introduction to pharmacology Flashcards

(53 cards)

1
Q

what is pharmacology?

A

The study of the action of drugs on the function of living systems

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

what is a drug?

A

a chemical substance or natural product that affects the function of cells, organs, systems or the whole body (i.e. is bioactive)

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

where do drugs come from?

A

Natural products (i.e. plants, animals)
Serendipity (i.e. by accident)
Changing the structure of an existing molecule (i.e. structure-activity relationships)
Using an existing drug in a new disease (i.e. re-purposing)
Computer-aided design
Studying disease processes

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

what are the three types of names of drugs?

A

Chemical – IUPAC name that describes the chemical structure of the drug
Generic – international non-proprietary name given to a molecule
Proprietary – ‘trade’ name(s) given to an approved drug by the manufacturer

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

what is pharmacokinetics?

A

what the body does to the drug
- used as a generic term to describe the fate of a drug molecule following administration to a living organism or how a drug molecule is affected by exposure to living cells

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

what is pharmacodynamics?

A

what is drug does to the body
- used as a generic term to describe the mechanism of drug action or what happens to cells, organs, systems, etc., as a result of drug exposure

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

how are proteins involved with drugs?

A
  • drug transporters
  • metabolising enzymes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what cells are involved with drugs?

A
  • epithelial cells
  • endothelial cells
  • hepatocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

drug administration paths…

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

what are the different routes of drug penetration into cells?

A

Diffusion through lipid membrane
- Major route for lipophilic drugs
Diffusion through aqueous channels
- Most drugs too large!
Carrier-mediated transport
- Major route for hydrophilic drugs
Pinocytosis
- Transport of insulin into brain

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

what does oral absorption of drugs require?

A

permeation of epithelial cell membrane

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

what is lipinski’s rule of 5?

A

an oral drug must have:
- molecular mass less than 500 Daltons
- no more than 5 H-bond donors (total number of N-H and O-H bonds)
- no more than 10 H-bond acceptors (all nitrogen or oxygen atoms)
- an octanol-water partition coefficient log P not greater than 5

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

basics of drug metabolism…

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

oral dosing…

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

what are the drug effects at the level of the cell?

A

Effects on receptors, ion channels, enzymes, transporters, DNA, etc.

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

what are the drug effects at the level of the organ/system?

A

Effects on heart, kidney, cardiovascular system, central nervous system, etc.

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

what are the drug effects at the level of the organism?

A

Therapeutic effect on disease state or process; adverse effects or side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are the drug effects at the level of society?

A

cost , misuse, drug resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are the sites of drug action?

A
  • Human body = 100 trillion cells, 200 different cell types
  • Primary tissues: muscle, nerves, epithelial, bone, connective, etc.
  • Tissues controlled by: innervation, extracellular fluids, blood supply, exocrine and endocrine secretions
  • Many drugs mimic (or block) the action of endogenous molecules (e.g. neurotransmitters, hormones)
  • Act at specific sites; receptors, ion channels, enzymes, transporters (all of which are proteins)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are the particular constituents of cells which drug molecules must bind to to produce an effect?

A

drug targets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how to drugs act?

A
  • exert a chemical influence on constituents of cells to produce a pharmacological response
  • must get close enough to cellular constituents in order that they can interact chemically
  • leads to an alteration in molecular / cellular function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the protein targets for drug binding?

A
  • receptors
  • enzymes
  • ion channels
  • transporters
  • circulating proteins, DNA, bacterial cell wall etc.
23
Q

what is the main function of receptors?

A

cell to cell communication

24
Q

where is cell to cell communication important?

A
  • Neurotransmission (e.g. nerve to nerve; nerve to muscle)
  • Effects of chemical mediators in bloodstream (e.g. adrenaline on heart)
  • Hormone and growth factor signalling (e.g. action of insulin on muscle)
25
what is a receptor?
A recognition molecule for a chemical mediator through which a response is transduced - often a protein/ protein complex on cell surface - many drugs act to mimic/block the effect of the endogenous molecules at their receptors
26
describe the basic lock and key concept
- Receptor is the lock, drug is the key - Some keys fit into the lock (i.e. Drug A) but others do not (i.e. Drug B) - Depends on chemical structure - Most locks (i.e. receptors) have a master key (an endogenous ligand)
27
what are the three parts of the structure of a receptor?
- extracellular domain - transmembrane domain - intracellular domain
28
describe the extracellular domain of a receptor
Contains ligand binding sites Comprised of hydrophilic amino acids
29
describe the transmembrane domain of a receptor
Anchors protein in membrane Comprised of hydrophobic amino acids Typically has α-helical structure
30
describe intracellular domain of a receptor
Interacts with effector mechanisms Comprised of hydrophilic amino acids
31
describe the steps of signal transduction
- Signal: ligand arrives at receptor - Reception: ligand binds to receptor - Transduction: ligand-bound receptor changes conformation (i.e. shape change) - Response: change in conformation leads to some form of intracellular response
32
what is an example of a very fast signal transduction?
nicotinic acetylcholine receptor
33
what is an example of a fast signal transduction?
muscarinic acetylcholine receptor
34
what is an example of a slow signal transduction?
cytokine receptor
35
what is an example of a very slow signal transduction?
oestrogen receptor
36
what is a ligand?
any chemical that binds to a receptor
37
what is an agonist?
a drug that binds to a specific site on a receptor, mimics the effect of the endogenous ligand for that site - affinity and efficacy
38
what is an antagonist?
a drug that binds to a specific site on a receptor, blocks the effect of the endogenous ligand (same or different binding site as ligand) - affinity NO efficacy
39
what is affinity?
fits in
40
what is efficacy?
fits and causes a response
41
are responses to drugs always the same?
no drug response varies - Age - Genetics - Disease state - Drug interactions - Environment
42
what is the difference between general and local anaesthetics?
general sedates entire body (loss of consciousness) whereas local only sedates the localised area (consciousness remains)
43
how does anaesthetic work?
blocks the transmission of the impulse
44
what is the chemical structure of local anaesthetic?
aromatic linked by ester (shorter half-life= shorter effect) or amide bond (longer half-life=longer effect) to a basic side chain
45
how does conduction of a nerve action potential come about?
opening of voltage gated Na+ channel and rapid influx of Na+ which depolarises the cell
46
what are the three main states of the Na+ channel
resting (negative) open inactivated
47
how does local anaesthetic act on the cell?
- LA binds to taget site on INTRAcellular side of Na+ channel (blocks the channel and stabalises it in the inactivated form_ - this prevents influx of Na+, preventing depolarisation, preventing an action potential, preventing pain perception - causes a REVERSIBLE blockage of nerve conduction
48
what needs to happen for local anaesthetic to be effective?
- it must diffuse from the site of administration, across the nerve cell membrane to the intracellular side - it must bind to the local anaesthetic target site - this being possible is linked to the chemical structures
49
what does the aromatic group influence on local anaesthetic?
the hydrophobicity of the drug
50
what does the amine group influence on local anaesthetic?
the charge on the drug
51
are local anaesthetics acidic or basic?
weak bases
52
why are local anaesthetics used along side vasoconstrictors?
- less blood loss - prevents entry into systemic circulation
53
what three things would you want to know about a drug?
- what it does - its potency (measure of dose at which it is effective, potent drug= effective at low dosage) - its selectivity (selective= works on one receptor not on others)