drug receptors Flashcards

1
Q

define druggability

A
  • term used in drug discovery to describe a biological target such as a protein, that is known to or is predicted to bind with high affinity to a drug
  • it must alter the function of the target with a therapeutic benefit to the patient
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2
Q

outline the drug targets.

A
  • receptors
  • enzymes
  • transporters
  • ion channels
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2
Q

What is a 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

*Ligands can be exogenous (drugs) or endogenous (hormones, neurotransmitter, etc)

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3
Q

Receptors are the principal means by which chemicals communicate, what can these chemicals be?

A

Neurotransmitters:
- acetylcholine,
- serotonin
Autacoids:
- cytokines,
- histamine
Hormones:
- testosterone,
- hydrocortisone

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4
Q

name the types of receptor and the ligand which they bind.

A

Ligand-gated ion channels
nicotinic ACh receptor

G protein coupled receptors
beta-adrenoceptors

Kinase-linked receptors
receptors for growth factors

Cytosolic/nuclear receptors
steroid receptors

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5
Q

Ligand gated ion channels

A

Ion channelsare pore-formingmembrane proteinsthat allowionsto pass through the channel pore so that the cell undergoes a shift inelectric chargedistribution
The change in charge can be mediated by an influx of any kind ofcation(+ve) or efflux of any kind ofanion (-ve).

explanation:
- there is a ligand on the membrane which has a receptor at the end of it which collects these ions, it then causes the membrane channel to change conformity and allow the ions to pass through the channel - influx of ions
- if no ions bind to the receptor on the end of the ligand, the channel will remain closed

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6
Q

G-couples receptors.

A
  • largest and most diverse group
  • there are 7 transmembrane proteins that make up a complex, looping through is a transmembrane spanning domain creating a receptor embedded in the membrane
  • ligand will interact with that causing a confirmational change, activating G proteins on internal side of receptor
  • this releases a GDP unit on the G protein which is replaced with GTP
  • this GTP activates the g-protein causing the a-unit and GDP to be released
  • the a-unit interacts with their effectors causing downstream effects

Despite the fact that one G-protein coupled receptor only contains one α-subunit, this can interact with several secondary messengers, which can in turn activate multiple enzymes and catalyse many reactions. This creates a cascade response whereby one agonist binding to the GPCR can bring about the catalysis of many reactions (signal amplification).

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7
Q

name 2 examples of GPCRs and the pathways related to them.

A
  • muscarinic acetylecholine receptor - coupled to the Gq protein - triggering the release of phospholipase enzyme C - this causes release of secondary messanger IP3/DAG - IP3 increases calcium release from intracellular stores, and DAG activates protein kinase C (PKC).
  • beta-2-adrenergic receptor - coupled to Gs protein which activates adenylate cyclase which in turn activates protein kinase A and regulates many cellular processes
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8
Q

kinase-linked receptors

A

kinases are enzymes that catalyse phosphorylation between proteins

  • ligans binds to receptor tyrosine kinase
  • this activates the kinase activity within the cell
  • this then catalyses the phosphorylation of tyrosines within the cell
  • this causes for intracellular proteins to bind to phospho-tyrosine docking sites intracellularly which causes the propogation of signalling molecules
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9
Q

nuclear receptor mechanism

A
  • these are usually found within the cytoplasm of the cell
  • the ligand (steroids) diffuse through the cell and bind onto the receptor, causing a conformational change
  • forms dimers
  • activated nuclear receptors bind to specific dna sequences called hormone response elements
  • they recruit co-factor proteins which modify chromatin structure to fascilitate transcription
  • this is then translated into proteins that mediate the effacts of hormone or ligans
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10
Q

an imbalance of chemicals and rceeptors can lead to pathology, give an example of an imbalance and the condition it relates to for a chemical and a receptor.

A

Chemicals
- allergy; increased histamine
- Parkinson’s; reduced dopamine

Receptors
- myasthenia gravis; loss of ACh receptors
- Mastocytosis (Mast cells); increased c-kit receptor

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11
Q

outline the difference between the agonist and antagonist ligands.

A

Agonist
- a compound that binds to a receptor and activates it

Antagonist
- a compound that reduces the effect of an agonist

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12
Q

describe what is meant by the two state model of receptor activation.

A

describes how drugs activate receptors by inducing or supporting a conformational change in the receptor from “off” to “on”.

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13
Q

what is meant by efficacy (Emax) / instrinsic activity?

A

the maximum response achievable
- the ability of a drug-receptor complex to produce a maximum functional response

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14
Q

describe the types of cholinergic receptor.

A

-mediate the actions of acetylcholine

nicotinic:
- ligand-gated
- fast synaptic transmission
- activated by nicotine and acetylcholine
- found in neuromuscular junction - responsible for skeletal muscle contraction
- also found in autonomic ganglia, adrenal medulla and CNS
mechanism of action:
- binding of acetylcholine to nitotinic receptors opens ion channels allowing na and ca to enter and k to exit

muscarinic:
- G-protein-coupled receptors
- slower, prolongued
activated by muscarine and acetylcholine
- M1 - in CNS and autonomic ganglia
- M2 - in the heart
- M3 - in smooth muscles and glands
- M4 and M5 - in CNS

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15
Q

outline the agonists and antagonists of the cholinergic receptors.

A

nicotonic:
agonist - nicotine
antagonist - curare

muscarinic:
agonist - muscarine
antagonist - atropine

16
Q

name the tissue and receptor related factors goverining drug action.

A

Receptor-related:
affinity
efficacy

Tissue-related:
receptor number
signal amplification

17
Q

define affinity

A

describes how well a ligand activates the receptor

18
Q

do agonists and antagonists both have affinity and efficacy?

A

Agonists:
Have affinity and efficacy

Antagonists:
Have affinity but zero efficacy

19
Q

what is meant by an irreversible antagonist?

A

it wont come off the receptor

20
Q

what is an allosteric ligand?

A
  • another ligand other than the agonist and binds to a different site, creating a response
21
Q

define what is meant by an inverse agonist.

A

When a drug that binds to the same receptor as anagonistbut induces a pharmacological response opposite to that of theagonist.

22
Q

outline the differences between tolerance and desensitization.

A

Tolerance (slow)
reduction in agonist effect over time
continuously, repeatedly, high concentrations

Desensitization (rapid)
uncoupled
internalized
degraded

22
Q

what terms can we use to describe agonists and what do they mean?

A

efficacy (Emax) = the concentration of a drug in which the maximum response is achieved

EC50 = concentration of a drug in which half its maximum effect is observed

potency = how strongly or efficiently a drug can produce a biological response at lower concentrations.
A more potent agonist requires a lower concentration to achieve the same effect as a less potent agonist.

intrinsic activity = the ability of a drug to activate a receptor and produce a response - scale 1-0 1 = full agonist 0-1 - partial agonist and 0 antagonist.

23
Q

if a drug had a intrinsic number of 1, what would it be classified as?

A

full agonist

24
Q

if a drug had a intrinsic number of 0, what would it be classified as?

A

antagonist

25
Q

if a drug had a intrinsic number between 0-1, what would it be classified as?

A

partial agonist

26
Q

what is the equation for calculating the intrinsic activity of a drug?

A

Emax of partial agonist / Emax of full agonist

27
Q

whats the difference in potency and efficacy of a partial agonist compared to a full agonist?

A

partial:
- lower potency
- lower efficacy

28
Q

list all the ligand types and describe how they interact differently with the receptor.

A
  • agonist - Fully activates the receptor, producing the maximal response (Emax = 100%).
  • partial agonist - Activates the receptor but produces a submaximal response (Emax < 100%).
  • antagonist - Binds to the receptor but blocks activation; no intrinsic activity (Emax = 0%).
  • inverse agonist - Reduces receptor’s basal (constitutive) activity, producing an opposite effect.
29
Q

Outline how efficacy, affinity and potency of a compound affects the response produced

A

efficacy - Determines the maximum response (Emax) a drug can produce; higher efficacy = greater effect.

affinity - Reflects how strongly a drug binds to the receptor; higher affinity = stronger binding and sustained activation.

potency - Indicates the concentration (EC50) required for a response; higher potency = response achieved at lower concentrations.

30
Q

name the receptors which are found in the cell membrane, cytoplasm and cell nucleus and describe the quantitative relationship between them.

A

cell membrane:
- GPCRS
- ion channels
- kinase-linked receptors

cytoplasm:
- steroid recpeptors

nucleus:
- nuclear receptors

Key Relationships:
Response = Receptor Occupancy: Response increases as more receptors are occupied, but saturates at maximal binding.

Spare Receptors: Full response may occur without 100% receptor occupancy due to signal amplification.

Dose-Response Curve:
Describes the relationship between drug concentration and effect (EC50 shows potency).