Drug-Receptor Interactions 1 Flashcards

1
Q

Describe receptor theory

A

Interaction between the drug and receptor is loose and freely reversible and does not involve strong chemical bonds.

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2
Q

What are receptors in receptor theory?

A

Receptors are specialised, localised proteins whose role it is to recognise stimulants and translate this event into
an activation of the cell.

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3
Q

What are the four regulatory protein families that are are commonly drug targets and are covered by the term receptor?

A
  1. Enzymes
  2. Carrier molecules (transporters)
  3. Ion channels
  4. Neurotransmitter, hormone or local hormone receptors
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4
Q

What is the lock and key analogy of receptor theory?

A

Drugs unlock the response
The specificity of the lock is only relative The lock may be jammed
(Lock is receptor, drug is key)

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5
Q

What are the similarities and differences between agonists and antagonists that work on the same receptor?

A

a) Both bind same receptor, so must be chemical similarities

b) One activates the receptor, other does not: Must also be chemical differences

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6
Q

What is the law of mass action?

A

“The rate of a chemical reaction is proportional to the product of the concentration of the reactants”

[A] + [B] [AB] Where
–> = K1

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7
Q

What is the resulting equation when the Law of Mass Action is applied to pharmacology?

A

[D] + [R] [DR] Where

–> = K1

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8
Q

What is equilibrium in the Law of Mass Action applied to pharmacology?

A

Equilibrium when rate of associations = rate of dissociations

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9
Q

What is the equilibrium dissociation constant?

A

The equilibrium dissociation constant (KD) represents the concentration of drug required to occupy 50% of the receptors at equilibrium.

The KD is:

  1. different for every drug
  2. a measure of the affinity of any one drug for a receptor
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10
Q

What is affinity in the Law of Mass Action applied to pharmacology?

A

It is conventional to express the equilibrium dissociation constant (KD) as -log10 of the KD. This is called the pD2 for an agonist:
pD2 = -log10(KD)
pD2 is the -log10 of [D] that occupies 50% of the
receptors at equilibrium

pD2 is affinity!*

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11
Q

What is efficacy in the Law of Mass Action applied to pharmacology?

A

The maximum response of a tissue can be obtained by occupying less than 100% of the receptors

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12
Q

Who discovered the nature of drug efficacy and what did they discover?

A

Robert Stephenson (1956)

Different drugs have different capacities to initiate a response

A maximum response is achieved when a particular stimulus is generated by receptor occupation

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13
Q

How are biological responses to drugs classified and what relationship is associated with this?

A

Biological responses to drugs are graded

These responses and their comparative sizes
can be measured

There is a systematic relationship between the drug concentration and the magnitude of the response obtained

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14
Q

What is occupancy theory?

A
Response α fraction of receptors occupied
 I
V
Response = % of receptors occupied
 I
V
Response = [DR]/[RT]

Where
[DR] = number of occupied receptors
[RT] = total number of receptors

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15
Q

What is the relationship between occupancy theory and the Law of Mass Action applied to pharmacology?

A

[D] + [R] [DR] (inactive) [DR]* (active)

Where first is broken down into:
= K2

Where second is broken down into:
= β

Where first [DR] is the occupancy stage
And second [DR] is the activation stage

D is drug
R is receptor
DR is occupied receptor
K1 is the rate constant of associations
K2 is the rate constant of dissociations
α is the rate constant of receptor inactivation
β is the rate constant of receptor activation

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16
Q

What is the calculation for the stimulus of a drug?

A

Stimulus = [DR]/[RT]

17
Q

What is the calculation for the response fo a drug?

A

Response = f(Stimulus)
Thus
Response = f[DR]/[RT]

18
Q

What is the term for receptors not used to evoke a maximal response?

A

If < 100% of receptors are required to evoke a maximum response then these “extra” receptors are referred to as SPARE RECEPTORS.