Module 8 Drug Receptor Interactions Flashcards

1
Q

Simple Occupancy Theory

A
  • Intensity of drug response proportional to quantity of receptors
  • Maximal response occurs when all receptors occupied
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2
Q

Modified Occupancy Theory

A
  • Response intensity proportional to occupied receptors
  • 2 drugs on same receptor can have different binding strengths
  • 2 drugs on same receptor can have different activation abilities
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3
Q

Affinity

A
  • Attraction of drug to receptor
  • Primary determinant of drug potency
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4
Q

Intrinsic Activity

A
  • Ability of drug to activate receptor
  • Reflected in efficacy
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5
Q

Interaction Classifications

A
  • Agonist
  • Antagonists
  • Partial agonist
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6
Q

Agonist Definition

A
  • Molecule binds to receptor causing activation
  • Mimic action of endogenous ligands
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7
Q

Antagonist Definition

A
  • Molecules bind to receptor causing no activation
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8
Q

Partial Agonist Definition

A
  • Molecules bind to receptor, minimal activation ability
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9
Q

Agonist Characteristics

A
  • Includes hormones & neurotransmitters (endogenous)
  • Affinity
  • Intrinsic activity
  • Increase/decrease physiological response
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10
Q

Partial Agonist Characteristics

A
  • Minimal/moderate intrinsic activity
  • Act as antagonists, block full agonist binding
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11
Q

Antagonist Characteristics

A
  • Affinity
  • Prevent endogenous binding
  • Require presence of agonist
  • Treat drug overdose
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12
Q

Antagonist Examples

A
  • Beta blockers
  • Antihistamines
  • Gastric acid reducers
  • Opioid receptor blockers
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13
Q

Antagonist Types

A
  • Competitive
  • Irreversible
  • Allosteric
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14
Q

Competitive Antagonists

A
  • Binding at same site as agonist
  • Reversible
  • Equal affinity of antagonist & agonist, higher conc wins binding site
  • Effects overpowered by increasing agonist conc
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15
Q

Irreversible Antagonists

A
  • Binding at same site as agonist
  • Irreversible
  • Response intensity dependant on agonist bound to receptor
  • Effects last until receptor replaced
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16
Q

Allosteric Antagonists

A
  • Binding at different site than agonist
  • Changes receptor conformation
  • Reversible
  • Non-competitive, bind to different site than agonist
  • Agonists can’t overcome effects
  • Decrease maximal response of agonist
17
Q

Regulation of Cell Surface

A
  • Receptor quantity changes with drug exposure
  • Majority of drug reactions dependent on cell surface receptor
18
Q

Drug Tolerance Types

A
  • Desensitization
  • Metabolic tolerance
  • Tachyphylaxis
19
Q

Desensitization

A
  • Continuous exposure to agonist
  • Internalize/destroy receptor
  • Decreases cell surface receptors & drug effects
20
Q

Metabolic Tolerance

A
  • Continuous exposure to drug
  • Induction of metabolizing enzymes
  • Decrease plasma drug conc
21
Q

Tachyphylaxis

A
  • Rapid decrease in drug response
  • Drug free period between administrations
22
Q

Receptor Upregulation

A
  • Continuous exposure to antagonist
  • Cell becomes hypersensitive
  • Synthesis of more receptors
  • Increasing response