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Samenvatting Neuropsychology And Psychopharmacology - Deel D'Hooge $6.20   Add to cart

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Samenvatting Neuropsychology And Psychopharmacology - Deel D'Hooge

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English summary of Prof. D'Hooge's part. All accompanying texts + notes in the lesson + weblecture David Nutt incorporated. Clearly stated what belongs to which part.

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  • December 4, 2022
  • February 23, 2023
  • 33
  • 2021/2022
  • Summary

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By: stuviausermv • 1 month ago

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D’Hooge


Pharmacology

Les 1: Neural signaling and neuromodulation

Ondertitel

- Brain is part of central nervous system
▪ Motor, sensory and somatic part
- Afferent NS
▪ Info from PNS to CNS
▪ Sensory neurons
▪ Stimuli: intern/interoceptive or extern/exteroceptive
- Efferent NS
▪ Infor from CNS to PNS
▪ Motor neurons
▪ Autonomic & somatic NS
. Autonomic/vegetative/visceral NS
 Things we can’t control
 Parasympathisch en sympatische zenwustelsel
 Ex: internal organs, blood, glands,…
. Somatic NS
 Influenced by will
- Functions of the nervous system
▪ Receiving sensory input
▪ Integrating info, saves info
▪ Producing motoric output

- Neurons communicate with chemical and electrical signals
▪ Chemicals have influence on the brain (Ex: alcohol)
. Not always via blood
▪ Possibility to develop psychopharmacology
. Induce sleep, control pain, control some brain disorders
- Dark sides of pharmaco
▪ Not efficient
▪ Side effects (can lead to tolerance)
▪ Addiction
- Pyramidal cell: most typical cell in cerebral cortex

Structure of the brain

- Telencephalon
▪ Divided in 4 lobes
▪ Frontal cortex: problem solving, executive function, emotion/pain controlling
▪ Parietal cortex: sensory functions
▪ Occipital cortex: vision
▪ Temporal cortex: memory, sociative functions, emotion
. Also hearing, smell
. Responsible for laying down new information
. Information circuits here -> ability to form these networks require plasticity of the brain
 Brain cells must communicate with each other
- See pics PPT
▪ Coronal section
. Cortex: outer/darker layer/grey matter
 Cell bodies of pyramidal cell here
 Also nuclei of gray matter in the middle
. White matter = myeline
 Short associative connections
 Fibers that connect brain strictions -> prevent that the brain starts functioning in 2
halves (separate functioning is not normal)
▪ Horizontal section
. Ventricles filled with cerebrospinal fluid

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,D’Hooge


Cells

- Purkinje cells
▪ Very much very tiny cells
▪ Typical for cerebellum

- Pyramidal cells
▪ Typical for cerebral cortex
▪ Biggest cells
- Glial cells
▪ More numerous than normal neurons
▪ Support cells: structural and chemical support (metabolic)
▪ Astrocytes
. Remove ntm
▪ Microglial cell
. Smaller
. Involved in defence systems of the brain
. Healing processing in the brain
 Haemorrhage or stroke -> cells that are lost, will not return
 Microglial cells are more local (not much neurogenesis)
 Help with plasticity & attack pathogens
▪ Oligodendrocytes
. In the central system (in peripheral: Shwann cells)
. A lot of myeline

Synapses

- Contact axon and dendrite/other axon
- Dendritic spines: axon terminal can make contact here
- See pics PPT

Action potentials

- Zie zelfstudie deel -> is daar al uitgelegd
- Net result = Depolarisation: Na+ influx
- Propagation/movement of AP
▪ Adjacent parts will also get an AP
▪ Faster when axon has myeline
. Saltatory transmission

- Influx of calcium in synapse -> ntm free
- Ntm needs to be removed (pharmaco works here)

Receptors

- Ntm binds to receptor -> generate the signal
- Ligand-dated channel/ionotropic receptors
▪ Ntm binds -> receptor directly opens -> ion flow
▪ Ion specific
▪ Milliseconds
- G-proteine coupled receptors/metabotropic
▪ Not directly coupled to ntm
▪ Influence excitability of a cell
. G proteins can lead to inhibition of excitation
▪ Ntm binds to receptor -> activate G-protein
. 1. Can influence an ion channel
. 2. Can influence an enzyme (2nd messenger)
 2nd messenger: product produced inside the cell
 Can influence all kinds of stuff (Ex: genetics)
▪ Advantage: 2nd messenger stays very long in the cell (<-> ntm)
. Pharmaco can interact here


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,D’Hooge


- Kinase-linked receptors
▪ Kinase: enzyme that phosphorylates another enzyme
▪ Stay for hours
- Nuclear receptors
▪ Only relevant for ntm that can enter the cell
. Binds to receptor in nucleus
. Does something with the genetic material
▪ Ex: sex hormones/cortisol
▪ Ex: lipids -> can go through the membrane
▪ Vaak een steroïde




- First messenger – receptor – second messenger (example)
▪ Ex 1: G protein -> adenylate cyclase -> cAMP -> kinase -> phosphorylate canal
▪ Ex2: inhibitory and exciting ~ dopamine can do both
▪ G proteine has invloed op meerdere enzymen die dan ook weer invloed hebben op meerdere second
messengers

Neurotransmitters

- More than 100 substances identified as ntm
- Some are local, others work in large parts of the NS
- Different steps
▪ 1. Synthesis (can happen on different places)
▪ 2. Storage
▪ 3. Release
▪ 4. Receptor action
▪ 5. Inactivation

Small molecular ntm

- Acetylcholine
▪ First ntm described
▪ Location
. Motor neurons (neuromuscular junction), deep brain structures (striatum, nucleus basalis),
cortex, PS NS
▪ Disorders
. Myasthenia gravis: auto-immunie disorder that affect peripheral AChR
. Alzheimer (impact on memory -> intervention: ACh-acetate inhibitors)
▪ Cholinergic system
. 1. Magnocellular basal forebrain cholinergic system
 Medial septal nucleus (MS)
 Vertical and horizontal limbs of the diagonal band of Broca (DB)
 Nucleus basalis magnocellularis (nBM)
 (DB projects diffusely to neocortex, basolateral amygdala and olfactory bulb; MS and
vertical limb of the DB project to hippocampus and entorhinal cortices)
. 2. Brainstem cholinergic system: projects predominantly to thalamus/basal forebrain


3

, D’Hooge


 Pedunculopontine tegmental nucleus (PPT)
 Laterodorsal pontine tegmentum (LDT)
. Zie PPT

▪ AChR (receptors)
. 2 major types with many subtypes
 1. Muscarinic: metabotropic
 Iets van een paddenstoel
 2. Nicotinic: ionotropic
 Ligand-gated ion chanel
 Neuromuscular synapse: muscle contraction


BIOGENIC AMINES

- Biogenic amines (mono-aminergic ntm)
- Catecholamines: dopamine, adrenaline, noradrenaline
▪ (Fenylalanine → ) Tyrosine → L-DOPA → dopamine → noradrenaline → adrenaline
▪ Breakdown: catechol-O-methyltransferase (COMT), mono-amine-oxidase (MAO)
▪ Parkinson’s disease: administration of DOPA (dihydro-oxyphenylalanine), crosses BBB (dopamine
doesn’t)
. Dopamine cells are dying so give them extra DOPA
. At certain point, DOPA won’t have any affect anymore
. BBB: brain blood barrier
- Indolamines: serotonin

- Dopamine
▪ 5 receptor subtypes: D1, D2, D3, D4, D5
▪ D1R: stimulation of adenylate cyclase (AC)
▪ D2R: inhibition of AC
▪ Untrashort system
. Retina, bulbus olfactorius
▪ Intermediary system
. Hypophysis (pituitary), hypothalamus, medulla oblongata
▪ Long system
. Ventral tegmentum-substantia nigra -> striatum, limbic cortex (mesocortical projection) &
limbic structures (mesolimbic projections)
. Responsible for the rewarding elements of dopamine & addiction

▪ Dopaminergic neurotransmission
. NIET GEDAAN IN DE LES (*) -> zie foto PPT (staat geen tekst bij dit stuk)
▪ Dopaminergic drugs *
. Antipsychotics (major tranquilizers – Ex: phenothiazine): dopamine blockers
. Anxiolytics (minor tranquillizers): NA & DA antagonism
. Antidepressants: MAO inhibitors (fluoxetine), potentiate DA & NA transmission
. Stimulants (Ex: amphetamine): potentiate DA & NA transmission
. Drugs for Parkinson: DA precursors (L-dopa), MAO-I, D2 agonist (bromocriptine)

- Serotonin *
▪ Serotonin: 5-hydroxy-tryptamine
▪ Biosynthesis: Tryptophane (food) → 5-hydroxy-tryptophane → serotonin
. Tryptophane hydroxylase zorgt voor deze reactie
▪ Breakdown: 5-HT → 5-hydroxy-indolacetate (5-HIAA)
. MAO zorgt voor deze reactie
▪ Origin of 5HT projections
. 9 classes of serotonergic nuclei: central pons & top part of brainstem (Raphe nuclei)
. Brainstem: area postema & locus coeruleus
▪ Wide radiation to cortex (pacemaker activity)
. Homeostatic
. Modulation of cortical excitability

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