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Classification
▪ Neurotransmitters are classified according to their Dopamine and Antipsychotics
structure. ▪ Abnormally increased levels of dopamine in the
▪ Currently, there are three major types of mesolimbicand mesocortical areas cause psychotic
neurotransmitters. Biogenic amines, Amino acids, symptoms of disorders like schizophrenia.
Peptides ▪ Antipsychotics are medications which have been
formulated to block postsynaptic dopamine receptors,
hence preventing the dopamine from reaching target Leaves more serotonin in the synapse
receptors. Examples: Fluoxetine (Prozac) and Sertraline
– These work by directly blocking D2 receptors in all (Zoloft)
dopamine pathways ▪ Metabolized by monoamine oxidase
– Examples include haloperidol and chlorpromazine. Monoamine oxidase inhibitors (MAOIs) keep
– Side effects include Parkinson-like symptoms and MAO from deactivating serotonin, hence
gynecomastia. increasing levels
Termination of Action Example: Tranylcypromine (Parnate)
▪ Reuptake by the presynapticdopamine transporter
▪ Metabolized by two enzymes: Norepinephrine
– Monoamine oxidase ▪ Synthesis:
– Catechol-O-methyltransferase – The locus ceruleus, “blue spot”, which is also located
within the pons of the brain stem
Serotonin – Synthesized from dopamine through dopamine-B-
▪ In the brain, the raphe nuclei are the principal source hydroxylase
of serotonin release. ▪ Pathways:
▪ However, most serotonin in the human body is found – Cerebral cortex
in the gastrointestinal tract, where it is used to regulate – Limbic system
intestinal movements. – Thalamus
▪ Made from the amino acid tryptophan, which we – Hypothalamus
ingest in our diet.
– Tryptophan is generally found in protein-rich Norepinephrine’s Role in Our Lives
foods such as legumes, meat, and dairy. ▪ Norepinephrine mediates arousal in two ways:
– Another important source of tryptophan is – It relays messages in the sympathetic nervous
chocolate system, as part of the autonomic nervous system's
The Tracts of Serotonin fight-or-flight response.
▪ Subcortical nuclei including the centrally located – It prepares the brain to encounter and
thalami; the surrounding corpus striata including the respond to stimuli from the environment, thereby
nucleus accumbens; the hypothalamus, hippocampus, facilitating vigilance.
and amygdala, ▪ With respect to mood disorders, norepinephrine
▪ Cingulate cortex, including the cingulum, a tract of works in tandem with serotonin.
association fibers connecting the corpus callosum with ▪ Norepinephrine is also the precursor of epinephrine,
the hippocampus, which drives the fight-or-flight response.
▪ Neocortex – Epinephrine is released into the bloodstream
when dangerous circumstances occur, in an emergency
The Effects of Serotonin requiring immediate action, and in stressful situations
▪ A well-regulated level of serotonin produces feelings or environments.
of satisfaction, contentment, sleepiness, and a general Examples of Abnormal Norepinephrine Levels….
sense of well-being. High – Mania Anxiety & Social Phobia Tremors
▪ Abnormally high serotonin levels result in agitation, Low – Depression
vomiting, somnolence, sexual dysfunction, diarrhea,
and headache. Termination of Action
▪ Abnormally low serotonin levels result in depression, ▪ Reuptake by the presynaptic transporter
irritability, hunger, and anxiety. – Serotonin-norepinephrine reuptake inhibitors
Examples of Abnormal Serotonin Levels are anti-anxiety and antidepressant medications. These
High - Mania, LSD,Ecstasy (MDMA) work by blocking the reuptake pathway for serotonin
Low - Depression Anxiety and norepinephrine, causing increased levels in the
Termination of Action: synaptic cleft.
Application to Antidepressants – Example: desvenlafaxine (Pristiq)
▪ Reuptake by the serotonin transporter ▪ Metabolized by two enzymes:
Selective serotonin reuptake inhibitors (SSRIs) – Monoamine oxidase
prevent reuptake of serotonin by the – Catechol-O-methyltransferase
presynaptic neuron after firing ▪ Autoreceptor regulation
– A special kind of antidepressant called mirtazapine mood.
(Remeron) prevents the autoreceptors from diminishing ▪ Opioid-containing neurons have been found in the
the amount of norepinephrine released from the hypothalamus, diencephalon, pons, hippocampus, and
presynaptic terminal. midbrain, with their axons projecting widely.