Lecture 6 (refer to slides) Flashcards

1
Q

True or False, no one biochemical model can explain the variety of pharmacological effects triggered by drugs

A

True - No one biochemical model can explain the bariety of pharmacological effects triggered by drugs.

Models such as occupancy mode, rate model, induction model, pertubation model and cooperativity model

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2
Q

Occupancy model

A

The intensity of the pharmacological effect is directly proportional to the number of receptor binding sites being occupied by the drug.

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3
Q

Rate model

A

The intensity of the pharmacological effect is directly proportional to the total number of encounters of the drug with its receptor binding sites per unit time.

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4
Q

Induction model

A

The pharmacological effect is induced by the drug via specific conformational changes in the active binding site of the receptor complex.

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5
Q

Pertubation Model

A

Pharmacological substances induce macromolecular perturbations, whereby agonists trigger relatively specific conformational changes as compared to antagonists.

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6
Q

Cooperativity Model

A

If pharmacological receptors exist in a dynamic equilibrium between activated and inactive states, agonists may shift the equilibrium to an active state and antagonists to an inactive state.

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7
Q

Type 1 ionotropic receptor: Ligand-gated ion channel

A
  • Ligand binding domain
  • Ion channel lining domain
  • Membrane-spanning domain: hydrophobic a-helical region, approx. 20 amino acids long
  • five subunit ion channel complex is a common structural arrangement found in many ionotropic receptors
  • extremely fast response (milliseconds)
  • membrane-bound
  • direct coupling to ion channel
  • oligomeric assembly of subunits surrounding central ion pore
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8
Q

Type 2 metabotropic receptor: G-protein coupled receptor

A
  • Ligand binding domains
  • G-protein coupling domain
  • fast response (seconds)
  • membrane-bound
  • indirect coupling via G-protein to effector (enzyme or ion channel)
  • monomeric assembly comprising seven trans-membrane helices
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9
Q

Type 3 receptor: Kinase-linked receptor

A
  • Extracellular ligand binding domain
  • Intracellular catalytic domain kinase activity
  • slow response (hours)
  • membrane-bound
  • direct coupling to enzyme between receptor and kinase enzyme
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10
Q

Type 4 receptor: Nuclear receptor

A
  • Receptor binding domain
  • ‘zinc-fingers’ - DNA binding domain
  • Slow response (hrs)
  • intracellular
  • coupling via DNA
  • effect on gene transcription
  • monomeric structure with seperate receptor and DNA binding domains
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11
Q

Describe Agonist - Nicotine

A
  • Receptor type - nicotinic acetylcholine receptor
  • alkaloid from tobacco plants
  • Agonist of nicotinic acetylcholine receptor
  • stimulating drug (Parasympathomimetic)
  • Potential toxic side effects
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12
Q

Describe Agonist - Isoprenaline

A
  • Receptor type: Beta-adrenoreceptor
  • b-adrenergic agonist
  • structural similarity to adrenaline
  • treatment of slow heart rate [bradycardia]
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13
Q

Modulator

A

a modulator is a substance or compound that can alter the toxicity or the effects of a toxic substance.

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14
Q

Describe modulator - Lidocaine

A
  • Ion channel : Voltage-dep. Na+ channel
  • Local anesthetic
  • Common usuage as: Injected form for dental anesthesia, injected form for minor surgery, topical form to relieve pain from skin inflammations
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15
Q

Describe agonist - Nifedipine

A
  • Ion channel: Voltage-dep. Ca2+ channel
  • Nifedipine
  • Dipydropydrine
  • L-type calcium channel blocker
  • Usage as: Anti-anginal drug, antihypertensive agent
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16
Q

Describe inhibitor - Neostigmine

A
  • Enzyme - Aceytlcholinesterase
  • Reversible inhibitor of acetylcholinesterase
  • Interference with the breakdown of physiological ligand acetylcholine
  • Indirect stimulation of nicotinic and muscarinic receptors
  • Usage in: Reversal of the effects of non-depolarizing muscle relaxants following anesthesis, Treatment of myasthenia gravis to increase NMJ stimulation
17
Q

Describe the inhibitor Aspirin

A
  • Enzyme cyclooxygenase
  • Non-steroidal anti-inflammatory drug (NSAID)
  • Inhibitor of the enzyme cyclooxygenase [COX-1>COX-2]
  • Usage as: Analgesic, Anti-platelet drug
18
Q

Describe the inhibitor Hemicholinium

A
  • Carrier: Choline carrier
  • Blocks choline uptake
  • Not used clinically
  • Neuromuscular blocking drug
19
Q

Describe the inhibitor - Ouabain

A
  • Carrier: Na+/K+ pump
  • Cardiac glycoside
  • Blocker of Na+/K+-ATPase
  • Increases [Ca2+]i due to decreased NCX-Therapeutic usage in heart failure
  • Potential toxicity