Pharmacodynamics - Part 5 Flashcards

1
Q

No drug produces a ______ effect.

A

single

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2
Q

Another word for enzyme is what?

A

Catalytic receptor

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3
Q

Enzyme dynamics:

  • Binding interaction must be _____ _____ to hold the substrate sufficiently long for the reaction to occur
  • Interactions must be ______ ______ to allow the product to depart
  • Designing molecules with _____ binding interactions results in enzyme ________ which block the active site
A

strong enough
weak enough
stronger
inhibitors

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4
Q

Write down the basic enzyme pathway.

A

E + S ES EP E+P

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5
Q

Enzyme inhibitors will have what characteristics?

A

Will have structure similar to enzyme substrate

Has to bind strong enough to not be replaced easily

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6
Q

Enzymes follow what kind of kinetics?

A

Michaelis-Menten kinetics

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7
Q

Describe the Michaelis-Menten Plot.

A

X- substrate concentration
Y - reaction rate
v = Vmax{S]/Km + [S]
0.5 Vmax on line corresponds to Km concentration

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8
Q
Example:
There are two drugs, A and B
A - Km = 10 mM
B - Km = 10 nm
Which has higher affinity?
A

B - need less of the drug to produce 50% of the maximum rate

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9
Q

Describe the linear version of the Michaelis-Menten plot.

A

Lineweaver-Burk plot
1/v = Km/Vmax[S] + 1/Vmax
y = 1/v
x = 1/[S]

x-intercept = -1/km
y-intercept = 1/Vmax
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10
Q

Reversible inhibitors:

  • Inhibitor binds _____ to the active site
  • _______ bonds are involved
  • The inhibitor undergoes __ ______
  • Inhibition depends on the _______ of inhibitor ______ and inhibitor ________
  • ________ is blocked from the active site
  • ________ substrate concentration reverses inhibition
  • Inhibitor likely to be similar in ______ to what?
A
reversibly
intermolecular
no reaction
strength, binding, concentration
substrate
increasing
structure, substrate, product, co-factor
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11
Q

Irreversible inhibitors:

  • binds _______ to the active site
  • _______ bond formed between the drug and enzyme
  • ______ blocked from the active site
  • ________ substrate concentration ______ reverse inhibition
  • inhibitor likely similar in _______ to the ________
A
irreversibly
covalent
substrate
increasing, doesnt
structure, substrate
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12
Q

Provide an example of an irreversible inhibitor.

A

Orlistat - inhibits pancreatic lipase

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13
Q

Why is orlistat an irreversible inhibitor?

A

forms a stable intermediate after conversion with pancreatic lipase

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14
Q

Allosteric inhibitors:

  • inhibitor binds ______ to the ______ site
  • ________ bonds are formed
  • _______ ___ alters the ______ of the enzyme
  • ______ site is _______ and no longer recognize by the substrate
  • ________ substrate concentration ______ reverse inhibition
  • inhibitor ______ similar in structure to the substrate
A
reversibly, allosteric
intermolecular
induced fit, shape
active, distorted
increasing, doesnt
not
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15
Q

Drug target = cell membrane
Result of conformation change = ?
How would this drug work?

A

Cell membrane loses integrity –> breakup –> cell death

Non-polar region embedded in membrane; polar regions form channels in membrane

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16
Q

Drug target: cell wall
Result of conformation change?
A drug of this kind would most likely target?

A

Cell wall loses integrity –> breakup –> cell death

Target transglycosidase

17
Q

Drug target: transport protein
Result of conformation change?
Give an example.

A

Inability to transport biomolecules –> altered cellular function
Cocaine
SSRI (Prozac)

18
Q

Drug target: Structural proteins
Result of conformation changes?
Example?

A

Alter normal processes of cell cycle

Taxol

19
Q

Drug target: NT receptors

Result of conformation change?

A

Alter synapse level activity –> restore or alter cellular function

20
Q

Drug target: enzymes in cellular metabolism
Results of conformation changes?
ex?

A

Alter the level of metabolite(s) –> restore or alter cellular functions
Caffeine/theophylline - inhibit cAMP phosphodiesterase

21
Q

Drug target: DNA

Results of conformation changes?

A

Alter transcription level –> restor or alter cellular function

22
Q

What is pharmacological variability due to?

A

Variation in the composition and purity of the drug
Patient conditions
- biochemical states (fever)
- Physiological states (kidney function)

23
Q

Adaptability can arise due to what?

A

Gene expression
Regulation in gene expression
Desensitization (tolerance)
Sensitization

24
Q

Adaptability could cause an undesirable outcome under what conditions?

A

1 - Prolonged drug use

2 - Drug withdrawal

25
Q

What is desensitization?

A

The drug action cannot be detected, even when the dosage is maintained or increased

26
Q

What is sensitization?

A

The drug action is detected in a greater extent when the same dosage is used

27
Q

Desensitization is often due to what?

A

Prolonged use

28
Q

Sensitization is often due to what?

A

Drug withdrawal

29
Q

Desensitization:

  • ____-term exposure to the drug
  • _______ binding of the drug could lead to change of the ________ which does not normally occur (e.g. phosphorylation)
  • phosphorylated _______ changes ______ and is inactivated
  • Dephosphorylation occurs once the drug is _________ from the receptor
A

long
prolonged, receptor
receptor, shape
released

30
Q

What is another way, other than phosphorylation in which desensitization can occur?

A

Prolonged exposure to the drug induces receptor synthesis causing the normal dose of drug to no longer be as effective.

31
Q

How could an increase in receptors lead to sensitization?

A

This increase in receptors means that if the person stops taking the drug, cold turkey, many receptors are available and the person will experience withdrawal symptoms.