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3906340
BIOLOGICAL BASIS OF PSYCHOPATHOLOGY
Descrição
Biological basis of psychopathology
Sem etiquetas
psychopathology
neuropharmacology
neurotransmitters
neuroanatomy
glia
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zoe_whitwell
, atualizado more than 1 year ago
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zoe_whitwell
aproximadamente 9 anos atrás
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BIOLOGICAL BASIS OF PSYCHOPATHOLOGY
Glia
Astrocytes
Bond with capillaries to form the BBB
Surrond neurons and hold them in place
Supply nutrients and oxygen
Synaptic transmission (clearance of NT and release gliotransmitters)
Oligodendrocytes
Produce myelin for axons
Insulation
Microglia
immune cells
Destroy pathogens and remove dead neurons
Ependymal cells
Line cerebral ventricles
Cilia: circulate the CSF
Neurotransmitters
Dysregulation of NT systems may be important in the physiology of neuropsychiatric disease
Glutamate/dopamine (schizophrenia)
The Dopamine Hypothesis: symptoms due to disturbed and hyperactive dopaminergic signal transduction
Glutamate Hypothesis: schziophrenia reflects diminished activation of NMDA receptors in the brain
GABA (anxiety/panic)
Serotonin (depression)
Monoamine Hypothesis: dysregulation of the serotonin system
depression associated with deficiency of catecholamines (NE) at functionally important adrenergic receptor sites
Serotonin Biosynthesis
L-tryptophan synthesized
Then hydrolysed - becomes 5-HTP
Carboxylased by L-amino acid decarboxylase and becomes serotinin (5-HT)
Oxidation by monoamine oxidase to the corresponding aldehyde
Oxidation by aldehyde hydrogenase to 5-Hydroxyindoleacetic acid (5-HIAA)
Neuroanatomy
Schizophrenia
Ventricular enlargement
Grey matter volume decrease
First episode: hippocampaus, thalamus, amygdala, anterior cingulate
Chronic: medial and left dorsolateral prefrontal cortex and left suprerior temporal gyrus
White matter abnormalities
First episode: inferior longitudinal fasciculus
Chronic: right forceps, left forceps minor, splenium of corpus callosum
Microcircuitry changes
Cellular disarray in the hippocampus
Pyramidal cells reduced in size and packed more densely
Functional neuroanatomical changes (hypofrontality)
GAD
Amygdala hyperactivation
Neuropharmacology
Agonist: binds to the receptor and initiates a response like that of the endogenous NT
Anxiety
Buspirone: 5-HT1A receptor agonists
Antagonist: (usually a drug) binds the the receptor and interferes with the action of the endogenous NT
Psychosis
Chlorpromazine: DA receptor antagonist
PCP: non-competitive NMDA receptor antagonist
Depression
Iproniazid: MAOI
Imipramine: increases brain levels of catecholamines and 5-HT (tricyclic antidepressants)
SSRI's
Anxiety
Benzodiazepines
Bind to GABA receptors
SSRI's
Pregabalin: Ca2+ receptor antagonist
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