Pharmacodynamics Flashcards
Gs
Activates Ca2+ channels
Increased AC, cAMP and calcium
Gi
Activates K+ channels
Decreased AC, cAMP
Increased potassium
Gq
Increased PLC, IP3, DAG and calcium
Beta adrenergic receptor
Example of GCPR
Insulin receptor
Example of receptor tyrosine kinase
Non-receptor tyrosine kinase
No enzymatic domain
TGF-B receptor
Example of receptor serine and threonine kinase
Intracellular receptors
Lipid soluble ligand
Slower effect but longer lasting effect
Ex. thyroid receptor
Tachyphylaxis
Repeated admin - diminishing effect
Desensitization
Decreased ability of receptor to respond
Inactivation
Loss of ability of receptor to respond
Refractory
Period of time required before ligand-receptor can respond
Down regulation
Removal of receptor after repeated exposure to ligand
Graded response
Individual
Quantal response
Population
Potency
Location of curve on x-axis
Closer to y, more potent
Decreased EC50
Efficacy
Maximal height of curve
Emax
Drug occupies all receptors, no response to higher dose of drug
Therapeutic index
Measure of drug’s saftety
Large value = wider window/margin
Agonist
Can be drug or endogenous
Full agonist
Activates receptor with max efficacy
Stabilizes receptor
Partial agonist
Activates receptor but not max efficacy (less efficacious)
Can bind to same receptor
Inverse agonist
Inactivates constitutively active receptor
Acts in absence of agonist
Antagonist
Binds to allosteric site (change conformation to prevent binding of agonist) or active site (prevent binding of agonist)
Competitive antagonist
Decreases agonist potency
Binds reversibly to active
Can be overcome by increasing [agonist]
Agonist must be present
Noncompetitive active site agonist
Reduces efficacy
Binds irreversibly to active site (can’t be outcompeted)
Noncompetitive allosteric antagonist
Reduces efficacy
Does not bind active site
Prevents conformation change/activation
Nonreceptor antagonist
Inhibits agonist but doesn’t affect same receptor
Can be chemical or physiologic (insulin and glucagon)
Nicotinic ACh receptor
Ligand gated ion channel, allows sodium influx for muscle contraction