Synaptic Transmission: Drug Effects on Neurons
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Questions and Answers

Which mechanism describes how reserpine affects synaptic transmission?

  • Interfering with the storage of neurotransmitters within vesicles. (correct)
  • Preventing synaptic transmission by blocking voltage-gated ion channels.
  • Inhibiting the synthesis of neurotransmitters by blocking necessary enzymes.
  • Blocking axonal transport, preventing the delivery of essential materials.

A drug that inhibits acetylcholinesterase would have what primary effect on synaptic transmission?

  • Blocking the reuptake of acetylcholine from the synapse.
  • Prolonging the activity of acetylcholine in the synapse. (correct)
  • Decreasing the amount of acetylcholine released into the synapse.
  • Inhibiting the synthesis of acetylcholine in the presynaptic neuron.

Which of the following best describes how caffeine alters synaptic transmission?

  • By blocking voltage-gated calcium channels, reducing neurotransmitter release.
  • By competing with adenosine for presynaptic receptors, preventing its inhibitory effects. (correct)
  • By directly stimulating the release of neurotransmitters into the synapse.
  • By inhibiting the reuptake of neurotransmitters, prolonging their synaptic activity.

How do drugs like cocaine affect synaptic transmission to produce a stimulant effect?

<p>By blocking the reuptake of neurotransmitters from the synapse. (C)</p> Signup and view all the answers

If a drug prevents axonal transport within a neuron, which of the following processes would be most directly affected?

<p>The supply of enzymes and raw materials to the axon terminals. (B)</p> Signup and view all the answers

How does tetrodotoxin (TTX) affect the function of neurons?

<p>It blocks voltage-gated sodium channels, preventing nerve conduction. (A)</p> Signup and view all the answers

What is the primary mechanism by which botulinum toxin (Botox) causes muscle paralysis?

<p>By disrupting proteins required for the release of acetylcholine from vesicles. (B)</p> Signup and view all the answers

How do MAO inhibitors affect synaptic transmission?

<p>They inhibit the enzyme that breaks down neurotransmitters after reuptake. (D)</p> Signup and view all the answers

Verapamil, a calcium channel blocker, would have what effect on synaptic transmission?

<p>Decreased release of neurotransmitters due to reduced calcium influx. (C)</p> Signup and view all the answers

Para-chlorophenylalanine (PCPA) inhibits tryptophan hydroxylase. What is the consequence of this action?

<p>Reduced synthesis of serotonin. (D)</p> Signup and view all the answers

Flashcards

Drug Effects on Synaptic Transmission

Drugs can alter synaptic transmission by affecting the presynaptic neuron, changing the conversion of electrical signals to chemical signals.

Inhibition of Transmitter Synthesis

Inhibiting transmitter synthesis prevents the neuron from producing neurotransmitters.

Blockade of Axonal Transport

Blocking axonal transport prevents the delivery of essential materials needed to produce neurotransmitters.

Interference with Transmitter Storage

Interfering with storage prevents neurotransmitters from being properly packaged, leading to their breakdown.

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Prevention of Synaptic Transmission

Prevention of synaptic transmission occurs by blocking voltage-gated Na+ channels and prevents nerve conduction.

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Alteration of Transmitter Release (Calcium Blockade)

Altering transmitter release occurs through calcium channel blockade and inhibits transmitter release.

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Alteration of Transmitter Release (Presynaptic Modulation)

Altering synaptic transmitter release through modulation of presynaptic activity is done via receptors

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Inactivation of Transmitter Reuptake

Inactivation of transmitter reuptake prolongs synaptic activity by preventing the neurotransmitter.

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Blockade of Transmitter Degradation

Blocking transmitter degradation prolongs the activity of neurotransmitters in the synapse.

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Transmitter Production and enzymes

Drugs may inhibit an enzyme that neurons need in order to produce a neurotransmitter.

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Study Notes

  • Synaptic transmission can be altered by drugs affecting the presynaptic neuron
  • This changes the system that converts an electrical signal (action potential) into a chemical signal (secretion of neurotransmitter)
  • Presynaptic drug effects fall into three categories: transmitter production, transmitter release, and transmitter clearance

Effects on Transmitter Production

  • Inhibition of transmitter synthesis: para-chlorophenylalanine inhibits tryptophan hydroxylase, preventing serotonin synthesis from its precursor
  • Blockade of axonal transport: Colchicine impairs microtubule maintenance and blocks axonal transport
  • Interference with transmitter storage: Reserpine blocks the packaging of transmitter molecules within vesicles, leading to enzyme breakdown

Effects on Transmitter Release

  • Prevention of synaptic transmission: Tetrodotoxin (puffer fish) blocks voltage-gated Na+ channels, preventing nerve conduction
  • Alteration via calcium channel blockade: Verapamil (calcium channel blocker) reduces transmitter release by reducing calcium ion influx
  • Modulation of presynaptic activity: Caffeine competes with adenosine for presynaptic receptors, preventing inhibitory effects
  • Alteration through other mechanisms:
    • Amphetamine stimulates catecholamine transmitter release (DA and NE)
    • Botulinum toxin (Botox) disrupts vesicle proteins in motor neurons, inhibiting acetylcholine (ACh) release, causing local paralysis

Effects on Transmitter Clearance

  • Inactivation of transmitter reuptake: Cocaine and amphetamine inhibit reuptake, prolonging synaptic activity; certain antidepressants inhibit serotonin or norepinephrine reuptake
  • Blockade of transmitter degradation:
    • Acetylcholinesterase inhibitors block synaptic enzymes that break down acetylcholine
    • MAO inhibitors inhibit the enzyme that breaks down neurotransmitter molecules after reuptake; neurotransmitter remains active longer due to these inhibitors

Transmitter Production

  • Presynaptic neurons require a steady supply of raw materials and enzymes at axon terminals to produce neurotransmitters
  • Drugs can alter this process

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Description

Drug actions affect presynaptic neurons, modifying electrical to chemical signals. Presynaptic effects: transmitter production, release & clearance. Drugs like reserpine interfere with transmitter storage.

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