Updated: Mar 31
For dopamine I think you will agree with me when I say: There are WAY too many people who think "increasing dopamine" is enough to solve their dopaminergic deficits. If only it were that simple… If you are serious about fixing your deficits, you need to know the basics of neurotransmitter firing patterns. Namely, phasic firing versus tonic firing.
Otherwise it's like you're insisting on using a wrong key and hoping to open the door to your house with it.
Well today I'm going to educate you on firing patterns and how their perceived effects differ significantly, with emphasis on dopamine in particular. And I even wrote neat summaries after each part if you just want to skim the article. So let's dive right in.
Table of contents:
1. Overview of neurotransmission 2. Phasic firing pattern 3. Tonic firing pattern 4. Overview of the dopaminergic systems 5. On phasic & tonic dopamine release & effects of drugs 6. Dopamine's involvement in post-SSRI sexual dysfunction (PSSD)
1. Overview of neurotransmission
First, a neuron has to synthesize a particular neurotransmitter, right? This takes place at various locations within the neuron. This neurotransmitter is then stored into vesicles by transport proteins.
When there is a stimulus significant enough to excite the neuron, it triggers an action potential. Simply put, there is a voltage difference between the interior and exterior of a cell membrane called resting membrane potential.
An action potential is a series of voltage fluctuations of that potential that propagate as a wave along the axon.
It occurs as a response to a sufficient stimulus, following the all-or-none law. If a neuron responds at all, then it must respond completely.
When it finally reaches the axon terminal of this presynaptic neuron, calcium enters causing release/firing of the neurotransmitter into the synaptic cleft.
After that, the neurotransmitter diffuses across the synaptic cleft and binds to receptors on the postsynaptic membrane of another neuron's dendrite.
When that occurs, ion channels on the postsynaptic membrane open up, causing a shift in postsynaptic potential. This leads to generation of a nerve impulse.
Finally, the neurotransmitter unbinds. It's then either degraded by an enzyme, or taken back into the presynaptic terminal (re-uptake) where it can be either re-used or removed.
And that's the basic gist of it .
Synthesis of the neurotransmitter.
Storage of the neurotransmitter in storage vesicles.
Calcium enters during an action potential, causing release of the neurotransmitter.
After its release, the transmitter binds to and activates receptors on membranes.
Deactivation of the neurotransmitter.
2. Phasic firing pattern
Right. So excitable cells like neurons can have different discharging patterns called the oscillatory patterns, which include phasic firing, tonic firing, mixed, and spiking variations .
Rhythmic synchronization of neuronal firing patterns is what gives rise to neural oscillations (brainwaves) .
Phasic bursting discharge pattern occurs when a neuron undergoes rapid series of action
Some neuronal subtypes, however, exhibit phasic firing spontaneously, without depending on external stimuli.
Cease activity if strength of continuous stimulus remains constant.
Allow brain to ignore constant unimportant information.
Generally speaking, the central nervous system (CNS) REALLY prefers changing stimuli when it comes to sensory input and pleasure.
When a neuron fires neurotransmitters, the postsynaptic receptors respond maximally but briefly to the stimuli .
If the duration of continuous non-changing stimuli is long, the receptors become desensitized and become much less responsive .
Basically, this is your brain getting bored.
An external stimulus triggering rapid series of action potential spiking (large amplitude).
Followed by a refractory, quiescent period.
If maintained: rapid adaptation of receptors.
Responsible for: most behavioral and executive functions in relation to external stimuli. Brain really prefers changing stimuli.
3. Tonic firing pattern
When neurons produce continues action potentials over the duration of the stimulus without a refractory period or adaptation, it's called tonic firing. This resembles pacemaker-like membrane currents and generally occurs spontaneously .
There are many patterns of tonic firing, but generally, they don't adapt according to the duration of the stimulus.
When presented with a prolonged stimulus the neurons fire a few spikes with short interspike period and then the period increases .
Slow or no adaptation.
Continuous action potential transmission for the duration of the stimulus.
Allow brain to monitor parameters that must be continually evaluated, e.g. baroreceptors and pain receptors.
These control crucial continuous brain functions, such as awareness and attention. They mainly respond to changes in stimulus intensity and rate by changing tonic spiking patterns .
Spontaneous pacemaker-like membrane action potentials.
Continuous; no refractory period.
If maintained: tonic receptors exhibits slow or no adaptation.
Responsible for: crucial continuous brain functions, such as awareness, pain sensation, pressure sensation, body orientation, etc.
4. Overview of the dopaminergic systems
Before we move on to the juicy bits, it's important to understand the general neuroanatomy of the dopaminergic system.
It all comes down to brain regions, you see.. dopamine neurons play different roles depending on which brain area its located in and where they project to (pathways).
Alright. So there are mainly 4 important dopaminergic cell centers in the brain that I will discuss in this article (3 major, 1 minor) :
A. Substantia nigra - pars compacta (SNc/SNpc)
The substantia nigra is part of the midbrain.
The black neuromelanin-pigmented dopamine neurons of its pars compacta part project along the nigrostriatal pathway.
SNc → Dorsal striatum (caudate, putamen).
Indirect regulatory role in voluntary movement by regulating the striatum .
Indirectly increases tonic and phasic dopamine firing in the prefrontal cortex 
B. Ventral tegmental area (VTA):
The ventral tegmental area is also located on the midbrain, close to the substantia nigra. It projects to several regions of the brain. I will focus here on two major pathways:
Mesolimbic pathway: VTA → Ventral striatum (nucleus accumbens).
VTA → Amygdala.
VTA → Hippocampus.
VTA → Medial prefrontal cortex (mPFC).
Reward prediction error (if a reward is larger than predicted, DA neurons are strongly phasically excited + and the opposite is true) .
VTA → Frontal cortex.
VTA → Dorsolateral prefrontal cortex (DLPFC).