2 Neuroscience2.5 Neurochemistry and neurophysiology

2.5.2 Transmitter synthesis, storage, release and uptake; ion channels and calcium flux

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Written by Resident Doctor Committee · Published

Where transmitters are made

  • Small-molecule transmitters are made in the nerve terminal by enzymes that the cell body supplies.

  • Neuropeptide precursors are made on the rough endoplasmic reticulum, and the Golgi apparatus modifies, sorts and packages them into vesicles for storage and transport.

Synthesis pathways

Transmitter

Made from

Enzyme for last step

Note

Serotonin

5-hydroxytryptophan, from tryptophan

Aromatic L-amino acid decarboxylase

Tryptophan hydroxylase is rate-limiting

Dopamine

L-DOPA, from tyrosine

Aromatic L-amino acid decarboxylase

Tyrosine hydroxylase is rate-limiting

Noradrenaline

Dopamine

Dopamine beta-hydroxylase

Happens inside vesicles

Adrenaline

Noradrenaline

Phenylethanolamine N-methyltransferase

Cortisol induces the enzyme

Acetylcholine

Choline and acetyl coenzyme A

Choline acetyltransferase

Mitochondria make acetyl coenzyme A from glucose

GABA

Glutamate

Glutamic acid decarboxylase

Cofactor is pyridoxal phosphate

Glutamate

Glutamine

Glutaminase

Astrocytes supply glutamine

Histamine

Histidine

Histidine decarboxylase

One step, in the tuberomammillary nucleus

  • Serotonin comes from the essential amino acid tryptophan in two steps.

  • Dopamine comes from phenylalanine, then tyrosine, then L-DOPA, its direct precursor.

  • Tyrosine hydroxylase converts tyrosine to L-DOPA, and this is the rate-limiting step for all the catecholamines.

  • Aromatic L-amino acid decarboxylase (DOPA decarboxylase) decarboxylates hydroxylated aromatic amino acids, so one enzyme makes both dopamine and serotonin.

  • Phenylethanolamine N-methyltransferase transfers a methyl group from S-adenosylmethionine to noradrenaline in the adrenal medulla.

  • Choline acetyltransferase activity falls in the cortex in Alzheimer's disease, reflecting loss of projections from the nucleus basalis.

Serotonin outside the brain, and melatonin

  • Most serotonin in the body is made by enterochromaffin cells in the gut, and it does not cross the blood-brain barrier to supply the brain.

  • Melatonin is made in the pineal gland from serotonin: acetylation gives N-acetylserotonin, then methylation gives melatonin.

Follow the thick orange arrows: one enzyme, aromatic L-amino acid decarboxylase, makes dopamine from L-DOPA and serotonin from 5-hydroxytryptophan, after a rate-limiting hydroxylase step in each chain, and serotonin is then acetylated and methylated to give melatonin. Drawn for MRCPsychiatrist

Storage and calcium-triggered release

  • Vesicular transporters load transmitter into vesicles, using a gradient that a proton pump creates; reserpine and tetrabenazine block monoamine loading and deplete stores.

  • Calcium entry through presynaptic N-type or P/Q-type channels, opened by an action potential, lets synaptotagmin trigger vesicle fusion through the SNARE proteins synaptobrevin, syntaxin and SNAP-25.

  • Botulinum toxin disrupts this machinery at cholinergic terminals and causes flaccid paralysis.

Follow the panels from left to right: synaptobrevin on the vesicle pairs with syntaxin and SNAP-25 on the membrane, and when calcium enters and binds synaptotagmin the vesicle fuses and releases its transmitter. CsikFejA, CC BY-SA 4.0, via Wikimedia Commons

Postsynaptic ion channels

Channel lets through

Receptors

Usual effect

Sodium and potassium

Nicotinic, AMPA, 5-HT3

Depolarising

Cations, including much calcium

NMDA

Depolarising, with calcium-dependent signalling

Chloride

GABA-A, glycine

Inhibitory in mature neurones

Termination and breakdown

  • Membrane transporters take serotonin, noradrenaline and dopamine back up, and acetylcholinesterase breaks down acetylcholine.

  • Monoamine oxidase A is the form that preferentially breaks down serotonin, by oxidative deamination on the way to 5-hydroxyindoleacetic acid (5-HIAA).

  • Catechol-O-methyltransferase acts only on catechols, which carry two adjacent hydroxyl groups on a benzene ring. Serotonin is an indoleamine with a single 5-hydroxyl, so this enzyme neither makes nor breaks it down.

  • Astrocytes take up glutamate, convert it to glutamine with glutamine synthetase, and return glutamine, not glutamate, to the presynaptic terminal.