Neuropharmacology of CNS Disorders

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Questions and Answers

Which active ingredient is found in ayahuasca?

  • mescaline
  • harmaline (correct)
  • psilocybin
  • LSD

Which hallucinogen has the longest duration of effect based on the provided information?

  • Ayahuasca
  • Mescaline (correct)
  • LSD
  • Psilocybin

What was the primary aim of synthesizing LSD?

  • To derive substances for treating respiratory issues
  • To derive substances with similar action to treat haemorrhage (correct)
  • To create a recreational drug
  • To study brain receptor interactions

What is the active ingredient in magic mushrooms?

<p>psilocybin (D)</p> Signup and view all the answers

What was the major health issue related to ergotism that led to the synthesis of LSD?

<p>Gangrene and psychosis (D)</p> Signup and view all the answers

What is the effect of LSD on noradrenergic pathways?

<p>LSD increases activity in locus coeruleus neurons. (C)</p> Signup and view all the answers

Which receptor subtype does LSD primarily act on to alter sensory perception?

<p>5-HT2A receptors. (A)</p> Signup and view all the answers

What effect does mescaline have in relation to LSD?

<p>Mescaline shows cross tolerance with LSD. (C)</p> Signup and view all the answers

How does LSD affect sensory perception?

<p>It distorts sensory perception through specific pathways. (C)</p> Signup and view all the answers

What is indicated by the correlation of drug binding inhibition to hallucinogenic potency?

<p>Higher affinity correlates with increased hallucinogenic potency. (D)</p> Signup and view all the answers

What receptor type is primarily associated with LSD's effects on layer V pyramidal neurons in the cortex?

<p>5-HT2A receptors (B)</p> Signup and view all the answers

Which of the following findings was correlated with visual hallucinations during LSD imaging studies?

<p>Increased visual cortex cerebral blood flow (C)</p> Signup and view all the answers

What change in brain connectivity was observed in relation to the experience of ego-dissolution during LSD studies?

<p>Decreased connectivity between the parahippocampus and retrosplenial cortex (C)</p> Signup and view all the answers

Which effect of LSD is related to its action on pyramidal neurons?

<p>Increased activity of layer V pyramidal neurons (A)</p> Signup and view all the answers

Which study provided evidence of LSD's impact on primary visual cortex functional connectivity?

<p>Carhart-Harris et al., 2016 (A)</p> Signup and view all the answers

What is a characteristic of imaging techniques used in studying CNS disorders?

<p>They provide non-invasive longitudinal data. (C)</p> Signup and view all the answers

What is the primary advantage of SPECT compared to PET?

<p>Does not require an on-site cyclotron. (D)</p> Signup and view all the answers

Which imaging technique provides a spatial resolution of less than 1 mm?

<p>Magnetic resonance imaging (MRI) (D)</p> Signup and view all the answers

What is one method for assessing neurotransmitter function indirectly?

<p>Binding to platelets. (B)</p> Signup and view all the answers

What type of information can diffusion tensor imaging (DTI) provide?

<p>Mapping pathways and investigating connectivity. (A)</p> Signup and view all the answers

In which type of study would human genetics be utilized to study CNS disorders?

<p>Post-mortem studies. (C)</p> Signup and view all the answers

What aspect of brain function can fMRI reveal?

<p>Changes in blood flow related to neuronal activity. (D)</p> Signup and view all the answers

Which neurotransmitter's decreased levels are indicative of Parkinson's disease?

<p>Dopamine (A)</p> Signup and view all the answers

What type of analysis is included in postmortem brain studies?

<p>Localization of proteins/RNA (B)</p> Signup and view all the answers

Which limitation affects postmortem analysis significantly?

<p>Endpoint analysis only (C)</p> Signup and view all the answers

What advantage does using mice as model organisms provide?

<p>Multiple time point studies can be conducted (D)</p> Signup and view all the answers

Which of the following types of drugs can cause profound changes in perception, mood, and behavior?

<p>Psychotomimetic drugs (B)</p> Signup and view all the answers

What is a major disadvantage of using knockout/knock-in genes in animal models?

<p>Mimic some but not all neurochemical changes seen in humans (A)</p> Signup and view all the answers

Which of the following techniques is used to identify genetic changes related to disease risk?

<p>Cellular models (D)</p> Signup and view all the answers

What is one potential effect of using CRISPR in human induced pluripotent stem cells?

<p>Increased network burst activity (C)</p> Signup and view all the answers

Which characteristic of Drosophila makes it useful as a model organism?

<p>Malleability for genetic manipulation (C)</p> Signup and view all the answers

What kind of visual experiences can be associated with LSD use?

<p>Kaleidoscopic images (C)</p> Signup and view all the answers

What receptor sites are involved in the mechanism of action of LSD?

<p>5-HT receptors (D)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with LSD use?

<p>Delirium (A)</p> Signup and view all the answers

Where in the brain does LSD exert most of its effects?

<p>Nuclei in reticular formation (A)</p> Signup and view all the answers

What effect does LSD have on raphe neurons?

<p>Decreases firing rate (D)</p> Signup and view all the answers

What type of agonist action does LSD exhibit concerning 5-HT receptors in the brain?

<p>Partial agonist (D)</p> Signup and view all the answers

What is suggested by the presence of cross-tolerance between LSD and mescaline?

<p>They act on the same class of receptor site (C)</p> Signup and view all the answers

What is a potential effect of LSD on serotonin metabolites in rats?

<p>Decreased levels of 5-HT metabolites (D)</p> Signup and view all the answers

Flashcards

Hallucinogens

A class of drugs that alter perception, thought, and mood, often causing hallucinations. They work by interacting with neurotransmitter systems in the brain, primarily serotonin.

Psilocybin

A substance that produces hallucinations, found in psychedelic mushrooms. It acts on serotonin receptors in the brain.

LSD (Lysergic Acid Diethylamide)

A potent hallucinogen, synthesized from ergot alkaloids. Known for its intense and long-lasting effects, it's thought to act specifically on serotonin receptors.

Ergotism

A fungal disease that affects rye, producing toxins called ergot alkaloids. It causes vasoconstriction and can lead to gangrene and psychosis.

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Mescaline

The chemical compound responsible for the hallucinogenic effects of peyote. It affects serotonin receptors in the brain, causing visual hallucinations, and altered perceptions.

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MRI (Magnetic Resonance Imaging)

A non-invasive imaging technique that uses radio waves and magnetic fields to create detailed images of the brain's structure.

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fMRI (functional Magnetic Resonance Imaging)

A non-invasive imaging technique that measures brain activity by detecting changes in blood flow. It shows which brain areas are more active during specific tasks.

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PET (Positron Emission Tomography)

A non-invasive imaging technique that uses radioactive tracers to measure brain activity and metabolism. It can also assess neurotransmitter receptors.

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SPECT (Single Photon Emission Computed Tomography)

A non-invasive imaging technique that uses radioactive tracers to measure brain activity and metabolism. It can also assess neurotransmitter receptors.

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EEG (Electroencephalography)

A non-invasive imaging technique that measures electrical activity in the brain. It's often used to diagnose epilepsy and sleep disorders.

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MEG (Magnetoencephalography)

A non-invasive imaging technique that measures magnetic fields generated by the brain's electrical activity. It has higher temporal resolution than EEG and provides detailed information about brain function.

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DTI (Diffusion Tensor Imaging)

A non-invasive technique that tracks water movement in the brain to map white matter tracts (nerve bundles) and investigate brain connectivity.

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Neurotransmitter analysis

A method of studying neurotransmitter function by analyzing their levels in cerebrospinal fluid, plasma, and urine. It helps understand how neurotransmitters are involved in brain disorders.

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Postmortem Brain Analysis

A method used to study the brain after death, including analyzing protein and RNA levels, and the location of these molecules.

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Genetic Analysis for Disease Risk

A specific type of genetic analysis that aims to identify genetic variations (mutations) that increase the risk of developing a disease.

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Induced Pluripotent Stem Cells

Cells created from adult cells that can transform into any type of cell in the body, offering a powerful tool to study diseases and test treatments.

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Mutant SETD1A Neuronal Model

A human neuronal model that simulates the effects of a specific genetic mutation (SETD1A) associated with neurodevelopmental disorders. It can be used to study how this mutation impacts brain cells.

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CRISPR in Human Induced Pluripotent Stem Cells

A technique that precisely modifies genes to study their function and to develop potential therapeutic treatments.

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Animal Models in Disease Research

Living organisms (like flies, worms, mice, rats, and primates) used to study diseases in a controlled setting. They can have genetic modifications to mimic human conditions.

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Psychotomimetic Drugs

Drugs that mimic some of the symptoms of psychosis (like hallucinations and delusions), providing insights into the brain mechanisms underlying mental disorders.

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The Biochemical Basis of Brain Function

The study of how the brain works, particularly focusing on the chemical and physical processes involved. This can offer clues about normal brain function and how it goes wrong in disorders.

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The Anatomical Substrate of the Brain

The physical structure and organization of the brain, which is crucial for understanding how thoughts, feelings, and behaviors are generated.

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LSD's Mechanism of Action

LSD's ability to alter perception is linked to its action as an agonist of serotonin (5-HT) receptors, specifically the 5-HT2A subtype.

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LSD's Target Areas

LSD's effects on perception are mediated by its interaction with 5-HT2A receptors found in the cortex and thalamus, key areas involved in sensory processing.

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LSD and the Locus Coeruleus

LSD increases activity in the locus coeruleus (LC), a brain region involved in arousal and attention.

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Hallucinogenic Potency & 5-HT2A Binding

The hallucinogenic potency of drugs is correlated with their ability to bind to 5-HT2A receptors. Specifically, the higher the affinity for the 5-HT2A receptor, the more potent the hallucinogenic effect.

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Mescaline vs. LSD: Raphe Nucleus

While mescaline shares some similarities with LSD, it has a distinct mechanism of action. Mescaline does not affect activity in the raphe nucleus, a brain region associated with serotonin production.

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LSD and Mescaline Receptor Similarity

LSD and mescaline share a similar structure to serotonin (5-HT), leading to cross-tolerance between them. This suggests both drugs act on the same type of receptor.

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LSD's Actions at Serotonin Receptors

LSD acts as a partial agonist or antagonist of the serotonin (5-HT) receptor in the brain, influencing the way serotonin signals.

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LSD Effects on Brain Regions

LSD's effect on brain regions involved in sensory processing and integration, like the thalamus and cortex, contribute to perceptual changes, including synesthesia.

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LSD and Raphe Nuclei

The raphe nuclei, which regulate serotonin activity in the brain, are affected by LSD, decreasing their firing rate. This disruption of serotonin pathways is thought to play a role in the drug's effects on perception.

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Three Effects of LSD

LSD's subjective effects, such as altered consciousness and sensory experiences, fall into three categories: somatic, perceptual, and psychological. This categorization helps to understand the diverse ways LSD impacts the brain.

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LSD's Interaction with 5-HT2 Receptors

Early research demonstrated that LSD interacts with the 5-HT2 receptor, particularly in the peripheral vasculature.

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LSD's Impact on Serotonin Metabolites

Studies have shown decreased serotonin metabolites in the cerebrospinal fluid of rats after LSD administration. This reveals an influence of LSD on serotonin levels in the brain.

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Impact of Serotonin Receptors on LSD Effect

LSD's effects on the brain are thought to stem from its interactions with serotonin receptors, particularly those in regions responsible for sensory processing, integration, and arousal, contributing to its profound effects on perception and consciousness.

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5-HT2A Receptor

A type of serotonin receptor primarily found on pyramidal neurons in the cortex. Its activation is linked to psychedelic effects.

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LSD's Effect on Cortical Neurons

LSD increases the activity of layer V pyramidal neurons in the cortex, which is associated with its hallucinogenic effects.

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5-HT2A Role in Psychedelic Experiences

The activity of 5-HT2A receptors is crucial in the evolution and development of psychedelic experiences.

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LSD and Visual Hallucinations

LSD's influence on brain activity, particularly in the visual cortex, aligns strongly with individual reports of visual hallucinations during the LSD experience.

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Study Notes

Neuropharmacology of CNS disorders - Methodology & Psychoactive Drugs

  • The study focuses on the methodology of neuropharmacology and psychoactive drugs affecting the central nervous system (CNS).

Methods for Studying CNS Disorders

  • Imaging techniques: Used to study brain function and structure.
    • Electrical signals from the brain,
    • Indirect markers for changes in neurotransmitter function,
    • Post-mortem studies,
    • Human genetics,
    • Cellular models, and
    • Animal models are also employed.
  • Human Imaging Techniques: Non-invasive, longitudinal; intervention studies are hard to perform. Certain types of information are limited.
    • CT: Computed tomography, with spatial resolution of several millimeters. Example: measuring ventricular size.
    • MRI/fMRI: Magnetic resonance imaging. Resolution is less than 1 millimeter and reveals brain activity patterns. Oxygen utilization and blood flow are measured in active regions.
    • DTI: Diffusion tensor imaging, used for mapping pathways and investigating aberrant connectivity.
    • PET/SPECT: Positron Emission Tomography and Single-photon emission computed tomography. Isotopes distribute based on brain regions' relative activity. An advantage is that it doesn't require a cyclotron on-site.
  • Non-invasive Methods - MEG and EEG: Measures electrical activity of brain via electroencephalograms (EEGs) and magnetic encephalographic (MEG) activity.
  • Postmortem Brain: Includes biochemistry analysis for protein levels (e.g., receptors), RNA levels, and localization of proteins/RNA in brain tissues. Culture of human tissue and electrophysiological analysis are also employed. Caveats exist, including limitations like endpoint analysis, time-related factors and variability in samples.
  • Genetic analysis: Identifies genetic changes potentially associated with an elevated disease risk, but the study notes lack specific details.

Cellular Models

  • Induced pluripotent stem cells: Reprogramming somatic cells into iPS cells.
    • This cell technology is used for disease modeling, drug screening, drug discovery, cell therapy and for preclinical human trials.

Animal Models

  • Includes Drosophila, C. elegans, mice, rats, and primates. This is important in studies utilizing knockout/knock-in genes and for mimicking neurochemical changes.

Psychotomimetic Drugs

  • Psychotomimetic drugs cause profound emotional/perceptual effects.
  • Study notes outline questions to investigate the biochemical and anatomical substrates of these effects, and their relation to diseases (e.g., schizophrenia).
    • Hallucinogens: natural and synthetic drugs that alter perception. Examples: Ayahuasca, Peyote, Magic mushrooms (psilocybin).
  • Mechanisms of action for LSD:
    • Cross tolerance: suggests the same receptors are involved in different psychotomimetic drugs (e.g., LSD and mescaline).
    • Mechanism suggestions: LSD effects stem from increased activity in brain cortex or in the area where sensory information is interpreted.
    • LSD decreases firing rate of raphe neurons; however, other neurotransmitters (e.g., noradrenaline) are relevant to the overall effect.
    • LSD effects stem from its activity at the 5HT2A and 5HT-receptors;
  • Synthesis background: LSD's creation involved unexpected perception effects in test subjects.
  • Comparison of hallucinogenic potency: LSD has significantly lower doses needed compared to other hallucinogens (e.g., psilocybin) to achieve its effects.

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