2. Affinity and Efficacy Flashcards

1
Q

agonist’s AFFINITY is the ability..

A

to BIND to RECEPTORS

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2
Q

EFFICACY is the ability to..

A

Produce a RESPONSE

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3
Q

what are FULL AGONISTS

A

drugs whose MAXIMUM RESPONSE is the LARGEST a tissue/cell is capable of giving
- reaches 100% RESPONSE

  • have HIGH EFFICACY
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4
Q

what are PARTIAL AGONISTS

A

drugs whose MAXIMUM RESPONSE is LOWER than full (even when occupy all available receptors)
- DO NOT reach 100% response

  • Lower efficacy
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5
Q

what makes a drug more POTENT

A

LOWER EC50 (conc. when response is 50%)

  • more Left on curve
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6
Q

how are ANTAGONIST’S AFFINITY and EFFICACY

A

HIGH AFFINITY but NO EFFICACY

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7
Q

what happens to the LOG-CONC RESPONSE CURVE for an AGONIST with INCREASING ANTAGONIST CONCS

A

SHIFT to RIGHT

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8
Q

how is the RIGHT SHIFT for AGONISTS with COMPETITIVE ANTAGONISTS

A

PARALLEL

(higher EC50)

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9
Q

how can a COMPETITIVE ANTAGONIST be DISPLACED/REMOVED

A

by INCREASING CONC. of the AGONIST

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10
Q

WEAK CHEMICAL BOND between drug and receptor means AGONISTS BIND..

A

REVERSIBLY

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11
Q

COMPETITIVE ANTAGONIST for ACETYLCHOLINE and what does it do

A

ANTROPINE

  • BINDS to MUSCARINIC RECEPTORS at ach binding site thus BLOCKS ACH BINDING

causes a RIGHT, PARALLLEL SHIFT of the RESPONSE CURVE

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12
Q

PROPIVERINE is a NON-COMPETITIVE ANTAGONIST of ACH at MUSCARINIC RECEPTORS. how does it work

A

BINDS to ANOTHER SITE

to PREENT the EFFECTS Of STIMULATION of the muscarinic receptor by ACH

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13
Q

how is the RESPONSE CURVE for ACH WITH NON-COMPETITIVE ANTAGONIST (propiverine)

A

like the curve for partial agonist (smaller)

RIGHT SHIFT (HIGHER EC50 and LOWER POTENCY)

& LOWER MAXIMUM ACTIVITY (doesn’t reach 100% response) - LOWER EFFICACY

  • NOT PARALLEL
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14
Q

how is the MAXIMAL RESPONSE for a COMPETITIVE ANTAGONIST

A

SAME, shifted right in a PARALLEL manner

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15
Q

how is the MAXIMAL RESPONSE for a NON-COMPETITIVE ANTAGONIST

A

REDUCED maximal response (shorter curve)
and the curve is NOT PARALLEL

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16
Q

what are IRREVERSIBLE ANTAGONISTS
and how are they displaced

A

BIND IRREVERSIBLY to the receptor (either at binding site or another site)
due to COVALENT INTERACTION

therefore you CANNOT DISPLACE IRREVERSIBLE ANTAGONIST
(even with high concs of agonist, agonist can only bind again if the cell makes NEW receptor molecules)

  • LONGER EFFECT

eg, Haloalkylamines (nitrogen mustards) bind muscarinic receptors,
Novichok (binds acetylcholinesterase)
Propylbenzilylcholine mustard (muscarinic)

17
Q

MORPHINE agonist

partial agonist:
competitive antagonist:
non-competitive antagonist:
irreversible antagonist:

A

partial agonist: Buprenorphine
competitive antagonist: Naloxone
non-competitive antagonist: Propiverine
irreversible antagonist: Omeprazole