L9 Desensitisation and Ion Channel Receptors Flashcards
Desensitisation
Response to a drug decreases when taken continuously or repeatedly
Response may be restored by increasing the dose.
Tachyphylaxis (Desen)
- response to drug diminishes rapidly
- neurotransmitter depletion and receptor phosphorylation
Tolerance (Desen)
- Response decreases over days or weeks
- decreased receptor number and physiological changes
- longer than tachyphylaxis
Desen mechanisms
Change in receptors
Receptor translocation
Exhaustion of mediators
Altered drug metabolism
Physiological adaptation (homeostasis)
Active extrusion from cells (cancer chemotherapy)
Desen mech: Change in receptors
ion channel receptors display rapid desen and it causes a conformational change in receptors
*If taken continuously (acetylcholine) there is a sustained response that diminishes overtime
* if taken once there is a big spike in response.
* receptor phosphorylation
Desen mech: Exhaustion of mediators
Similar to tachyphylaxis - depletion of a mediating substance decreases the effect.
amphetamine releases noradrenaline from nerve terminal in place of noradrenaline which become depleted → no NoraA there is no NT it became desensitised
Desen mech: Altered drug metabolism
Increase metabolism of ethanol and barbiturates results in lower plasma concentration
– Metabolism occurs quickly and reduces the effect of drugs because of lower plasma drug levels
Enzymatic induction and increased drug metabolism
Increased hepatic enzyme pathway capacity increases metabolism and lowers plasma concentration.
Decreased metabolism of a prodrug can result in a reduced effect.
Desen mech: Physiological adaptation (homeostasis)
- Thiazide diuretics lower blood pressure (treats BP and increases urine flow)
- Limited by activation of renin-angiotensin system
Desen mech: Active extrusion from cells (cancer chemotherapy)
If extruded then its desensitised and no longer active
4 receptor superfamilies
*Ion channels (VERY FAST)
*G protein coupled receptors (FAST)
-change in membrane excitability
-generation of second messengers
-protein phosphorylation
*Enzyme linked (SLOW)
- protein phosphorylation, gene transcription, protein synthesis
*Nuclear (DNA linked, intracellular) (VERY SLOW)
- gene transcription and protein synthesis
Major types of ion channels
- Ion channel receptor- ligand-bind reg opening/closing
- Voltage gated ion channel - change in potential or V-gradient regulates channel opening and ion conductance
- Second messenger-regulated ion channel - ligand binding to g protein coupled receptor leads to second messenger generation it also regulates opening and ion conductance
Ion channels
penetrate membranes?
internal potential?
action?
Ions cannot cross membrane
-30 to -80 at resting conditions
Open and close to regulate flow - depolarisation/hyperpolarization
– play role in neurotransmission, cardiac conduction, muscle contraction and sections
Membrane potentials
Depend on balance of ions in/out-side of cell
Neg: Cl
Pos: Na, K, Ca2+
Ion channels characterised by
- selectivity of ion species
- pore size and lining
- cations and anions
- gating properties (controls opening and closing)
- Structure
The rate and direction of movement in an ion channel depends on
the electrochemical gradient and membrane potential
Patch clamp recording
Measures flow of ions through a channel
- Flow of current through a single open channel is in pA (picoamp = 10-12 amps)
- Agonist binding causes repeated channel openings (graph on slides)
Patch clamp record
Ion channel activity is characterised by
- ion currents
- freq of channel openings
- different agonists cause different frequencies of channel opening
Ion channel receptors subunits how many and where
- 4-5 membrane spanning subunits
- both intra and extra- cellular regions
- membrane spanning section
Can ions cross membrane when channels are closed
no
protein subunits that make up an ion channel receptor
alpha
beta
gamma
delta
The composition determines the properties.
Typical ion channel receptor subunit structure - draw it
- 4 membrane spanning alpha helices
- amino and carboxyl ends both extracellular
- binding domain.
Ligand binding example
Nicotinic acetylcholine receptor
Ligand binding channel open
When two agonist molecules bind to two alpha subunits to cause channel opening
- needed to activate receptor
- 5 subunits turn in relation to each other
- Then the channels open
Large number of different___ agonists activate ion channel receptors
endogenous
Endogenous agonists examples
- acetylcholine, g-aminobutyric acid (GABA)
- glycine, glutamate, 5-hydroxytryptamine (5-HT)
Activation causes what changes in cell membrane potential
depolarisation or hyperpolarisation
Changes in membrane polarisation produce____ changes in the target cell
biochemical