Lecture 2 - How Drugs Bind to Their Targets Flashcards

1
Q

receptors located inside the cell

A

intracellular receptors

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2
Q

in order for a drug to bind to an intracellular receptor, it must be capable of ____

A

crossing the plasma membrane

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3
Q

in order to cross the plasma membrane, a drug must be ____

A

lipid soluble or have another sort of transport mechanism

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4
Q

a classic example of a drug which binds to an intrecellular receptor

A

steroid hormones

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5
Q

what is the mode of action of steroid hormones?

A
  • bind to the ligand binding domain (LBD) of the receptor
  • heat shock protein released
  • DNA recognition region exposed
  • receptor enters the nucleus and binds DNA
  • activates transcription of proteins
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6
Q

what type of receptors are G-protein coupled receptors (GPCRs)?

A

transmembrane receptors

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7
Q

receptors where ligands bind to the extracellular side, triggering a conformational change taht activates a signalling cascade mediated by intracellular G-proteins

A

GPCRs

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8
Q

activation of GPCR promotes ___ exchange of the ___

A

GDP-GTP, heterotrimeric G-protein

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9
Q

has GTPase activity that acts like a molecular ‘timer’ to terminate the signal

A

G-alpha subunit

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10
Q

after GTP is hydrolyzed, the inactivate G-protein complex ____

A

reassembles and the system can reset

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11
Q

influence the activity of a variety of protein types including ion channels

A

G-beta/gamma

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12
Q

GPCRs are usually categorized based on ___

A

the subtype of G-alpha that is associated

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13
Q

receptors coupled to Gs trigger increased activity of ___, leading to production of ___, which activates ___

A

adenylate cyclase (AC), cyclic AMP (cAMP), protein kinase A (PKA)

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14
Q

some receptors are coupled to Gi, which ___

A

suppresses AC activity

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15
Q

receptors coupled to Gq trigger increased activity of ___, leading to the breakdown of ___ causing the production of ___, which triggers the release of intracellular ___

A

phospholipase C (PLC), PIP2, inositol triphosphate (IP3), Ca++

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16
Q

other targets of PIP2 breakdown (DAG), lead to activation of ___

A

protein kinase C (PKC) and target substrates

17
Q

true or false: GPCR responses occur very quickly and mediate moment to moment control of many physiological functions

A

true

18
Q

activation of tyrosine kinase receptors (TKRs) is driven by ___ of receptors in the prescence of ___, causing the receptors to ___ and become active

A

dimerization, a lingand, autophosphorylate

19
Q

what does it mean to autophosphorylate?

A

when a molecule adds a phosphate to itself

20
Q

the fastest mechanism of signalling in the body depends on electrical signals generated by ___

A

ion channel proteins

21
Q

channels that respond very rapidly to changes in membrane voltage

A

voltage gated ion channels

22
Q

channels open or close in response to binding of small signaling molecules

A

ligand-gated ion channels

23
Q

what is agonism?

A

a substance/drug binds to a receptor and influences its activity

24
Q

what is the EC50?

A

effective concentration 50: refers to the concentration of drug that yields a 50% maximal effect

25
Q

what is the Emax?

A

the maximal biological effect observed with the drugs

26
Q

larger concentrations elicit a ___

A

larger response

27
Q

a term that refers to the maximal drug effect

A

efficacy

28
Q

a term that refers to tehe concentration dependence (EC50)

A

potency

29
Q

a drug with a strong potency has a ___

A

low EC50

30
Q

a drug with weak potency has a ___

A

high EC50

31
Q

drugs with different potency exhibit _____ required for a particular effect

A

different concentrations

32
Q

drugs with different efficacy exhibit a difference in ______ that can be achieved

A

the maximal effect

33
Q

generate the maximal observed effect

A

full agonist

34
Q

generates a fractional effect

A

partial agonist

35
Q

cannot generate a biological effect on their own

A

antagonists

36
Q

cause suppresion of basal activity

A

inverse agonists