Buxton: receptor theory Flashcards

(57 cards)

1
Q

main targets of drugs (4)

think TIER

A
  • -enzymes (aspirin, cyclooxygenase)
  • -transporters/carriers (prozac, serotonin reuptake transporter)
  • -ion channels (local anesthetics + Na+ channels)
  • -receptor proteins (cimethidine for histadine receptor)

(drug, target)

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2
Q

“receptor”

A

PROTEIN that participates in cellular communicatin via chemical signals

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3
Q

ligand

A

chemical signaling molecule that transmits signal to biochemical change in target

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4
Q

ligand examples (just throw a few out there)

A

drugs or hormones and NT

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5
Q

Receptor theory equation

A

D + R –> DR —> Effect

drug, receptor, drug-receptor complex

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6
Q

mass action

A

rate of RXN proportional to the product of concentration of reactants
JUST THINK LE CHATERLIER’S

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7
Q

hill langmuir equationa

A

[D] + [R] [DR]
k1=forward rxn
k-1= reverse rxn

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8
Q

Radioreceptor/radioligand binding assay

A

[receptor prep + radiolabeled drug + test drug] get put into test tube. then placed into a drug receptor complex, filtrated, and unbound drug or unbound radiolabeled drug get eluted off.

PURPOSE: figure out Kd/KA

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9
Q

kinetic experiment (radiolabeled)

A

look at K1 and K2 over time by looking at specific binding (counter per minute). K1 in mol/sec. k2 in sec.

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10
Q

total binding line

A

specific binding + non specific binding binding curves. add areas under curves

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11
Q

specific binding line

A

it’s linear and strong but then it tapers off, kinda looks the the Vmax line

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12
Q

non specific binding

A

binding to places OTHER than the THERAPEUTIC target. This line is linear so directly propertional to ligand added

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13
Q

Hyperbolic concentration binding curve

A

Drug concentration binding curve (x-axis) vs fraction of receptor bound [B] y axis.
Kd=when half of the receptors are bound (same thing as Ka)
Bmax = just Kmax but for binding (rectangular hyperbola).

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14
Q

Scatchard plot

A

specific binding/ free radioligand (y axis) vs specific binding (x axis).
B max is the x intercept
slope = -1/Kd
if specific binding, then LINEAR line

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15
Q

Hill-Langmuir equation

A

Background just to help out: Kd= k-1/k1; it’s a concentration. also known as dissociation constant.

Par = [D][[D] + Kd]]
where AR = DR
SUPER LEGIT TO FIGURE OUT PROPORTION OF DR/AR

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16
Q

log linear scale

A

y axis; fraction of receptor bound, B.
x axis: concentration in log scale.
overall: graph sigmoidal, and it’s easy to see the Kd; this means that drug is acting well

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17
Q

ED50
TD50
LD50

A
therapeutic effect (dose)
toxic effect (dose)
lethal (dose)
at which 50 percent of ppl are affected
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18
Q

What’s the difference between graded concentration response curves and hyperbolic concentration binding curve?

A

y axis: %maximal response v fraction of bound

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19
Q

graded concentration response curve similarities to binding curve?

A

x axis: concentration in same units

GRAPH shape rectangular hyperbola in both

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20
Q

Quantal dose response curve

A

describe pop % responding rather than individual responses. in log scale and helps us identify best dosage

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21
Q

Full Agonist: two cases

A

max potency and MAX EFFECT

other case, reduced potency but MAX EFFECT

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22
Q

Partial Agonist

A

max potency but REDUCED EFFECT.

other casse, reduced potency but REDUCED effect

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23
Q

Potency

A

deterimined by concentration needed for effect

24
Q

What determines whether or not something is a full or partial agonist?

A

If the effect% is close to 100, then it’s full.

If effect% is low (close to 50%), then it’s partial

25
Chemical antagonists
two drugs in solution that cancel each other out
26
Physiological antagonists
two drugs that cancel each other out physiologically, like histamine and epinephrine
27
Pharmacological antagonists
``` Blockade of one DRUG RECEPTOR (but do not activate transduction cascade) by another compound, like propanolol blocking norepinephrine. Prevent agonist (drugs or hormones) from acting. ```
28
Where do competitive antagonists bind?
they bind to same site on receptor as agonists!
29
How can competitive antagonists be overcome?
by increasing agonist concentration, so it's reversible
30
Do competitive antagonists mainly affect potency or efficacy?
potency!
31
Which are more clinically useful? Competitive or non competitive antagonists?
Competitive antagonists!!!
32
Where do non-competitive antagonists bind?
They bind covalently and irreversibly to the agonist binding site OR to a site different to the agonist (reversibly or irreversibly)
33
Can non-competitive antagonist inhibition be overcome by increasing agonist concentration?
NOPE coz we can't get the agonist to compete for the same site
34
Do non competitive antagonists mainly affect potency or efficacy?
Efficacy!!!
35
concentration/dose response curves
Effect% v D: linear scale: rectangular hyperbola log-linear: totally sigmoidal; shows drug is acting well!
36
Spare receptors appear commonly in the receptors for what ligands?
in receptors for hormones or NT
37
ED50, TD50, LD50
concentrations at which half of individuals : ED--have therapeutic effect TD--have toxic effect LD--have lethal effect
38
Spare Receptors
pool of available receptors >> # required for full response
39
Explain spare receptor effect in relation to concentrations of D, R, and DR.
Sooo [R] goes up coz you got a greater pool of receptors; therefore, you don't need as much [D] to reach same [DR] concentration!
40
What's the net effect of spare receptors?
Increased sensitivity to ligands
41
What changes occur on the [D] vs receptor occupancy happen due to spare receptors?
Potency increases; so (ED50) value becomes smaller, but the max value of effect percentage is the same!
42
Does response % increase linearly with receptor occupancy % WITHOUT spare receptors?
Yup. so biological effect is proportional to [DR] at all drug concentrations
43
Does response % increase linearly with receptor occupancy % WITH spare receptors?
Biological effect is proportional to biological response % only in low concentrations up to ED50... HOWEVER it continues as a hyperbolic rectangle thereafter.
44
How does effect of drug change when drug is given continuously or repeatedly?
It's effect usually diminshies
45
What's tachiphylaxis?
A sudden decrease in response to drug after administration
46
What causes receptor mediated drug desensitization? (2)
1. loss of receptor FXN. | 2. loss of receptor #
47
What causes non-receptor mediated drug desensitization? (3)
1. reduction of receptor-coupled signaling components. 2. reduction of [Drug] 3. physiological adaptation
48
What's the cause to lose receptor FXN and lose sensitivity? and is this rapid or slow?
- due to change in receptor CONFORMATION (like phosphorylation of Gprotein receptors). - usually part of cellular feedback mechanism it's a RAPID desensitization!
49
What's the cause to lose receptor NUMBER and then lose sensitivity? and is this rapid or slow desensitization?
- usually due to feedback effects of cell on agonist. - example: phosphorylation removes GPCR from cell surface. IT'S LONG TERM!!!
50
Therapeutic window
The relation of [Drug] to their therapeutic effects to and adverse effects in a population
51
Full agonist
Drug can go two ways: Rinactive or Ractive. it chooses the active route and, therefore, increases response level!
52
Partial agonist
Drug goes mainly to Ractive and, TO A LESSER EXTENT, Rinactive, so response level decreases a bit from partial agolist
53
Inactive compound
Basal activity or drug goes to RI and Ra at same rate
54
Inverse agonist
Drug goes to Ri and then level of response decreases a lot
55
Do receptors mainly express the constitutive system or the native one?
Constitutive seems to be more important.
56
Receptor antagonists FXN?
They DO NOT provoke a response in receptor cells; HOWEVER, they dampen the agonist activity.
57
Agonist examples (prolly don't need to know well)
- Losartan for Hypertension - bisperidone for antipsychotic - -famotidine for hyperaciditicty