principles pharmacology Flashcards

(56 cards)

1
Q

paracrine signals

A

produces by cell, targets nearby cells

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2
Q

what are autocrine signals

A

cell to its own receptors

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3
Q

endocrine signals

A

targets specific cells far away from source (hormones)

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4
Q

hydrophobic ligands

A

cannot freely stay in ECM, brought into cells via carrier proteins

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5
Q

hydrophilic ligands

A

signals move freely through ECM, bind to surface receptors on cell

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6
Q

what are the stages of cell signalling

A

reception - recetor binds to ligand

transduction - receptor protein changes, activates intracellular molecules

cell response

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7
Q

what are the 3 classes of signalling pathways

A
  • G-protein coupled receptors
  • enzyme coupled receptors
  • ion channel receptors
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8
Q

describe ligand-gated ion channels

A
  • response within milliseconds

Steps

  1. Ligand binds to the receptor, channel opens
  2. Ions (Ca2+, Na+, K+) flow through passively
  3. Triggers signalling pathway

ex
- Nicontinic acetylcholine receptors

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9
Q

describe G-protein coupled receptors

A
  • response happens in seconds

signal travels far due to signal amplification

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10
Q

describe the steps for turning a G-protein coupled receptor on

A
  1. Agonist (ligand) activates G-coupled receptor
  2. ⍺ subunit leaves G-protein
  3. GDP exchanged for GTP (guanine nucleotide exchange)
  4. Triggers other proteins in signaling pathway
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11
Q

describe the steps for turning a G-protein coupled receptor off

A
  1. ⍺ subunit hydrolyses GTP → GDP
  2. disactivating G-protein
  3. ⍺ subunit recombines with β𝛾 subunit
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12
Q

example of G-protein coupled receptors

A
  • Adrenoceptors – bound and activated by the neurotransmitters/hormones adrenaline and noradrenaline
  • Adrenalinebinding tob2-adrenoreceptors→ Causes bronchodilation
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13
Q

describe enzyme coupled receptors

A
  • Response occurs in hours
  • Single pass transmembrane proteins
  • multiple pathways activated
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14
Q

what are the functions of the autonomic nervous system

A

Mediates output from whole body except skeletal muscle, regulated by external and internal sensory input, via reflexes

  • maintained homeostasis through negative feedback loop
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15
Q

sympathetic transmitter for preganglionic neurones and postganglionic neurones

A
  • acetylcholine (ACh)
  • noradrenaline (NA)
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16
Q

parasympathetic transmitter for both

A

acetylcholine (ACh)

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17
Q

β1: Gs stimulation of adenylyl cyclase →

A

inc HR and force of contraction

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18
Q

β2: Gs stimulation of adenylyl cyclase →

A

bronchodilation

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19
Q

M1: Gq (stimulation of phospholipase C) →

A

inc stomach acid secretion

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20
Q

M2: Gi (inhibition of adenyl cyclase; opening of K+ channels, closure of Ca2+ channels) →

A

decreased HR

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21
Q

M3: Gq (stimulation of phospholipase C) →

A

bronchoconstriction

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22
Q

what does action potential allow

A

signalling over long distances

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23
Q

lower Ka =

A

greater affinity of ligand for receptor

24
Q

antagonist

A

drug that reduces or inhibits the actions of an agonist by binding to the same receptor

25
potency
amount of drug required to produce a desired effect
26
efficacy
maximum response achievable from drug
27
EC50
concentration of drug where 50% of effect is produced
28
smaller EC50 =
more potent
29
partial agonist
response is sub-maximal, even when all receptors occupied
30
if both the agonist and partial agonist have similar affinities which one has the greater efficacy
the full agonist
31
describe reversible competitive antagonist
antagonist competes with agonist for same binding site on receptor - inhibition can be overcome with increased ligand concentration
32
what is the pKa
pH at which 50% of drug is ionised and 50% is unionised
33
lower pKa =
stronger acid
34
weak bases are absorbed better in
acidic environments
35
weak acids are absorbed better in
alkaline environments
36
low Vd =
drugs retained in vascular compartments - mostly in plasma
37
high Vd
drugs retained in non-vascular compartments – adipose, muscle etc.
38
Vd calculation
Vd = Dose / [drug] x plasma
39
what Is albumin
most abundant plasma protein, high affinity for hydrophobic drugs
40
where do phase I and II of drug metabolism take place
the liver
41
what is the equation for bioavailability (F)
quantity of drug reaching systemic circulation (AUC) divided by quantity of drug administered (DOSE)
42
what is phase I metabolism
change in the drug by oxidation, reduction or hydrolysis
43
what is phase II metabolism
involves combination of the drug with polar molecules to form a water-soluble metabolite - conjugate
44
name a drug which goes straight to phase II metabolism
Codeine
45
what is drug elimination accomplished by
renal filtration of blood plasma
46
what is clearance
volume of plasma cleared of drug per unit time
47
clearance equation
clearance = rate of drug elimination / [Drug] plasma
48
what is Vmax
max. rate of the drug elimination
49
what is Km
half of max. rate of elimination
50
t1/2 =
0.693 x Vd / CL
51
how many half lives are required to reach steady state
5
52
necrosis =
cell death
53
internal necrosis
ischemia
54
when does coagulative necrosis occur
when the tissue becomes hypoxic
55
Liquefactive necrosis
Occurs when hydrolytic enzymes completely digest dead cells leaving behind a creamy substance (pus) and dead cells - brain injury
56
caseous necrosis
Occurs when the dead cells disintegrate but are not fully digested - cheesy TB