Drug targets - Helgi Flashcards

1
Q

paracrines and autocrines

A
  • local communication signal
  • chemicals diffuse to target
  • example: cytokines
  • autocrine: receptor on the same cell
  • paracrine: receptor on neighbouring cells
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2
Q

receptor locations and implications for their ligands and targets

cyotosolic or nuclear receptors

A
  • lipophilic ligand enters cell
  • often activates gene
  • slower response
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2
Q

Stuff that FDA will generally want you to do

A
  1. Develop a pharmacological profile of the drug
  2. determine the acute toxicity of the drug in at least two species of animals
  3. conduct short-term toxicity studies ranging from 2 weeks to 3 months, depending on the proposed duration of use of the substance in the proposed clinical studies
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3
Q

Types of ion channels

A
  • voltage-gated channels (VGIC)
    • na+ channel
    • ca2+ channel
    • k+ channel
    • Cl- channel
  • ligand-gated channels
    • NT receptor
    • ca-activated K+ channels
    • cyclic nucleotide gated channels (CNG)
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3
Q

Different transmitter (ligand) gated ion channels

A
  • Nicotinic ACh
  • 5-HT3
  • GABA-A
  • Glycine
  • Glutamate
    • AMPA
    • NMDA
    • Kainate

–> All (?) form pentamers, usually heteropentamers

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3
Q

Hormones

A
  • long distance communication
  • signal chemicals made in endocrine cells
  • transported via blood
  • receptors on target cells
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3
Q

neurons and neurohormones

A
  • long distance communication
  • neurons: electrical signal down axon signal molecule (NT) to target cell
  • neurohormones: chemical and electrical signals down axon hormone transported via blood to target
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4
Q

Conventional drugs act on

A
  • enzymes
  • carriers/transporters
  • ion channels
  • receptors
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5
Q

Non-clinical tests assess

A
  • toxicology
  • pharmacology
  • metabolism
  • bioanalysis
  • pharmaceutical analysis
  • biosafety
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7
Q

the insulin receptor cascade

A
  • absence of insulin - tyrosine kinase is inactive
  • binding causes a conformational change
  • activated tyrosine kinase transfers phosphate group to:
    • specific tyrosines of alternate subunit –> autophosphorylation
    • a soluble protein substrate (family) –> insulin receptor substrates (IRSs)
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8
Q

Information included for the FDA meeting at end of phase II

A
  • data supporting the claim of the new drug product
  • chemistry data
  • animal data
  • proposed additional animal data
  • results of phase I and II studies
  • statistical methods being used
  • specific protocols for phase III
  • copy of the proposed labeling for the drug
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10
Q

Four main groups coupled to effector systems

A
  • ligand-gated channel: ligand opens or closes the channel
  • receptor enzymes: ligand binding activates an intracellular enzyme
  • G protein-coupled: ligand binding opens an ion channel or alters enzyme activity
  • nuclear receptors
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12
Q

receptor enzymes

A

Signal molecule binds –> tyrosine kinase on cytoplasmic side –> phosphorylates protein

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13
Q

Ligand binding to integrin receptors

A

… alters the cytoskeleton

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15
Q

Actions of signal molecules

Calcium

A
  • Calcium
    • muscle contraction
    • channel opening
    • enzyme activation
    • vesicle exocytosis
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16
Q

receptor locations and implications for their ligands and targets

cell membrane receptors

A
  • lipophobic ligand, cannot enter cell
  • outer surface receptor
  • fast response
17
Q

GPCR families

A
  • Rhodopsin family (large; most common class)
  • Adhesion family (“new”)
  • Secretin family (hormone binding; derived from adhesion family)
  • Glutamate family
  • Frizzled family (small; frizzled and curly domain in the end)
  • Taste2 receptors
18
Q

What do phase I clinical trials evaluate?

A
  • drug metabolism
  • SAR
  • mechanism of action in humans
  • ADEs associated with increasing doses
  • if possible: early evidence of effectiveness
19
Q

Steroid receptors

A

present in the cytoplasm or localised in the nucleus

20
Q

Main signal transduction mechanisms of GPCRs

A
  • activate enzymes
  • open ion channels
  • amplify: adenyl cyclase - cAMP
  • activates synthesis
21
Q

Actions of signal molecules

NO

A
  • nitric oxide (NO)
    • paracrine: arterioles
    • activates cAMP
    • brain neurotransmitter