Intro to pharm. receptors Flashcards

(50 cards)

1
Q

What is a receptor?

A

macromolecular component that binds the drug and initiates its effect. (most are proteins that have undergone post-translational modifications)

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2
Q

What are the key concepts for: drugs that antagonize cell surface receptors?

A
  1. cell surface receptors send chem. signals from outside to inside of cell
  2. drug binds receptor- preventing agonist from binding= preventing response (antagonize/block endogenous/normal chem.)
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3
Q

What is the important example of: a Cell surface receptor antagonist?

A

Propranolol (Inderal)

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4
Q

What is Propranolol used for, and how does it work?

A
  1. for angina, myocardial infarction, heart failure, high BP, and performance anxiety
  2. B-Adrenoceptor blocker (cell surface receptor antagonist)- decreasing force of heart contraction= heart doesn’t have to work so hard.
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5
Q

What is a nuclear receptor?

A

in intracell. compartment; binds to DNA regulator regions and modulated gene expression when activated

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6
Q

What are the key concepts for: drugs that antagonize nuclear receptors?

A
  1. nuclear receptors mediate effects of intracell. endogenous chems. on gene expression
  2. these drugs bind to nuclear receptors= prevent receptor translocation to nucleus= prevents binding to DNA and altering of gene expression.
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7
Q

What is the important example of: a Nuclear receptor antagonist?

A

Tamoxifen (Nolvadex)

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8
Q

What is Tamoxifen used for, and how does it work?

A
  1. to prevent and treat breast cancer

2. Estrogen receptor antagonist (nuclear receptor antagonist)

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9
Q

What are the key concepts for: drugs that inhibit enzymes?

A
  1. bind enzymes to inhibit enzymatic activity= lose product
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10
Q

What is the important example of: an enzyme inhibitor?

A

Aspirin and Ibuprofen (motrin)

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11
Q

What are Aspirin and Ibuprofen used for, and how do they work?

A
  1. pain relief (arthritis)

2. inhibit cyclooxygenase (prevent prostaglandin and thromboxane production)

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12
Q

What are the key concepts for: drugs that block ion channels?

A
  1. bind ion channels preventing flow of ions through pore/down electrochem. gradient
  2. can physically block pore or cause closure of pore (allosterically)
  3. changes in intracell. ion conc. causes drugs’ effects
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13
Q

What is the important example of: an ion channel blocker?

A

Diltiazim (Cardizem)

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14
Q

What is Diltiazim used for, and how does it work?

A
  1. Angina and high BP

2. blocks calcium channels (ion channel blocker)

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15
Q

What are the key concepts for: drugs that inhibit transporters?

A
  1. transporters bind and shuttle mem. impermeable solutes across mem.
  2. drugs bind transporters= allosteric change= non functional transporters
  3. intracell. solute conc. changes (of specific solutes) cause drugs’ effects
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16
Q

What is the important example of: a transporter inhibitor?

A

Fluoxetine (Prozac)

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17
Q

What is Fluoxetine used for, and how does it work?

A
  1. depression

2. selective serotonin reuptake inhibitors (transporter inhibitor)

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18
Q

What are the key concepts for: drugs that inhibit signal transduction proteins?

A
  1. signal transduction proteins send chem. signal from receptor to final target
  2. can block/ augment signal transduction pathway= what mediates drugs’ effects.
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19
Q

What is the important example of: a signal transduction inhibitor?

A

Sildenafil (Viagra)

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20
Q

What is Sildenafil used for, and how does it work?

A
  1. erectile dysfunction

2. inhibits type 5 phosphodiesterase (signal transduction inhibitor)

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21
Q

What are the key concepts for: drugs that activate cell surface receptors? (Agonists)

A
  1. binding triggers a response (activates receptor)

2. can be: the actual endogenous chem. signal or something that mimics the endogenous chem. signal

22
Q

What is the important example of: a Cell surface receptor agonist?

A

Phenylephrine (neosynephrine)

23
Q

What is phenylephrine used for, and how does it work?

A
  1. nasal congestion

2. Alpha 1- Adrenoceptor Agonist (cell surface receptor agonist)

24
Q

What are the key concepts for: drugs that activate nuclear receptors? (agonists)

A
  1. trigger response by binding to nuclear receptors- alter gene expression
  2. some are actual endogenous chem. signal and some just mimic endogenous chem. signal
25
What is the important example of: a nuclear surface receptor agonist?
Conjugated Equine estrogens (Premarin)
26
What is Premarin used for, and how does it work?
1. hormone replacement therapy (post-menopausal women) | 2. Estrogen receptor agonist (nuclear receptor agonist)
27
What are the key concepts for: drugs that activate enzymes?
1. bind to enzymes and increase enzymatic activity | 2. increased product mediates drugs' effects
28
What is the important example of: an enzyme activator?
Pralidoxime (protopam)
29
What is Pralidoxime used for, and how does it work?
1. used after poisoning with nerve gas/organophosphate pesticide 2. activates cholinesterase (enzyme activator)
30
What are the key concepts for: drugs that open ion channels?
1. drugs bind and cause allosteric change- can be: opening ion channel or make channel more readily opened by other endogenous chems. 2. change in intracell. ion conc. mediates drugs' effects
31
What is the important example of: a ion channel openers?
Minoxidil (Rogaine)
32
What is Minoxidil used for, and how does it work?
1. hair regrowth | 2. opens potassium channels (ion channel opener)
33
What are the important examples of: a drug that disrupts structural proteins?
Vincristine (oncovin) and Vinblastine (Velban)
34
What is Vincristine and Vinblastine used for, and how do they work?
1. cancer | 2. Vinca Alkaloids (disrupt structural proteins)
35
What is the important example of: a drug that is an enzyme?
Alteplase (Activase)
36
What is Alteplase used for, and how does it work?
1. Acute myocardial Infarction | 2. Thrombolytic therapy (drug that's an enzyme)
37
What is the important example of: a drug that covalently links to macromolecules?
Cyclophosphamide (Cytoxan)
38
What is Cyclophosphamide used for, and how does it work?
1. Cancer | 2. DNA alkylating agent (drug that covalently links to macromolecules)
39
What is the important example of: a drug that reacts chemically with small molecules?
various preparations containing Al(OH)3, Mg(OH)2, or CaCO3
40
What are various preparations containing Al(OH)3, Mg(OH)2, or CaCO3 used for, and how do they work?
1/2. Antacids that neutralize gastric acid (drugs that react chemically with small molecules).
41
What is the important example of: a drug that binds free molecules/atoms?
Dimercaprol
42
What is Dimercaprol used for, and how does it work?
1. Heavy metal poisoning | 2. Chelating agent (binds free molecules/atoms)
43
What are the important examples of: drugs that are nutrients?
vitamins, minerals, lipids, carbs., and amino acids
44
What is the important example of: a drug that exert actions due to physical properties?
Mannitol
45
What is mannitol used for, and how does it work?
1. Edema | 2. Osmotic diuretic (drug that exerts actions due to physical properties)
46
What is the important example of: a drug that work via an antisense action?
Fomivirsen (Vitravene)
47
What is Fomivirsen used for, and how does it work?
1. Cytomegalovirus (CMV) retinitis in AIDS patients | 2. Antisense Deoxyoligonucleotides (drug that works via an antisense action)
48
What is the important example of: a drug that is an antigen?
vaccines
49
What is the important example of: a drug whose mechanism of action is unknown?
Isoflurane (Forane)
50
What is Isoflurane used for, and how does it work?
1. Inhalation anesthetic for general anesthesia | 2. mechanism of action is unknown