Quantitative Aspects of Drugs Flashcards

1
Q

Define Receptor

A

A protein whose function is to recognise and respond to an endogenous chemical signal

Other macromolecules with which drugs interact to produce their effect are known as a drug target

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2
Q

How does the pharmacological definition of receptor from a general definition?

A

Differ from conventional pharmacological receptors in that they respond to protein attached to cell surfaces or extracellular structures, rather than to soluble mediators

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3
Q

How are receptors classified?

A

Classification and Refinement in drug design is based upon where the action of a drug can be associated with a particular receptor

Ex. H1 receptor vs H2 receptor

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4
Q

What other ways can receptors be classified?

A
  1. Direct measurement of ligand binding to receptor
  2. Molecular sequencing of amino acid structure
  3. Analysis of biochemical pathways
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5
Q

Define Affinity

A

Affinity can be defined as the extent or fraction to which a drug binds to receptors at any given drug concentration or the firmness with which the drug binds to the receptor

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6
Q

How is affinity related to potency?

A

Affinity is one of the factors that determine potency. Affinity is inversely proportional to the potency of a drug (1/ Kd ) , where Kd is the dissociation constant

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7
Q

Define potency

A

Potency is a measure of necessary amount of the drug to produce an effect of a given magnitude. In general, potency is denoted as the median effective concentration/dose as EC50/ED50/Kd

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8
Q

Define efficacy

A

Efficacy (intrinsic activity) is the ability of a drug to illicit a pharmacological response (physiological) when interaction occurs with a receptor (relationship between response and occupancy of receptor).

Efficacy depends on the efficiency of the receptor activation to cellular responses and the formation of number of drug-receptor complexes

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9
Q

Why is specificity important?

A

For a drug to be useful as either a therapeutic or a scientific tool, it must act selectively on particular cells and tissues

Tricyclic antidepressant drugs act by blocking monoamine transporters but are notorious for producing side effects related to their ability to block other receptors

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10
Q

What does Schild Equation show about antagonism?

A

Used to investigate antagonist action
- Determines whether antagonism is competitive in nature
- Determine equilibrium constant for binding of the antagonist

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11
Q

What is dose ratio?

A

Factor by which the concentration of agonist needs to be increased by to obtain the same response in the presence of the antagonist as was obtained in its absence

r = 1 + ([B] / KB)

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12
Q

What should you observe if the antagonist is competitive in nature?

A
  1. Parallel Shifts to the right in the concentration-response curve
  2. A log-log plot of r=1 against the antagonist concentration gives a straight line with a slope equal to unity
  3. No decrease in the maximum response that can be achieved

The latter point is difficult to be certain about because receptor desensitization and tachyphalaxis of tissue responses often make it impossible to obtain the same maximum response

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13
Q

Define pAX

A

defined as the negative logarithm to base 10 of the molar concentration of an antagonistic drug which will reduce the effect of a multiple-dose (x) of an active drug to that of a single dose

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14
Q

What is a partial agonist?

A

A ligand that produces a submaximal response

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15
Q

How does efficacy relate to partial agonists?

A

Differences in levels of responses at a given level of occupancy can be expressed quantitatively in terms of efficacy

A partial agonist has lower efficacy, such that 100% occupancy elicits only a submaximal response

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16
Q

Define constitutive activation

A

refers to when there is an appreciable amount of activation present even when there is no ligand

Ex. Receptors for benzodiazepines, cannabinoids, and serotonin

17
Q

What is an inverse agonist?

A

If a ligand reduces levels of constitutive activation it is known as an inverse agonist

Regarded as drugs with negative efficacy

Ex. Pimavanserin:
Inverse agonist at the 5-HT2A receptor

18
Q

What is the Law of Mass Action?

A

It states that the rate of a chemical reaction is proportional to the product of the concentrations of reactants