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Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates these...
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Centrally Acting Muscle Relaxants: Therapeutic Uses01:24

Centrally Acting Muscle Relaxants: Therapeutic Uses

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Certain drugs can affect how neurotransmitters called catecholamines, are released or taken back up in the adrenergic neuron. They can have different effects on the body's sympathetic transmission. Reserpine, a natural compound found in the Rauwolfia shrub, blocks a transporter called vesicular monoamine transporter (VMAT), which leads to a buildup of catecholamines in the cell and reduces sympathetic transmission. Another drug called guanethidine works in multiple ways, including blocking...
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Peripherally and Centrally Acting Muscle Relaxants: A Comparison

Skeletal muscle relaxants can target the central nervous system [CNS] to reduce muscle tension or act directly at the neuromuscular junction to induce temporary paralysis. These two classes of muscle relaxants are called centrally acting muscle relaxants and peripherally acting muscle relaxants. They differ in their action, mechanism, administration route, and clinical uses.
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Both zimelidine and clorgyline decrease preprotachykinin mRNA in adult medullary raphe nuclei.

L A Riley1, R P Hart, G M Jonakait

  • 1Department of Biological Sciences, Rutgers University, Newark, New Jersey 07102 USA.

Molecular and Cellular Neurosciences
|November 17, 2009
PubMed
Summary
This summary is machine-generated.

Increased serotonin transmission, using drugs like zimelidine and clorgyline, temporarily reduces substance P precursor (PPT) mRNA in brainstem neurons and substance P-like immunoreactivity (SP-LI) in the spinal cord.

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Area of Science:

  • Neuroscience
  • Neurochemistry
  • Molecular Biology

Background:

  • Medullary raphe nuclei neurons co-express serotonin (5-HT) and substance P (SP).
  • Previous research indicated that inhibiting serotonin synthesis elevates preprotachykinin (PPT) mRNA levels.

Purpose of the Study:

  • To investigate the effect of enhanced serotonin transmission on PPT mRNA and SP-LI.
  • To determine if increased synaptic 5-HT levels inversely regulate PPT gene expression and SP levels.

Main Methods:

  • Administration of a 5-HT uptake blocker (zimelidine) and a monoamine oxidase inhibitor (clorgyline).
  • Quantification of PPT mRNA levels in medullary raphe neurons.
  • Measurement of ventral spinal cord substance P-like immunoreactivity (SP-LI).

Main Results:

  • Both zimelidine and clorgyline treatments led to a decrease in PPT mRNA levels.
  • These treatments also reduced SP-LI in the ventral spinal cord.
  • The observed effects on PPT mRNA were transient, with levels normalizing by 14 days.

Conclusions:

  • Augmented synaptic serotonin transmission causes a temporary reduction in PPT mRNA and SP-LI.
  • This suggests a regulatory role for serotonin in the expression of the substance P pathway.