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352       Tissues and organs



             Neurotransmitters                                This provides better protection against break-
                                                              down by peptidases.
             Neurotransmitters in the strict sense are sub-      Endorphins, dynorphins, and enkephalins
             stances that are produced by neurons, stored     are a particularly interesting group of neuro-
             in the synapses, and released into the synap-    peptides. They act as “endogenous opiates” by
             tic cleft in response to a stimulus. At the post-  producing analgetic, sedative, and euphoriant
             synaptic membrane, they bind to special re-      effects in extreme situations. Drugs such as
             ceptors and affect their activity.               morphine and heroin activate the receptors
                                                              for these peptides (see p. 354).
                                                                 Purine derivatives with neurotransmitter
             A. Important neurotransmitters
                                                              function are all derived from adenine-con-
             Neurotransmitters can be classified into sev-    taining nucleotides or nucleosides. ATP is re-
             eral groups according to their chemical struc-   leased along with acetylcholine and other
             ture. The table lists the most important rep-    transmitters, and among other functions it
             resentatives of this family, which has more      regulates the emission of transmitters from
             than 100 members.                                its synapse of origin. The stimulatory effect
                Acetylcholine, the acetic acid ester of the   of caffeine is mainly based on the fact that it
             cationic alcohol choline (see p. 50) acts at     binds to adenosine receptors.
             neuromuscular junctions, where it triggers
             muscle contraction (see p. 334), and in certain
             parts of the brain and in the autonomous         B. Biosynthesis of catecholamines
             nervous system.                                  The catecholamines are biogenic amines that
                Several proteinogenic amino acids (see        have a catechol group. Their biosynthesis in
             p. 60) have neurotransmitter effects. A partic-  the adrenal cortex and CNS starts from tyro-
             ularly important one is glutamate, which acts    sine.
             as a stimulatory transmitter in the CNS. More       [1] Hydroxylation of the aromatic ring ini-
             than half of the synapses in the brain are       tially produces dopa (3,4-dihydroxyphenyl-
             glutaminergic. The metabolism of glutamate       alanine). This reaction uses the unusual
             and that of the amine GABA synthesized from      coenzyme tetrahydrobiopterin (THB). Dopa
             it (see below) are discussed in more detail on   (cf. p. 6) is also used in the treatment of Par-
             p. 356. Glycine is an inhibitory neurotransmit-  kinson’s disease.
             ter with effects in the spinal cord and in parts    [2] Decarboxylation of dopa yields dopa-
             of the brain.                                    mine, an important transmitter in the CNS. In
                Biogenic amines arise from amino acids by     dopaminergic neurons, catecholamine syn-
             decarboxylation (see p. 62). This group in-      thesis stopsatthispoint.
             cludes    4-aminobutyrate    (γ-aminobutyric        [3] The adrenal gland and adrenergic neu-
             acid, GABA), which is formed from glutamate      rons continue the synthesis by hydroxylating
             and is the most important inhibitory trans-      dopamine into norepinephrine (noradrena-
             mitter in the CNS. The catecholamines norepi-    line). Ascorbic acid (vitamin C; see p. 368)
             nephrine and epinephrine (see B), serotonin,     acts as a hydrogen-transferring coenzyme
             which is derived from tryptophan, and hista-     here.
             mine also belong to the biogenic amine group.       [4] Finally, N-methylation of norepineph-
             All of them additionally act as hormones or      rine yields epinephrine (adrenaline). The
             mediators (see p. 380).                          coenzyme for this reaction is S-adenosylme-
                Peptides make up the largest group among      thionine (SAM; see p.110).
             the neurosecretions. Many peptide hormo-
             nes—e. g., thyroliberin (TRH) and angiotensin       The physiological effects of the catechol-
             II—simultaneously act as transmitters. Most      amines are mediated by a large number of
             neuropeptides are small (3–15 AA). At their      different receptors that are of particular inter-
             N-terminus, many of them have a glutamate        est in pharmacology. Norepinephrine acts in
             residue that has been cyclized to form           the autonomic nervous system and certain
             pyroglutamate (5-oxoproline, <G), while the      areas of the brain. Epinephrine is also used
             C-terminus is often an acid amide (–NH 2 ).      as a transmitter by some neurons.




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