L3: Binding and Agonism Flashcards

1
Q

What is the difference between a drug and a medicine?

A

A medicine is made of 1 or more drugs and intended to have a therapeutic effect where benefit&raquo_space; risk

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2
Q

What are the 2 types of drug action?

A
  • Dependent on chemical properties (e.g. antacids that neutralise stomach acid)
  • Dependent on biological molecular targets (i.e. drug recognises a specific protein in cells)
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3
Q

What are the 4 different drug targets?

A
  • Receptors
  • Ion channels
  • Carrier Molecules/Transporters
  • Enzymes
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4
Q

What is the difference between an agonist and an antagonist?

A
  • agonist drugs mimic endogenous messengers
  • antagonists block endogenous messengers
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5
Q

Define affinity

A

= how strong the bond is between ligand and receptor

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6
Q

Define efficacy

A

= ability to generate a response

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7
Q

What do agonists have that antagonists don’t?

A

efficacy

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8
Q

How do drugs bind to receptors?

A

Most drugs bind reversibly/transiently
- van der waals, H bonding, ionic interactions

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9
Q

What is the law of mass action?

A

a chemical reaction is proportional to the concentrations of reactants.

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10
Q

What is Kd?

A

dissociation constant (mol/L) aka affinity constant

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11
Q

What determines the amount of receptor occupied?

A

the concentration of the ligand, and its affinity for the receptor

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12
Q

What is affinity?

A

How strongly a drug binds to a receptor
- Kd = affinity constant = concentration at which 50% of receptors are occupied

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13
Q

What is potency and how is it measured?

A

Potency (EC50) = the concentration to generate 50% of response

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14
Q

What is efficacy?

A

the size of the response that the drug produces

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15
Q

What is a partial agonist? How is this different to a normal agonist?

A

partial agonist - produces less that max response even at 100% receptor occupation
= high affinity, low efficacy

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16
Q

Can you determine affinity from a response concentration curve?

A

No because need to know binding so need a binding curve

17
Q

Is high affinity a good or a bad thing?

A

High affinity is generally a good thing - selective to its target at a low concentration range

18
Q

Are high efficacy and potency good or bad?

A

High efficacy and potency not necessarily a good thing, may drive adverse effects