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Chapter 1. Neurotransmitters, Receptors, Signal Transduction, and Second Messengers in Psychiatric Disorders

Steven T. Szabo, Ph.D.; Todd D. Gould, M.D.; Husseini K. Manji, M.D., F.R.C.P.C.
DOI: 10.1176/appi.books.9781585623860.407001

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Excerpt

This chapter serves as a primer on the recent advances in our understanding of neural function both in health and in disease. It is beyond the scope of this chapter to cover these important areas in extensive detail, and readers are referred to outstanding textbooks that are entirely devoted to the topic (Cooper et al. 2001; Kandel et al. 2000; Nestler et al. 2001; Squire et al. 2003). Here, we focus on the principles of neurotransmission and second-messenger generation that we believe are critical for an understanding of the biological bases of major psychiatric disorders, as well as the mechanisms by which effective treatments may exert their beneficial effects. In particular, it is our goal to lay the groundwork for the subsequent chapters, which focus on individual disorders and their treatments.

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Sample questions:
1.
Translation of extracellular signals into a form that can be interpreted by complex intracellular enzymatic machinery is achieved through a relatively small number of cellular mechanisms. The transmembrane signaling systems that are multicomponent in nature and generate intracellular second messengers define which of the following classes of central nervous system (CNS) receptors?
2.
The -aminobutyric acid A (GABAA) receptor and the nicotinic acetylcholine receptor are examples of which class of CNS receptor?
3.
The rate-limiting enzyme in serotonin (5-HT) biosynthesis that has been extensively investigated in psychiatric disorders is
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