Neurotransmitters are the signaling molecules of neurons, but on their own, they don't really do much. They need receptors in order to exert their effects, and they exert their effects when they bind to receptors. Now a single neurotransmitter will have many different types of receptors that it can bind, and it is the type of receptor it binds to that determines the effect of the neurotransmitter. So I'm making this distinction because I don't want you to think, "Oh, this neurotransmitter has x effect." No. This neurotransmitter binding to this particular receptor will have x effect. Now neurotransmitters have to be removed from the synapse after they've been released in order to have action potentials come in as discrete signals. You don't want to just pile up neurotransmitter in the synapse and leave it there because then you're not going to be able to tell the difference between one signal and another. So neurotransmitters are removed by either reabsorbing them, and this is going to be a main job of glial cells, they're going to often be responsible for reabsorbing neurotransmitters, essentially sucking them up into those cells and removing them from the synapse, or neurotransmitters can be degraded. They'll just be broken down in the synapse so that they can't bind to the receptors anymore.
Now the first neurotransmitter I want to talk about is acetylcholine. Not because it's the most important, but because it was the first one to be discovered by Otto Loewi, who actually, believe it or not, woke up in the middle of the night from a dream, and in his dream, he figured out how he was going to run an experiment on a frog heart to determine whether or not neurotransmitters existed, more or less. And guess what? The rest is history. This dream came true, so to speak. Now acetylcholine is a neurotransmitter used by the peripheral nervous system, as well as the central nervous system, and it does, or its binding to its various receptors has a variety of different effects. So I'm not even going to try to generalize; there is no generalizing here. In fact, to illustrate that point even better, let me tell you about the difference acetylcholine has at the neuromuscular junction versus the heart. So the neuromuscular junction is the connection between motor neurons and muscles. It's basically a synapse, but technically, because it's not between two neurons, it's considered a junction instead of a synapse. This is getting into nitty-gritty jargon stuff that you don't need to worry about. For your purposes, please feel free to think of this as a synapse. Now, it is that connection between motor neurons and muscles, and the receptors there are going to be ionotropic receptors. You don't need to worry about memorizing this name, just know that these are ionotropic receptors that will allow in ions. Acetylcholine actually has an excitatory effect at the neuromuscular junction and causes muscle contraction. Conversely, in heart muscle as opposed to skeletal muscle, acetylcholine has an inhibitory effect. So you see, you really can't generalize with neurotransmitters. It excites one type of muscle, inhibits contraction in a different type of muscle. Now, acetylcholine will also have an inhibitory effect in some parts of the parasympathetic nervous system, which is a division of the peripheral nervous system. Synapse by degrading it with the enzyme acetylcholinesterase.
Another class of neurotransmitters is, or rather, are the amino acids. These are amino acids which include glutamate, glycine, and GABA. Now, GABA is what everyone calls it because its name is gamma-aminobutyric acid, and no one wants to say that or write that. So, GABA it is. Please don't even worry about memorizing that name, just know GABA. So glutamate is going to be the major excitatory neurotransmitter of the central nervous system. That is, its binding to receptors often leads to excitation of the postsynaptic cell, whereas GABA is the major inhibitory neurotransmitter of the central nervous system. So its binding to its receptors will generally lead to hyperpolarization of the postsynaptic membrane. Now, Xanax is a very common drug prescribed for anxiety. It is part of a class known as Benzodiazepines, don't worry about that, just saying it if you're curious. And it will actually act on GABA receptors. Technically it will act on a receptor called GABA A. Now, you know what else acts on this receptor? Ethanol. Now, the reason I bring this up is because lots of people like to mix ethanol and Xanax, and that's a really bad idea, and I'm going to explain why biochemically. Now ethanol stimulates these GABA receptors. It almost acts like GABA. So when ethanol comes in contact with these GABA receptors, they respond as if GABA had been bound. Right? So ethanol stimulates those receptors. Xanax has an interesting effect on them. See these GABA A receptors, they're ion channels. Right? They're chloride, or this is a chloride ion channel. What Xanax is actually going to do is keep the channel open longer. So it modulates the effect of this channel. It causes it to become more effective at its job, basically. So the reason you really don't want to combine ethanol and Xanax is because ethanol stimulates the receptor and Xanax causes it to stay open longer. This is an inhibitory neurotransmitter, it will depress various systems of the body and can actually lead to death. So, please, next time you see someone do this, tell them not to because it's a very bad combination.
Now, monoamines are another class of neurotransmitter, and they contain an amine and an aromatic ring. And that's because they're derived from the aromatic amino acids or amino acids that contain aromatic rings. There are three types of monoamines that I want you guys to know. Those are serotonin, dopamine, and norepinephrine. Serotonin is, well, it's the major transmitter of the enteric nervous system, which is the nervous system around your gut, so very important there. In the central nervous system, though, it's involved in feelings of happiness. And I don't really want to try to make any more specific statements about serotonin, however, I will leave you with this. The drug known as ecstasy, chemical name MDMA, acts on serotonin pathways and serotonin receptors. And I just bring it up because its street name is ecstasy, you know, in this neurotransmitter is involved in feelings of happiness, hopefully you can put the connection together. Dopamine is actually a catecholamine, which is a subcategory of monoamines, And dopamine is involved in reward pathways of the brain, and actually dopamine is going to be the neurotransmitter that people focus on when talking about addiction. And a lot of illicit drugs will actually stimulate these dopamine reward pathways, which reinforces that addiction. Now, Norepinephrine is also a catecholamine, and it acts as both a hormone and a neurotransmitter. And it's used as a neurotransmitter in the sympathetic nervous system. So acetylcholine is the neurotransmitter of the parasympathetic nervous system, norepinephrine is the neurotransmitter of the sympathetic nervous system. And we'll talk more about those different divisions of the peripheral nervous system in a different lesson.
Now, neuropeptides are peptide neurotransmitters, and they include things like substance P, neuropeptide Y, ghrelin, and endorphins. Now, I only really want you to be aware of endorphins. Though, ghrelin actually comes up in our lesson on the endocrine system because it is a hormone, as well as a neuropeptide, that is involved in appetite. Now, endorphins, these are the ones I want you to really know about, these are endogenous opioids, meaning they are opioids produced by the body. That's what endogenous means. Now, generally speaking, they're going to be involved in suppressing pain signals and inducing a sense of euphoria. Now, the term opioid here hopefully jumps out at you because there's a whole class of drugs called opioids that stimulate these same receptors that endorphins do, and that's why opioids are a major class of pain killer drugs. Right? Now, I mentioned earlier nitric oxide. That's a gas that can act as a neurotransmitter and it doesn't obey those pre to postsynaptic transmission rules. It diffuses widely and kind of just goes whichever way it wants.
Now the last thing I want to talk about here are neurotoxins. We've talked about neurotransmitters, drugs, ecstasy, interacts with serotonin receptors. Drug ecstasy interacts with serotonin receptors. So there are also poisons that can interact with these receptors, and neurotoxins are poisons that are destructive to nerve tissue. Now here, I have a picture of a very angry-looking puffer fish. Right? And puffer fish, considered a delicacy in sushi restaurants, is very dangerous to eat because it contains tetrodotoxin. This is a neurotoxin that prevents action potentials. This neurotoxin blocks those sodium channels. So tetrodotoxin prevents action potentials from being fired and can very easily lead to death. That’s why it takes a very skilled chef to prepare puffer fish. They have to make sure they don’t cut into the areas that contain tetrodotoxin and remove the portions of the meat, and get them away from all those toxins. So with that, let's call it a day. See you guys next time.