pharmacologic term and concept review Flashcards

1
Q

what is an analog

A
  • chemical compound that has a similar structure & similar chemical properties to those of another compound -> but differs from it by a single element or group.
    ex: antibiotic amoxicillin is an analog of penicillin and it differs from the latter by the addition of an amino group.
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2
Q

what is a ligand

A

ion, molecule or moelcular group hat bind to another chemical entity to form a larger complex

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3
Q

what is recombinant technology

A
  • produced by combining genertic material from more than one origin or source of genetic engineering, lab techniques used to join RNA from diff sources to produce novel RNA
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4
Q

what is a circadian rhythm

A
  • daily cycle of biological activity based on a 24-hour period
  • influenced by regular variations in the environment.
  • example= alternation of night and day with sleeping and waking patterns and is referred to as a ‘biological clock’.
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5
Q

agaonist vs antagonist

A

agonist = any substance that bring a change in biologic function through its chemical action by ACTIVATING a molecule (receptor) that palys ar egulatory role

antagonist = any substance that brings a change in biologic function through its chemical action by inhibiting a molecule (receptor) that plays a reg role

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6
Q

what is drug permeation

A
  • penetration and spread of drugs through a cellular substance
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7
Q

what is down regualtion

A

process by which a cell decreases the number of a cellular component such as RNA or protein in response to external variables

  • ex = when a cell decreases the number of recetors to a given hormone or neutrotransmitter to reduce its sensitivity to that molecule
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8
Q

what are JAK/STAT family

A

Janus Kinase and Signal Transducers and Activators of Transcription proteins are a family of transcription factors that bind as homo or hetero dimers to recognition sites in gene promoters

  • this family mediates signalling from a variety of membrane receptors such as interferon, interlukin, hematopoietic and growth factors
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9
Q

what are G proteins and second mesengers

A
  • guanine nucleotide-binding proteins that transmit chemical signals for hormones or neurotransmitters outside the cell
  • cause changes in activity of an enzyme or ion channel and the concentration of an itnracellular second messanger like cAMP
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10
Q

what is half life

A

time it takes for a substance (drug or radioactive nuclide) to lose 1/2 of its pharmacologic, physiologic or radiological activity or the time it takes for the blood plasma conc to half its steady state

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11
Q

what ist eh first pass effect

A
  • refers to metabolism of orally administered drugs by gastrointestinal and hepatic enzymes resulting in significant red of the amount of unmetabolized drug reaching systemic circulation
    ex: morphine
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12
Q

what are hormones

A

chemical messengers involved in reg and coordination of bodily functions through cell-cell communicatino

  • can act locally to affect themselves (autocrine) or nearby cells (paracrine)

ex of autocrin factors are GF and cytokines,

ex of paracrine factors are NO, ctokines, endothelines, insulin and IGFs

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13
Q

what can hormones secreted by neurons act as?

A

neurotransmitters or neurohormones

  • neurotransmitters: travel short distances to synapses (ex = acetylcholine)
  • neurohormones: secreted into blood stream (oxytocin and epinephrine)
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14
Q

what are endocrine hormones

A

hromones secreted by cells to enter the blood stream where they can bind to receptors and affect distant target cells

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15
Q

how are endocrine hormones synthesized

A
  • include amines, proteins, peptides and steroids
  • catecholamines and thyroid hormone tyrosine derivative are ex of amines and they are stored for release
  • insulin and GF are peptide hormones, short hcains of protein also stored for release
  • steroids like sex steroids and corticosteroids are lipophilic and not stored by released immediately and typically have delated biologic effects
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16
Q

describe the release of endocrine hormones

A
  • released in various patters
  • insulin, cortisol and thyroxine can be released from basal side of a cell knwon as constituative release
  • formone release of insulin and cortisol can also be stimulated by the environment
  • pulsatile release also exists for hypothalamic releasing hormones and circadian rhythm release of cortisol and thyroxin
17
Q

how do most endocrine hormones travel in the blood stream?

A
  • bound to carrier proteins, can be bound to globulines like carticosteroid binding globulin (CBG) or thyroxine binding globulin (TBG)
  • when bound to globulins, hormone is inactive and allows them to act as a storage pool
  • maintains strict contorl over the concentration of free hormone which protectsthe hormone from metabolism

*most hormones are bound to proteins in the blood but small fraction of unbound (free) and biolgoically active hormone is in blood

18
Q

pharmacokinetics of bound vs free hormone

A

free hormone typically has a short plasma hlaf-life compared to bound hormone

  • may range from seconds to minutes
  • despite this the biolgoic effect can persist after the hormone has been metabolized or inactivated
  • most circulating hormones are metabolized by the liver and then excreted in bild or urine
19
Q

decribe hormone receptors

A
  • receptor and hormone (ligand) binding requires that the lgiand has an affinity for the receptor which dictates its specificity and control
  • receptors are key points of drug intervention through use of agonists and antagonists - hormones utilize multiple receptor types
    1. Cell surface receptors
  • these are G protein receptors such as channels or second messengers which bind growth factors, insulin and IGFs
  • proteins, polypepties and amines are less
  • invovle ligand binding and signal transduction in order to elicit a response - usually immediate and rapid
  1. Nuclear and cytosolic receptors
  • include steroids, thyroid hormone, vit D and retinoic acid (lipophilic ligands)
  • receptors generate a response following ligand binding and transcription
  • usually a delay in response
20
Q

what comprises the endocrine Systems and Independent Endocrine Glands

A
  • traditional or classic endocrine system is made up of the hypothalamus-anterior pituitary target gland axes whih include tissues like gonads, thyroid and adrenal cortex
  • other independent endocrine glads are the pancreas, posterior pituitary and parathyroid