Pharmacodynamics Flashcards

(39 cards)

1
Q

Define what the term ‘ Pharmacodynamics ‘ means

A

The study of interaction of drugs on biological systems

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2
Q

Define what a drug is ?

A

A chemical substance which interacts with a receptor to produce a physiological response .

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3
Q

How does a drug produce a effect?

A

needs to be initially detected does this by Binding to target - common drug protein targets are
Receptors
Enzymes
Transporters
Ion channels
Both allow molecules to move across cell membrane

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4
Q

Name a drug that can bind to a transporter ( Carrier molecule )

A

Tricyclics antidepressant

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5
Q

Name a drug that can bind with the ion channels

A

Nimodopine

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6
Q

What is a receptor ?

A

A region of a tissue or molecule in a cell membrane which responds specifically to a particular neurotransmitter , hormone , antigen or other substance
Ultimately are proteins interacting with extra cellular physiological signals and converting them into intracellular effects .

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7
Q

If nothing is bound to a receptor what are they termed as ?

A

Functionally silent

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8
Q

Where can receptor proteins be found ?

A

Can be found on the cell membrane or within constituents of the cell such as nucleas or cytoplasm

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9
Q

Where can the enzyme protein be found ?

A

Inside or outside the cell

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10
Q

What is a ‘ligand “?

A

A ligand is a molecule which will fit into the active site of the receptor essentially turning it on

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11
Q

What happens when the ligand binds to the ligand binding site ?

A

When it binds to the binding site if the receptor proteins , the receptor will under a ‘ conformational change ‘. This change alters the proteins function

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12
Q

The usefulness of a drug depends on …

A

Its ability to act on a particular receptor.

Drug must show high degree of binding site specificity

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13
Q

Drugs have certain specificity . True or False

Explain why

A

False .
No drug has certain specificity , many drugs will produce side effects because they will interact with a number of receptors

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14
Q

Explain the two way process of drug specificity .

A

Certain classes drugs will bind to certain receptors

Certain receptors recognise certain ligands

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15
Q

What is an agonist ?

A

An agonist is a drug that is able to bind to a receptor to mimic the action of a hormone , or of a transmitter and hence induce a cullular /physiological response
Can be a full or partial response

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16
Q

Agonist possess two qualities , what are they ?

A

Affinity - they are able to bind successfully to the receptor
Efficacy - are able to generate a response as a result of the binding

17
Q

Explain the concept of occupancy .

A

When a drug and receptor combine to form a reversible complex ( not permanent- drug will leave )

Drug + receptor = drug receptor complex = responses

18
Q

What does the simple occupancy theory suggest ?

A

The intensity of a response of a drug is proportional to the number of receptors that the drug occupies
Max response - when all avail receptor are occupied

19
Q

Name and explain a interaction that is not explained by the simple occupancy theory ?

A

An agonist may achieve max response when only fraction of total number of receptors are occupied
Suggest there is some receptor reserve eg. Acetylcholine

20
Q

Use the whiteboard to draw a graph explaining the SOT

A

When high doses are reached , the receptors achieve saturation , curve flattens
Any further increase of dose will not have affect on the occupancy as all available receptors are occupied by drug

21
Q

What is the term used to describe a drug and receptor coming together and breaking away ?

A

Association and disassociation

22
Q

Equilibrium …

A

The rate of reaction of drug and receptor molecules coming oath there is equal to the rate of reactions where drug and receptors are breaking apart

23
Q

Use the whiteboard to draw a graph showing the equilibrium association constant

A

We can identify the conc of drug required to occupy 50% of receptor sites at equilibrium

Ka- equilibrium association constant

24
Q

How would you determine the affinity of a drug ?

A

Take reciprocal of Ka
1/Ka= Kd
Kd - equilibrium disassociation constant
Drug and receptor breaking apart

25
What does affinity mean ?
This is the strength of the binding between the drug and receptor Drug with high affinity will disassociate at a slower rate , drugs will low affinity will break away rapidly Characterised by the equilibrium disassociation constant
26
What does efficacy mean ?
Used to be referred to as intrinsic activity Ability of drug to elicit response once bound to a receptor The max effect the drug is capable of
27
What is a dose response curve ?
Graph which tracks the response to various concentrations or doses of a drug
28
Sate how two different type of graphs can plot the same information
Linear scale - equal jumps on x axis | Log scale - unequal jumps between doses
29
Name two different types of dose response curves
Graded - effects in an individual on a physiological response such as heart rates Quantal - data in no of individuals trying to work out if drug is effective or not as dose varies
30
What is a partial agonist ?
An agonist that cannot elicit the max same response as a full agonist Have reduced efficacy
31
Explain the two theories in why an agonist is partial ?
1) PA binds fine but is less able to change structure when binding is done - less efficient at initiating the transduction pathway 2)Receptor site is constantly changing from active and inactive If drug binds to inactive state no response
32
What is potency?
Linked with affinity , number of receptors and efficacy The dose required to produce a specific intensity of response ED50 can be good indicator of potency
33
What is ED50?
Effective dose | Dose that produces an effective therapeutic response in 50% of people taking the drug
34
What is the TD50?
Dose which causes toxicity in 50% of people taking the drug Animals
35
What is LD50?
Dose that causes death in 50% of people given the drug Lethal dose Animals
36
Plot therapeutic and toxic effects of a drug ?
Ideally should be wide margin between the two Therapeutic index (TI) = TD50/ED50 Safe drug will have higher therapeutic index
37
What is an antagonist ?
Drugs that may compete with natural agonist for receptor but don’t induce a response alone - this is called a competitive antagonist They have affinity but no efficacy Effectively dilutes receptor concentration
38
What is an irreversible antagonist ?
Drugs may bind strongly and permanently to the Receptor and prevent access of natural against Will deactivate receptor and will be out of action for a period which depends on rate of synthesis for that type of receptor
39
What is an non competitive antagonist ?
Binds to irreversibly to same site of agonist or bind to different site Reduction in max effect produced Cannot be reversed by increasing agonist concentration