L4 - principles of drug action 2 - drug action at receptors Flashcards

1
Q

what is a receptor

A

protein macromolecule in membrane (transmembrane)

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2
Q

2 functions of receptors

A
  1. recognition of molecule

2. transduction - bringing about effect

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3
Q

define affinity

A

how well a drug binds to a receptor

molar conc of drug required to occupy 50% of receptors at equilibrium

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4
Q

what does a low Kd show in relation to affinity

A

high affinity

low dissociation rate

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5
Q

define Kd

A

conc of drug required to occupy 50% of receptors at equilibrium

measure of how tightly receptor binds onto drug

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6
Q

what is equation for Kd

A

[products]

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7
Q

define agonist

A

something that binds to receptor and activates it

causes conformational change leading to response

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8
Q

define efficacy

A

ability of drug to activate receptor

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9
Q

define full agonist

A

an agonist that has high efficacy - can elicit max response without occupying all receptors

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10
Q

define partial aagonist

A

agonist with low efficacy

often fail to produce max effect even when all receptors occupied

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11
Q

does EC50 of an agonist mean 50% of receptors are occupied?

A

no

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12
Q

what is EC50 of an agonist determined by

A

its affinity AND efficacy

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13
Q

what is an antagonist

A

something that binds to receptor but doesn’t activate it
affinity but no efficacy
(inhibitor)

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14
Q

list the types of antagonism not involving receptors

A
  1. chemical
  2. pharmacokinetic
  3. physiological
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15
Q

what is chemical antagonism

A

one drug chemically inactivates another

eg poisoning

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16
Q

what is pharmacokinetic antagonism

A

one drug alters the way the body deals with another

eg reduce absorption (antacids)

17
Q

what is physiological antagonism

A

two drugs produce opposing effects
eg NA increases HR
ACh decreases HR

18
Q

what are the types of antagonism acting on receptors

A
  1. competitive

2 non competitive

19
Q

examples of reversible competitive antagonists

A

propranolol
cetirizine
pancuronium

20
Q

how can effects of reversible competitive antagonist be overcome?

A

increasing [agonist]

21
Q

compare log[agonist] - response curve in presence of reversible competitive antagonist

A

presence of reversible competitive antagonist causes parallel shift to right