Lecture 2: How Drugs Bind to their Targets Flashcards

1
Q

What are modes of signal transmission?

A

Common mechanisms by which receptors interact with drugs and generate a signal in the cell which causes a biological response

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

How can a drug get to intracellular recptors?

A

Because the receptor is on the inside of the cell, the drug has to cross the membrane in order to get to the receptor

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

What properties must the drugs that target intracellular receptors have?

A

They must be lipid soluble (hydrophobic) or have some other transport mechanism in order to cross the cell

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

What are examples of drugs that can bind to intracellular receptors?

A

Steroid hormones: Glucocorticoids, anabolic steroids etc

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

What is the Mode of Action of substances that bind to Intracellular Receptors?

A

They bind to the Ligand binding Domain (LBD) of a steroid hormone receptor, leading to the displacement of the Heat Shock Protein (HSP) or other chaperone. This exposes a DNA recognition domain and leads to the activation of transcription target genes

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

What is the relative timing of intracellular receptors?

A

Its effects typically have slow onset and are long lasting (not rapidly reversible)

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

Why is the relative timing of Intracellular receptors slow?

A

Because it requires transcription and gene synthesis

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

What kind of receptors are G-protein coupled receptors (GPCRs)?

A

Transmembrane receptors

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

Which side do ligands bind to on G-protein coupled receptors?

A

They bind to the extracellular side

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

What generally happens once ligands bind to the extracellular side of GPCRs?

A

The ligand triggers a conformational change that activates a signaling cascade mediated by intracellular G-proteins

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

What are the G-proteins distinct from?

A

The receptor

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

What does the activation of the receptor do in G proteins?

A

Promotes the exchange of GDP for GTP

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

What is meant by the G-alpha subunit has GTPase activity?

A

It acts like a molecular timer or countdown to terminate the signal and hydrolyzed GTP to inactivate the G-protein complex

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

What can active G-proteins do?

A

Influence effector proteins that alter cellular activity

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

What are the three intracellular G-proteins that a receptor is coupled with?

A
  • G-alpha
  • G-beta
  • G-gamma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is G-alpha bound to at rest?

A

GDP

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

What happens once G-alpha binds to GTP?

A

It dissociates from the G-protein complex and acts as an effector

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

When a receptor is activated what do the G-beta and G-gamma subunits usually stay associated with?

A

The membrane

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

What can the G-beta and gamma subunits do?

A

They can directly activate various downstream effectors like ions channels or recruitment of kinases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the three types of G-alpha subunits?

A
  • Gs
  • Gi
  • Gq
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What can the different types of G-alpha do?

A

Influence different signalling cascades

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the two main targets of the alpha subunit of G proteins?

A

Adenylate cyclase (AC) and phospholipase C (PLC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does the Gs type of alpha subunit do?

A

Activates Adenylate Cyclase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does the Gi type of Alpha subunit do?

A

Inhibits Adenylate Cyclase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What does the Gq type of the G-alpha subunit do?
It activates Phospholipase C (PLC)
26
What is the distinction between the effects of the G-beta and G-gamma subunits versus the G-alpha subunits?
The G-beta and G-gamma subunits have direct effects on the effector and the G-alpha components have effects of the initial components of the signalling cascade
27
How does Gs work? (Explain what happens from Gs dissociation)
Receptors coupled to Gs trigger increased activity of AC which converts ATP to cyclic AMP (cAMP), which activated cAMP dependant protein kinases like protein kinase A (PKA). PKA which phosphorylates substrates using ATP
28
How does Gi work?
It suppresses the activity of AC which suppresses the production of cAMP
29
What is the relative timing of G-protein coupled receptors?
They can happen very quickly
30
How does Gq work?
Receptors coupled to Gq trigger increased activity of PLC, leading to production inositol triphosphate (IP3) and DAG from the breakdown of PIP2. IP3 triggers the release in intracellular Ca2+ stores which can influence other signalling pathways.
31
Aside from IP3 what is the other product of PIP2 breakdown by PLC?
DAG
32
What does DAG from the breakdown of PIP2 do?
Activation of protein kinase C and target substrates
33
What activates protein kinase C?
DAG
34
What is activation of Tyrosine Kinase Receptors TKRs driven by?
Dimerization of receptors in the presence of a ligand
35
What does the dimerization of TKRs in the presence of a ligand do?
Cause them to autophosphorylate and become activated
36
What is the difference between G-protein coupled receptors and TKRs?
TKRs have protein kinases built into them whereas G-protein receptors have multiple steps to activate protein kinases
37
What is the circulating form of drugs that can bind to intracellular receptors?
Bound to carrier globulin because of low solubility in plasma
38
What is the speed of response of intracellular receptors and why?
Slow because they require DNA binding and activation for target genes
39
What is the Speed of Response of cell surface receptors and why?
Fast because of rapid transduction via protein conformational change and intracellular signalling cascades
40
What is the speed of the the Breakdown or Termination of a cell surface receptor signal and why?
Fast because a signal can rapidly terminate due to rapid GTPase cycle
41
What is the speed of the the Breakdown or Termination of a intracellular receptor signal and why?
Slow because a large fraction of a hormone is bound and there is usually a large reserve and effects of gene expression are slow to reverse
42
What does the fastest mechanism of signalling in the body depends on?
Electrical signals generated by ion channel proteins
43
What do Ion Channels do?
Allow ions to cross the membrane rapidly leading to changes in membrane voltage
44
What can different ion channels be controlled by?
Distinct stimuli like a ligand binding or changes in a membrane voltage
45
How do voltage gated ion channels respond to changes in voltage of the membrane?
Amino acids in the transmembrane electric field change position in response to changes in voltage
46
What do common drugs for psychiatric conditions target?
Ligand gated channels
47
What are other common drug targets?
* Structural proteins * DNA replication machinery (foreign or native) * Membrane transport proteins * Enzymes * Foreign proteins
48
What does Agonism mean?
A substance /drug binds to a receptor and influences its activity
49
What is Agonism usually depicted in?
A concentration response curve
50
What is EC50: Effective Concentration 50?
The concentration of a drug that yields 50% maximal effect
51
What is Emax?
The maximal biological effect observed with the drug
52
What is Efficacy?
A term that refers to the maximal drug effect (Emax)
53
What is Potency?
A term that refers to the concentration dependence (EC50)..
54
How would you describe a drug that has a high Emax?
It has a high efficacy
55
What would be the characteristics of a drug that has a high potency?
It has a small EC50
56
What will Potency and Efficacy always refer to?
Potency refers to drug concentration and Efficacy refers to drug effect
57
What do drugs with different potency exhibit?
Difference concentration required for a particular effect
58
What do drugs with difference efficacy exhibit?
A difference in the maximal effect that can be achieved
59
What are Agonists usually categorized by?
Their efficacy
60
What are the four types of Agonists?
* Full agonist * Partial agonist * Antagonist * Inverse agonist
61
What does a Full agonist do?
Binds to a receptor and generates the maximal observed effect
62
What does a Partial Agonist do?
Binds to a receptor and generates a fraction effect
63
What CAN't Antagonist do?
Generate a biological effect on their own
64
What do Inverse Agonists do?
Cause suppression of basal activity of a receptor