Topic 8: Drug Discovery Flashcards

(38 cards)

1
Q

Why do ion channels make attractive drug targets?

A

many types, some are tissue selective allows for manipulation of electrochemical gradients

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2
Q

what drug binds to the SUR subunits of the K-ATP channels and causes closing?

A

Sulfonylureas and meglitinides

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3
Q

what is an inward rectifer

A

allows for the infux of ions more than its efflux

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4
Q

why are poly aminies more attracted to the pore when the membrane depolarises?

A

positivly charged so more attceted to pore ass depolarisation of the memebrane

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5
Q

What does ATP concentration and ADP concentration do to the open probability of Kir6

A

high atp closes low atp opens
ADP binding casues channel openig

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6
Q

What does ATP concentration and ADP concentration do to the open probability of Kir6

A

high atp closes low atp opens
ADP binding casues channel openig

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7
Q

what happens to membrane potenitail when k-ATP channels open

A

hyperpolarasation

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8
Q

what is the mechanism of stimulus secretion coupling in B cells

A

low glucose leads to less ATP and more ADP
ADP binds to K-ATP channels- opens
deplariation causes the cloisng og CA2+ channels
less ca2+ less secreation.

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9
Q

how does high glucose lead to insulin secretion

A

high glucose extrecellular
diffuseses - more metablism more ATP less
ADP
closingof K - ATP channels
depolation of the cell
opening of Ca2+ l type channels
simulation of secreation if insulin (vescicle binding)

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10
Q

What happens to insulin secretion when k ATP channels are inhibited?

A

no hyperpolariastion so more ca2+ opening and entry and hence moere insulin secreation.

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11
Q

what is permenat neonatal diabeties casuesed by ?

A

Kir6.2 Activating mutations
two forms mild and severe
mild is caused by a mutation to the ATP binding site - favours the open state
severe is caused by a gating mutation, increased open probbality - hyperpolarisation in many tissues.

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12
Q

what form of permanant neonatal diabeties will respond to sulfonylourea therapy?

A

mild

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13
Q

what causes congenital hyperinsulinism? what is it treated by?

A

mutaion in the SUR1 binding domain, causes the cahnnelto remain closed even in high ADP concentraion trated by channel openers such as diazoxide.

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14
Q

what are two 5-HT antagonists?

A

Alosetron and ondansetron

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15
Q

what part of the brain controls the vomit reflex?

A

the vomiting centre

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16
Q

what ligand is the nicotinic receptor superfamily sensitive to?

A

5-HT - cation selective excitatory receptors

17
Q

what is the 5-HT 3 receptor coupled to?

A

Nothing it is an ion channel (ligand gated) the other 5-HT receptors are GPCRs

18
Q

what is a Cys-loop receptor?

A

has a signature extracellular loop of 13 amino acids flanked by cysteines, which form covalent bonds
this loop forms a closed loop between the ligand binding domains and the channel domains.

19
Q

what are the two ways the vomiting reflex can be activated?

A

chemoreceptor trigger zone and the GI tract

20
Q

Where are the highest levels of 5-HT 3 receptors found?

A

in the vomiting centre and chemoreceptor trigger zone

21
Q

why can the chemoreceptor zone detect chemicals in the blood?

A

it is not within the BBB

22
Q

what can the chemoreceptor trigger zone be stimulated by?

A

toxins in the blood
higher brain centres

23
Q

how does the chemorecepror trigger zone set off the vomiting reflex?

A

release of 5-HT, stimulates pathways to VC
vomiting

24
Q

how does the GI tract stimulate vomiting?

A

enetrochromaffin cells are stimulated by luminal stimuli
release of 5-HT which stimulates peripheral 5-HT 3 receptors on vagal afferents, AP to brain stem
relase of 5-HT in brain stem - stimulation of VC

25
What subunit is required to form functional 5-ht 3 channels
5-HT 3A
26
why is no current observed through 5-HT 3B-E channels?
they do not form funtional channels
27
What is Memantine used for?
Alzheimers - prevents neurotoxicity form excessive stimulation of glutamate receptors - slows progression
28
What can protein kinases do?
alter enzymic activity alter interaction with other cellular components alter localisation alter stability alter interactor specificity
29
what do protein phospatases do?
dephosphorylate preoteins
30
what is MAPK signalling
Mitogen-activated protein kinase signalling uses a cascade of multiple kinases
31
how does stimulation of EGFR lead to stimulation of ERK check in text book
agonist binding dimerastion activation of Grb2 and sos Sos is a GEF for Ras GTP for GDP exchange phosraption of Raf then MEK then ERK
32
What do many of the current PK inhibitors bind to ?
the ATP binding site this has significant problems as high ATP in the cell - problem for competitive inhibition most PK have similar ATP binding site this makes specificity a problem
33
how is pharma trying to manipulate MAPK signalling?
by interfering with lipidation- Farnesyl / geranyl traferase inhibitors- clinical efficacy but can effect other proteins
34
what is a novel pharmaceutical approach for pain reduction
u opioid receptor antagonism but biased to hetromer bias may reduce tolerance build up and enhance anti noicoceptor
35
why might B-blockers work in CHF
reduce sympatic activation and cardiac output but aslo recued myocardial O2 demand and stress (reduced perifiral vasoconstriction
36
what happens to the relationship between b1 and b2 receptors in the heart as we age or in CHF
normally B1 to B2 is 4:1 but this changes to 1:1
37
What does the inverse agonism theory of why B blockers treat heart failure?
increase sympatetic drive leads to downregulation of B receptors B-blockers increase receptor counts by acting as inverse agonits
38
What is the ligand basised theory of CHF treatment with B blockers
bindig diffrent B arrestins diffrent signalling cascades