pharmacology_questions_answers Flashcards

1
Q

What are the four main targets for drugs in the body?

A

Receptors, Ion Channels, Carriers, Enzymes

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2
Q

What do receptors on cell surfaces do when they recognize and respond to ligands?

A

They activate the receptor, causing downstream effects.

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3
Q

Describe how ligand-gated ion channels work.

A

Ligand binding causes the gate to open or close, increasing or decreasing permeability to selected ions, changing membrane potential through depolarization or hyperpolarization.

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4
Q

Explain how GPCRs function.

A

Ligand binding causes a conformational change, leading to the exchange of GDP for GTP in the alpha subunit, dissociation of alpha and beta subunits, and regulation of target proteins. GTP hydrolyzes to GDP, continuing the cycle.

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5
Q

Where are GPCRs found, and what structural features do they have?

A

Only in eukaryotes, with seven transmembrane domains, coupled with heterotrimeric G-proteins that bind GDP or GTP.

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6
Q

What are the three subunits of G-proteins, and how do they interact with GDP and GTP?

A

Alpha, beta, and gamma subunits, interacting with GDP and GTP.

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7
Q

Describe how kinase-linked receptors function.

A

Include receptor tyrosine kinases (RTKs) and cytokine receptors. Ligand binding causes receptor dimerization and phosphorylation of tyrosine residues, increasing downstream effects, mediating growth factors, cytokines, and hormones at the gene transcription level.

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8
Q

Where are nuclear/intracellular receptors located, and what activates them?

A

In the cytoplasm (Class 1), nucleus (Class 2), or endocrine system (hybrid class), activated by lipophilic molecules affecting gene expression.

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9
Q

What forces affect a drug’s affinity for its target?

A

Van der Waals forces, hydrophobic interactions, ionic bonds, hydrogen bonds, and covalent bonds.

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10
Q

Define agonist and antagonist in terms of receptor interaction.

A

Agonist: Binds and activates or deactivates the receptor, producing a response. Antagonist: Binds to the receptor but causes no activity, blocking other molecules from binding.

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11
Q

What is the difference between a partial agonist and a full agonist?

A

Partial agonist: Intermediate efficacy, producing a sub-maximal effect even when all receptors are occupied. Full agonist: High efficacy, producing a maximal effect.

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12
Q

What is an inverse agonist?

A

Selectively binds to resting states of receptors, not activating them.

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13
Q

Describe the affinity and efficacy of antagonists.

A

Antagonists have affinity but zero efficacy.

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14
Q

Explain the types of competitive antagonism.

A

Competitive Reversible: Competes with agonists; higher concentration is favored. Shifts dose-response curve rightward. Competitive Irreversible: Competes but cannot be reversed by increasing agonist concentration. Shifts curve right and reduces efficacy. Non-Competitive: Binds to an allosteric site, reducing efficacy and shifting the dose-response curve right.

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15
Q

How do ligand-gated ion channels function?

A

Binding of a ligand causes a conformational change, allowing ions to move down the concentration gradient, causing depolarization or hyperpolarization.

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16
Q

What happens when acetylcholine binds to the nicotinic acetylcholine receptor?

A

Sodium influx causes cell depolarization, increasing the chance of an action potential.

17
Q

What occurs when GABA binds to its receptor?

A

Chloride influx hyperpolarizes the membrane, reducing the chance of an action potential.

18
Q

List the main actions of GPCRs.

A

Adenylyl cyclase: cAMP formation, Phospholipase C: Inositol phosphate and DAG formation, Ion channels: Calcium and potassium regulation, Rho A/Rho Kinase: Regulates cell signaling pathways, MAP Kinase: Controls cell division and other functions.

19
Q

How does adenylyl cyclase activation affect cellular processes?

A

Increases cAMP, activating protein kinase, enhancing lipolysis, glycogen breakdown, and enzyme phosphorylation.

20
Q

Describe the role of phospholipase C in signal transduction.

A

Releases IP3, opening SER calcium channels, activating protein kinase C, and binding DAG for intracellular protein phosphorylation.

21
Q

What are non-receptor drug targets, and how do ion channels fit into this category?

A

Ion channels are water-filled pores allowing ions to cross the lipid membrane. Their activity depends on the electrochemical gradient.

22
Q

How do anticonvulsants like phenytoin and phenobarbital work?

A

Phenytoin: Blocks sodium channels, preventing neuron overfiring. Phenobarbital: Activates GABA receptors, opening chloride channels to reduce action potential likelihood.

23
Q

Explain the difference between blockers and modulators of ion channels.

A

Blockers: Prevent ion permeation. Modulators: Increase or decrease the opening probability of the channel.

24
Q

How do enzymes interact with drugs?

A

Drugs inhibit enzymes competitively or non-competitively, or act as false substrates producing abnormal metabolites.

25
Q

Give an example of a competitive enzyme inhibitor and its function.

A

Neostigmine: Inhibits acetylcholinesterase, prolonging acetylcholine action to improve muscle tone in myasthenia gravis.

26
Q

How are some drugs converted into active forms, and provide an example.

A

Enzyme metabolism activates drugs. Example: Codeine is converted to morphine in the liver by CYP2D6.

27
Q

What is the function of transporters and carriers in drug movement?

A

Move ions/small molecules across membranes through facilitated diffusion, active transport, and neurotransmitter uptake.

28
Q

Describe the Na/K ATPase pump and its role.

A

Uses ATP to pump sodium out of the cell and potassium into the cell.

29
Q

Differentiate between cotransporters and anti-porters.

A

Cotransporters: Move substances in the same direction. Anti-porters: Move substances in opposite directions.

30
Q

List the main routes of drug absorption.

A

Oral, parenteral (IV), inhaled, topical.

31
Q

What factors affect drug absorption?

A

Membrane properties, drug characteristics, and dosage form.

32
Q

How does the cornea’s structure affect ocular drug penetration?

A

The cornea has a sandwich-like structure: lipophilic epithelium and endothelium, and a hydrophilic stroma.

33
Q

What factors influence drug distribution in the body?

A

Drug characteristics, plasma protein binding, patient weight, barrier permeability, and binding capacity.

34
Q

Describe drug metabolism and the significance of the first-pass effect.

A

Occurs mainly in the liver, activating or inactivating drugs. First-pass metabolism reduces the active drug before systemic circulation.

35
Q

How do ester prodrugs improve drug absorption?

A

They are more lipophilic, enhancing corneal penetration, activated by esterases.

36
Q

Explain how drugs are eliminated from the body.

A

Via kidney filtration, through first- or zero-order kinetics.

37
Q

What is tear fluid turnover, and how does it affect ocular drug administration?

A

Tear fluid turnover doubles after eye drop application, causing drug washout and systemic absorption through the nasolacrimal duct.