Central and peripheral neurons as well as neuroendocrine cells express a variety of neurotransmitters/modulators that play critical roles in regulation of physiological systems. The synthesis of several neurotransmitters/ modulators is regulated by O2-requiring rate-limiting enzymes. Consequently, hypoxia resulting from perturbations in O2 homeostasis can affect neuronal functions by altering neurotransmitter synthesis. Two broad categories of hypoxia are frequently encountered: continuous hypoxia (CH) and intermittent hypoxia (IH). CH is often seen during high altitude sojourns, whereas IH is experienced in sleep-disordered breathing with recurrent apneas (i.e., brief, repetitive cessations of breathing). This article presents what is currently known on the effects of both forms of hypoxia on neurotransmitter levels and neurotransmitter synthesizing enzymes in the central and peripheral nervous systems. biogenic amines; bioactive peptides; glutamate; ␥-amino butyric acid; gasotransmitters THE MAMMALIAN BRAIN represents 2% of the total body weight and consumes 20% of the total body oxygen for its normal function (108). This high level of oxygen consumption makes the brain an extremely sensitive tissue to changes in arterial blood oxygen levels. Many physiological systems are regulated by the nervous system, and neurotransmitters are critical for neuronal function. The rate-limiting enzymes associated with the synthesis of several neurotransmitters require molecular oxygen for their activity. Consequently, hypoxia (i.e., reduced oxygen availability) resulting from perturbations in O 2 homeostasis can profoundly impact neurotransmitter synthesis resulting in altered neuronal functions and consequently impact physiological systems.Hypoxia is experienced in a variety of physiological and pathological conditions. Two broad categories of hypoxia are most frequently encountered; continuous hypoxia (CH) and intermittent hypoxia (IH). For instance, CH is experienced by healthy humans during high altitude sojourns, whereas IH is encountered during sleep-disordered breathing with recurrent apneas; i.e., brief repetitive cessations of breathing wherein each episode lasts for tens of seconds. The purpose of this article is to provide a brief review of the effects of both forms of hypoxia on neurotransmitter levels, rate-limiting enzymes associated with neurotransmitter synthesis and the underlying mechanisms. Several of these molecules, which function as transmitters/modulators in the nervous system, are also expressed in nonneuronal tissues. However, because of space constraints, this review will focus on the effects of hypoxia on neurotransmitters in the central and peripheral nervous systems.Based on the chemical properties, neurotransmitters are divided into various groups as shown in Table 1. This review focuses on the impact of CH and IH on the synthesis of biogenic amines, acetylcholine, excitatory and inhibitory amino acids, bioactive peptides, and gasotransmitters (for examples see Table 1).
BIOGENIC AMINESBiogenic ...