Podcast
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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)?
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)?
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?
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?
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?
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?
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?
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?
Which mechanism best explains how BZDs (benzodiazepines) exert their anxiolytic effects at the synaptic level?
Which mechanism best explains how BZDs (benzodiazepines) exert their anxiolytic effects at the synaptic level?
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?
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?
Which statement accurately reflects the role and mechanism of ionotropic glutamate receptors in excitatory neurotransmission?
Which statement accurately reflects the role and mechanism of ionotropic glutamate receptors in excitatory neurotransmission?
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?
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?
Which statement most accurately describes the function of vesicular glutamate transporters(VGLUTs)?
Which statement most accurately describes the function of vesicular glutamate transporters(VGLUTs)?
If a drug selectively blocks NMDA receptors, what effect would this most likely have on long-term potentiation (LTP) at glutamatergic synapses?
If a drug selectively blocks NMDA receptors, what effect would this most likely have on long-term potentiation (LTP) at glutamatergic synapses?
What is the most accurate description of how astrocytes contribute to glutamate neurotransmission?
What is the most accurate description of how astrocytes contribute to glutamate neurotransmission?
Describe the most accurate characteristic of GABA-B receptors.
Describe the most accurate characteristic of GABA-B receptors.
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?
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?
What is the most significant distinction between early-phase LTP (E-LTP) and late-phase LTP (L-LTP) at a molecular level?
What is the most significant distinction between early-phase LTP (E-LTP) and late-phase LTP (L-LTP) at a molecular level?
If a researcher selectively knocks out the gene for glutaminase in neurons, what would be the most likely consequence on neuronal function?
If a researcher selectively knocks out the gene for glutaminase in neurons, what would be the most likely consequence on neuronal function?
If a patient ODs and is suffering from an overdose of barbiturates, what is the receptor site of action causing this?
If a patient ODs and is suffering from an overdose of barbiturates, what is the receptor site of action causing this?
Explain a key way excessive glutamate exposure results in neuronal cell death (necrosis).
Explain a key way excessive glutamate exposure results in neuronal cell death (necrosis).
What are primary mechanisms by which ketamine produces its rapid antidepressant effects?
What are primary mechanisms by which ketamine produces its rapid antidepressant effects?
What is a primary disadvantage of using benzodiazepines for long-term treatment of anxiety disorders?
What is a primary disadvantage of using benzodiazepines for long-term treatment of anxiety disorders?
Which mechanism is the most accurate explanation of the anticonvulsant effect of Vigabatrin which is used to treat certain types of epilepsy?
Which mechanism is the most accurate explanation of the anticonvulsant effect of Vigabatrin which is used to treat certain types of epilepsy?
Which of the following is NOT a known function of astrocytes in the context of glutamate neurotransmission?
Which of the following is NOT a known function of astrocytes in the context of glutamate neurotransmission?
Flashcards
Glutamate
Glutamate
The most abundant amino acid in the brain and an excitatory neurotransmitter.
Vesicular glutamate transporter (VGLUT)
Vesicular glutamate transporter (VGLUT)
A protein that transports glutamate into synaptic vesicles for release.
Excitatory Amino Acid Transporters (EAATs)
Excitatory Amino Acid Transporters (EAATs)
Proteins responsible for removing glutamate from the synapse
Glutamine Synthase
Glutamine Synthase
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Ionotropic glutamate receptors
Ionotropic glutamate receptors
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Metabotropic glutamate receptors
Metabotropic glutamate receptors
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AMPA & NMDA Role
AMPA & NMDA Role
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Long-term potentiation (LTP)
Long-term potentiation (LTP)
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Excitatory hypothesis
Excitatory hypothesis
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GABA
GABA
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Vesicular GABA transporter (VGAT)
Vesicular GABA transporter (VGAT)
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GABA-T
GABA-T
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GABAA receptor
GABAA receptor
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Benzodiazepines (BZDs)
Benzodiazepines (BZDs)
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Ketamine
Ketamine
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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
- GABA
A(ionotropic) receptor allows Cl- ions to flow into the cell, preventing cell firing because of membrane hyperpolarization - GABA
B(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
Clinical Use (GABA related drugs)
- 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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