Lecture 2 Flashcards

1
Q

What does Pharmocodynamics and Pharmokinetics focus on ?

A

Pharma kinetics
- Dosage and Plasma concentration

Pharmacodynamics
- Site of action and effects

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2
Q

What is a receptor ?

A

A macromolecular component of the organism that
binds the drug and initiates its effect.

They are chemical structures

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3
Q

What are Most receptors ?

A

Most receptors are proteins that have undergone various
post-translational modifications such as covalent
attachments of carbohydrate, lipid and phosphate.

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4
Q

What are the 4 things that Regulate Cell function ?

A

Regulate cell function by altering

  1. Enzyme activity
  2. Permeability to ions
  3. Conformational features
  4. Genetic material
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5
Q

How is Enyme activity regulated ?

A

The signaling molecule binds to the receptor on the outside of the cell and causes a conformational change on the catalytic function located on the receptor inside the cell.

Examples of the enzymatic activity include: Receptor tyrosine kinase, as in fibroblast growth factor receptor.

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6
Q

Genetic Material

A

Genetic materail have a greater impact

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7
Q

Conformational Features

A

Binding of receptors can have an affect on there change

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8
Q

What are the three main features of Receptors ?

A

Selectivity: binding of drugs to receptors depends
on physico-chemical structure.

• Affinity: strength of binding between the drug&
receptor.

• Efficacy/Intrinsic activity: ability of a drug to
elicit a pharmacological response after its
interaction with receptor

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9
Q

Agonists of Cell Surface Receptors

e.g. alpha-agonists, morphine agonists

A

These receptors activate a G protein upon agonist binding, and the G-protein mediates receptor effects on intracellular signaling pathways.

Alpha agonists -
selectively stimulates alpha adrenergic receptors. The alpha-adrenergic receptor has two subclasses α1 and α2. Alpha 2 receptors are associated with sympatholytic properties.

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10
Q

Agonists of Agonists of Nuclear Receptors (e.g. nitroglycerine (guanylyl cyclase), pralidoxime, acetylcholinesterase)

A

Agonists. The activity of endogenous ligands (such as the hormones estradiol and testosterone) when bound to their cognate nuclear receptors is normally to upregulate gene expression. This stimulation of gene expression by the ligand is referred to as an agonist response.

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11
Q

Enzyme Activators

A

Enzyme activators are molecules that bind to enzymes and increase their activity. They are the opposite of enzyme inhibitors. These molecules are often involved in the allosteric regulation of enzymes in the control of metabolism.

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12
Q

Ion Channel Openers (e.g. minoxidil (K), vasodilator; and alprazolam (Cl) antipsychotic drug)

A

A channel opener, also known as a channel activator, is a type of drug which facilitates ion flow through ion channels.

These drugs below are examples of the faciliation of channels
Antopsychotic drug - Antipsychotics help to control the symptoms of psychosis as well as less serious mental health conditions such as bipolar and mood disorder that may develop into later psychosis. Antipsychotics reduce or increase the effect of neurotransmitters in the brain to regulate levels.

Vasodilator and alprazolam - Vasodilators are medicines that dilate (widen) blood vessels, allowing blood to flow more easily through. Some act directly on the smooth muscle cells lining the …

Alprazolam It can treat anxiety and panic disorder.

Minoxidil is a potassium channel opener, causing hyperpolarization of cell membranes. Theoretically, by widening blood vessels and opening potassium channels, it allows more oxygen, blood, and nutrients to the follicles.

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13
Q

Receptor ligand interaction

A

Molecules (eg, drugs, hormones, neurotransmitters) that bind to a receptor are called ligands. The binding can be specific and reversible. 9 Locak adKey)A ligand may activate or inactivate a receptor; activation may increase or decrease a particular cell function. Each ligand may interact with multiple receptor subtypes.

Induces conformational change in
receptor protein
– Leads to change within cell

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14
Q

What are some characteritics of Drug receptors?

A
Chemical Bond: ionic, hydrogen, hydrophobic, Van
der Waals, and covalent.
• Saturable
• Competitive
• Specific and Selective
• Structure-activity relationships
• Transduction mechenasims
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15
Q

Receptor Transduction Mechanisms

A

majority of signal transduction pathways involve the binding of signaling molecules, known as ligands, to receptors that trigger events inside the cell.

The binding of a signaling molecule with a receptor causes a change in the conformation of the receptor, known as receptor activation.anisms

is defined as the ability of a cell to change behaviour in response to a receptor-ligand interaction.
The ligand is the primary messenger.

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16
Q

What is Agonists ?

A

a substance which initiates a physiological response when combined with a receptor. /An agonist is a drug that binds to a receptor and produces a functional response. Examples include morphine (μ-opioid receptor) and clonidine (α2-adrenoceptor).

Full Agonist
Will produce a full response, i.e. 100% of the response
seen by endogenous ligands. Using our analogy, the lock is fully opened

Partial Agonist:
Stimulate the receptor to a limited extent, but in doing so
prevent any further stimulation from endogenous substances.
This means you can still get a response from the drug, but it
may not be as much as that from endogenous ligands.

17
Q

What is Competitive agonists ?

A

The action of a competitive antagonist can be overcome by increasing the dose of the agonist (i.e. the block is surmountable). Both the agonist and antagonist bind to the same site on the receptor.

competes with the
substrate to bind to the receptor. This means it takes a higher
concentration of agonist to overcome the competition from the
antagonist, ie. the antagonism is
surmountable/reversible.

The action of a competitive antagonist can be overcome by increasing the dose of the agonist (i.e. the block is surmountable). Both the agonist and antagonist bind to the same site on the receptor.

18
Q

What is an inverse agnostics

A

an inverse agonist is a drug that binds to the same receptor as an agonist but induces a pharmacological response opposite to that of the agonist.

Is one which reverses constitutive activity of a
receptor.

The inverse agonist therefore closes the lock,
and so reduces the response. Using our analogy

19
Q

What are the two main types of Antagonists ?

A

What is Agnostics -
An antagonist is a type of ligand or drug that avoids or dampens a biological reaction. Upon binding to the receptor, it does not activate. Rather it tends to block the particular receptor. Sometimes, they are also referred to as blockers such as alpha-blockers or beta-blockers

Competitive antagonist: competes with the
substrate to bind to the receptor. This means it takes a higher
concentration of agonist to overcome the competition from the
antagonist, ie. the antagonism is surmountable/reversible.

Non- Competive
inhibits the response by
binding to an area separate to the active site of the receptor.
Again the analogy needs to be stretched – let’s say it’s a bit like
when you slide that button down on a Yale lock so even if
someone on the outside has the correct key, they can’t turn the
latch.

20
Q

Why does antagnostics need to be competive ?

A

Agonists and antagonists “compete” for the same binding site on the receptor. …

High concentrations of a competitive agonist will increase the proportion of receptors that the agonist occupies, higher concentrations of the antagonist will be required to obtain the same degree of binding site occupancy.

21
Q

What is Non- Competitive antagonist ?

A

Adding in a noncompetitive or
irreversible antagonist
shifts the doseresponse curve
downwards.

This is because the
blockade cannot be
overcome by increasing
the dose of agonist