L6 Drug-Receptors Flashcards

1
Q

are drug receptors interactions due to a single interaction or many of them?

A

combination od binding interactions - the sum of weak forces may create strong interaction (high affinity)

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2
Q

what is a “dirty” drug?

A

when it binds to receptors that it wasn’t meant to bind to - causes side effects!

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3
Q

what is drug selectivity?

A
  • more selective = better (less side effects)
  • cell type specificity of receptors - receptors only found on few cell types
  • cell type specificity of receptor-effector coupling - diverse responses between cells
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4
Q

what does an ion channel have

A
  • Both a channel and a receptor combined!
  • Subunit site for nicotine – high affinity!
  • Endogenous ligand of nicotinic receptor = aCh
  • Responsible for neurotransmission signaling that takes place in ganglion
  • Needs 2 ligands to occupy binding sites to have open
  • Cation pore monovalent (Na+ or K+)
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5
Q

whats an example of an ion channel?

A

nicotinic receptor

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6
Q

what does a G protein coupled receptor have?

A
  • Have extracellular motif
  • 7 transmembrane regions
  • binding site for G proteins
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7
Q

whats an example of a G protein coupled receptor?

A

muscarinic etc.

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8
Q

what does enzymatic cytosolic domains have

A
  • receptor + enzymatic kinase

* phosphorylation

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9
Q

what is an example of enzymatic cytosolic domain receptors?

A

insulin receptor

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10
Q

what do intracellular receptors have?

A
  • contributes to gene expression

* passes right through

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11
Q

what is an example of an intracelluar receptor?

A

glucocorticoid receptor

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12
Q

what does Gs activate?

A

alpha subunit – activate AC – increase cAMP

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13
Q

what does beta gamma do?

A

controls heart K+ channel activity

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14
Q

what does cAMP activate?

A

PKA – phosphorylation

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15
Q

what does alpha i do?

A

inhibitory – depressed cAMP and depress systems that are tonically active

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16
Q

what does Gq do?

A

calcium pathway– phospholipase C hits IP3 – release calcium from stores - EXOCRINE glands!

17
Q

what are 2 drugs that bind to enzymes instead of cell surface receptors>

A

ACE inhibitors

Anticholinesterases

18
Q

Define tachyphylaxis

A

Tolerance - describes an acute response

19
Q

Define desensitization

A

You add a drug and the effect diminishes over time

20
Q

Define refractoriness

A

Receptor even bound to agonist wont open - nicotinic receptor

21
Q

Define down regulation

A

Of the receptor - less receptor, less effector
Cell protecting itself from what it thinks is a pathological situation
Typical in beta adrenergic receptor

22
Q

What are non receptor drugs

A

Osmotic diuretics
Antacids

No receptor = no transduction