Pharmacology, drugs etc Flashcards

1
Q

What is pharmacology?

A

Pharmacology is the scientific study of drugs and their effects on living organisms

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2
Q

What are the key features of a drug?

A

1:Chemical Structure:
Defined molecular composition.
Example: Caffeine (molecular formula shown on slide).
2:Physiological Response:
Drugs produce specific effects on the body.
Example: Caffeine acts as a CNS stimulant.
3:Physiological Targets:
Drugs interact with specific biological targets.
Example (Caffeine):
Adenosine Receptors: Blocks these to prevent drowsiness.
Modulates GABA activity.
Influences Phosphodiesterase enzymes.

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3
Q

What is pharmacodynamics? PD

A

Focus: What the drug does to the body.
Key aspects:
Drug action.
Mechanisms of drug effects at the molecular, cellular, or organ level.

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4
Q

What is pharmocokinetics, PK

A

Focus: What the body does to the drug.
Key processes (ADME):
Absorption: How the drug enters the bloodstream.
Distribution: How the drug is transported in the body.
Metabolism: How the drug is broken down, often in the liver.
Excretion: How the drug is eliminated from the body, primarily via the kidneys.

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5
Q

What is the difference between pharmacokinetics and pharmacodynamics?

A

Pharmacokinetics determines drug concentration at the site of action.
Pharmacodynamics determines the drug’s therapeutic and side effects.

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6
Q

What is specificity?

A

The ability of a drug to elicit a targeted physiological response by acting on the “right target.”

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7
Q

What is chemical specificity?

A

Refers to a drug’s ability to interact with the “right target binding site” based on its molecular structure

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8
Q

What is the difference between biological selectivity vs chemical specificity?

A

Biological Selectivity: Ensures the “right target” is activated.
Chemical Specificity: Ensures the drug fits perfectly into the binding site to elicit desired responses with minimal side effects.

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9
Q

What are the key drug binding sites?

A
  1. Enzymes
  2. Transporter
  3. Ion channels
  4. Receptors:
    Ligand-gated ion channels (ionotropic receptors)
    G-protein-coupled receptors (GPCRs, metabotropic receptors)
    Catalytic/tyrosine kinase receptors
    Nuclear receptors/transcription factors
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10
Q

What are some drugs targeting enzymes examples? include the process name, enzyme used and drug

A

intracellular breakdown → phosphodiesterase → sildenafil
Neurotransmitter degradation → acetylcholine esterase → neostigmine
Messenger synthesis → cyclo-oxygenase → ibuprofen (reversible) or aspirin (irreversible)

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11
Q

What is entailed in non-competitive binding?

A

Mechanism: The drug binds at a site different from the active site of the enzyme, causing a conformational change that reduces enzyme activity.

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12
Q

What is entailed in competitive binding?

A

Mechanism: The drug competes directly with the natural substrate for the active site of the enzyme.

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13
Q

What is the difference between competitive/ non comp binding?

A

Non-competitive inhibitors affect enzyme function regardless of substrate concentration.
Competitive inhibitors rely on higher drug concentrations to outcompete the natural substrate.

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14
Q

What happens in noradrenaline uptake in the left panel?

A

Normal Transporter Function (Left Panel):
Noradrenaline Transporter (NAT):
Responsible for reuptaking noradrenaline from the synaptic cleft back into the presynaptic neuron.
This process terminates the action of noradrenaline at the receptors, leading to a regulated and limited response.

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15
Q

What happens in noradrenaline uptake in the right panel?

A

Blocked Transporter Function (Right Panel):
Cocaine and TCAs (Tricyclic Antidepressants):
Mechanism: These drugs inhibit the noradrenaline transporter (NAT), preventing the reuptake of noradrenaline.
Effect:
Increased noradrenaline levels in the synaptic cleft.
Prolonged and enhanced stimulation of post-synaptic receptors.
Results in amplified physiological responses.

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16
Q

What is an example of a drug targeting voltage gated ion channels?

A

Lidocaine, a local anaesthetic, blocks the sodium channel in its depolarised (open or inactivated) state

17
Q

Compare therapeutic vs adverse effects?

A

Therapeutic Action: When the drug binds to the intended target (specific biological and chemical interaction).
Adverse/Side Effects: When the drug binds to non-specific targets or affects unintended pathways due to overdose or lack of selectivity.

18
Q

Receptors and amplification of signals

A

Receptors can amplify the signal generated by a single ligand-receptor interaction.
This amplification occurs through second messengers (e.g., cAMP, calcium ions) or signalling cascades that enhance the downstream response.
A small initial signal can result in a large physiological effect.

19
Q

What are some mechanisms and examples of receptors amplifying signals?

A

Activation of a receptor (e.g., G-protein coupled receptors or ion channels) leads to the generation of multiple signalling molecules.
Examples include:
Ion flux through channels (e.g., calcium influx).
Synthesis of intracellular messengers (e.g., cAMP or IP3).
Activation of enzymes or transcription factors (e.g., kinases, mRNA synthesis)