Drugs And Receptors Flashcards

(42 cards)

1
Q

Defintion of a drug and routes of administration

A

Medicine or other substance which has either a local or systemic physiological effect
- enteral (GIT - involved e.g oral/PO)
- parenteral (non-GIT e.g IM,IV,SC, injections)
- other (inhaled, topical, rectal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pharmacology defintion

A

The branch of medicine concurred with the uses, effects and modes of action of drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 4 different drug targets

A

Receptors
Enzymes
Transporters
Ion channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Definition of a receptor

A

A component of a cell that interacts with a specific ligand and initiates a change of biochemical events leading to the ligand observed effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Example of an exogenous ligand

A

Drugs (extrinsic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Example of an endogenous ligand

A

Hormones,
Neurotransmitters (intrinsic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Receptors are the principal means by which chemicals communicate. Give 3 examples of these chemicals with names.

A

Neurotransmitters - acetylcholine, serotonin
Autacoids - cytokines, histamine
Hormones - testosterone, hydrocortisone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Example of when there is an imbalance of chemicals

A

Allergy - increased histamine
Parkinsons - reduced dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Example of when there is an imbalance of receptors

A

Myasthenia gravis - loss of Ach receptors
Mastocytosis - increased c-kit receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Types of receptors

A

Ligand-gated ion channels
G-protein coupled receptors
Kinase-linked receptors
Cytosolic/nuclear receptors
Cholinergic receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Example of ligand-gated ion channels

A

Nicotinic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Example of a G-protein coupled receptor

A

Beta-adrenoreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Example of a kinase-linked receptor

A

Receptors for growth factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Examples of cytosolic/nuclear receptors

A

Steroid receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do ligand gated ion channels work?

A

Ion channels are pore-forming membrane proteins that allow ions to pass through the channel pore so that the cell undergoes a shift in electric charge distribution.
The change in charge can be mediated by an influx of any kind of cation or efflux of any kind of anion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do g-protein coupled receptors work?

A

Also known as G protein - guanine nucleotide-binding proteins
Their activity is regulated by factors that control their ability to bind to and hydrolyse GTP to GDP
G proteins (GTPases) act as molecular switches (GDO=ON, GTP=OFF)
Targeted by more than 30% of drugs
Ligands include light energy, peptides, lipids, sugars

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How do kinase-linked receptors work?

A

Kinases are enzyme that catalyse the transfer of phosphate groups between proteins - process is known as phosphorylation.
The substrate gains a phosphate group ‘donated’ by ATP
Transmembrane receptors activated when the binding of an extracellular ligand causes enzymatic activity on the intracellular side.
They are receptors for growth factors

18
Q

How do cytosolic/nuclear receptors work?

A

Also known as Steroid Hormones
Work by modifying gene transcription

19
Q

How do cholinergic receptors work?

A

There are two categories of cholinergic receptors - nicotinic and muscarinic
Agonist = Muscarinic, Nicotine
Antagonistic = Atropine, Curare
Receptors = mAChR, nAChR

20
Q

Ligand definition

A

A molecule that binds to another (usually larger) molecule

21
Q

Antagonist definition

A

A compound that reduces the effect of an agonist
- full affinity
- ZERO efficacy

22
Q

Agonist definition

A

A compound that binds to a receptor and activates it
- full affinity (how well it binds)
- full efficacy (how well the receptor works)

23
Q

Affinity definition

A

Describes how well a ligand binds to a receptor

24
Q

Efficacy definition

A

Describes how well a ligand activates the receptor
Emax = the maximum response achievable

25
Describe the difference in agonists and antagonists in terms of affinity and efficacy
Agonists have affinity and efficacy = but antagonists have affinity and ZERO efficacy
26
What is the two-state model of receptor activation?
Describes how drugs activate receptors by inducing or supporting a conformational change in the receptor from off to on.
27
Potency definition
The amount of drug that will elicit a 50% response
28
Full activation definition
Achieves full activation of pathway
29
Partial agonists defintion
Never achieves full activation of pathway
30
Intrinsic activity definition
Intrinsic activity (IA) or efficacy refers to the ability of a drug-receptor complex to produce a maximum functional response
31
Two types of antagonists
Competitive antagonism - binds to same site - decreases potency but doesn’t affect the efficacy = ligand conc is rate limiting . Non-competitive antagonism - binds to an allosteric site on the receptor to prevent activation of the receptor - decreases both potency + efficacy = ligand conc not rate limiting factor.
32
What is selective agonism?
Potency of a range of agonists
33
What are selective antagonists?
competitive antagonists
34
Factors effecting drug action?
Receptor related - affinity, efficacy Tissue related - receptor number, signal amplification
35
What is a receptor reserve?
Some antagonists need to activate only a small fraction of the existing receptors to produce the maximal system response. This holds for a full agonist in a given tissue - reserve can be large or small, depends on tissue No receptor reserve for a partial agonist - even with 100% occupancy, maximal response not seen.
36
What is signal transduction?
A basic process involving the conversion of a signal from outside the cell to a functional change within the cell.
37
What is signal amplification?
To increase the strength of a signal
38
What is an inverse agonism?
When a drug binds to the same receptor as an agonist but induces a pharmacological response opposite to that of the agonist
38
Tolerance definition
Reduction in agonist effect over time Happens when a person is exposed to a drug continuously, repeatedly, and in high concentration
39
Types of desensitisation
- Uncoupled - receptor can’t interact with G-protein - Receptor is internalised in vesicle of cell - Receptor becomes degraded Desensitisation occurs with many agonist drug infusions, perhaps pulsatile delivery could avoid this
40
Difference in tolerance to desensitisation
Tolerance happens slowly over time, desensitisation is fast
41
Difference between specific and selective
Specific drug = acts on a certain target Selective = acts on a subtype of target e.g cardio selective Bb inhibit B1 adrenergic receptors not B2