levels

  • The Excitatory hypothesis proposes excessive glutamate exposure results in prolonged depolarization of receptive neurons, which causes cell damage or cell death (Necrosis), different from apoptosis
  • Exitotoxic brain damage is implicated in several psychiatric disorders

GABA: Overview

  • GABA is the main inhibitory neurotransmitter in the CNS
  • Inhibitory transmission is as important as excitatory transmission
  • Blocking the action of GABA can cause convulsions or death
  • GABAergic neurons manufacture GABA
  • Vesicular GABA transporter (VGAT) transports GABA into synaptic vesicles
  • GABA is removed from the extracellular space using:
    • GAT-1: expressed in neurons and astrocytes
    • GAT-2: expressed in neurons and astrocytes
    • GAT-3: expressed in astrocytes

GABA Metabolism

  • GABA is taken back through reuptake, either as GABA or glutamate
  • Upon uptake into astrocytes, it can be as GABA, glutamate, glutamine, or glutamate
  • Once glutamine is taken up by neurons, it can be glutamine or glutamate
  • GABA-t, the enzyme that breaks down GABA, is found in both GABAergic neurons and astrocytes

GABA Receptors

  • Many nerve terminals in the brain use GABA as their neurotransmitter
  • GABAA (ionotropic) receptor allows Cl- ions to flow into the cell, preventing cell firing because of membrane hyperpolarization
  • GABAB (metabotropic) receptor exists
  • BZDs, like diazepam (Valium), and barbiturates are GABA-a receptor positive allosteric modulators
  • Pre-surgical anesthetics are GABA-a receptor positive allosteric modulators
  • Ethanol alcohol is a GABA-a receptor positive allosteric modulators
  • Vigabatrin (Sabril) is an inhibitor of GABA-T
    • It has an anticonvulsant effect, used for certain types of epilepsy, in infantile spasms particularly
  • SSRIs are the first-line pharmacological treatment for anxiety disorders
    • SSRIs have disadvantages: delayed onset, partially effective, and side effects
  • BZDs are fast-acting, but have more adverse side effects
    • Acute treatment: ataxia, slurred speech, fatigue, etc.
    • Long-term treatment: potential for misuse, tolerance, rebound anxiety, and memory impairment
  • BZDs are used for short term relief of anxiety symptoms
    • As an adjunct to bridge the gap of SSRIs delay in efficacy

Ketamine

  • Ketamine was first a rapid-acting IV anesthetic
  • IV Ketamine and esketamine spray (Spravato) treat treatment-resistant depression
    • They have a rapid reduction of symptoms
    • Variable (& short) duration of action, works for 60-70%
  • Ketamine is a noncompetitive antagonist of NMDA receptors
  • Using it to treat psychological disorders is still controversial

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