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PEPTIDASE AND ENDORPHINS

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Endorphin


 



 

 

 


INTRODUCTION


The perception of pain and pleasure is comprehended by the brain through transmission of impulses. Nerve impulses are relayed by chemical messengers known as neurotransmitters. Neurons manufacture and subsequently release an array of neurotransmitters upon the arrival of a stimulus. Transmitter molecules diffuse from the terminal end of one neuron and become associated with specific receptor sites on the receiving neuron, thereby relaying chemical information. Endorphins are included in a new family of brain chemicals that relay information: the neuropeptides.

Neuropeptides are chains of amino acids ranging in length. Neuropeptides are actually chemical messengers slightly different from neurotransmitters and should be termed neuromodulators (6). The term neuromodulatory is often used in reference to a peptide's action. A unique feature of the neuropeptides in the brain is the global nature of some of their effects. Thus, they serve a multitude of roles associated with particular functions, such as pain or pleasure (5).

The pain-killing and pleasurable effects of morphine, the narcotic drug derived from the opium poppy, is widely known. Endorphins and enkephalins (a smaller amino acid¿e of the endorphin molecule) are chemicals that bear a surprising similarity to morphine. It is interesting to note that the term "endorphin" is a contraction of "endogenous morphine" (that is, morphine formed within the body)(12). It was wondered why morphine and other opiate drugs should produce such powerful effects on the nervous system. Thus, the discovery of endorphins followed the realization that certain regions of the brain bound opiate drugs with high affinity.

The binding occurs at receptor sites known as opiate (opioid) receptors. The opiate receptors were detected by measuring the binding of radioactively labeled opiate compounds to membrane fragments of neurons. Three research groups, led by Solomon H. Synder and Candace B. Pert at Johns Hopkins University School of Medicine, Eric J. Simon at the New York University School of Medicine and by Lars Terenius at the University of Uppsala, developed the receptor-labelling technique. They found that the opiate receptors were concentrated in those regions of the mammalian brain and spinal cord that are involved in the perception and integration of pain and emotional experience (7).

In 1975, John Hughes and Hans W. Kosterlitz of the University of Aberdeen isolated two naturally occurring peptides in the brain that bound tightly to the opiate receptors and named them enkephalins. The endorphin molecule was subsequently isolated from the pituitary gland (5). Isolation of endorphin and enkephalin substantiated that the opioid receptors normally binds the peptide endorphin and only secondarily and coincidentally do they bind the narcotic opiates. Other studies have suggested that several procedures that treat chronic pain (acupuncture, direct electrical stimulation of the brain and even hypnosis) may act by inducing the release of enkephalins or endorphins in the brain and spinal cord. This hypothesis is based on the finding that the effectiveness of treating pain implemented by these procedures is blocked by administration of naloxone, a drug that specifically blocks the binding of morphine to the opiate receptor. Subsequent pages will discuss the structure, function, and regulation/control of endorphins.
 



 

 


STRUCTURE


 

Endorphin Structure

1. Discovery
2. 3 types of endorphins
3. Similarity to morphine
4. Production of endorphins


DISCOVERY

Endorphins are the body's own natural pain killers, or "feel-good" drugs. Ever since their discovery, it seems that endorphins may behave like opiate drugs such as morphine and function as an internal mechanism for controlling pain sensations. Modern research hopes to develop a more natural substitute for morphine that is not addictive. The natural functions of endorphins have a wide range, covering everything from temperature to sense of well-being (13).

 


THREE TYPES OF ENDORPHINS

Endorphins are neuropeptides that can range from 2 to 39 amino acids in length. Neuropeptides are peptide molecules produced and released in the nervous system that act like transmitters (2). There are three different neuropeptide sequences including enkephalins, endorphins, and dynorphins. Each arises from its own gene (13). Two different structures exist for enkephalins. Although both consist of 5 amino acids, they differ in their terminal amino acid. One has methionine and the other has leucine. Endorphins are larger with 30 or more amino acids. Dynorphins are similar in structure to leu-enkephalin, but is much more potent and mediates more sedative actions at the cortical level.

 


SIMILARITY TO MORPHINE

The main purpose of endorphins is to depress activity in the cerebral cortex and thalamus. Endorphins have an amazing similarity to morphine (5). This was discovered upon the realization that particular parts of the brain have a high affinity for opiate drugs li`ine. These receptors were concentrated in areas of the brain and spinal cord that are involved with the perception and integration of pain (5). It has been found that there is an antagonist to morphine called naloxone. This drug blocks the binding of morphine to the opiate receptor. The structure of naloxone is such that it not only blocks stimulation- induced analgesia, but also blocks placebo analgesia (12). The similarity of morphine to endorphins is demonstrated by the fact that naloxone decreases the pain reducing effects (analgesia) of natural endorphins as well as morphine (5). Naloxone and morphine are quite similar in structure as
they both contain a number of benzene rings within the compound.

 


PRODUCTION OF ENDORPHINS

The naturally occurring endorphins are produced by pro-hormones. Beta-endorphin is made in the pituitary (11). Methionine and Leucine enkephalins are made in the chromaffin cells of the adrenal medulla (10). Pro-opiomelanocortin (POMC) is a precursor for beta lipotropin (6). The POMC gene is expressed in the pituitary and its products are released into the blood as a result of stress. Beta-lipotropin contains beta-endorphin and met-enkephalin (14). The beta-lipotropin will undergo hydrolysis by a trypsin-like enzyme to yield beta endorphin (B-End) (263). Pro-enkephalin will yield the two types of enkephalin molecules. Specifically, it will release 4 copies of the Met-enkephalin and one copy of the Leu-enkephalin. Pro-dynorphin results in the release of three copies of leu-enkephalin and a series of dynorphins. Dynorphin is an opioid tridecapeptide with an NH2 terminus resembling leu enkephalin. It is found in the pituitary, hypothalamus, and spinal cord (10).
The endorphins serve a very useful purpose in the body. They act in serious situations when you must act quickly to situations such as child birth. Their broad range of actions makes them an invaluable part of the human body.

 



 

 


FUNCTION


 

Function:

1.Role in Evolution
2.Modulation of Pain: Pain Pathway
3.Endorphins and Hormones
4.Endorphins and Stress
5.Endorphins and Live Birth
6.Endorphins and Behavior
7.Endorphins and Emotions
8 Endorphins and Runner's High
9.Endorphins and Schizophrenia


 


ROLE IN EVOLUTION

It has been argued that endorphins have provided the foundation for change in brain structure. The change has occurred throughout the brain's long evolutionary journey and has provided changes of behavior that modulates pain reception and emotion so that organisms can respond in an adaptive way to eliminate or cope with the causes of pain. These feelings have made possible our gradual mastery of the environment (7).

The feeling of analgesia has proved to be extremely advantageous toward survival. Endorphins ensure that survival comes first, and recuperation comes later (7). Pain would ordinarily produce behaviors that would hurt your chances of survival. For instance, if an animal is attacked and stops to lick its wounds instead of fleeing away from its attacker, the animal's life is put in danger. But, the emotion of fear triggers an endorphin system that inhibits the processing of pain. Therefore, it is an evolutionary advantage for species who have developed a degree of pain control in times of stress. A phylogenetic study has shown that endorphins exist in the brain in all vertebrates from hagfish to humans (14). Humans can view themselves as part of a biological heritage. This heritage produced an endorphin system for the control of pain also known as analgesia. (7).

 


MODULATION OF PAIN: THE PAIN PATHWAY

The main function of endorphins is the control of pain. The arrival of a pain stimulus comes from pain receptors in the skin. The pain receptors in the skin generate nerve impulses that travel a pathway up the spinal cord to the thalamus and then to the sensory and motor cortices (4). The pain receptor's impulses signal the body of pain by releasing excitatory neurons containing a transmitter called substance P. Substance P is a neuropeptide found in neurons on each side of the dorsal horns of the spinal cord and functions as a transmitter of pain. Substance P provokes other neurons in the spinal cord to fire. These transmitter neurons, containing substance P, diffuse across the fluid-filled cleft between neurons and bind to specific receptor sites on the postsynaptic membrane of the dorsal horns on either side of the spinal cord. The neurons sensitive to substance P then proceed to send the pain message to the brain .

The dorsal horns also house endorphin-containing neurons. The endorphin-containing neurons release enkephalin. Enkephalin is the smaller five amino acid chain of the endorphin family. Enkephalins released from the endorphin-containing neurons inhibit the release of substance P by synapsing between the terminal end of one neuron and the receiving surface of another pain transmitting neuron. This causes the receiving neuron in the spinal cord to receive less excitatory stimulation and hence sends fewer pain-related impulses to the brain (5).

 


ENDORPHINS AND HORMONES

Effects of narcotic analgesics on pituitary hormone release are observed with the endorphins. Endorphins can be injected either intraventricularly or parenterally . Like morphine, they stimulate the release of growth hormone, prolactin, ACTH, and anti diuretic hormone and inhibit the release of luteinizing hormone, follicle stimulating hormone, and thyrotropin. All of these effects are reversible by naloxone. The mechanism of opioid effects on pituitary hormone secretion is not understood. However, the evidence points to an action at the level of the hypothalamus, rather than effects directly on the pituitary gland (14). The hypothalamus is important in mediating some of the output of the limbic system as well as it being essential to the normal functioning of the pituitary gland, which lies directly beneath it and whose importance lies in the fact that many hormones are stored and released here. The hypothalamus also has a role in the control of feeding, drinking and the expression of emotional behavior (1).

 


STRESS AND ENDORPHINS:

There is a behavioral linkage between stress and endorphin release. Beta endorphin and adrenocorticotropin, the classic stress hormones were found to originate from the same precursor molecule that has been located in a range of places in the body such as the hypothalamus and other areas of the brain, as well as several peripheral tissues including the placenta and gastrointestinal tract. The pro-opiomelanocortin gene is expressed in the pituitary, and its peptide products are released into the blood stream in response to stress (7).

 


ENDORPHINS AND LIVE BIRTH

Endorphins counter stress of live birth with their analgesic powers. During the gestation period, the placenta provides necessary nourishment for the development of the fetus. The placenta also contains the crucial precursor molecule pro-opiomelanocortin from which beta endorphin, met-enkephalin and adrenocorticotropin are all derived (11). In the human placenta, beta-endorphin and met-enkephalin are present in the placental tissue and placental blood at higher levels than usual during pregnancy and labor.

 


ENDORPHINS AND BEHAVIOR

The limbic system contains prominent structures that include the amygdala, septum pellucidum, hippocampus and cingulate cortex (7). All of these structures act with the hypothalamus as the integrator of emotional responses. The limbic system contains some of the highest concentrations of opiate receptors and endorphins in the brain. The evidence for linkage between brain endorphins and the concept of social behavior began to emerge in 1978 from experiments that administered morphine to young puppies and guinea pigs. They became less inclined to cry when they were separated from their mothers. The symptoms of separation distress were reduced. The antagonist naloxone, on the other hand increased the incidence of separation cries. This implicated the role of endorphins in this critical behavior of social bonding.

 


ENDORPHINS AND EMOTIONS

Neuroscientists have agreed that emotions are mediated by the limbic system of the brain. The amygdala and the hypothalamus are both classically considered the main components of the limbic system. Experiments were performed showing the connection between emotions and the limbic system. Neurologists found that when they used electrodes to stimulate the cortex over the amygdala they could evoke a whole array of emotional displays--- powerful reactions of grief, pain, pleasure associated with profound memories and also the total somatic accompaniment of emotional states. A map locating the opiate receptors in the brain, by a method involving radioactive molecules, found that the limbic system was highly enriched with opiate receptors, forty-fold higher than in other areas in the brain. These hot spots correspond to very specific nuclei or cellular groups that physiological psychologists have identified as mediating such processes as sexual behavior, appetite, and water balance in the body (8).

 


ENDORPHINS AND RUNNER'S HIGH

Euphoria and exhilaration are reported by many runners while in the course of their run (7). It has been tempting to relate these feelings ("the runners high") to an increase in brain endorphins. There is circumstantial evidence that a connection might exist. It has been found that physically untrained volunteers going through a two-month exercise program produced significantly higher levels of adrenocorticotropin and beta-endorphin in their blood system. In another study, for trained runners, beta-endorphin levels in blood plasma increased after an eight-mile race to levels three and a half times higher than levels taken immediately beforehand. It is possible however, that the endorphin increases could have been secondary to the adrenocorticotropin increases and that we might be seeing a general response to the stress of physical exertion (7).

 


SCHIZOPHRENIA AND ENDORPHINS

Schizophrenia is a mental disorder consisting of agitation, disorientation, delusions and frequent hallucinations. Possible connections between schizophrenia and endorphins have been drawn by several experimental observations. It has been suggested that levels of endorphins are related to schizophrenia. This suggestion is based on the appearance of a catatonic-like state in injected animals. Other studies showed a high endorphin level in the cerebrospinal fluid of schizophrenics (7).

 



 

 


REGULATION & CONTROL


 

Regulation/Control of Endorphins

1. Overview of Function
2. Control of endorphin function by receptors

A. Receptors

i. Definition and role in function
ii. Receptor types and distribution
iii. Properties of Receptors

3. Receptors in relation to pharmaceuticals

A. Goal of pharmaceutical industry
B. Mu receptor subtypes

4.Regulation of endorphins by enzymes

A. Enzymatic degradation

i. Specific enzymes involved


OVERVIEW OF FUNCTION


Neurons containing endorphins show high concentration levels in regions of the brain and spinal cord involved in the perception and integration of pain and emotional experience. The neurons release endorphins upon a stimulus. The existence of opioid receptors sites on nearby neurons enable endorphins to fulfill their function in relatively low concentrations (6). The endorphin molecule is released from the axon terminal and travels rapidly across the fluid filled space to the membrane of the receiving neuron. There the endorphin interacts with specific receptor sites on the synaptic regions of the neuron. The endorphin molecule binds to a receptor site on an adjacent neuron causing inhibition. For example, the release of enkephalins is followed by binding to the receptor site of a neuron containing substance P (a transmitter of pain). Binding causes the neuron to reduce the release of substance P. This inhibitory effect disrupts the pain pathway and less pain is felt as a result.

 


CONTROL OF ENDORPHIN FUNCTION BY RECEPTORS


---Definition of receptor and role in function

Receptors enable endorphins to perform their specific function. Opioid receptors are large protein molecules embedded in the semi-fluid matrix of the cell membrane of the receiving neuron. The surface of the receptor protein contains a region that is the precise size and shape to match the structure of the endorphin molecule. The endorphin molecule precisely fits into the specific receptor site. The binding of the neuropeptide with its specific receptor (opioid receptor) alters the three-dimensional shape of the receptor protein, thereby causing a neuron to be excited or inhibited (10). As in the case of endorphins, inhibition of the neuron will reduce the release of substance P. In other words, the opioid receptor translates the precise messages encoded by the molecular structure of the endorphin molecule into a specific physiological response. Thus, receptors act as a control mechanism thereby regulating the function of endorphins.


--Receptor types and distribution

The three main types of opioid receptors are µ (mu), n(delta), and /(kappa). The receptors are defined by the types of opiate and opioid peptide molecules that bind to them. Different classes of opioid receptors mediate different actions depending upon their location and type of endorphin bound to it. In other words, receptors located in different regions of the brain help regulate function by controlling the binding of specific molecules.

The µ receptor preferentially binds enkephalins. It also binds morphine and its antagonist naloxone. Naxolone and its derivatives are the only known molecules that block the receptor; thus they are defined as antagonist. When the naloxone drug occupies the receptor, neither the opiates nor the enkephalins can bind to the receptor. The µ receptor is localized primarily in the pain pathways in the brain.

The n receptor also displays a high affinity for enkephalins. This receptor is localized in limbic parts of the brain and may be related to influences on emotions.
The / receptor preferentially binds dynorphins. This receptor is believed to mediate more sedative actions at the cortical level(13).


--Properties of receptors

The following properties demonstrate the specific nature of receptors. Binding of an endorphin molecule will occur only under certain physiological conditions. Controlling the factors involved for binding, regulates the activity of the endorphin.

Receptors are very stereospecific, enabling only certain isomers of molecules to bind. The opioid peptide must reside in its D and not L configuration in order for binding to occur. The D configuration has a higher affinity of binding to the opiate receptor(1).

Specific binding has also been shown to be temperature and pH dependent. Maximum binding occurs at 37° Celsius. There is an optimum pH of 7.4 for specific binding. Binding does not occur below pH 5 or above pH 10. There is an obvious correlation of the binding constraints in relation to the atmosphere of the body(3).

The opiate receptor can exist in two conformational states by the presence of sodium ions. When sodium binds to the receptor it acts as allosteric effector which produces a conformational change in the receptor. Alteration of the shape decreases the ability to bind antagonists (naloxone)but increases the ability to bind antagonist (enkephalin and morphine)(14).


 


PHARMACEUTICAL IMPLICATIONS OF RECEPTORS


--Goal of the pharmaceutical industry

Morphine has been used for centuries to relieve pain; opiates are still considered the most effective drug. Opiates mimic the actions of endorphins by binding to opioid receptors. The major problem with the use of morphine is the adverse side effects: respiratory depression, constipation, and dependence. Studies have shown that the receptors responsible for many opiate side effects differ from the receptors responsible for controlling pain.

The receptor implicated in this finding is the µ receptor with subtypes µ1 and µ2. Identification of two subtype receptors of the µ receptor family has major implications in understanding opiate action. The pharmaceutical industry's aim is to produce a highly specific opiate drug that will bind only to the µ receptor subtype that is responsible for analgesia.
µ receptor subtypes

Morphine binds to µ2 and µ1 receptor while enkephalin preferentially bind to µ1 and n receptors. The µ1 receptor produces pain-killing effects with no adverse side effects. Furthermore, the µ1 receptor does not appear to mediate most of the signs of morphine withdrawal. The µ2 receptor has been implicated in causing respiratory depression and constipation (9). The discover of the µ subtypes provides a continued understanding of the action of opiates in the body and the role of multiple receptors. The ability to produce highly selective opiate drugs that only bind to the µ1 receptor is within site.


 


REGULATION OF ENDORPHINS BY ENZYMES


--Degradation of opioid peptide

Once the endorphin molecule has served its function which was mediated by receptors, the endorphins are rapidly inactivated, experiencing a relatively short life. Enzymatic degradation of endorphin molecules appears to be the principle mechanism for inactivation of neuropeptides. The class of enzymes that break down endorphins are peptidases.


--Specific enzymes involved in degradation

The three specific enzymes involved in degradation are, endopeptidase-24.11 known also as enkephalinase A, aminopeptidase, and angiotensin converting enzyme (ACE). Endopeptidase 24.11 and aminopeptidase are important in enkephalin metabolism in the central nervous system while ACE serves its function in the cerebrospinal fluid (16). Hydrolysis occurs by cleaving amino acids from the free C-terminus. The enzymes cleave both [Leu]-and [Met] enkephalin which is a pentapeptide to a tri-and dipeptide making the enkephalin molecules inactive. Enkephalin metabolism revealed that the Gly3-Phe4 bond of enkephalins is a major site of hydrolysis (3). The enzyme uses an ionic interaction of an arginyl residue in the active site with the C-terminal carboxylate of enkephalins. The substrate enkephalin fits into the active site in this manner and the amino acids are cleaved (10). Endopeptidase-24.11 is more efficient in rapidly breaking down enkephalins.



MORPHINE AND ENDORPHINS
 


After studying the structure of endorphins, morphine seems to be the most easily linked structure to them. Both function in the lessening of pain (analgesia) although endorphins are naturally occurring and morphine is a drug.

It is interesting to make the comparison between these two compounds. Endorphins serve to suppress pain, as for example in the immune response. Morphine can also affect the immune system a great deal. It has been shown that people who frequently ingest morphine (cancer patients or even opiate addicts) have altered immune responses (1). These consist of the following: depressed phagocytic capability and depression of respiratory burst activity by these cells (1). Respiratory burst activity involves the metabolization of oxygen to yield some toxic intermediates, with which to fight infection (1). Morphine can also inhibit the uptake of immunoglobulin G (IgG) complexes which are essential in the immune response (1).

It is known that the drug Naloxone can inhibit the effects of morphine. This is true for endorphins as well. Naloxone was shown to inhibit the uptake of IgG in experiments done by Singhal et al. thus inhibiting immune response.

In a study of the analgesic effects of morphine after surgery, it was concluded that there can be specific local opioid receptors to help handle pain by binding morphine in a particular area (2). This is similar to the endorphins that also have very specific opiate receptor binding sites.


 


 
LITERATURE CITED
 


1 Singhal, Pravin C. Et al "Effect of Morphine on Uptake of immunoglobulin G complexes by mesangial cells and macrophages." American Physiological Society. 17 Mar 1992: F859 F866.

2 Stein, Christoph et al. "Analgesic Effect of Intraarticular Morphine after Arthroscopic Knee Surgery." New England Journal of Medicine. 17 Oct 1991: 1123-1126.

 


MORPHINE AND ENDORPHINS
 


After studying the structure of endorphins, morphine seems to be the most easily linked structure to them. Both function in the lessening of pain (analgesia) although endorphins are naturally occurring and morphine is a drug.

It is interesting to make the comparison between these two compounds. Endorphins serve to suppress pain, as for example in the immune response. Morphine can also affect the immune system a great deal. It has been shown that people who frequently ingest morphine (cancer patients or even opiate addicts) have altered immune responses (1). These consist of the following: depressed phagocytic capability and depression of respiratory burst activity by these cells (1). Respiratory burst activity involves the metabolization of oxygen to yield some toxic intermediates, with which to fight infection (1). Morphine can also inhibit the uptake of immunoglobulin G (IgG) complexes which are essential in the immune response (1).

It is known that the drug Naloxone can inhibit the effects of morphine. This is true for endorphins as well. Naloxone was shown to inhibit the uptake of IgG in experiments done by Singhal et al. thus inhibiting immune response.

In a study of the analgesic effects of morphine after surgery, it was concluded that there can be specific local opioid receptors to help handle pain by binding morphine in a particular area (2). This is similar to the endorphins that also have very specific opiate receptor binding sites.


 


 
LITERATURE CITED
 


1 Singhal, Pravin C. Et al "Effect of Morphine on Uptake of immunoglobulin G complexes by mesangial cells and macrophages." American Physiological Society. 17 Mar 1992: F859 F866.

2 Stein, Christoph et al. "Analgesic Effect of Intraarticular Morphine after Arthroscopic Knee Surgery." New England Journal of Medicine. 17 Oct 1991: 1123-1126.

 


PEPTIDASE AND ENDORPHINS
 


The time course and extent of neuropeptide action is determined, in part, by the mechanisms involved in the reduction of the neuropeptide concentration around the receptor. Enzymatic degradation is the principle mechanism for inactivation of neuropeptides.

Peptidases catalyze the hydrolysis of peptide bonds in endorphins (6).
In general, proteolytic enzymes are described as either exopeptidases or endopeptidases. The exopeptidases hydrolyze peptides from either their C-or N-terminal regions by removal of single amino acids (or dipeptides). The endopeptidase acts in the interior of the peptide chain by cleaving internal bonds to convert the neuropeptide into a biologically inactive peptide. Endopeptidases often show specificity with regard to the nature of the peptide bond but are rarely specific to only one type of substrate. A probable reason for this is that the specificity of cleavage is determined by the three-dimensional structure (conformation) of the peptide substrate and the peptidase (6).The substrate region containing the susceptible peptide bond must match the active site of the enzyme for hydrolysis to occur. Thus, peptidases may degrade diverse substrates with homologous conformations. This is very similar to how receptors will bind different substances with common conformations such as morphine and enkephalin(14).

Examples of exopeptidases that degrade endorphins are carboxidipeptidases known as endopeptidase-24.11 also termed enkephalinase A. Endopeptidase-24.11 functions as an exopeptidase in its action, but it is considered an endopeptidase because it hydrolyses some C terminally extended enkephalins efficiently. The enzyme uses an ionic interaction of an arginyl residue in the active site with the C-terminal carboxylate of enkephalins. The substrate enkephalin fits into the active site in this manner and the amino acids are cleaved. Endopeptidase-24.11 is most efficient in rapidly breaking down enkephalins (3,16).
 


 
LITERATURE CITED
 


1 Barker, R. A. Neuroscience. New York: Ellis Horwood, 1991.
2 Eckert, R. Animal Physiology. New York: W. H. Freeman and Co., 1988.
3 Ehrenpreis, S. and F. Sicuteri. Degradation of Endogenous Opioids: its Relevance in Human Pathology and Therapy. New York: Raven Press, 1983.
4 Hopson, J. and N. Wessells. Essentials of Biology New York: McGraw Hill Publishing Co.,
1990.
5 Iverson, L. The Brain: Scientific American Book. New York: McGraw Hill Publishing Co.,
1979.
6 Kandel, E. R. and J. H. Schwartz. Principles of Neural Science. 2nd ed. New York: Elsevier
Science Publishing Co., 1985.
7 Levinthal, C. Messengers of Paradise: Opiates and the Brain. New York: Doubleday, 1988.
8 Ornstein, R. and C. Swencionis. The Healing Brain. New York: The Guiford Press, 1991.
9 Pasternak, G. "Morphine and Enkephalin Receptors and the Relief of Pain." Journal of the American Medical Association. 4 Mar 1988: 1243-45.
10 Prosser, C. L. Neural and Integrative Animal Physiology. New York: John Wiley and Sons,
Inc., 1991.
11 Restak, R. The Mind. New York: Bantam Books, 1988.
12 Rosenzwig, M. and A. Leiman. Physiological Psychology. Lexington: D.C. Heath and Co., 1982.
13 Shepherd, G. M. Neurobiology. 2nd ed. New York: Oxford Press, 1988.
14 Siegal, G. Basic Chemistry. 3rd ed. Boston: Little Brown and Co., 1981.
15 Smith, A. The Mind. New York: Viking Press, 1984.
16 Turner, A. Neuropeptides and their peptidases. New York: Ellis Horwood, 1987.

 


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You can reach Vibrant Life in many ways, including by mail to Vibrant Life, 2808 N. Naomi St., Burbank, CA 91504.  Within the US and Canada, use the toll free number:  (800) 523-4521, the local number:  (818) 558-1799, the FAX:  (818) 558-7299, eMail to kimberly@oralchelation.com or any one of the hundreds of message forms throughout the 50 web sites.  Vibrant Life normally ships the same day we get an order.  There are message forms on each of the 100,000+ pages on this and other sites where you can communicate with Vibrant Life.  Check out our companion site, at:  http://www.oralchelation.net where Karl's 2000 page book is published.  Karl Loren is the author and webmaster for this BOOK, as well as for another web site about ORAL CHELATION.  His personal philosophical articles are at PHILOSOPHY

Copyright © May 20, 2008 6:24 AM by Karl Loren on behalf of Vibrant Life, ALL RIGHTS RESERVED.  Permission is granted for non-commercial downloading, copying, distribution or redistribution on two conditions:  One, that some form of copyright notice is included in every copy distributed or copied, showing the copyright belonging to Vibrant Life, Burbank, CA, at www.oralchelation.com . The second condition is that the material is not to be used for any purpose contrary to the purposes and objectives of this site.  This permission does not extend to materials on this site which are copyrighted by others.