What is Selective about SSRIs ?

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Discussion Overview

The discussion revolves around the mechanism and selectivity of Selective Serotonin Reuptake Inhibitors (SSRIs), focusing on their action in the brain and the implications of their selectivity for serotonin over other neurotransmitters. Participants explore the definitions and effects of SSRIs in a conceptual context.

Discussion Character

  • Conceptual clarification, Technical explanation, Debate/contested

Main Points Raised

  • One participant describes SSRIs as binding to the monoamine transporter, preventing serotonin from being reabsorbed, which leads to prolonged stimulation of the post-synaptic cell.
  • Another participant clarifies that SSRIs are selective because they primarily affect serotonin transporters rather than other neurotransmitter systems.
  • A further contribution emphasizes that SSRIs inhibit serotonin transporters specifically, contrasting them with other substances that may affect multiple neurotransmitters.
  • Participants discuss the differences between SSRIs and other types of reuptake inhibitors, such as SNRIs, which also inhibit norepinephrine transporters.

Areas of Agreement / Disagreement

Participants generally agree on the mechanism of SSRIs and their selectivity for serotonin, though there is some discussion about the extent of their selectivity compared to other neurotransmitters.

Contextual Notes

Some assumptions about the definitions of selectivity and the specific neurotransmitter systems involved may not be fully resolved, and the discussion does not clarify the implications of these differences in a broader context.

thrillhouse86
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Hi,

I have been reading up about SSRIS (Selective Serotonin Reuptake Inhibitors) - and as I understand it they basically bind to the monoamine transporter which tries to take the serotonin back from the post synaptic terminal to the pre synaptic terminal. By binding to the monoamine transporter they prevent it from transporting the serotonin. The consequence of this is that the serotonin stays on the post synaptic terminal longer which keeps stimulating the cell.

I have two questions about this:

1. What does 'keep stimulating' mean ? does it repeatedly pulse the signal which was being transferred to the pre synamptic terminal again and again ?

2. What is Selective about the Serotonin Reuptake Inhibitors ?

Thanks
 
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What a nice description of that. :)

You mean post-synaptic cell right? It stays in the synapse longer so that it's available to trigger the post-synaptic cell longer, and a SSRI is selective because it affects serotonin and not other neurotransmitters.
 
hey jackmell - yeah I did mean post synaptic.

So the selective refers to the fact that you are solely inhibiting the monoamine transporters which reuptake the serotonin ?

Thanks !
 
Yep, SSRI's are selective for serotonin transporters and do not inhibit dopamine transporters or norepinephrine transporters, or at least not as much.
 
For comparison:
Sertralin, SSRI - Only inhibits serotonin transporters.
Venlafaxine, SSRI and SNRI - Inhibits serotonin and noradrenaline (norepinephrine) transporters.
Cocaine would be an SNRI and SDRI, inhibiting noradrenaline and dopamine transporters.
 

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