Dopamine
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Dopamine

Dopamine is a chemical naturally produced in the body. In the brain, dopamine functions as a neurotransmitter, activating dopamine receptors. Dopamine is also a neurohormone released by the hypothalamus. Its main function as a hormone is to inhibit the release of prolactin from the anterior lobe of the pituitary. more...

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Dopamine can be supplied as a medication that acts on the sympathetic nervous system, producing effects such as increased heart rate and blood pressure. However, since dopamine cannot cross the blood-brain barrier, dopamine given as a drug does not directly affect the central nervous system. To increase the amount of dopamine in the brain of patients with diseases such as Parkinson's disease and Dopa-Responsive Dystonia, a synthetic precursor to dopamine such as L-DOPA can be given, since this will cross the blood-brain barrier.

Biochemistry

Dopamine has the chemical formula (C6H3(OH)2-CH2-CH2-NH2). Its chemical name is 4-(2-aminoethyl)benzene-1,2-diol and it is abbreviated "DA."

As a member of the catecholamine family, dopamine is a precursor to epinephrine (adrenaline) and norepinephrine (noradrenaline) in the biosynthetic pathways for these neurotransmitters. Arvid Carlsson won a share of the 2000 Nobel Prize in Physiology or Medicine for showing that dopamine is not just a precursor to these, but a neurotransmitter as well.

Dopamine is synthesized in the body (mainly by nervous tissue and adrenal glands) first by the dehydration of the amino acid tyrosine to DOPA by tyrosine hydroxylase and then by the decarboxylation of DOPA by aromatic-L-amino-acid decarboxylase. In neurons, dopamine is packaged after synthesis into vesicles, which are then released in response to the presynaptic action potential. The inactivation mechanism of neurotransmission are 1) uptake via a specific transporter; 2) enzymatic breakdown; and 3) diffusion. Uptake back to the presynaptic neuron via the dopamine transporter is the major role in the inactivation of dopamine neurotransmission. The recycled dopamine will face either breakdown by an enzyme or be re-packaged into vesicles and reused.

Functions of dopamine in the brain

Role in movement

Dopamine is critical to the way the brain controls our movements and is a crucial part of the basal ganglia motor loop. Shortage of dopamine, particularly the death of dopamine neurons in the nigrostriatal pathway, causes Parkinson's disease, in which a person loses the ability to execute smooth, controlled movements.

Role in cognition and frontal cortex function

In the frontal lobes, dopamine controls the flow of information from other areas of the brain. Dopamine disorders in this region of the brain can cause a decline in neurocognitive functions, especially memory, attention and problem-solving. Reduced dopamine concentrations in the prefrontal cortex are thought to contribute to attention deficit disorder and negative schizophrenia.

Read more at Wikipedia.org


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Dopamine linked to psychosis - Medical News From Around The World - Brief Article
From Nutrition Health Review, 3/22/03

TAIWAN--As reported in Annals of Pharmacotherapy (September 2002), symptoms of psychosis developed in two patients after treatment with the dopamine receptor antagonist metoclopramide.

One of the patients, a 65-year-old man, had been given metoclopramide for gastric stasis. He had a history of cerebrovascular accident (CVA) and hypertension, but he had never shown any signs of psychosis in the past. Once his gastric symptoms improved, metoclopramide was discontinued. Three days later, he began to experience hallucinations, delusions, anxiety, and agitation along with dizziness and nausea. Risperidone, 1 milligram a day, was prescribed to treat the psychosis, and the symptoms did not recur.

The other patient, a 74-year-old man with a history of diabetes and CVA, took metoclopramide for gastrointestinal discomfort. After six months, metoclopramide was discontinued; within 12 hours, he experienced anxiety, restlessness, sleep disturbance, and hallucinations. After three days of these symptoms, he underwent a psychiatric evaluation. Once again, risperidone was prescribed and his psychosis symptoms ended.

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COPYRIGHT 2003 Gale Group

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