Pharmacodynamics And Signal Transduction Flashcards

1
Q

List the different types of molecular targets for drug action

A

Proteins
Nucleic acids
Miscellaneous targets

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2
Q

Give examples of different protein types that act as molecular drug targets

A

Ion channels
Membrane transport proteins
Enzymes
Receptors
Extracellular proteins

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3
Q

What types of attractive forces are at play during the binding of a drug?

A

Ionic bonds
Hydrogen bonds
Van der Waals forces

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4
Q

Why do covalent bonds not contribute to drug binding?

A

Covalent bonds are most often too strong and tend to lead to irreversible bonds, not necessary for drug action

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5
Q

What causes the attraction in ionic bonds?

A

One atom will donate an electron (Na) while another atom will accept the electron (Cl) the Na will become positive (Na+) while the Cl become negative (Cl-).
This is called an electrostatic attraction.

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6
Q

What cause the attraction between covalent bonds?

A

Instead of electrons being donated/ accepted they are shared between the two atoms (HCL).
These can exist as single, double or triple bonds - the more shared electrons the stronger the bond.

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7
Q

Explain why drug administration can be very important.

A

The activation/ inhibition of the same molecular targets present in other tissues (not the target tissue) can cause unwanted effects.
E.G salbutamol is a drug to treat asthma, as a tablet it could also affect the heart but as an inhaler it reaches the lungs quicker and has less impact on the heart.

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8
Q

Why are unwanted effects common when taking drugs for a specified reason?

A

Drugs are ‘selective’ rather than ‘specific’
Drugs can interact with more than one molecular target but with less force of attraction (easier to break). This is more frequent with higher drug concentrations.

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9
Q

How do drugs target ion channels?

A

Blockers
Allosteric modulators
-Inhibitor
-Facilitator

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10
Q

How do blockers in ion channels work?

A

The pore of the channels is physically blocked by the drug (e.g. lidocaine), this is in the effort to reduce pain.

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11
Q

Describe what allosteric modulators are?

A

They cause the shape of the channel protein to change to change by binding to a site on the protein that is not the active site.
They affect the responsiveness of the channels and the time for which the channel is open.

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12
Q

What is the difference between inhibitor modulators and facilitator modulators?

A

Facilitator allows more ions into the cell to increase the response.
Inhibitor reduces the amount of ions that enter the cell to lower the response.

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13
Q

Give an example of a inhibitor modulator

A

Amlodipine
Target - Ca2+ channels
Increased dilation of blood vessels, decreased BP, relaxes coronary smooth muscle and increases myocardial oxygen supply

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14
Q

Give an example of a facilitator modulator.

A

Diazepam
Target - GABAa chloride channels
Causes hyperpolarisation of the cells, decreases neurological activity, decreases anxiety and insomnia.

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15
Q

How do drugs target membrane transport proteins

A

Inhibitor
False substrates

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16
Q

How do membrane transport proteins work as inhibitors?

A

Furosemide (loop diuretic) acts on the Na+K+2Cl- Co-transporter in renal tubular cells to decreases reabsorption of salt (and water).

17
Q

How do false substrates work?

A

Accumulation of unnatural compound (false substrate) will prevent the movement of natural substrates.

18
Q

Give an example of a false substrate.

A

Amphetamine (speed/ecstasy)
Target - transport proteins for the re-uptake of amine transmitter ms by nerves.
They prolong the action of amine transmitters such as dopamine, noradrenaline, 5HT), producing a stimulant effect.
Short term performance enhancer/ euphoria.

19
Q

How do drugs target enzymes?

A

Inhibitors
Pro-drugs
False substrates

20
Q

How do enzyme inhibitor work?

A

Bind competitively to substrate active site (reversible/ irreversible), allosteric regulatory site or disrupt the enzyme integrity/ folding.

21
Q

What is the difference when administering a pro-drug?

A

They require the conversion from inactive to active form by enzyme action.

22
Q

How do false substrates work when looking at enzyme action?

A

They compete with the true substrate for the substrate recognition site and can convert to abnormal product which subverts normal physiological function.

23
Q

What is a drug?

A

Any chemical which affects physiological function in a specific way.

24
Q

Give examples of what drugs are.

A

Medicinal compound
-Paracetamol, penicillin
Recreational substance
-Heroin, cocaine
Everyday substances
-Caffeine, nicotine, alcohol
Toxins/ Poisons

25
Q

What is the definition of pharmacology?

A

The study of the way in which the function of living things is altered by chemical agents.

26
Q

What is the definition of toxicology?

A

The study of the toxic or harmful effects of chemicals, their mechanisms and conditions of occurrence.

27
Q

What is the definition of therapeutics?

A

The branch of medicine concerned with the use of drugs to treat a disease or it’s symptoms.

28
Q

How many names will a drug typically have?

A

A chemical name
A generic name
A commercial name

29
Q

Give an example of the different names used for one drug.

A

Penicillin - commercial name
Benzylpenicillin - generic name
R-C9H11N2O4S - chemical name

30
Q

Why is it important which name is put prescriptions?

A

If the generic name is used then the pharmacist can dispense the cheapest available brand.

31
Q

What happens once a drug patent expires?

A

Cheaper ‘generic’ substitutes can enter the market.
Genetics have the same active ingredient as the brand typed but may not necessarily have identical bioavailability which can impact its effectiveness/ tolerability

32
Q

What sources of drugs do we have?

A

Extracted and purified from cells and tissues.
-Traditionally plants
-Less often amphibians/ reptiles, occasionally mammals.
Chemical synthesis
Large scale production of human proteins

33
Q

Give example of protein based therapies.

A

Human insulin for diabetes
Erythropoietin for anaemia

34
Q

Give examples of drugs extracted from plants.

A

Atropine - Atropa belladonna
Morphine - Papaver somniferum

35
Q

What ways can drugs be administered?

A

Tablet
Inhalation
Injection
Cream
Eye drop