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Alpha-2A
adrenergic
receptor
Gγ
cAMP-dependent
protein kinase
type I-beta
regulatory
subunit
Sodium-
dependent
noradrenaline
transporter
Guanine
nucleotide-
binding protein
G(i) subunit
alpha-1
Guanine
nucleotide-
binding protein
G(I)/G(S)/G(T)
subunit beta-1
Adenylate
cyclase type 10
cAMP-dependent
protein kinase
catalytic
subunit alpha
cAMP-dependent
protein kinase
catalytic
subunit beta
cAMP-dependent
protein kinase
type I-alpha
regulatory
subunit
cAMP-dependent
protein kinase
catalytic
subunit gamma
cAMP-dependent
protein kinase
type II-beta
regulatory
subunit
cAMP-dependent
protein kinase
type II-alpha
regulatory
subunit
Synaptic
vesicular amine
transporter
Voltage-
dependent
calcium channel
subunit
alpha-2/delta-1
Voltage-
dependent
calcium channel
subunit
alpha-2/delta-2
Voltage-
dependent
N-type calcium
channel subunit
alpha-1B
Dopamine beta-
hydroxylase
Aromatic-L-
amino-acid
decarboxylase
Tyrosine
3-monooxygenase
Ca
+
Norepinephrine
Methylphenidate
Norepinephrine
cAMP
Norepinephrine
Ca
+
Methylphenidate
Methylphenidate
Dopamine
Ascorbic acid
O
2
Dehydroascorbic acid
H
2
O
L-Dopa
CO
2
L-Tyrosine
ATP
Pyrroloquinoline
quinone
Copper
Pyridoxal
5'-phosphate
Fe2+
Magnesium
Neuronal
Excitability
Cytosol
Presynaptic Neuron
The inhibition of
norepinephrine reuptake
receptors by Methylphenidate
causes more norepinephrine
to accumulate in the
synapse, causing the
continual activation of the
alpha-2A adrenergic receptor
Synapse
Synaptic Vesicle
Norepinephrine is produced
in the locus coeruleus
Prefrontal Cortex
Activation of Alpha2-A
receptors activates the Gi
signalling cascade which
leads to reduced cAMP.
Reduced cAMP results in
decreased neural
excitability. This results
in reduced movement and
impulsivity. Although the
exact mechanisms are
unknown.
Cytosol
Prefrontal Cortex
Increased norepinephrine
activates Alpha-2A
adrenergic receptors in the
prefrontal cortex which are
involved in regulating
working memory function and
other possible unknown
functions.
In low doses,
Methylphenidate selectively
activates norepinephrine
neurotransmission,
Blood-Brain Barrier
Diffusion
ADRA2A
GNG2
PRKAR1B
SLC6A2
GNAI1
GNB1
ADCY10
PRKACA
PRKACB
PRKAR1A
PRKACG
PRKAR2B
PRKAR2A
SLC18A2
CACNA2D1
CACNA2D2
CACNA1B
DBH
DDC
TH
Calcium
Norepinephrine
Methylphenidate
Norepinephrine
cAMP
Norepinephrine
Calcium
Methylphenidate
Methylphenidate
Dopamine
Ascorbic acid
Oxygen
Dehydroascorbic
acid
Water
L-Dopa
Carbon dioxide
L-Tyrosine
Adenosine
triphosphate
Neuronal
Excitability