Neurotransmission and Ion Transport Mechanisms in the Nervous System

NeuroTrans

Transporters

  • Uniporter: Same ions, different directions
  • Antiporter: Different ions, different directions
  • Symporter: Different ions, same direction

IonTrans

  • Passive
  • 1st Active (ATP)
  • 2nd Active (Indirect)

1st Active Transport

2 P-types (phosphorylate conserved aspartate) =

  1. Na-K ATPase: 3 Na+ out, 2 K+ in, electrogenic (inside electronegative, 1 ion charge movement), ↑ infinity Na+, rest -60 to -90 mV, K+ leak channels @ rest
  2. Ca2+ ATPase: Ca2+ out, need low intracellular Ca2+, surface of ER, muscle cells.

Domains:

  • T: Core, binding site
  • S: Support for T
  • P: Key, aspartic acid residue, allows conformational changes (E1/E2)
  • N: ATP binding pocket, kinase to phosphorylate P
  • A: Phosphatase to dephosphorylate P, TGE loop

Conformational States:

  • E1: Ion X+ binds to M domain, Mg2+ATP from N to P domain.
  • E1-P: Aspartate phosphorylated
  • E1P to E2P: P reorients from E1-E2, A rotates bringing TGE loop to protect from hydrolysis & shut ion channel, ADP dissociates, X+ released extracellularly, 2Y+ binds from outside.
  • E2: Hydrolysis of phosphorylated Asp, Mg2+ dissociates, reverts to E1 state, Y+ released into cell.

Na+ Injection: Increased intracellular Na+, hyperpolarization because the pump is activated to push out Na+. Na+ is critical for the pump, K+ is not.

Configuration of Na-K Pump:

  • α subunit: Enzymatic activity, binding sites, 10 transmembrane segments, large M4-M5 loop (phosphorylation)
  • β subunit: Glycosylation, pump function, 1 transmembrane domain

Ion Translocation by Na-K ATPase

  1. A) Inward-facing binding sites ↑ Na+ affinity
  2. B) 3 Na+ binding induces phosphorylation of the enzyme
  3. C) Conformational change, binding site opens outward
  4. D) Outward-facing binding sites ↓ Na+ affinity
  5. E) Dephosphorylation from K+ binding
  6. F) Repeat

Intracellular Ca2+

Functions:

  • Neurotransmitter release
  • Activate ion channels
  • 2nd messenger regulating cytoplasmic enzymes
  • Muscle contraction

Sources:

  • Entry through the plasma membrane
  • Release from intracellular stores

Transport Mechanism: 1st active, Ca2+-ATPase, ↑ intracellular compartments in ER/SAR/mitochondria

Channel Types:

  • Voltage-gated
  • Ligand-gated
  • Exchangers
  • Ca2+ pump

SERCA Pump

Mechanism: ER Ca2+-ATPase, E1 ↑ affinity for Ca2+ at the intracellular binding site, E2 low Ca2+ affinity, 1 Ca2+ transported per cycle.

States:

  1. E1 to E1-2Ca2+ATP: Cytoplasmic Ca2+ binds, activating the pump & ATP, leading to occlusion of the pump and ATP hydrolysis
  2. E1P-Ca2+ADP to E2P: Spontaneous phosphoryl transfer, conversion of the phosphorylated pump to E2P, opening of the luminal channel & release of Ca2+
  3. E2 to E2Pi: Closing of the luminal gate & dephosphorylation, release of Ca2+

2nd Active Transport

Uses indirect Na+ gradient (Na+-K+ ATPase).

  • Cotransport: Same direction
  • Ion exchange: Opposite directions

Na+-Ca2+ Exchange

  1. NCX: 3 Na+ in, 1 Ca2+ out, direction depends on concentration & membrane potential (Vm), electrogenic, ↓ affinity for Ca2+ to function longer, empty exchanger binds either 1 Ca2+ or 3 Na+, mutually exclusive, conformational change to reorient binding site, properties = extracellular N-terminus, intracellular C-terminus, Ca2+ regulation, splice site
  2. NCKX: 4 Na+ in, 1 Ca2+ & 1 K+ out, retinal cells, Vm -40 mV, empty transporter binds either 1 Ca2+/1 K+ or 4 Na+, reorients binding site.

Others: Na+-Cl, Na+-HCO3, Na+-H+ (intracellular pH), extracellular N/C-terminus.

Extracellular Concentration Effects:

  • Reduce extracellular Ca2+ = ↓ intracellular Ca2+
  • ↓ extracellular Na+ = ↑ intracellular Ca2+ by ↓ outward Ca2+ transport

Reversal of Na+-Ca2+ Exchange

Na+ = Ca2+ energy, no exchange, transport direction depends on 3 Na+ entry.

Neurons: Vr -74 mV (rest), ENa+ +58 mV, ECa2+ +124 mV.

NCX Reversal

  • Forward transport: Hyperpolarization, Na+ in, Ca2+ out
  • Reverse transport: Depolarization, Na+ out

Retinal: If reverse direction, Ca2+ accumulates & continuous depolarization (NCKX used to avoid), Vm = -40 mV, Vr = 74 mV, in rods, K+ extruded down gradient.

Both: Homologous α1/α2 regions, critical residues for ligand binding & transport.

Cl Transport Mechanisms (not electrogenic)

  1. Inward Na+-Cl with Na+-K+-Cl transporter: Uses Na+ gradient, 1:1 Na+-Cl (NCC) cotransport, 1:1:2 Na+-K+-Cl (NKCC) cotransport.
  2. Outward K+-Cl cotransporter (KCC): Uses outward K+ gradient, cell volume (intracellular Cl regulation)
  3. Na+-dependent Cl-HCO3 exchanger (NDCBE): Regulates intracellular pH, electrically neutral.

Human Isoforms

Critical for development, function of proteins

  • KCC: Transport activated by dephosphorylation, inhibited by phosphorylation
  • NKCC: Activated by phosphorylation, inhibited by dephosphorylation
  • CCC: Cl cotransporter, transcripts in neocortex from early fetal to late adult.

Neuron Development

Fueled by Na+-K+ ATPase, KCC2 expression neuron-specific in CNS, similar in hippocampus/amygdala/cerebral cortex.

NKCC1 & KCC2: Control intracellular Cl concentration in CNS, electroneutral

Immature Neurons: ↓ active transport, Na+ gradient (Na+-K+ ATPase) uptake of Cl & generates depolarizing Cl current across GABAA receptors

Mature Neurons: K+ gradient (Na+-K+ ATPase) & KCC2 attains ↑ expression & hyperpolarizing Cl current.

Neurotransmitter Transport

  1. Into presynaptic vesicles
  2. Transmitter reuptake transporters

Transmitter Recovery (after release)

From synaptic cleft by transporters in the plasma membrane of terminals/adjacent glial cells to:

  1. Terminate synaptic action
  2. Prevent diffusion
  3. Repackage for re-release

Transporters:

  • PNT: Plasma membrane
  • VNT: Vesicular
  • RNT: Receptor

Into Presynaptic Vesicles

Transmitter synthesized in the cytosol of nerve terminals & concentrated into vesicles via secondary transport mechanisms coupled to proton efflux.

Proton-coupled transporter: Energy from proton gradient from H+-ATPase (pumps H+ into vesicles from cytosol) in vesicle membranes.

Stoichiometry:

  1. A) Monoamines/Acetylcholine: 2:1
  2. B) GABA/Glycine: 1:1
  3. C) Glutamate: 1:1 (Transmitter & Cl)

VMAT2 (Monoamine)

2 H+ out, 1 transmitter in, transports dopamine into vesicles from cytosol with H+-ATPase, 12 transmembrane segments, C/N-terminus inside, large extracellular loops for post-translational modifications by proteins, important for anxiety/depression/attention.

Glutamate Transport

  1. Vesicles packaged
  2. Glutamate release from presynaptic terminal
  3. Acts on postsynaptic glutamate receptors
  4. EAAT: Recycled into presynaptic terminal OR excess transported into glial astrocytes (glutamine synthase → glutamine)
  5. Astrocyte: Glutamine converted to glutamate by glutaminase & packed into vesicles by VGlut transporters.

Glutamate Transporters

3 subunits, 8 transmembrane segments

  • EAAT1: Glia/cerebellum, retina/cochlea, humans ↑ affinity glutamate transporters (GLAST) & trimerization domain to form
  • EAAT2: Astrocytes in cortex/hippocampus
  • EAAT3: Neurons in cortex/hippocampus/thalamus/superior colliculus
  • EAAT4: Purkinje cells

Reuptake Transporters

Use Na+ electrochemical gradient

  • SLC1: Inward transport of 1 glutamate coupled with 2 Na+ in, 1 K+ out & H+ out/in, excitatory amino acid transporter (EEAT found at active sites)
  • SLC6: Uptake of transmitter with 2 Na+/1 Cl in, GABA, norepinephrine, dopamine, serotonin, glycine.

DAT Protein

12 transmembrane segments, large extracellular loop/glycosylation site, modulates trafficking/stability.

Function: Transition outward → inward facing, regulates mood/attention/reward

Amphetamine/Methamphetamine: (DAT target for medications) modulate dopamine levels, interfere with DAT so dopamine remains in the synapse, ↑ dopamine levels in DAT regions.

Dopamine Postsynaptic Receptors

= D1 & D2

Drugs on Dopamine Terminals

  1. Stimulants: Affect transmission, elevated synaptic dopamine, increased postsynaptic responses
  2. Cocaine: Blocks DAT, competitive reuptake inhibition to increase synaptic dopamine, does not enter presynaptic neuron
  3. Amphetamine/Methamphetamine: Uptake into presynaptic terminal via DAT, competitive reuptake inhibition, lipophilic via diffusion through the membrane, enter secretory vesicles to cause dopamine efflux, reverse DAT function to increase dopamine.

Results: Enhanced signaling at D1/D2 receptors, activation/inhibition of adenylate cyclase (AC), downstream cellular responses for enhanced attention.

Antidepressants

1st Generation:

  1. MAOI: Monoamine oxidase inhibitors, block in presynaptic terminal
  2. TCA: Tricyclic, block reuptake

2nd Generation:

  1. SSRI: Selective serotonin reuptake inhibitors
  2. SNRI: Serotonin-norepinephrine reuptake inhibitors

Synaptic Transmission

  • Direct: Transmitter binds to postsynaptic ionotropic receptor, receptor conformational change, channel opens, ion flow, Vm change, fast (milliseconds)
  • Indirect: Transmitter binds to postsynaptic G-protein coupled receptor (GPCR), GPCR & 2nd messenger system activated, opens ion channel, Vm change, slow.

Electrical Transmission

Muscle contraction/nerve conduction, direct from presynaptic to postsynaptic, studies = frog end-plate potential (EPP) at skeletal neuromuscular junction & acetylcholine as neurotransmitter

Chemical Transmission

Transmitter release from nerve terminal by incoming action potential.

Potentials

: EPSP = if Vr more + than AP, excites postsyn, cationic channels (depol Vm), Glu in CNS activate excita iono receptors IPSP = inhibits, anionic (hyper Vm), GABA/glyc in CNS activate inhib iono recep. EPP = acetyl release from presyn to depol end-plate region of muscle following motor excita. NMJ Drugs: agonist = chemical binds/activate receptor antagonist = binds/deactive receptor potentiator = inhibit enzyme acetylCoA (responsible for hydrolysis/inactivate ACh). ACh distance from endplate: synap potent amplitude = smaller and longer peak. Volt Clamp, Vr below 0 = flow into muscle. ↑ 0 = out.