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All Fired Up! (about Neurotransmitters) ( printable HTML version | 29KB MS Word Doc )
By: Lacreshia Laningham, CNP

Has anyone ever told you how electrifying you are? Well, they may not be that far from the truth! Every aspect of our being is interconnected by a communication system compromised of neurons, synapses and chemicals (known as neurotransmitters) that ignite a stimulating fire beneath us.

To understand this fire, and to understand our bodies, we must study the chemical transactions within them.

Neurotransmitters are produced in the cell body of a neuron and are then stored in vesicles until they move down the axon to the axon terminal. They are released from their terminal when the vesicles join with the membrane of the axon terminal. This process spills the neurotransmitters into a calcium channel known as a synapse where they forge through and are accepted by the receptor neuron. The following activity has the possibility of being depolarized or hyperpolarized. A depolarized membrane would stimulate postsynaptic activity whereas a hyperpolarized membrane would restrain postsynaptic activity.

After the chemical is released it must then be inactivated through one of four mechanisms.

Inactivation of neurotransmitters can be done through diffusion, enzymatic degradation, glial cells, or reuptake. Diffusion is when the neurotransmitter drifts out of the synaptic cleft and away from the receptor. When a specific enzyme alters the structure of the neurotransmitter it will not be recognized by the receptor and thus will not be utilized. This exemplifies enzymatic degradation or deactivation. Glial cells are astrocytes that remove neurotransmitters from the synaptic cleft, altering uptake. And reuptake is when the entire neurotransmitter is taken back to the original axon terminal.

Otto Loewi, an Austrian scientist, found the first neurotransmitter in 1921. He utilized two frog hearts in which one remained connected to the vagus nerve and was placed in a chamber of saline and the other was placed in a connected chamber that allowed the fluid from the first chamber to flow into the other as well. Electrical stimulation of the vagus nerve slowed processes in both of the hearts with a slower reaction time on the second heart. Loewi then hypothesized that stimulation of the vagus nerve released a chemical into the first heart that then flowed into the second heart. Today we know this chemical as acetylcholine.

Acetylcholine is produced when choline is accepted by a receptor and choline acetyltransferase is present. Choline thenreacts with acetyl coenzyme A (CoA) to produce acetylcholine. It is synthesized in the central nervous system and in peripheral parasympathetic nerve cells. Choline, found in vitamins B1 and B5, is present in egg yolks, green leafy vegetables and legumes. Acetylcholine aids with memory and musculature. We have also seen decreased concentrations in the bodies of Alzheimer's patients. Chemicals that block the proper function of acetylcholine will dilate pupils and the respiratory system as well as decrease muscle tone and mobility.

Acetylcholine receptors can be nicotinic or muscarinic. Nicotinic receptors are located in the brain, heart, adrenals and muscle tissue. When acetylcholine binds to these sites, it increases the heart rate, blood pressure and improves muscle tone. Nicotine, found in tobacco, will bind to these receptors and will stimulate them. Forty-five percent of smokers are mentally ill and this explains the craving for tobacco products. An individual with a habit of smoking may be lacking acetylcholine, thus when this neurotransmitter is replenished and lobelia administered, this will inhibit the process, proving its success in eliminating the habit of smoking.

Muscarinic receptors are found in the brain, sweat glands and blood vessels. Found to be essential in learning and retention, these sites when stimulated also increase sweating, salivation, and body temperature. Both of these sites are called cholinergic and they promote the release and maintenance of acetylcholine.

A group of neurotransmitters referred to as "catecholamines" contains dopamine, norepinephrine and epinephrine. Norepinephrine and epinephrine, produced by the adrenal gland, are respectively also referred to as noradrenalin and adrenaline. These neurotransmitters are formed from the amino acids phenylalanine and tyrosine. Catecholamines are responsible for peripheral nervous system effects (elevated blood pressure and blood sugar, muscular contraction and the release of TSH from the pituitary) as well as central nervous system responses involving respiration and psychomotor activity. They also control the flow of blood to the skin, skeletal system and mucous membranes as well as heart and gastrointestinal function. Norepinephrine and epinephrine influence metabolism by moderating endocrine function and insulin release by the synthesis of glycogen and fatty acid mobilization.

Andrenergic receptors that usually accept norepinephrine or epinephrine can be inhibited and stimulated by synthetic medicines such as Ritalin, cocaine, and fenfluramine. Ephedrine, a Chinese herb, also binds to these receptor sites. These sites are called Alpha Adrenergic Receptors and Beta Adrenergic Receptors.

Alpha Adrenergic Receptors decrease digestive activity while contracting the blood vessels and the uterus. Beta Adrenergic Receptors contract the blood vessels and the uterus muscles as well as stimulating the heart. "Beta Blockers" are a common drug prescribed to inhibit the proper function of this receptor. Lobelia will also inhibit this function.
Norepinephrine and epinephrine become inactivated by the action of catecholamine-O-methyltransferase (COMT) and monoamine oxidase (MAO). Monoamine oxidase is also known to break down serotonin, dopamine and melatonin as well. Cases of depression have seen improvements with the addition of MAO inhibitors (MAOI), discovered when tuberculosis patients noticed an improvement in mood after being treated with isoniazid. Herbs such as St. John's Wort, Ginkgo Biloba and Passion Flower have proven the same benefit. St. John's Wort however does not allow enzymatic activity to break down serotonin and Ginkgo helps to prevent breakdown of the serotonin receptor sites as we age.

Drugs noted as selective serotonin reuptake inhibitors (SSRIs), including Prozac, Paxil, and Zoloft, block the reuptake of serotonin. Thus, SSRIs create a false sense of detachment and the excess serotonin creates an elevation of mood. Another popularized drug that has many of the same side effects is Ritalin. These drugs are noted as stimulants and react quite similar to the street drug 'speed'. Although drug companies list these drugs as non-addictive, far too many former users have fought the increased depression and weight gain due to withdrawal.

Dopamine, responsible for sexual arousal and muscular coordination, is a neurotransmitter that is deficient in Parkinson's sufferers. This is mainly because of a decreased level of glutathione or and excess amount of iron. This process synthesizes dopamine into free radicals and degenerates the neurons that produce dopamine.

Serotonin (5-Hydroxytryptamine, 5HT), derived from tryptophan, is found to be in highest concentrations within the intestinal tract at 90%. The remainder is found in platelets and the central nervous system. It applies vasoconstriction to the cardiovascular, respiratory and intestinal systems. Although most commonly associated with alleviating depression, serotonin receptors have been found to control hunger, sleep, pain response, seizure, and peristalsis as well as function of the limbic system and brain.

Individuals with a low serotonin level may notice cravings for carbohydrates. Being that they are high in trytophan, ingesting these foods may increase the body's production on serotonin. All too often these 'cravings' are satisfied by refined or processed foods. It is much better to assist the body by ingesting complex carbohydrates to ease the deficiency.
GABA (Gamma Amino Butyric Acid) is best known as an inhibitor of presynaptic transmission, or it keeps the brain from being 'trigger happy'. When in balance, GABA prevents anxiety and increases mental clarity. Anxiolytic drugs of the benzodiazepine family (Valium, Xanax) work off of the soothing effects of GABA receptor response. Herbs found to bind to the GABA receptors are kava kava, hops and lemon balm.

Glutamic Acid, aiding in processing and retention of mental stimuli, is both a neurotransmitter and an amino acid. Glutamine along with vitamin B6 is needed for the production of this transmitter. Glutamic acid is also produced in mass quantities during a stroke.

Glycine, an inhibitory neurotransmitter, is found in the spinal cord and brain stem. Glycine is an amino acid that acts as a neurotransmitter and it has proven to be helpful in the treatment of epilepsy.

Histamine, most commonly associated with allergies, has a different function when involved in neurological activity. Histamine is shown to inflame tissue, dilate capillaries and too increase permeation of tissue to promote lymphatic movement throughout the system. Along with serotonin, histamine is also effective in the release of enkephalins, pain relieving chemicals.

Other neurotransmitters that are less studied or newly discovered are endorphins, substance P, and Nitric Acid. Endorphins elevate mood and ease pain. The receptor sites associated with these transmitters are called opiate receptors. Substance P is found within the brain as well as sensory neurons. It is meant to signal pain, yet opiates and capsaicin (capsicum) tend to ease the intensity of such pain by inhibiting the supply of substance P to the synapses. Nitric Acid, recently discovered, sends messages to various organs including the colon. It has many functions such as erectile function, lowering of blood pressure, formation of synaptic junctions and it also inhibits bacterial growth. It is formed from the amino acid arginine, which then creates the enzyme called nitric oxide synthease (NOS). NOS interacts with guanlate cyclase and synthesizes into cyclic GMP.

Originally created as a cardiovascular drug, Viagra works by stopping the degrading of cyclic GMP. It seems as if the 'side effect' seems to be its selling point.

Although Viagra has put the fire in many people, it is the neurotransmitters that get to do the work. The complex firework display going on within our bodies needs to be nurtured and tended to so that we don't burn ourselves out. Although complex, with the aid of proper nutrients we should be able to sit back and enjoy the beautiful display of wellness as it crescendos into a long and healthy existence.

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