drug & receptors Flashcards

1
Q

give 4 targets of drugs

A

receptors
enzymes
transporters
ion channels

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2
Q

define drug

A

a medicine or other substance which has a physiological effect when ingested or otherwise introduced into the body

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3
Q

define pharmacology

A

the branch of medicine concerned with the uses, effects and modes of action of drugs

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4
Q

define receptor

A

a component of a cell that interacts with a specific ligand and initiates a change of biochemical events leading to the ligands observed effects.

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5
Q

what are the 2 categories of ligand

A

exogenous - drugs

endogenous - hormones, neurotransmitters etc

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6
Q

how do chemicals communicate

A

via receptors

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7
Q

give examples of chemicals

A

neurotransmitters - acetylcholine, serotonin

autacoids (local) - cytokines, histamine

hormones - testosterone, hydrocortisone

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8
Q

give 4 types of receptors

A
  1. ligand gated ion channels
  2. g protein coupled receptors
  3. kinase-linked receptors
  4. cytosolic/nuclear receptor
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9
Q

example of ligand gated ion channel

A

nictonic ACh receptor

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10
Q

describe g protein coupled receptors

A

they are the largest and most diverse group of membrane receptors in eukaryotes
G proteins act as molecular switches (GDO = on. GTP= off)
Targeted by >30% of drugs
Ligands include light energy, peptides, lipids, sugars and proteins

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11
Q

what are ion channels

A

pore forming membrane proteins that allow ions to pass through the channel pore so that the cell undergoes a shift in electric charge distribution

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12
Q

what can mediate a change in charge

A

an influx of any kind of cation (+ve) or an influx of any kind of anion (-ve)

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13
Q

what are g proteins also known as

A

guanine nucleotide binding proteins

a family of proteins (35) involved in transmitting signals from GPCRs

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14
Q

what regulates activity of g proteins

A

factors that control their ability to bind and hydrolyse gunaosine triphosphate to guanisine diphosphate

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15
Q

what chemical causes allergies

A

increased histamine

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16
Q

what chemical causes parkinsons

A

reduced dopamine

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17
Q

what are kinases

A

enzymes that catalyse the transfer of phosphate groups between proteins - phosphorylation

the substrate gains a phosphate group donated by ‘ATP’

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18
Q

how do kinase linked receptors work

A

transmembrane receptors become activated when the binding of an extra cellular ligand causes enzymatic activity on the intracellular side

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19
Q

what uses kinase linked receptors

A

growth factors

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20
Q

which receptors cause myasthenia gravies

A

loss of Ach receptors

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21
Q

which receptors cause mastocytosis

A

increased c-kit receptor

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22
Q

how do nuclear receptors work

A

they are steroid receptors

work by modifying gene transcription

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23
Q

define ligand

A

a molecule that binds to another (usually larger) molecule

24
Q

define agonist

A

a compound that binds to a receptor and activates it

25
define antagonist
a compound that reduces the effect of an agonist
26
how does tamoxifen work
Breast Cancer) acts as a selective estrogen receptor modulator (SERM), or as a partial agonist of the estrogen receptors - Used in ER+ cancers.
27
how to make a therapeutic strategy
1. Identify the receptor involved in a pathophysiological response 2. Develop drugs that act at that receptor 3,. uantify drug action at that receptor
28
what is the 2 state model of receptor activation
describes how drugs activate receptors by inducing or supporting a conformational change in the receptor from ‘off’ to ‘on’
29
what is intrinsic activity
also referred to as efffiacy refers to the ability of a drug-receptor complex to produce a maximum functional response
30
what is competitive antagonist
when the antagonist and agonist bin to the same site and compete
31
what is a non competitive antagonism
antagonist reverses the effect of the agonist the anatagonist binds to an allostric site on the receptor -different to the agonist
32
what is selective agonist
potency of a range of agonist
33
what is selective antagonist
competitive antagonists
34
what are the 2 categories of choliogernic receptors
nicotinic and muscarinic
35
what is the antagonist and receptor for muscadine
agonist - muscarine antagonist - atropine receptor - mAChR
36
what is the antagonist and receptor for nicotine
agonist - nicotine antagonist - curare receptor - nAChR
37
what are the factors governing drug action
tissue related - receptor number - signal amplification receptor related - affinity - efficacy
38
define affinity
describes how well a ligand binds to the receptor
39
define efficacy
describes how well a ligand activates the receptor
40
what do agonists have
efficacy and affinity
41
what do antagonists have
have affinity and ZERO efficacy
42
what happens if b2 adrenoreceptors are inactivated
Isoprenaline is a non-selective β adrenoreceptor agonist an analog of adrenaline). relaxation of pre-contracted human bronchial rings
43
what are irreversible antagonists
the receptor itself will never become available for signalling again will be stuck to it
44
why are receptor reserves important
Some agonists needs to activate only a small fraction of the existing receptors to produce the maximal system response. • This holds for a full agonist in a given tissue – reserve can be large or small; depends on tissue • No receptor reserve for a partial agonist – even with 100% occupancy, maximal response not seen
45
define signal transduction
a basic process involving the conversion of a signal from outside the cell to a functional change within the cell.
46
define signal amplification
to increase the strength of a signal
47
what is allosteric modulation
a type of receptor ligand interaction When an allosteric ligand binds to a different site on the molecule and prevents the signal from being transmitted.
48
what is tolerance
slow Reduction in drug effect (agonist) over time Continuously, repeatedly, high concentrations occurs in asthma
49
describe desensitisation
fast whole system becomes Uncoupled - fail to get a response could be due to: - Internalized - Degradation
50
what is inverse agonism
when a drug that binds to the same receptor as a agonist but induces a pharmacological response opposite to that of the agonist
51
is any compound specific
no - no compound is ever truly specific better to use selective to describe
52
what is isoprenaline
a non selective B adrenoreveptor agonist
53
what is isoprenaline used for
bradycardia heart block rarely for asthma
54
what is salbutamol
a selective b2 adrenoreceptor agonist
55
what does salbutamol do
up the medium and large airways in the lungs, used for COPD/asthma