L4 - principles of drug action Flashcards

1
Q

what shape is the graph of proportion of drug receptors occupied against drug concentration

A

rectangular hyperbola

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2
Q

what shape is the graph of receptors occupied against log drug concentration

A

symmetrical sigmoid

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3
Q

what is the KD

A

the molar concentration of drug required to occupy 50% of the receptors at equilibrium.
the lower the KD the higher the affinity of the drug.

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4
Q

equation for rate of forwards and backwards reaction at a receptor

A

forward = K+1[D][R]
backwards = k-1[DR]
where “D” and “R” are drug and receptor and “K+1” and “K-1” are rate constants that tell us the likelihood of the forwards and backwards reactions occurring.

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5
Q

equation for KD including “D”, “R”,”K+1”and “K-1”

A

KD = K-1/K+1 = [D][R]/[DR]

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6
Q

what does KD measure

A

measure of how tightly the receptor holds on the drug once they come together.
they have a slow dissociation rate (K-1 very small)

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7
Q

what are agonists

A

bind to the receptor and then ‘activate’ it. after binding, agonists produce a conformational change that will lead to a respons.

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8
Q

what is efficacy

A

the ability of a drug to activate the receptor

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9
Q

how many amino acids does β2 adrenoreceptor have

A

around 400

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10
Q

what are partial and full agonists

A

full - high efficacy (produce maximum response before activating all receptors)

partial - low efficacy (fail to produce maximum response after activating all receptors)

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11
Q

what is the difference between EC50 and KD

A

the KD only tells us about the affinity of the drug while the EC50 tells us about efficacy and affinity (overall response)

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12
Q

what is an antagonist

A

act to inhibit the effects of a neurotransmitter, hormone or in some cases another drug.

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13
Q

what is a chemical antagonist

A

use one drug to chemicals inactivate another , receptors are not involved

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14
Q

what is a pharmacokinetic antagonist

A

one drug alters the way the body deals with another, receptors not involved

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15
Q

what is a physiological antagonist

A

two drugs act to produce opposing effects and cancel each other out. in this case both drugs are agonists working at different receptors.

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16
Q

what is a competitive antagonist

A

compete with agonist for the same site on the receptor, but don’t activate it (can be reversible or irreversible)

17
Q

what is a non-competitive antagonist

A

act at a different site on the receptor or another molecule closely associated with it (can be reversible or irreversible)

18
Q

examples of reversible competitive antagonists

A

pancuronium, cetirizine, propranolol

19
Q
A