Drug Affinity and Efficacy Flashcards

1
Q

What does a scatchard plot represent?

A

Affinity of a drug

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2
Q

How can we determine drug affinity?

A

By calculating the law of mass action

[Drug] + [Receptor] = [DrugReceptorconcentration]*

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3
Q

What is Koff?

A

The rate at which a drug unbinds to a receptor

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4
Q

What is another way to think of Bmax?

A

It is the point at which the specific binding curve levels off

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5
Q

Kd is always measured in terms of what?

A

Concentration (= affinity for specific drug)

* Kd only ever refers to the affinity of one drug for one receptor

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6
Q

What is another way to think about efficacy?

A

Efficacy is what the drug does when it is bound to a receptor (how big of an effect will the drug have on its receptor?)

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7
Q

When a receptor has a greater conformational change, what can be said in terms of efficacy?

A

Greater conformational change = greater efficacy

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8
Q

What is a conformational change?

A

Change in receptor shape due to the bonding of a ligand (results in the opening of a channel)

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9
Q

What is a cholinergic neuron?

A

A neuron that releases ACh as its neurotransmitter

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10
Q

What is an agonist?

A

Any substance that mimics the effect of a neurotransmitter (any ligand that binds to a receptor and activates it)

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11
Q

What is an antagonist?

A

Any substance that blocks the effects of an endogenous NT on its receptor

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12
Q

Do antagonists have an effect on the receptor itself? What does this mean in terms of antagonist efficacy?

A

No, they simply block the activation from an agonist from being carried out
- even though an agonist and an antagonist can have similar affinities, antagonists do not have any efficacy, because they themselves do not act on receptors

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13
Q

In what two ways can antagonists act?

A
  1. they can displace the neurotransmitter attempting to bind to the receptor by forming a covalent bond with the receptor (competitive antagonist)
  2. They can bind on a different receptor site and block the NT that way (non-competitive antagonist)
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14
Q

What is an inhibition binding curve?

A

It looks at how much an antagonist blocks the effect of the agonist

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15
Q

What does a graded dose-response curve show us?

A

That antagonists decrease the efficacy of a drug, because there needs to be a higher concentration of the agonist to counteract the effects of the antagonist (to achieve the same result)

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16
Q

What does Emax signify?

A

The maximum efficacy of a drug

17
Q

What is EC50?

A

Effective concentration at 50% of the maximum

18
Q

What does EC50 tell us?

A

It gives us information about the overall potency of a drug

- this tells us all at once about the availability of the drug, its affinity, and the efficacy of the drug

19
Q

What is a competitive antagonist?

A

An antagonist that the agonist can outcompete (for example, when the antagonist reaches Emax, there may still be some free receptors for the agonist to bind to)

20
Q

What is a non-competitive antagonist?

A

When the presence of the antagonist causes the Emax of an agonist to decrease (because it is not competing for the same bonding site)

21
Q

What is an allosteric bonding site?

A

A site on the receptor away from the active site

22
Q

What is ED50?

A

The dose at which 50% of the population responded to the drug

23
Q

What is TD50?

A

The dose at which 50% of the population experienced negative side effects

24
Q

What is LD50?

A

The dose at which 50% of the population ingested a lethal dose

25
Q

How do we calculate the range of safety [i.e. the therapeutic index] of a drug?

A

Divide the LD50 by the ED50
OR
TD50/ED50 (if a lethal dose 50 is not available; usually “do not exceed” refers to the toxic dose)

26
Q

What is a quantal dose response curve?

A

It measures the percentage of the population responding to the drug (looks at the dose for which a response occurred)