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Catecholamines - blood - Adventist HealthCare adventisthealthcare.com | systems on Hypothalamic Catecholamines... nel.edu | CV Physiology: Circulating Catecholamines cvphysiology.com |
Catecholamines are sympathomimetic[1] "fight-or-flight" hormones that are released by the adrenal glands in response to stress.[2] They are part of the sympathetic nervous system. They are called catecholamines because they contain a catechol group, and are derived from the amino acid tyrosine.[3] The most abundant catecholamines are epinephrine (adrenaline), norepinephrine (noradrenaline) and dopamine, all of which are produced from phenylalanine and tyrosine. Catecholamines are water-soluble and are 50% bound to plasma proteins, so they circulate in the bloodstream. Tyrosine is created from phenylalanine by hydroxylation by the enzyme phenylalanine hydroxylase. (Tyrosine is also ingested directly from dietary protein). It is then sent to catecholamine-secreting neurons. Here, many kinds of reactions convert it to L-DOPA, to dopamine, to norepinephrine, and eventually to epinephrine.[4]
[edit] StructureCatecholamines have the distinct structure of a benzene ring with two hydroxyl groups, an intermediate ethyl chain, and a terminal amine group. [edit] Production and Degradation[edit] LocationCatecholamines are produced mainly by the chromaffin cells of the adrenal medulla and the postganglionic fibers of the sympathetic nervous system. Dopamine, which acts as a neurotransmitter in the central nervous system, is largely produced in neuronal cell bodies in two areas of the brainstem: the substantia nigra and the ventral tegmental area. [edit] SynthesisDopamine is the first catecholamine to be synthesised from steps shown. Norepinephrine and epinephrine, in turn, are derived from further modifications of dopamine. It is important to note that the enzyme dopamine hydroxylase requires copper as a cofactor (not shown) and DOPA decarboxylase requires PLP (not shown). Catecholamine synthesis is inhibited by alpha-methyl-p-tyrosine(AMPT), which inhibits tyrosine hydroxylase. [5] [edit] DegradationCatecholamines have a half-life of a few minutes when circulating in the blood. They can be degraded either by methylation by catechol-O-methyltransferases (COMT) or by deamination by monoamine oxidases (MAO). Amphetamines and MAOIs bind to MAO in order to inhibit its action of breaking down catecholamines. This is the primary reason why the effects of amphetamines have a longer lifespan than those of cocaine and other substances. Amphetamines not only cause a release of dopamine, epinephrine, and norepinephrine into the blood stream but also suppress re-absorption. [edit] Function[edit] ModalityTwo catecholamines, norepinephrine and dopamine, act as neuromodulators in the central nervous system and as hormones in the blood circulation. The catecholamine norepinephrine is a neuromodulator of the peripheral sympathetic nervous system but is also present in the blood (mostly through "spillover" from the synapses of the sympathetic system). High catecholamine levels in blood are associated with stress, which can be induced from psychological reactions or environmental stressors such as elevated sound levels, intense light, or low blood sugar levels. Extremely high levels of catecholamines (also known as catecholamine toxicity) can occur in central nervous system trauma due to stimulation and/or damage of nuclei in the brainstem, in particular those nuclei affecting the sympathetic nervous system. In emergency medicine, this occurrence is widely known as catecholamine dump. Extremely high levels of catecholamine can also be caused by neuroendocrine tumors in the adrenal medulla, a treatable condition known as pheochromocytoma. High levels of catecholamines can also be caused by monoamine oxidase A deficiency. This is one of the enzymes responsible for degradation of these neurotransmitters and thus increases the bioavailability of them considerably. It occurs in the absence of pheochromocytoma, neuroendocrine tumors, and carcinoid syndrome, but it looks similar to carcinoid syndrome such as facial flushing, aggression, and ADHD.[6][7] [edit] EffectsCatecholamines cause general physiological changes that prepare the body for physical activity (fight-or-flight response). Some typical effects are increases in heart rate, blood pressure, blood glucose levels, and a general reaction of the sympathetic nervous system. Some drugs, like tolcapone (a central COMT-inhibitor), raise the levels of all the catecholamines. [edit] Function in plants
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