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Synthesis & significance of key neurotransmitters & hormones-Serotonin (5-HT), Melatonin, Dopamine, Noradrenaline (Norepinephrine), Adrenaline (Epinephrine)

1. Serotonin (5-HT)

Synthesis:

Step 1: Conversion to 5-Hydroxytryptophan (5-HTP):

  • Enzyme: Tryptophan hydroxylase

  • Process: The enzyme tryptophan hydroxylase catalyzes the hydroxylation of tryptophan, an essential amino acid, converting it into 5-hydroxytryptophan (5-HTP).

  • Cofactors Required: Tetrahydrobiopterin (BH4) and oxygen.

  • Mechanism: BH4 acts as a cofactor, donating electrons, while oxygen adds a hydroxyl group (-OH) to the benzene ring of tryptophan, forming 5-HTP.

Step 2: Conversion to Serotonin:

  • Enzyme: Aromatic L-amino acid decarboxylase (also known as DOPA decarboxylase).

  • Process: 5-HTP is decarboxylated to form serotonin (5-hydroxytryptamine, 5-HT).

  • Cofactor Required: Pyridoxal phosphate (vitamin B6).

  • Mechanism: The enzyme removes a carboxyl group (-COOH) from 5-HTP, resulting in the formation of serotonin.

Significance:

  1. Mood Regulation: Serotonin is crucial for maintaining mood balance and is often called the "feel-good" neurotransmitter. Low levels are associated with depression.

  2. Appetite Control: It helps regulate hunger and satiety.

  3. Sleep: Serotonin influences sleep cycles and is a precursor to melatonin.

  4. Cognitive Functions: It aids in learning, memory, and cognitive processing.

  5. Gastrointestinal Motility: Serotonin helps control bowel movements and functions.

  6. Vasoconstriction: It causes the narrowing of blood vessels, which helps regulate blood flow.

Clinical Relevance:

  • Psychiatric Disorders: Imbalances in serotonin levels are linked to conditions such as depression, anxiety, and obsessive-compulsive disorder (OCD).

2. Melatonin

Synthesis:

Step 1: Conversion to N-acetylserotonin:

  • Enzyme: Arylalkylamine N-acetyltransferase (AANAT).

  • Process: Serotonin is acetylated to form N-acetylserotonin.

  • Mechanism: AANAT transfers an acetyl group from acetyl-CoA to serotonin, producing N-acetylserotonin.

Step 2: Conversion to Melatonin:

  • Enzyme: Hydroxyindole-O-methyltransferase (HIOMT).

  • Process: N-acetylserotonin is methylated to form melatonin.

  • Mechanism: HIOMT transfers a methyl group from S-adenosylmethionine (SAMe) to N-acetylserotonin, producing melatonin.

Significance:

  1. Sleep-Wake Cycle: Melatonin regulates the sleep-wake cycle by signaling to the body when it's time to sleep, aligning the internal clock with external light-dark cycles.

  2. Antioxidant Properties: Melatonin has antioxidant effects, protecting cells from oxidative stress.

  3. Immune Function: It supports the immune system and has anti-inflammatory properties.

Clinical Relevance:

  • Sleep Disorders: Melatonin supplements are used to treat conditions like insomnia, jet lag, and circadian rhythm disorders.

3. Dopamine

Synthesis:

Step 1: Conversion to L-DOPA:

  • Enzyme: Tyrosine hydroxylase.

  • Process: Tyrosine is hydroxylated to form L-dihydroxyphenylalanine (L-DOPA).

  • Cofactors Required: Tetrahydrobiopterin (BH4) and oxygen.

  • Mechanism: BH4 acts as a cofactor, and oxygen adds a hydroxyl group to the benzene ring of tyrosine, forming L-DOPA.

Step 2: Conversion to Dopamine:

  • Enzyme: Aromatic L-amino acid decarboxylase.

  • Process: L-DOPA is decarboxylated to form dopamine.

  • Cofactor Required: Pyridoxal phosphate (vitamin B6).

  • Mechanism: The enzyme removes a carboxyl group from L-DOPA, resulting in the formation of dopamine.

Significance:

  1. Movement Regulation: Dopamine is crucial for the coordination of voluntary movements.

  2. Motivation and Reward: It plays a key role in the brain's reward system, influencing motivation, pleasure, and reinforcement learning.

  3. Basal Ganglia Function: Dopamine is essential for the proper functioning of the basal ganglia, a brain region involved in movement control.

Clinical Relevance:

  1. Parkinson's Disease: Characterized by low levels of dopamine in the brain, leading to movement disorders.

  2. Schizophrenia: Linked to dysregulation of dopamine pathways.

  3. Addiction: Dopamine pathways are involved in the mechanisms of addiction and reinforcement of addictive behaviors.

4. Noradrenaline (Norepinephrine)

Synthesis:

Conversion from Dopamine:

  • Enzyme: Dopamine β-hydroxylase.

  • Process: Dopamine is hydroxylated to form noradrenaline (norepinephrine).

  • Cofactor Required: Ascorbic acid (vitamin C).

  • Mechanism: The enzyme adds a hydroxyl group to the β-carbon of dopamine, converting it into noradrenaline.

Significance:

  1. Attention and Alertness: Noradrenaline enhances focus and response to stimuli.

  2. Fight-or-Flight Response: It activates the sympathetic nervous system, increasing heart rate, blood pressure, and blood glucose levels in response to stress.

Clinical Relevance:

  1. Stress Response: Noradrenaline plays a critical role in how the body reacts to stress and emergencies.

5. Adrenaline (Epinephrine)

Synthesis:

Conversion from Noradrenaline:

  • Enzyme: Phenylethanolamine N-methyltransferase (PNMT).

  • Process: Noradrenaline is methylated to form adrenaline (epinephrine).

  • Cofactor Required: S-adenosylmethionine (SAMe) as a methyl donor.

  • Mechanism: The enzyme transfers a methyl group from SAMe to the amine group of noradrenaline, producing adrenaline.

Significance:

  • Acute Stress Response: Adrenaline enhances the body's fight-or-flight response by increasing heart rate, blood pressure, blood glucose levels, and airflow to the lungs, preparing the body for rapid action.

Clinical Relevance:

  • Emergency Situations: Adrenaline is crucial during acute stress or danger, helping the body respond quickly to threats.


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