Neurotransmitters

Snapshot

  • A 26-year-old female patient presents to her physician due to chronic fatigue. Upon further questioning, the patient reports that she no longer enjoys seeing her younger cousins, something that has brought her great happiness in the past. She has lost 10 pounds over the past month, which she attributes to her decreased appetite. She says that it has been very difficult for her to concentrate lately, is unable to sleep, and finds it difficult to get out of bed due to feeling “drained.” (Major depressive disorder)

Overview

NeurotransmitterSite of Synthesis↑ in Disease↓ in DiseaseComments
Acetylcholine (ACh)Basal nucleus of MeynertParkinson’s diseaseAlzheimer’s diseaseHuntington’s diseaseInvolved in learning and memory in the central nervous system (CNS)All motor neurons to skeletal muscles use AChAll preganglionic neurons use ACh at the ganglion of the parasympathetic and sympathetic systemPostganglionic parasympathetic fibers use AChPresynaptic neurons of the adrenal medulla use ACh
DopamineVentral tegmentumSubstantia Nigra pars compactaArcuate nucleus (tubuloinfundibular pathway)Huntington’s diseaseSchizophreniaParkinson’s diseaseDepressionAlso known as prolactin-inhibiting factorantipsychotics (dopamine antagonists) can lead to increased prolactin secretion → galactorrhea and amenorrheaInvolved in movement and working memoryInvolved in addiction
γ-Aminobutyric acid (GABA) Nucleus accumbensHuntington’s diseaseAnxiety Major inhibitory neurotransmitter of the brainglycine is the major inhibitory neurotransmitter in the spinal cordBenzodiazepines act on GABA receptors to enhance GABA activityBaclofen is a GABA B receptor agonist that relieves spasticity
Norepinephrine (NE)Locus ceruleus AnxietyDepressionInvolved in mood control and sleep-wake cyclePostganglionic sympathetic fibers release NEimportant for maintaining blood pressure
Serotonin (5-HT)Raphe nucleus 
DepressionAnxietySerotonin re-uptake inhibitors (SSRIs) are effective in treating depression, anxiety disorders, obsessive compulsive disorderSerotonin syndromesecondary to high levels of sertonin (e.g., MAO inhibitor + SSRI)