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Deamination
NH3
Indole 3-pyruvate
Decarboxylation
CO2
Indole acetate
Urine
Serotonin or 5-hydroxytryptamine (5HT) is a
neurotransmitter, synthesized from
tryptophan.
About 1% of the tryptophan is converted to
serotonin.
The production of 5HT occurs in the target
tissues.
Serotonin is synthesized in the brain, mast
cells, platelets, gastrointestinal tract mucosa &
intestinal cells.
Tryptophan is first hydroxylated at 5th carbon
by tryptophan hydroxylase.
Tryptophan hydroxylase requires
tetrahydrobiopterin as a cofactor.
5-Hydroxytryptophan is decarboxylated by
aromatic amino acid decarboxylase (PLP-
dependent) to give serotonin.
Platelets contain high concentration of 5HT.
Platelets do not carry out the synthesis of
serotonin.
Monoamine oxidase (MAO) degrades
serotonin to 5-hydroxyindoleacetate (5 HIA)
which is excreted in urine.
Small portion of serotonin is conjugated with
sulfate or with glucuronic acid & excreted
through urine.
Serotonin &
melatonin synthesis
Serotonin is a neurotransmitter.
Serotonin is a powerful vasoconstrictor &
results in smooth muscle contraction in
bronchioles & arterioles.
It is closely involved in the regulation of
cerebral activity (excitation).
Serotonin controls the behavioural patterns,
sleep, blood pressure & body temperature.
Serotonin evokes the release of peptide
hormones from gastrointestinal tract.
It is also necessary for the motility of GIT
(peristalsis).
The brain synthesizes 5-HT, in a bound form.
The outside serotonin cannot enter the brain
due to blood-brain barrier.
Serotonin is a stimulator (excitation) of brain
activity.
Its deficiency causes depression.
Serotonin level is decreased in psychosis
patients.
The drug, iproniazid (isopropyl isonicotinyl
hydrazine) inhibits MAO & elevates serotonin
levels.
This drug is a psychic stimulant.
Reserpine increases the degradation of
serotonin & acts as a depressant drug.
Lysergic acid diethylamide (LSD) competes
with serotonin & acts as a depressant.
Serotonin is produced by argentaffin cells of
gastrointestinal tract.
When these cells undergo uncontrolled
growth, they develop into a tumor called
malignant carcinoid or argentaffinomas.
The patients exhibit symptoms like respiratory
distress, sweating, hypertension etc.
In carcinoid syndrome, very high amount (up
to 60%) of tryptophan is diverted for
serotonin production.
This disturbs the normal tryptophan
metabolism & impairs the synthesis of NAD+
& NADP+.
The patients of carcinoid syndrome develop
symptoms of pellagra.
The excretion of 5-hydroxyindole acetate in
urine is tremendously elevated (upto 500
mg/day against normal <5 mg/day) in
carcinoid syndrome.
The estimation of 5 HIA in urine is used for
the diagnosis of this disorder.
Melatonin is a hormone.
Synthesized by the pineal gland.
Serotonin-produced from tryptophan-is
acted upon by serotonin N-acetylase to give
N-acetylserotonin.
Serotonin N-acetylase is a rate limiting
enzyme.
N-acetylserotonin undergoes methylation,
S-adenosylmethionine being the methyl
group donor to produce melatonin or N-
acetyl 5-methoxyserotonin.
The synthesis & secretion of melatonin from
pineal gland is controlled by light.
Melatonin is involved in circadian rhythms or
diurnal variations (24 hr cyclic process) of the
body.
It plays a significant role in sleep & wake
process.
Melatonin inhibits the production of
melanocyte stimulating hormone (MSH) &
adrenocorticotropic hormone (ACTH).
It has some inhibitory effect on ovarian
functions.
Melatonin also performs a neurotransmitter
function.
It is an hereditary disorder.
Symptoms - dermatitis, ataxia, mental
retardation.
Characterized by low plasma levels of
tryptophan & other neutral amino acids &
their elevated urinary excretion.
Increased urinary output of indoleacetic acid
& indolepyruvic acid.
Pellagra like symptoms are very common.
There is an impairment in the synthesis of
NAD+ & serotonin from tryptophan.
Hartnup's disease is believed to be due to an
impairment in the absorption and/or transport
of tryptophan & other neutral amino acids
from the intestine, renal tubules & probably
brain.
Textbook of Biochemistry-U Satyanarayana