Essential Pharmacology Flashcards

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1
Q

What is a receptor?

A

Protein that a specific chemical messenger can bind to

to cause a specific response

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2
Q

Why do receptors enable specificity?

A

Only the correct chemical messenger can bind

Receptors have different responses

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3
Q

What are the basic types of membrane receptors? (4)

A

Receptor with ion channel

Receptor with intrinsic enzyme

Receptor directly liked to an enzyme

Receptor that activates an protein via G proteions

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4
Q

In the context of G-protein coupled receptors, what is the 2nd messenger?

A

Molecule produced using linked enzyme

enzyme activated by G proteins

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5
Q

Some receptors are not in the membrane, but are intracellular.
Only specific messengers can get into the cell and bind to them.

What are the 2 key messengers, and what makes them able to do so?

A

Steroid hormones

NO - nitric oxide

Lipid soluble

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6
Q

On the concentration response curve, the graph tails off at high [drug].

Why is this?

A

At low [drug] most receptors vacant so additional ligands are able to hit a vacant receptor

At high [drug], few vacant receptors so additional ligands has a lower chance of bumping into vacant receptor

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7
Q

What is the EC50, and which graph do you determine it from?

A

[drug] at which there is half of maximal response

Log [drug] vs response

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8
Q

What is the affinity of a drug?

A

Strength of chemical attraction between drug and receptor

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9
Q

What does a low EC50 value indicate about the affinity of a drug?

A

High affinity

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10
Q

What is efficacy?

A

How effective the drug is at activating the receptor

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11
Q

True or false

A drug that has a low efficacy must have a high EC50 value

A

False

Efficacy does not have an effect on EC50

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12
Q

What is the similarity between an agonist and an antagonist?

A

Both have high affinity

Antagonists have low efficacy - act as blockers

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13
Q

Some endogenous agonists act on several different receptors causing many different effects.

Why are selective agonist/antagonist drugs useful in this context?

A

Can enhance or block specific effects of these endogenous transmitters by only binding to one type of receptor

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14
Q

What effect will a competitive antagonist have on the log [drug] v response graph of an agonist?

A

Right shift

At same [drug], there is a lower response

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15
Q

What are the main types of G protein coupled receptors?

A

Adenylyl cyclase coupled

Phospholipase C coupled

Ion channel coupled

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16
Q

What is the function of adenylyl cyclase coupled G protein receptors?

A

Once activated, adenylyl cyclase converts intracellular ATP to cAMP (the second messenger)

cAMP activates a protein kinase enzyme

Enzyme causes cellular response

17
Q

What does phospholipase C do once activated?

A

Phospholipase C catalyses reaction that produces IP3 and DAG

IP3 stimulates Ca2+ release from ER
DAG activates a protein kinase enzyme

These go on to produce the cellular response

18
Q

What are the intracellular sources of Ca2+?

A

1) Endoplasmic reticulum - release stimulated by IP3- or Ca2+
2) Voltage gated or ligand gated calcium channels
3) Inhibition of Ca2+ transport out of the cell