Serotonin and Its Receptors in Pharmacology
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Questions and Answers

What is synthesized from the amino acid tryptophan in mammals?

  • Dopamine
  • Serotonin
  • Melatonin (correct)
  • Norepinephrine
  • Which gland has the highest concentration of melatonin precursor in mammals?

  • Thyroid gland
  • Adrenal gland
  • Pineal gland (correct)
  • Pituitary gland
  • What is the role of decarboxylase in the synthesis of melatonin?

  • Converting tryptophan to serotonin
  • Hydroxylating tryptophan
  • Decarboxylating serotonin to form melatonin (correct)
  • Converting melatonin to serotonin
  • Which of the following is NOT involved in the synthesis of melatonin?

    <p>5-hydroxytryptophan</p> Signup and view all the answers

    What is the primary amino acid involved in the production of melatonin?

    <p>Tryptophan</p> Signup and view all the answers

    What is the primary purpose of the medication discussed?

    <p>To relieve itching from skin disorders</p> Signup and view all the answers

    Which of the following is NOT a common adverse reaction associated with this medication?

    <p>High blood sugar</p> Signup and view all the answers

    In addition to drowsiness, which of the following adverse reactions might a patient experience?

    <p>Confusion</p> Signup and view all the answers

    Which skin disorder is specifically mentioned in relation to the medication's use?

    <p>Allergic dermatitis</p> Signup and view all the answers

    What effect may this medication have on weight?

    <p>It may lead to weight gain</p> Signup and view all the answers

    Which serotonin receptors does clozapine show high affinity for?

    <p>5-HT6 and 5-HT7</p> Signup and view all the answers

    What is the primary function of buspirone as a serotonin agonist?

    <p>It is an effective anxiolytic agent mainly in the elderly.</p> Signup and view all the answers

    Which of the following statements about sumatriptan is accurate?

    <p>It is highly effective in treating acute attacks of migraine.</p> Signup and view all the answers

    What is a unique characteristic of buspirone's addiction properties?

    <p>It has no addiction property, making it safer for elderly patients.</p> Signup and view all the answers

    Which receptor does buspirone primarily act upon as a partial agonist?

    <p>5-HT1A receptors</p> Signup and view all the answers

    What is the mechanism of action of Reserpine?

    <p>Inhibits VMAT-2 leading to depletion of monoamines</p> Signup and view all the answers

    Which drug is characterized as a partial agonist at the 5HT4 receptor in the gastrointestinal tract?

    <p>Tegaserod</p> Signup and view all the answers

    What physiological effect does Reserpine primarily cause due to its action?

    <p>Decreased norepinephrine availability</p> Signup and view all the answers

    In which condition is Tegaserod primarily utilized?

    <p>Irritable Bowel Syndrome with constipation</p> Signup and view all the answers

    What is a consequence of VMAT-2 inhibition by Reserpine?

    <p>Reduction in the storage of all monoamines</p> Signup and view all the answers

    What effect does Ketanserin have on 5HT2A receptors in platelets (PLT)?

    <p>Decreases platelet aggregation</p> Signup and view all the answers

    What role does 5HT2 play in platelet aggregation?

    <p>It promotes platelet aggregation.</p> Signup and view all the answers

    How does Ketanserin impact the activity of 5HT2A receptors?

    <p>It blocks receptor activity.</p> Signup and view all the answers

    Which statement best describes the function of 5HT2 receptors in platelets?

    <p>They play a role in promoting clotting.</p> Signup and view all the answers

    What overall effect does blocking 5HT2A receptors with Ketanserin have on hemostasis?

    <p>It decreases the ability to form clots.</p> Signup and view all the answers

    Study Notes

    Serotonin

    • Serotonin is found in the highest concentration in the pineal gland, where it acts as a precursor for melatonin
    • Serotonin is synthesized from the amino acid tryptophan by decarboxylase
    • Clozapine (atypical antipsychotic) has a high affinity for 5-HT6 and 5-HT7 receptors

    Serotonin Agonists

    • Buspirone is a serotonin partial agonist on 5HT1A receptors, used as an effective anxiolytic agent, mainly in elderly patients
    • Sumatriptan is a selective agonist of 5-HT1 receptors and is highly effective in treating acute attacks of migraine, but is not useful in prevention
    • Tegaserod is a 5HT4 partial agonist in the gastrointestinal tract (GIT) used for irritable bowel syndrome (IBS) with constipation

    Serotonin Antagonists

    • Reserpine blocks serotonin (as well as norepinephrine) uptake into storage vesicles by inhibiting VMAT-2, causing depletion of all monoamines
    • Ketanserin blocks the 5HT2A receptor in platelets, decreasing platelet aggregation

    Serotonin and Platelets

    • 5HT2 receptors are present in platelets
    • 5HT2 promotes platelet aggregation

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    Description

    This quiz covers the role of serotonin in the human body, including its synthesis, types of agonists, and antagonists. It delves into how these substances interact with various serotonin receptors and their medical applications. Perfect for students studying pharmacology or neuroscience.

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