Transmitters and Receptors





Study guidelines




  • 1.

    Contrast electrical and chemical synapses and describe the differences between inotropic receptors and metabotropic receptors.


  • 2.

    List the three second messenger systems and the functions of a second messenger.


  • 3.

    List the criteria that must be fulfilled before a substance can be considered a neurotransmitter.


  • 4.

    List the major types of neurotransmitters, and provide an example of each.


  • 5.

    Describe the steps that occur when a transmitter binds to an ionotropic receptor.


  • 6.

    Give examples of the various mechanisms used to terminate the action of a neurotransmitter or to recycle them.





Electrical synapses


Electrical synapses are scarce in the mammalian nervous system. As seen in Figure 8.1 , they consist of gap junctions (nexuses) between dendrites or somas of contiguous neurons, where there is cytoplasmic continuity through 1.5-nm channels. No transmitter is involved, and there is no synaptic delay.




Figure 8.1


Structure of an electrical synapse. (A) Synaptic contact between two dendrites. (B) Enlargement from (A). (C) The gap junction between the cell membranes is bridged by close-packed ion channels. (D) Each ion channel comprises a mirror image pair of connexons. (E) Each connexon is formed by six identical connexins, each having a wedge-shaped subunit bordering the ion channel. (F) The subunits open the ion channel by synchronous rotation.


The gap junctions are bridged by tightly packed ion channels, each comprising mirror image pairs of connexons, which are transmembrane protein groups (connexins) arranged hexagonally around an ion pore. Wedge-shaped connexin subunits bordering each ion pore are closely apposed when the neurons are inactive. Action potentials passing along the cell membrane cause the subunits to rotate individually, creating a pore large enough to permit free diffusion of ions and small molecules down their concentration gradients.


The overall function of these gap junctions is to ensure synchronous activity of neurons with a common action. An example is the inspiratory centre in the medulla oblongata, where all the cells exhibit synchronous discharge during inspiration. A second example is among neuronal circuits controlling saccades, where the gaze darts from one object of interest to another.




Chemical synapses


Transmitter release ( Table 8.1 and Figure 8.2 )


In resting nerve terminals, synaptic vesicles accumulate in the active zones, where they are tethered to the presynaptic densities by strands of docking proteins, including actin. With the arrival of action potentials, voltage-gated calcium (Ca 2 + ) channels located immediately adjacent to the active zone in the presynaptic membrane are opened, leading to instant flooding of the active zone with Ca 2 + ions. These ions interact with several proteins in both the vesicle and the active zone, leading to vesicle fusion and neurotransmitter release.



Table 8.1

Some named proteins involved in transmitter transport and vesicle recycling

























Named Protein Function
Actin Brings vesicle into contact with presynaptic membrane
Calmodulin Expels vesicle content into synaptic cleft
Clathrin Withdraws vesicle membrane from synaptic cleft
Dynamin Pinches the neck of the developing vesicle to complete its separation
Ligand Receptor protein that binds with the transmitter molecule
Synaptophysin Creates the membrane fusion pore



Figure 8.2


Sequence of events following depolarisation of the presynaptic membrane. (1) Opening of calcium (Ca 2 + ) channels (arrows) causes synaptic vesicles to be pulled into contact with the presynaptic membrane by actin filaments. Matching pairs of fusion protein macromolecules (FPMs) in the vesicle and presynaptic membrane are aligned. (2) The FPMs separate (outward arrows), permitting transmitter molecules to enter the synaptic cleft. (3) Vesicle membrane is incorporated into the presynaptic membrane while transmitter is activating the specific receptors. (4) Clathrin molecules assist inward movement of the vesicle membrane. Dynamin molecules (green) assist approximation of FPM pairs (inward arrows) and pinch the neck of the emerging vesicle. (5) The vesicle is now free for recycling.


Vesicle fusion begins with the interaction of vesicle SNARE proteins (v-SNARE) and a pair of presynaptic membrane proteins (t-SNARES) to form a tight complex. The necessary metabolic components that trigger vesicle fusion are embedded in the active zone. A critical protein for these components is a large, multidomain protein called RIM that binds to Rab3, a GTP-binding protein on synaptic vesicles. Other proteins are required for vesicle fusion and the release of neurotransmitters. These synaptic components include synaptic vesicle proteins (e.g. synaptotagmin, synaptobrevin, synaptophysin, and synapsins), proteins associated with synaptic vesicles (e.g. amphiphysin, dynamin, and CaM kinases), synaptic plasma membrane proteins (e.g. syntaxins, neurexins, and SNAP-25), and associated cytosolic proteins (e.g. complexins, SNAPs, and NSF).


Many of the identified synaptic proteins have distinctive roles in the excitation–secretion coupling and synaptic vesicle recovery mechanisms underlying synaptic transmission. Intricate models of the molecular machinery responsible for excitation–secretion coupling and neurotransmission at the synapse have been developed through various techniques. These and other local protein responses to Ca 2 + entry are extremely rapid, and the time between Ca 2 + entry and transmitter expulsion is less than 1 ms. In the case of small synaptic vesicles such as those containing glutamate or γ-aminobutyric acid (GABA), single spikes are sufficient to yield some transmitter release. In the case of peptidergic neurons, impulse frequencies of 10 Hz or more are required to induce typically slow (delay of 50 ms or more) transmitter release from the large, dense-cored vesicles. Therefore the amount of transmitter released from a neuron is not fixed but can be modified by both intrinsic and extrinsic modulatory processes.


Target cell receptor binding


Transmitter molecules bind with receptor protein molecules in the postsynaptic membrane. The two main categories of receptors are ionotropic and metabotropic . Each category contains some receptors whose activation leads to the opening of ion pores and others whose activation leads to their closure.


Ionotropic receptors


Ionotropic receptors are characterised by the presence of an ion channel within each receptor macromolecule ( Figure 8.3 ). The transmitter binds with its specific receptor facing the synaptic cleft, causing it to change its conformational state, normally opening a closed channel. Ionotropic receptor channels are said to be transmitter-gated , or ligand gated , signifying their capacity to bind a transmitter molecule or a drug substitute. As soon as the transmitter dissociates from the receptor or is broken down, the channel reverts to its original state (closes).




Figure 8.3


(A) A transmitter-gated excitatory ionotropic receptor. Binding of the transmitter (red, representing glutamate; ES) has opened the pore of a ‘mixed’ Na + –K + cation channel. A large influx of Na + ions coupled with a small efflux of K + ions results in a net depolarisation of the membrane, as shown by the excitatory postsynaptic potential (EPSP). (B) A transmitter-gated inhibitory ionotropic receptor. Secondary binding of the inhibitory transmitter (blue, representing GABA A ; IS) has opened the pore of a chloride (Cl ) channel. Inward Cl conductance has been increased, and the inhibitory postsynaptic potential (IPSP) causes the membrane potential to hyperpolarise.


In Figure 8.3A , the excitatory channel has been opened by the transmitter, causing a major influx of sodium ions (Na + ) and a minor efflux of potassium ions (K + ); the net result is an excitatory postsynaptic potential (EPSP) that depolarises the membrane. A larger depolarisation can be achieved by opening multiple transmitter-gated channels, resulting in summation and possibly reaching the threshold value to trigger an action potential. In Figure 8.3B , the EPSP is followed immediately by an inhibitory postsynaptic potential (IPSP) that hyperpolarises the membrane to − 70 mV, the chloride (Cl ) equilibrium potential. A larger hyperpolarisation can be achieved by opening a K + channel, which has an equilibrium potential of − 80 mV.


Ionotropic receptors are called fast receptors because of their immediate but brief effects on ion channels.


Metabotropic receptors


Metabotropic receptors are so called because many are capable of generating multiple metabolic effects within the cytoplasm of the neuron. The receptor macromolecule is a transmembrane protein devoid of an ion channel. Its function is initiated by the binding of a transmitter to its extracellular receptor site. This causes a change in the conformational state of the protein, activating one of the attached subunits (α or β subunit) that detaches and moves along the inner surface of the membrane. The subunits are called G proteins , because most bind with guanine nucleotides such as guanine triphosphate (GTP) or guanine diphosphate (GDP) . Their action on ion channels is usually indirect, via a second messenger system . However, some G proteins activate ion channels directly (see later).


A G protein with a stimulatory effect is known as G s protein , and that with an inhibitory effect is known as G i protein . Because of the numerous steps involved, metabotropic receptors are in general slow receptors. Membrane channel effects may continue for hundreds of milliseconds after a single stimulus. Additionally, the creation of intracellular second messengers can alter the excitability properties of neurons.


Three second messenger systems are well recognised.



  • 1.

    The cyclic adenosine monophosphate (cAMP) system , responsible for phosphorylation of proteins.


  • 2.

    The phosphoinositol system , responsible for liberating Ca 2 + from cytoplasmic stores.


  • 3.

    The arachidonic acid system , responsible for production of arachidonic acid metabolites.



cAMP system


In the examples shown in Figure 8.4 , transmitter–receptor binding releases the α subunit of a G s protein, leaving it free to link with GTP, which in turn facilitates adenylate cyclase to convert adenosine triphosphate (ATP) to cAMP. The newly formed cAMP can now dissociate within the cell as the second messenger. Protein kinase A in the membrane is stimulated by cAMP to transfer phosphate ions from ATP to an ion channel, causing its pore to open and to allow Na + ions to enter, thus initiating depolarisation of the target neuron. When the G s protein is switched off, the membrane-attached enzyme protein phosphatase catalyses the extraction of phosphate ions, resulting in pore closure.




Figure 8.4


The cyclic AMP (cAMP) system. The diagram shows the basic steps along the path from a G s protein-linked receptor via cAMP to an ion channel. (1) Transmitter is activating the receptor macromolecule. (2) G s protein α subunit is freed to bind with guanosine triphosphate (GTP). (3) GTP links the unit to adenylate cyclase. (4) Adenylate cyclase catalyses synthesis of cAMP from ATP. (5) cAMP activates protein kinase A (PKA). (6) PKA transfers phosphate groups from ATP to a sodium ion (Na + ) channel, causing its pore to open and Na + ions to rush into the cytosol, causing depolarisation. (7) Following inactivation of the G s protein, dephosphorylation of the channel by a phosphatase enzyme allows the channel pore to close.


Phosphoinositol system


In the example shown in Figure 8.5 , activation of another kind of G s protein α subunit causes the effector enzyme phospholipase C to split a membrane phospholipid (PIP 2 ) into a pair of second messengers: diacylglycerol (DAG) and inositol triphosphate (IP 3 ). DAG activates protein kinase C, which initiates protein phosphorylation. IP 3 diffuses into the cytosol, where it opens Ca 2 + -gated channels, mainly in nearby membranes of smooth endoplasmic reticulum. The Ca 2 + ions activate certain Ca 2 + -dependent enzymes downstream, resulting in opening and/or closing of ion channels and possibly crossing the nuclear envelope to alter gene expression and protein production (see ‘ gene transcription effects ’ below).




Figure 8.5


The phosphoinositol system. The steps indicate the dual function of this system. (1) The transmitter activates the receptor macromolecule. (2) The G s protein α subunit is freed to bind with guanosine triphosphate (GTP), which links it to phospholipase C (PLC). (3) PLC moves along the membrane and splits the phospholipid PIP 2 into diacylglycerol (DAG) and inositol triphosphate (IP 3 ). (4) DAG attracts the enzyme protein kinase C (PKC) to the membrane, where (5) DAG is triggered to phosphorylate several proteins, potentially including ion channels. (6) IP 3 activates calcium (Ca 2 + ) channels in the smooth endoplasmic reticulum. (7) Stored Ca 2 + is released into the cytosol. (8) Ca 2 + -dependent enzymes are activated.


Arachidonic acid system


This is described later, in connection with histamine.


Gene transcription effects


It is also well established that the reflex responses to repetitive stimuli may be either progressively increased (a state of sensitisation , usually induced by noxious stimuli) or diminished (a state of habituation, induced by harmless stimuli). Animal experiments investigating reflex arcs involving sets of sensory neurons, motor neurons, and interneurons have shown that a characteristic of sensitisation is the development of additional synaptic contacts between the interneurons and the motor neurons, together with additional transmitter synthesis and release. Characteristic of habituation is a reduction of transmitter synthesis and release. All these changes result from alterations of gene transcription. Repetitive noxious stimuli cause cAMP to increase its normal rate of activation of protein kinases involved in the phosphorylation of proteins that regulate gene transcription. The outcome is increased production of proteins (including enzymes) required for transmitter synthesis and of other proteins for construction of additional channels and synaptic cytoskeletons. Repetitive harmless stimuli merely reduce the rate of transmitter synthesis and release.


Gene transcription effects are especially important for forming long-term memories ( Chapter 34 ).




Transmitters and modulators


Several criteria should be fulfilled for a substance to be accepted as a neurotransmitter.




  • The substance must be present within neurons, together with the molecules, including enzymes, required to synthesise it.



  • The substance must be released following depolarisation of the nerve endings that contain it, and this release must be induced by the entry of Ca 2 + .



  • The postsynaptic membrane must contain specific receptors that will modify the membrane potential of the target neuron.



  • The isolated substance must exert the same effect when applied to a target neuron exogenously (microiontophoresis) .



  • Specific antagonist molecules, whether delivered through the circulation or by iontophoresis, must block the effect of the putative transmitter.



  • The physiologic mode of termination of the transmitter effect must be identified, whether it is by enzymatic degradation or by active transport into the parent neuron or adjacent neuroglial cells.



Many transmitters limit their own rate of release by negative feedback activation of autoreceptors in the presynaptic membrane, which inhibit further release. Ideally, the existence of specific inhibitory autoreceptors should be established.


The term neuromodulator (L. modulare, to regulate) has been subject to several interpretations. The most satisfactory appears to derive from the terms amplitude modulation and frequency modulation in electrical engineering, signifying superimposition of one wave or signal onto another. Figure 8.6 represents a sympathetic and a parasympathetic nerve ending, close to a pacemaker cell (modified cardiac myocyte). This neighbourly arrangement of nerve endings is common in the heart and allows the respective transmitters to modulate each other’s activity. The sympathetic nerve ending liberates norepinephrine (noradrenaline), which has a stimulatory effect. The three modulators shown exert their effects via second messenger systems.




Figure 8.6


Neuromodulation occurs at nerve endings in the sinuatrial node of the heart, where sympathetic and parasympathetic nerve endings often occur in pairs. In this representation the sympathetic system is the more active, releasing the transmitter norepinephrine, which depolarises cardiac pacemaker cells via β 1 pacemaker membrane receptors. Circulating epinephrine exerts positive modulation on the nerve ending by increasing transmitter release via β 2 presynaptic membrane heteroreceptors. Inhibitory modulation of excess norepinephrine release is expressed via α 2 presynaptic membrane autoreceptors. At the same time, release of the inhibitory transmitter acetylcholine (ACh) from the parasympathetic bouton is inhibited via α 2 heteroreceptors.


The figure caption also refers to autoreceptors and heteroreceptors . Receptors for a particular transmitter that often occur in the presynaptic and postsynaptic membranes are called autoreceptors . These are activated by high transmitter concentration in the synaptic cleft, and they have a negative feedback effect, inhibiting further transmitter release from the synaptic bouton. Heteroreceptors occupy the plasma membrane of neurons that do not liberate the specific transmitter. In the example shown, activity at sympathetic nerve endings is accompanied by inhibition of parasympathetic activity through heteroreceptors located on parasympathetic nerve endings.


Fate of neurotransmitters


The ultimate fate of transmitters released into synaptic clefts is highly variable. Some transmitters are inactivated within the cleft, some diffuse away into the cerebrospinal fluid via the extracellular fluid, and some are recycled either by direct uptake or indirectly via glial cells.


The principal transmitters and modulators are shown in Table 8.2 . Respective receptor types are listed in Table 8.3 .



Table 8.2

Main types of transmitters and modulators. * The neuropeptides are modulators










































Type Example(s)
Amino acids Glutamate
γ-Aminobutyric acid (GABA)
Glycine
Biogenic amines Acetylcholine
Catecholamines (dopamine, norepinephrine [noradrenaline], epinephrine [adrenaline])
Histamine
Monoamines
Serotonin
Neuropeptides Endorphin
Enkephalin
Substance P
Vasoactive intestinal polypeptide
Many others
Adenosine
Gaseous Nitric oxide

* The five monoamines contain a single amine group. Catecholamines also contain a catechol nucleus.

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Mar 27, 2019 | Posted by in NEUROLOGY | Comments Off on Transmitters and Receptors

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