Drug Receptor Interaction Flashcards

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1
Q

State and explain 4 reasons behind the importance of understanding receptors

A

Pharmaceutical industry and drug development - 34/100 drugs on the market target GPCR

Physiology of endogenous transmitters - Act primarily upon receptor targets

Chemical toxicity - Many toxic mechanisms are receptor mediated

Viral toxicity - Viruses and other microorganisms can target receptors

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2
Q

What is a partial agonist

A

Agonist that does not produce as strong a response as the full agonist. Has antagonistic properties

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3
Q

Inverse agonist

A

An agonist that produces an opposing biological response to that observed by a full agonist

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4
Q

Define efficacy

A

Ability of a drug to elicit a biological response from a drug receptor interaction

The more effect the drug has, the more efficacious

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5
Q

What types of bonds form between agonist and receptors?

A

Hydrogen bonding - Reversible binding dissociation
Ionic
VdW forces
Covalent binding - Irreversible, poor dissociation

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6
Q

Why is receptor binding important

A

Morphine - Opioid receptors, brain painkiller

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7
Q

What determines drug affinity

A

Law of mass action - Dependent on concentration of the reactants involved

Agonist + Receptor -> <- Agonist-Receptor complex AR

Association rate k1
Dissociation rate k-1

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8
Q

What happens as you increase drug conc

A

More receptors bind to drug drug-receptor interaction. Graph begins to level out as more and more receptors are occupied, graph plateaus. Saturation

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9
Q

What is Kd?

A

Measure of affinity - Concentration of drug where 50% of max number of receptors are bound by the drug

The ability of a drug molecule to bind to a receptor site

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10
Q

What is Bmax

A

max number of receptors bound by the drug

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11
Q

What is potency

A

The concentration of the drug needed for the effect. The less concentration required, the more potent the drug

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12
Q

State and describe partial agonists

A

E.g. buprenorphine for opioid addiction

Present at receptors - High affinity, but less efficacy
Reduces withdrawal effects
Reduces additive ‘highs’
Heroin-induced highs are reduced in presence of partial agonist

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13
Q

Describe competitive antagonism

A

Agonist and antagonist compete for same binding site. [A] must increase to overcome antagonist binding to receptors.

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14
Q

Non-competitive antagonism

A

Antagonist binds to a different site from the agonist

e.g.
Ketamine blocks glutamine receptors by acting at a different site in the receptor structure to glutamate

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