Synaptic physiology II


Objectives

  • 1.

    Explain the concept of a chemical neurotransmitter and its receptor.

  • 2.

    Describe the mechanism of neurotransmission at the neuromuscular junction.

  • 3.

    List the major classes of neurotransmitters and their actions.

  • 4.

    Explain the difference between ionotropic and metabotropic receptors.

  • 5.

    Describe how excitatory and inhibitory neurotransmitters influence postsynaptic activity, and how synaptic transmission is terminated.

  • 6.

    Describe how synaptic responses are integrated.

  • 7.

    Describe short-term and long-term plasticity in synaptic transmission.

Chemical synapses afford specificity, variety, and fine tuning of neurotransmission

In Chapter 12 we noted that chemical synapses afford the variety, specificity, and fine tuning of neurotransmission that underlie the enormous complexity of nervous system function. More than 100 different neurotransmitter molecules have been identified. This variety contributes to specificity so that two adjacent synaptic inputs from different presynaptic neurons may release different transmitters that act on different receptors to produce different actions in a single postsynaptic cell. Additionally, many presynaptic neurons can release more than one neurotransmitter. This provides a broad range of opportunities for chemical intervention to alter synaptic transmission; this is the basis of neuropharmacology and psychopharmacology. To characterize chemical neurotransmission better, we first need to define what we mean by a neurotransmitter.

What is a neurotransmitter?

A neurotransmitter is an intercellular messenger molecule. It is generated in and released by a presynaptic neuron, and it acts on an adjacent postsynaptic neuron or neuroeffector cell, or even back on the neuron that released the molecule. With this definition, we can distinguish two classes of chemical neurotransmitter substances: conventional and unconventional transmitters.

Conventional neurotransmitters comprise three groups

All conventional neurotransmitters are stored in synaptic vesicles (SVs) and are released in quantal fashion by Ca 2+ -dependent exocytosis. These conventional transmitters can be divided into three groups. One group includes ACh, γ-aminobutyric acid (GABA) , glutamate, glycine ( Fig. 13.1 ), and certain purines. They are stored in approximately 40-nm diameter, electron-lucent SVs. These transmitters are released and act at well-defined synapses with “classical” structures: the presynaptic cells, which have active zone densities in their boutons, are separated by narrow (20- to 40-nm) synaptic clefts from the postsynaptic cells, which have specialized postsynaptic densities ( Fig. 12.3 ). This type of synaptic transmission is sometimes referred to as wiring transmission because direct connection of presynaptic and postsynaptic cells can be viewed as “hard wiring.” Transmission at electrical synapses ( Chapter 12 ) also is a type of wiring transmission.

Fig. 13.1, The Structures of Some Common Neurotransmitters.

A second group of conventional neurotransmitters comprises biogenic monoamines : serotonin (5-hydroxytryptamine or 5-HT), histamine , and the catecholamines a

a Catecholamines all contain a catechol (1,2-dihydroxybenzene) moiety.

(dopamine, norepinephrine [NE], and epinephrine [Epi], which are sequentially derived from tyrosine) ( Fig. 13.1 ). These transmitters are usually stored in small dense-core (electron-opaque) SVs, which are approximately 40 to 70 nm in diameter. Biogenic amines can be released at classical synapses where the closely apposed postsynaptic cells have specialized postsynaptic densities. Biogenic amine transmitters are also released at en passant synapses where the presynaptic “terminals” are simply SV-containing varicosities (enlargements) that occur along axons as they pass postsynaptic cells. At en passant synapses, the postsynaptic cells often exhibit typical postsynaptic density regions to which the transmitter receptors are confined. In many instances, however, the transmitter receptors are more diffusely distributed on the postsynaptic cell surface. A good example of the latter is the synapse between a sympathetic neuron and a vascular smooth muscle cell.

At en passant synapses, the released transmitter may activate several postsynaptic cells. This type of neurotransmission is sometimes referred to as volume transmission , because the transmitter activates all postsynaptic cells that express the appropriate receptor within the volume of tissue in which the transmitter concentration is sufficiently high. In contrast to the situation at classical synapses, neurotransmitters must diffuse across greater distances to reach postsynaptic cells; hence the synaptic delay is correspondingly longer for volume transmission.

The third group of conventional transmitters, the neuropeptides, range in length from 3 to approximately 100 amino acid residues, although most have fewer than 30 residues. These peptide neurotransmitters are often stored in large dense-core vesicles (∼100–150 nm diameter) in which monoamines are frequently cosequestered. These SVs are often concentrated in, and release their contents from, boutons at classical synapses. Neuropeptide transmitter release is distinctive in requiring bursts of presynaptic APs, whereas most other conventional transmitters are usually released by a single AP. Ca 2+ -evoked release from large dense-core vesicles may also occur at various places along the presynaptic axon where no apparent synaptic structures are present. This type of transmitter release therefore more closely resembles the secretion of most hormones by endocrine cells, which do not have specialized active zones where the secretory vesicles cluster before release. Indeed, the storage and secretion of peptide hormones in the magnocellular neurons (large cell neurons) of the hypothalamus b

Roger Guillemin and Andrew Schally shared (with Rosalyn Yalow) the 1977 Nobel Prize in Medicine or Physiology for their discoveries of peptide “releasing” hormones, which are stored in and released by hypothalamic neurons. In 1931, Ulf von Euler first discovered a peptide neurotransmitter, substance P. von Euler and Julius Axelrod did pioneering research on norepinephrine as a neurotransmitter, for which they shared the 1970 Nobel Prize in Medicine or Physiology with Bernard Katz ( Chapter 12 ).

were originally believed to be a peculiarity of these neuroendocrine cells. We now recognize that this phenomenon is much more widespread in the nervous system.

Unconventional neurotransmitters are not stored in synaptic vesicles

In contrast to the aforementioned hydrophilic neurotransmitters, a few neurotransmitters are hydrophobic gases or lipids. These lipid-soluble transmitters cannot be stored in SVs, which have lipid bilayer membranes. The examples discussed here are the gaseous neurotransmitters , nitric oxide (NO) and carbon monoxide (CO), and several lipids known as endocannabinoids , such as 2-arachidonoylglycerol (2-AG) ( Fig. 13.1 ). The endogenous cannabinoids are so named because many of their effects are mimicked by the major psychoactive agent in marijuana, Δ 9 -tetrahydrocannabinol, an exogenous cannabinoid that is derived from the hemp plant, Cannabis sativa. Even though the unconventional transmitters are not stored in SVs, they fit the definition of synaptic neurotransmitters given earlier. They are generated in and released by a neuron, and they act on an adjacent neuron or effector cell or back on the neuron that released the molecule.

Receptors mediate the actions of neurotransmitters in postsynaptic cells

A neurotransmitter receptor is the target protein to which the transmitter molecule (the ligand) binds. This interaction is specific and is a mechanism whereby the signal from the presynaptic neuron is transduced into a different signal in the postsynaptic cell. The receptors for conventional neurotransmitters are all integral membrane proteins.

Conventional neurotransmitters activate two classes of receptors: Ionotropic receptors and metabotropic receptors

Ionotropic receptors are ligand-gated ion channels for which the ligands are neurotransmitters

Ionotropic receptors are ligand-gated channels ( Chapter 8 ) comprising four or five subunits whose arrangement defines a central, gated pore. Binding of the transmitter to the ligand-binding site on the ionotropic receptor induces a conformational change that opens the channel. Ionotropic receptors generally mediate fast synaptic responses because the neurotransmitters directly gate ion channels. These receptors are important targets for pharmacotherapy.

Metabotropic receptors are not ion channels but are proteins with seven transmembrane helices

Binding of a neurotransmitter activates a metabotropic receptor, which in turn activates a G-protein . These receptors are therefore members of the G-protein–coupled receptor (GPCR) family. c

Alfred G. Gilman and Martin Rodbell were awarded the 1994 Nobel Prize for Physiology or Medicine for discovering G-proteins and characterizing their role in cell signaling.

This is the largest family of membrane proteins in the human genome; its members influence almost all biological responses and are the targets of approximately 60% of clinically useful drugs. Most metabotropic receptors function as homodimers or heterodimers (or even oligomers). Binding of a neurotransmitter molecule to one monomer is usually sufficient to activate the dimer fully, and binding of a transmitter molecule to the second monomer may even reduce the activity of the dimer.

A G-protein is a heterotrimeric protein complex comprising α-, β-, and γ-subunits; the α-subunit has a binding site for guanine nucleotide . A wide range of different α-, β-, and γ-subunits is expressed, giving rise to many possible αβγ trimer combinations that can couple diverse receptors to downstream effectors ( Fig. 13.2 ). In the quiescent state, a guanosine diphosphate (GDP) is bound to the α-subunit of a G-protein (α GDP βγ). Some α GDP βγ complexes are bound to appropriate GPCR dimers, thus forming inactive pentameric complexes. On activation by a neurotransmitter molecule, the metabotropic receptor catalyzes the exchange of guanosine triphosphate (GTP) for GDP to generate α GTP βγ. This enables the α GTP βγ complexes to dissociate into α GTP and βγ moieties, each of which can interact with downstream effectors such as phospholipase C, protein kinase C (PKC), or adenylyl cyclase, to initiate a cellular response ( Fig. 13.2 ). The signal is terminated when the α-subunit hydrolyzes the bound GTP, causing the reversion to α GDP , which then can recombine with βγ to regenerate the inactive α GDP βγ trimer. Because G-protein signaling depends on multiple enzymatic processes, synaptic responses mediated by metabotropic receptors are necessarily slower than those mediated by ionotropic receptors.

Fig. 13.2, The Agonist Receptor–G-Protein–Phosphoinositide Cascade.

Metabotropic receptor–coupled G-proteins are molecular switches that modulate postsynaptic activity in a variety of ways. For example, the α-subunit of G-proteins activates enzymes that generate second messengers such as inositol trisphosphate (IP 3 ), diacylglycerol (DAG) ( Fig. 13.2 ), and the cyclic mononucleotides , cAMP and cGMP. The IP 3 releases Ca 2+ from the sarcoplasmic reticulum/endoplasmic reticulum (S/ER), and DAG and the cyclic nucleotides can gate ion channels or stimulate protein kinases to phosphorylate other proteins. The βγ subunits can directly modulate Ca 2+ channels and K + channels (e.g., inward rectifier, Kir, channels; Box 8.5 ). Phosphorylation at multiple sites on the cytoplasmic loop of the GPCR regulates its activity. This and the variety of transmitter receptors and their subtypes, and the variety of G-protein subunit isoforms, result in a rich tapestry of responses.

GPCR activation ceases when the neurotransmitter dissociates from the receptor or when the receptor is desensitized

When the transmitter molecule dissociates from the GPCR dimer, the receptor reverts to its inactive conformation and can no longer catalyze GTP-GDP exchange until it is reactivated by another transmitter molecule. Activated GPCRs can be phosphorylated by G protein–coupled receptor kinases (GRKs) , members of the serine/threonine kinase family. This permits the binding of β-arrestin (a scaffold protein , an organizer of signaling molecules) to the GPCR and thereby sterically hinders coupling to G-protein complexes. This process is a form of desensitization . The GPCR-β–arrestin complexes can be retrieved from the plasma membrane to enable recycling of the GPCRs. The GPCR-β–arrestin complexes also can bind and activate various kinases such as the extracellular signal–regulated kinase (ERK) , whose downstream actions are G-protein-independent.

Rather than providing a comprehensive description of all aspects of neurotransmitter action in the brain, we will concentrate on a few representative examples in which the underlying mechanisms have been elucidated. Descriptions of more complex behaviors, in which the mechanisms are less well understood, are left to specialized neuroscience texts.

Acetylcholine receptors can be ionotropic or metabotropic

Nicotinic acetylcholine receptors are ionotropic

The nicotine acetylcholine receptor (nAChR) expressed at the neuromuscular junction (NMJ) ( Chapter 12 ) is a representative ionotropic receptor. Five homologous nAChR subunits (α, β, γ, δ, and ε) have been identified. Each nAChR is a pentamer containing at least two α-subunits in combination with other subunits. At the NMJ, the subunit composition is 2α:β:δ:ε; in cholinergic neurons in the brain, the composition is often 3α:2β. Each subunit has five membrane-spanning domains and a large extracellular domain. Transmembrane segments from the five subunits form the channel pore, which opens when each of the two α-subunits binds an ACh molecule simultaneously. Functional characteristics of nAChRs, which are nonselective cation channels, are discussed in a later section. As their name implies, nAChRs also can be activated by the tobacco plant alkaloid d

d Alkaloids are nitrogen-containing ringed compounds, usually of plant origin, that have physiological actions on animals and humans.

nicotine, which induces sensations of relaxation and euphoria but may become addictive. In myasthenia gravis , the most common disease affecting neuromuscular transmission, and in congenital myasthenic syndrome, nAChR function is disrupted ( Box 13.1 ).

BOX 13.1
Congenital and Acquired Myasthenic Syndromes Result From Defective Neuromuscular Transmission

Myasthenia gravis is a neuromuscular disease characterized by muscle weakness and fatigability. It almost always affects the eyelids, eye muscles, and limb muscles. The most prevalent form of the disease is the autoimmune form, in which antibodies are produced against nAChRs. These antibodies bind to the α-subunit of the receptor and prevent activation of the receptor by ACh. In addition, the density of nAChRs is reduced in myasthenia gravis. As a result, the amplitude of the EPP is reduced to near threshold and many EPPs fail to activate the muscle, thus accounting for the weakness.

Congenital myasthenic syndromes (CMSs) are a heterogeneous group of disorders caused by presynaptic, synaptic, or postsynaptic defects at the neuromuscular junction. The clinical picture in all forms of these syndromes consists of respiratory and feeding difficulties at birth or weakness of the ocular and bulbar muscles (muscles of the tongue, lips, and pharynx) during the first 2 years of life. Postsynaptic CMS can be associated with changes in the gating kinetics of nAChR channels or with a reduction in the density of nAChR channels in the postsynaptic membrane. In the fast channel syndrome a mutation in the nAChR channel results in a greatly reduced postsynaptic response to ACh. Patch clamp recordings of single nAChR channels reveal that the mutation causes the channel open time to be much shorter than that of wild-type channels ( Fig. 13.3 ). Because of the reduced inward current through ACh-gated channels, many skeletal muscle cells fail to reach AP threshold and thus fail to contract. This results in muscle weakness.

Fig. 13.3, ACh-gated channel openings in a patient with CMS are briefer than normal. Single ACh-gated channel openings (shown as upward deflections) were recorded at an NMJ from a normal individual ( control ) and from a patient with CMS ( patient ). The single channel openings in the patient are briefer and less frequent than in the control subject.

The enzyme acetylcholinesterase (AChE), which hydrolyzes ACh into acetate and choline, is highly concentrated in the synaptic cleft at cholinergic synapses, including the NMJ. After the release of ACh, AChE rapidly reduces the extracellular ACh concentration and thereby contributes to the termination of its action. A Na + -coupled cotransporter retrieves choline back into the presynaptic nerve terminals, where it is used to resynthesize ACh. Some paralytic drugs and toxins, including several clinically useful agents, act through interactions with nAChRs or AChE ( Box 13.2 ).

BOX 13.2
Some Drugs and Toxins Disrupt Transmission at the Neuromuscular Junction

Certain drugs and toxins cause paralysis by binding to nAChRs and preventing ACh binding. One example, curare, is an arrow poison used in South America to paralyze prey. Curare is derived from various plants belonging to the genera Chondrodendron and Strychnos. The active component of curare is the toxin d -tubocurarine, an alkaloid that is a competitive antagonist of ACh at nAChRs: it binds to the receptor but elicits no response, and it prevents the binding of ACh. d -Tubocurarine was once used as a muscle relaxant in anesthesia but has been replaced by better alternatives. Another toxin with a similar mode of action is α-bungarotoxin, found in the venom of the banded krait Bungarus multicinctus. Both d -tubocurarine and α-bungarotoxin cause death by paralyzing respiratory muscles.

Another group of drugs that act at the NMJ are certain nerve gases, such as sarin, that have been used only as chemical weapons. Sarin gained notoriety in a 1995 terrorist attack in a Tokyo subway and in a 2018 attack in Damascus. Sarin is an organophosphate that binds covalently to the catalytic serine residue at the active site of AChE, and thus blocks ACh hydrolysis irreversibly. As a result, the concentration of ACh builds up in the synaptic cleft and causes continuous depolarization of some CNS neurons and skeletal muscle. Death results from loss of respiratory function.

In current practice, two classes of muscle relaxants are used as adjuncts to anesthetics. Depolarizing drugs such as succinylcholine, which cannot be hydrolyzed by AChE, activate nAChRs; these agents cause muscle depolarization and receptor desensitization. Nondepolarizing drugs such as pancuronium act like d -tubocurarine; they are competitive ACh antagonists that do not activate the receptors.

Muscarinic acetylcholine receptors are metabotropic

Muscarinic AChRs (mAChRs) are GPCRs that mediate most of the actions of ACh in the central nervous system (CNS) . Five mAChR subtypes (M 1 to M 5 ) have been identified. The mAChRs are expressed by many CNS neurons and by various effector cells, including cardiac, smooth muscle, vascular endothelial, and exocrine gland cells. Many of these cells express two or more mAChR subtypes; this results in a diverse array of postsynaptic responses. Activation of mAChRs can lead to phosphoinositide hydrolysis and IP 3 -activated Ca 2+ release from the S/ER, to inhibition of adenylyl cyclase and reduction of cAMP levels, or to activation of Kir channels ( Box 8.5 ).

In the brain, activation of M 1 -, M 2 -, and M 5 -mAChRs modulates region-specific release of some neurotransmitters, including ACh (through autoreceptors ), dopamine, and GABA, and inhibition of certain nAChRs. The multiple underlying mechanisms include, among others, the phosphoinositide-Ca 2+ -PKC cascade (phosphoinositide cascade ), opening of Kir channels, and protein kinase-mediated modulation of N- and P/Q type voltage-gated Ca 2+ channels ( Table 8.2 ). Agonists and antagonists of specific mAChR subtypes have been developed to alleviate symptoms of Alzheimer’s disease and schizophrenia by augmenting and antagonizing cholinergic transmission, respectively.

The mAChRs modulate sympathetic and parasympathetic ganglionic function by altering neuronal excitability. Classic examples of parasympathetic effects are slowing of the heart, contraction of bladder and airway smooth muscles, endothelium-mediated vasodilation, and secretion of fluid and electrolytes by the salivary glands. M 2 -, M 3 - and M 4 -mAChRs mediate cardiac slowing by activating, respectively, a Kir channel and two different slowly-opening voltage-gated K + channels. The mAChR-triggered, Ca 2+ -dependent salivary secretions and bladder and airway smooth muscle contractions are activated, in part, by phospholipase C-mediated generation of IP 3 and consequent mobilization of Ca 2+ from the S/ER ( Fig. 13.2 ).

Muscarinic AChRs are so named because they are activated by muscarine , a toxic alkaloid found in the poisonous mushroom, Amanita muscaria. Muscarine is called a parasympathomimetic agent because it mimics the natural parasympathetic agonist, ACh. Two other toxic alkaloids, atropine , from the deadly nightshade (Atropa belladonna), and scopolamine , from other members of the nightshade plant family, are mAChR antagonists that are employed clinically. Atropine is used routinely in ophthalmology to dilate the pupil of the eye. Atropine blocks mAChRs on the pupillary constrictor muscle; the unopposed dilator muscle, which is activated by NE, then dilates the pupil. Scopolamine, which can cross the blood-brain barrier ( Box 3.5 ), is used to prevent nausea and motion sickness; its mechanism of action is still unresolved.

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