SF - Drug receptor interaction Flashcards

1
Q

What is an agonist?

A

Activates a receptor.

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2
Q

What is an antagonist?

A

Reduces the response of an agonist.

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3
Q

What is the EC50?

A

The concentration of the drug that gives 50% of the maximal response.

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4
Q

What is the Kd?

A

Dissociation constant. The concentration of the drug that occupies 50% of the receptors.

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5
Q

What is the efficacy?

A

The difference in the percentage of the response to the percentage of receptors occupied.

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6
Q

What does it mean if there is a high efficacy?

A

Less receptors need to be occupied to produce a response.

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7
Q

What is affinity?

A

A measure of the binding of a drug to a receptor.

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8
Q

What is the receptor occupancy equation?

A

P = [D]/([D]+Kd)
P - proportion of receptors occupied.
[D] - drug concentration
Kd - dissociation constant

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9
Q

What is the function of a partial agonist?

A

Drugs which have a maximum response that is less than the full response that the tissue is capable of. Useful therapeutically if a full response is not required.

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10
Q

What is the potency of a drug?

A

How much drug is required to produce a particular response.

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11
Q

Why do weak agonists have an EC50 close to Kd?

A
  • Not all DR complexes will be in their active form.
  • EC50~Kd (At a given drug concentration)
  • A lot of receptors are occupied to produce this response.
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12
Q

Why do strong agonists have an EC50

A
  • More DR complexes are active.

- At a low drug concentration, there is a high response.

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13
Q

What is the effect on EC50 if you lower the efficacy?

A

EC50 gets larger.
The receptor reserve is reduced.
The concentration response curve moves to the right.

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14
Q

What affects the relative position of the agonist when testing different agonists with the same preparation?

A

Affinity and efficacy of the drug.

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15
Q

What affects the relative position of the agonist when testing the same agonist on different preparations?

A

Number of receptors

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16
Q

What are the 4 types of drug antagonism? Describe each type.

A

Competitive - binds at the agonist recognition site preventing access of a normal ligand.
Non-competitive - binds to an allosteric binding site.
Un-competitive - Can block receptors within a transduction pathway.
Physiological - one drug may antagonise the actions of another via an action on an independent molecular target.

17
Q

What is constitutive activity?

A

The basal level of activity at a receptor.

18
Q

What is an inverse agonist?

A

Causes activity of the receptor to completely switch off.

19
Q

What is tolerance?

A

Repeated drug administration may lead to adaptive down regulation of receptors. This can be vital for a therapeutic use - antidepressants.