Agonists And Dose Response Curves Flashcards

1
Q

What do agonists and receptors form and give example

A

Agonist receptor complexes

Salbutamol and B2

Form camp

Bronchodilation

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2
Q

Why is dosage important in pharmacodynamics

A

Need a certain dose for an effect but also there’s a line between toxicity

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3
Q

What is plotted on a dose response curve

A

Agonist concentration/ dosage

Against response % of the body

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4
Q

What is a GRADED dose response curve

A

Response of a particular system (person or tissue) to an AGONIST CONC

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5
Q

What is a QUANTAL dose response relationship curve

A

Where the response of the population/all tissues included

Plotted against the dosage of AGONIST OR ANTAGONIST CONC

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6
Q

Why is the graph placed on log scale

A

To fit the maximum dosage response relationship

Much higher dose needed

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7
Q

What is the maximum response called regardless of dosage

A

Efficacy / eMAX

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8
Q

What does EC50 mean on a dose response curve

A

The concentration/dose needed to produce a 50% response

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9
Q

What does the lowest point on graph show

A

The threshold dose needed for response

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10
Q

Explain the 2 state hypothesis

A

First state is

Drug + receptor —-> complex

The forward binding to this is K1

Reverse (dissociation of drug to receptor) = K-1

Next state is

AR complex —-> activated

Reverse is inactivion of complex

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11
Q

What does the first state (forming complex) show

A

The occupancy and affinity of the drug and receptor

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12
Q

What does the second stage (activation) show and presume

A

Shows efficacy of the drug to form response

Suggests it’s either in the inactive stage or the active (only 2)

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13
Q

How would you measure specific drug binding to receptors

A

You would measure the max number of drug bound (saturation) - non specific drug binding

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14
Q

What is the max drug binding number called

to determine number of drugs bound - non specific drugs

A

Bmax

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15
Q

What is kD a measure of

A

Affinity

It is the equilibrium dissociation constant

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16
Q

How is the kD measured and what does it tell us (equilibrium dissociation constant)

A

K1 association / k-1 dissociation

The lower the kD = higher affinity

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17
Q

When can kD affinity be equal to EC50

A

It is the same as the EC50 ONLY when response is proportional to occupancy of receptors

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18
Q

Why can kD be used to identify drugs or receptors

A

Because the kD of a drug receptor complex is the same in any tissue and person

19
Q

What is EC50 a better measure of than kD because response isn’t proportional to occupancy

20
Q

What is potency and why is it the same measure as EC50

A

Potency is the dosage/ conc needed to produce an effect

If a drug has a high potency (low EC50) it means they produce a response even at a lower concentration

21
Q

What is potency dependant on

A

Affinity of the drug

Efficacy of the drug (ability to activate)

Receptor density

22
Q

What are spare receptors

A

The fact that the proportion between occupancy and response isn’t linear

Some receptors can produce a higher response even in lower numbers

Spare receptors are ones not needed

23
Q

What is efficacy

A

Ability of an agonist to evoke a response in receptor

Maximum is regardless of the dose given

EMAX = max efficacy

24
Q

What is a full agonist

A

An agonist with high efficacy

They have an incline to the active state despite concentration

25
What is a partial agonist
Agonist with lower efficacy showing low response The equilibrium can’t move into the active state as well even if all receptors occupied
26
What are partial agonists used for and give example
They are a therapy drug which are used to stop full stimulation and addiction by have lower response Eg tamoxifen which binds to oestrogen receptor as a partial agonist to stop breast cancer
27
What is the drug called which helps smoking addiction via partial agonist
VARENICLINE - binds to nicotine receptors with lower stimulation as nicotine
28
What did lape et al 2008 find
Some receptors can be respond the same to partial and full agonists Eg glycine and nicotinic ach They are in a flip state between active and inactive
29
What is the model called that suggested receptors have 4 active states instead of 1
Ternary complex model
30
What did the ternary complex model show
Receptors can become active without an agonist present and also can become gcpr and active that way
31
What is it called when a receptor becomes active on its own
Constitutive activity
32
What are inverse agonists
Agonists which have higher affinity for the inactive state of complex (low efficacy) They turn receptor off
33
Give example of inverse agonist which many antagonists are
H2 receptor and cimetidine
34
What did kenakin find about inverse agonists
85% of competitive antagonists were actually inverse agonists
35
What are allosteric modulators
Drugs which bind to a seperate binding site and increase efficacy / response of the receptor by increasing affinity for agonist
36
How is benzodiazepine an allosteric modulstor
It binds onto gaba ion channel and increases affinity for gaba This increases efficacy Response is more Cl floods in Calms anxiety
37
What 2 types of allosteric modulators are there
Negative - decrease affinity and efficacy Positive -
38
Why does deug efficacy decrease with repeat administration
receptor desensitised
39
What is another word for drug response diminishing (efficacy)
Tachyphylaxis
40
What are major players in tachyphylaxis
Gradual change in receptor shape Receptor internalisation (sequestration)
41
What other things can affect drug efficacy over time
Drug metabolism
42
What is the therapeutic index?
The window/dosage of the antagonist which has desired effects and isn’t an overdose
43
Why is it good to have a large TI
Because it makes it easier to dose it and not overdose eg penecillin has large therapeutic index