Agonist and dose-response curves Flashcards

1
Q

What is an agonist?

A

A ligand that combines with receptors to elicit a cellular response.

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2
Q

What dose of aspirin is required to relieve a headache?

A

300-600mg

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3
Q

What is a graded dose-response relationship?

A

Response of a particular system (isolated tissue), measured against agonist concentration

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4
Q

What is a quantal dose-response relationship?

A

Drug doses (agonist or antagonist), required to produce a specific response determined in each member of the population.

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5
Q

What does affinity describe?

A

The strength with which an agonist/drug binds with a receptor

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6
Q

What does Emax allow?

A

Efficiency to be determined

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7
Q

What does EC50 allow?

A

Potency to be determined

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8
Q

What is Bmax?

A

Maximum number of binding sites

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9
Q

What is K1?

A

The rate of association of the agonist with the receptor

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10
Q

What is K-1?

A

The rate of AR complex dissociation

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11
Q

What does affinity equal?

A

K1 / K-1

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12
Q

What is Kd?

A

Equilibrium dissociation constant

Measures affinity

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13
Q

What does high affinity mean?

A

A much greater tendency to bind to the receptor (large K1) relative to its dissociation from the receptor (small K-1)

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14
Q

What does Kd equal?

A

K-1 / K1

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15
Q

How is true affinity determined?

A

By binding-dose relationships

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16
Q

What is potency?

A

Elicit a response by binding to a critical number of receptors at low concentration (high affinity) compared with other drugs acting on the same system with lower affinity.

17
Q

What does potency depend on?

A

Affinity of drug
Efficacy of drug
Receptor density
The efficiency of stimulus-response mechanisms used.

18
Q

The lower the EC50 value…

A

The greater the potency

19
Q

When are Kd and EC50 equal?

A

The linear relationship between receptor occupation and biological effect

20
Q

Spare receptors:

A

Many receptors can amplify signal duration and intensity.
Only a fraction of total receptors for a specific ligand may need to be occupied to elicit a maximal response from a cell

21
Q

What does efficacy describe?

A

The ability of an agonist to activate a receptor. (EG to evoke an ‘action’ at the cellular level)

22
Q

What is efficacy?

A

When an agonist binds to a receptor, this includes a conformational change that sets off a chain of biochemical events (an ‘action’)

23
Q

Full agonist (high efficacy)

A

Produces a maximum response while occupying only a small percentage of receptors available.

24
Q

Partial agonist (low efficacy)

A

Unable to produce a maximum response even when occupying all the available receptors

25
Examples of partial agonists
Varenicline Tamoxifen Aripiprazole
26
Varenicline
Nicotine receptor partial agonist for smoking cessation
27
Tamoxifen
Estrogen receptor partial agonists for use in estrogen-dependent breast cancer
28
Aripiprazole
Antipsychotic, partial agonists at selected dopamine receptors
29
Inverse agonists
Have a higher affinity in AR state than AR* state. Many classical competitive antagonists display inverse agonist activity. ~85% of competitive antagonists are actually inverse agonists.
30
Examples of inverse agonists
Cimetidine (H2) Pirenzepine (M2) Atropine (M)
31
Positive allosteric modulators (PAM)
Not active alone but increase affinity and/or efficacy of endogenous agonist
32
Examples of Positive allosteric modulators (PAM)
Diazepam Propofol Isoflurane
33
Negative allosteric modulators (NAM)
Not active alone but decrease affinity and/or efficacy of endogenous agonists.
34
Examples of Negative allosteric modulators (NAM)
mGluR5 dipraglurant
35
Desensitization of receptors
The effect of the drug reduces with continual/repeated administration. (Termed tachyphylaxis)