Nerve cells communicate with each other through two mechanisms, referred to
as fast and slow synaptic transmission. Fast-acting neurotransmitters, e.g
., glutamate (excitatory) and gamma -aminobutyric add (GABA) (inhibitory),
achieve effects on their target cells within one millisecond by virtue of o
pening ligand-operated ion channels. In contrast all of the effects of the
biogenic amine and peptide neurotransmitters, as well as many of the effect
s of glutamate and GABA are achieved over hundreds of milliseconds to minut
es by slow synaptic transmission. This latter process is mediated through a
n enormously more complicated sequence of biochemical steps, involving seco
nd messengers, protein kinases, and protein phosphatases. Slow-acting neuro
transmitters control the efficacy of fast synaptic transmission by regulati
ng the efficiency of neurotransmitter release from presynaptic terminals an
d by regulating the efficiency with which fast-acting neurotransmitters pro
duce their effects on postsynaptic receptors.