Session 9.2: Pharmodynamics - receptor theory Flashcards

1
Q

do most drugs bind reversibly or irreversibly to receptors

A

mostly reversibly - associate then dissociate

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2
Q

binding obeys what law

A

law of mass action (binding related to concentration of reactants and products)

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3
Q

ligand + receptor

A

reversibly to form ligand-receptor complex

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4
Q

what must a ligand to bind to a receptor

A

affinity for its receptor

higher concentration of ligand = so higher affinity = stronger/higher binding

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5
Q

how is binding measured

A

measure binding of radioactively labelled ligand (radioligand) to intact cells or cell membranes. incubate and allow to come to equilibrium and measure bound radioligand

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6
Q

a single cell will have about

A

10000 or 100000 receptors

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7
Q

as concentration of drug increases

A

amount of drug bound to receptor increases (curve - sigmoidal plot/semi log plot)

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8
Q

what is Bmax

A

the max binding capacity - receptor number

which is found where curve levels out

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9
Q

what is the dissociation constant, Kd or KD

A

the concentration of drug that is required to occupy half the available receptors
draw line to curve and down

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10
Q

if Kd is lower

A

higher affinity

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11
Q

what is affinity

A

a measure of the strength with which a ligand or drug binds to a receptor
the likelihood of how well a ligand will optimally fit the receptor or target molecular binding site

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12
Q

how many receptors occupied per cell at certain kd

A

half the number of receptors present

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13
Q

how is the graph made into a log scale

A

converting the concentration into log units or plotting data on a log scale

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14
Q

log10 1000

A

= 3

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15
Q

ligand concentrations are usually

A

much lower than 1M

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16
Q

1mM =

A

10^-3 M = -3 log10 M

17
Q

how to calculate log 10 in calculate

A

press log and input number

18
Q

what are antagonists

A

drugs that bind to receptors and simply block the binding of other ligands (exogenous or endogenous)

19
Q

what are agonists

A

activate the receptor by binding
binding governed by affinity
when bound the receptor is activated and then response occurs (this is governed by intrinsic efficacy)

20
Q

what are the difference between agonists and antagonists

A

agonists - efficacy and affinity

antagonists - only affinity (blocks effects of agonists)

21
Q

how is a drug classified with pharmacological efficacy

A

causes a response in tissue - vasodilation

22
Q

how is a drug classified with clinical efficacy

A

does the drug cause a measurable change - eg: lower blood pressure - how well a treatments suceeds in achieving its aim

23
Q

intrinsic efficacy is a term used to describe the ability of a ligand to

A

generate the active form of the receptor

24
Q

what is ligand efficacy

A

causes a measurable biological response

25
Q

the affinity determines

A

how much of the drug is required to be taken

if high - binding at low concentrations of hormones, neurotransmitters and drugs

26
Q

what is used to treat morphine/heroin overdose

A

morpine/heroin are agonists of u-opioid receptors, naloxone used as is high affinity agonist of u opioid receptors (GPCRs) so outcompetes opioid

27
Q

fenatnyl

A

very high affinity agonist

naloxone not able to outcompete fenatnyl at opiod receptors

28
Q

what responses of agonist binding could occur

A

changes in signalling pathway

changes in cell or tissue behaviour - contraction

29
Q

how is response measured

A

concentration-response curve

30
Q

what is E max

A

the effect maximum (curve levels off)

31
Q

what is EC50

A

the effective concentration giving 50% of the maximal response = drug POTENCY

32
Q

how is concentration response curve units in

A

log10 drug concentration

33
Q

what is the difference between drug concentration and dose

A

concentration - known conc of drug at site of action

dose - conc at site of action unknown, dose in mg or mg/kg

34
Q

lower the EC50

A

more potent drug or ligand is

35
Q

what is favourable activation also dependent on

A

delivery route - direct?