Agonists and Receptors Flashcards

(16 cards)

1
Q

What does the Law of Mass Action state in pharmacology?

A

The rate of a chemical reaction is proportional to the concentrations of the reacting substances (drug [D] and receptor [R]).

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2
Q

In the reversible reaction D + R ⇌ DR, what do k1 and k2 represent?

A

k1: Rate constant for the forward (association) reaction

k2: Rate constant for the reverse (dissociation) reaction

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3
Q

What is the dissociation constant (KD)?

A

The drug concentration at which 50% of receptors are occupied. It reflects drug-receptor affinity (lower KD = higher affinity).

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4
Q

Term: Affinity Constant (KA)

A

The reciprocal of KD (i.e. KA = 1/KD). Describes potency—how strongly a drug binds to its receptor.

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5
Q

What does the variable “r” represent in receptor pharmacology?

A

Fractional occupancy—the proportion of total receptors that are bound by the drug.

r=[DR]/[Rt]

[DR] - conc of drug receptor complex
[Rt] - Total no. of receptors ([R] + [DR])

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6
Q

What happens to the dose-response curve as KD increases?

A

The curve shifts to the right, indicating lower affinity (more drug is needed to achieve the same receptor occupancy).

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7
Q

Term: ED50

A

Definition: The drug concentration at which 50% of the maximum effect is observed; equivalent to KD for full agonists.

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8
Q

What determines a drug’s response once it binds a receptor?

A

The fractional occupancy (r) and the intrinsic activity (e) of the drug.

E = er

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9
Q

Intrinsic Activity (e)

A

A measure of a drug’s ability to activate a receptor once bound. Ranges from -1 (inverse agonist) to +1 (full agonist).

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10
Q

What are full, partial and inverse agonists?

A

Full - A drug with intrinsic activity of 1, capable of producing a maximal response.
Partial - drug with 0 < e < 1, producing submaximal responses even with full receptor occupancy.
Inverse - A drug with e < 0, producing effects opposite to agonists by inhibiting constitutive receptor activity.

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11
Q

What effect does a partial agonist have on the dose-response curve?

A

Causes a downward shift (less maximal effect); if affinity is also lower, the curve also shifts right.

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12
Q

What happens on a graph when a drug’s KA (affinity) is higher?

A

The KD is lower, so the dose-response curve shifts left, indicating greater potency.

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13
Q

What does the vertical shift of a dose-response curve indicate?

A

A change in efficacy (intrinsic activity); full vs partial agonist.

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14
Q

Express observed response as a result of dissociation constant, drug concentration and efficacy

A

E = e[D] / KD + [D]

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15
Q

Why is understanding KD important in clinical pharmacology?

A

It helps determine dosing, potency, and predicts how a drug will compete for receptors with other agents.

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16
Q

Can two drugs have the same KD but different effects?

A

Yes. If they differ in intrinsic activity (e), they will produce different clinical responses.