Unit 1 Flashcards
What is the history behind the birth of the receptor concept?
The birth of the receptor concept was the outcome of circumstances in the lives of its two founding fathers, the physiologist John Newport Langley (1852-1925) and the Immunologist and bacteriologist Paul Ehrlich (1854-1915).
John. N. Langley is known as one of the fathers of the chemical receptor theory and as the origin of the concept of ‘receptive substance’ proposed in 1905.
- The concept of specific receptors that bind drugs or transmitter substances onto the cell, thereby either initiating biological effects or inhibiting cellular functions, is today a cornerstone of pharmacological research and pharmaceutical development.
Otto Loewi: Identifying acetylcholine as a neurotransmitter in the parasympathetic nervous system.
Sir Henry Dale: Established the concept of mediators and receptors
Humphrey Rang: Pioneered the study of receptors.
What are drug receptors?
The concept of receptors is central to pharmacology.
“Receptor” is sometimes used to denote any target molecule with which a drug molecule (i.e. a foreign compound rather than an endogenous mediator) has to combine in order to elicit its specific effect.
An important distinction between agonists, which ‘activate’ the receptors, and antagonists, which combine at the same site without causing activation, and block the effect of agonists on that receptor.
What are the four main types of target proteins for drug binding?
- Receptors
- Ion channels
- Enzymes
- Transporters (carrier molecules)
What are agonistic or antagonistic effects on receptors?
Many therapeutically useful drugs act, either as agonists or antagonists, on receptors for known endogenous mediators.
Agonist/inverse agonists:
- Direct: ion channel opening/closing
- Transduction mechanisms:
Enzyme activation/inhibition
Ion channel modulation
DNA transcription
Antagonist:
- No effect
- Endogenous mediators blocked
What are ion channels and blockers vs modulators?
Gateways in cell membranes that selectively allow the passage of particular ions (open or closed)
- Ligand-gated channels
- Voltage-gated channels
Blockers - Permeation is blocked
Modulators - increased or decreased opening probability
What do we know about drugs and enzymes?
- Most drugs are targeted on enzymes.
- Substrate analogue - acts as a competitive inhibitor of the enzyme
- False substrates - inactive product
- Some enzymes act to convert prodrug (inactive form) to an active form
Enzyme inhibitor –> normal reaction inhibited
False substrate –> abnormal metabolite produced
Prodrug –> active drug produced
What are substrate analogues?
Chemical compounds with a chemical structure that resemble the substrate molecule in an enzyme-catalysed chemical reaction
It acts as a competitive inhibitor of the enzyme
What are false substrates?
False substrates are substrate analogues that resemble the substrate closely enough so that an abnormal end product is produced.
What is prodrug?
A biologically inactive compound that can be metabolised in the body by enzymes into an active drug.
What is an enzyme inhibitor?
Molecules that interact with enzymes (temporarily or permanently) in some ways and reduce or prevent enzyme-catalysed reactions.
What are the reactions between inhibitors, false substrates and transporters?
Transporters normally allow movement of ions and small organic molecules across cell membranes.
Inhibitors block the transport either competitively or non-competitively.
False substrates also prevent transport so there is an accumulation of abnormal compound.
What are the four types of receptors?
- Ligand-gated ion channels
- G-protein coupled receptors (GCPRs)
- Kinase-linked and related receptors
- Nuclear receptors
What do we know about Ligand-gated ion channels?
Inc.
- Location
- Effector
- Coupling
- Examples
- Structure
- Ionotropic receptors
- Typically receptors on which fast neurotransmitters act
Control the fastest synaptic events in the nervous system (timescale: millisecond) - Location - Membrane
- Effector - Ion channel
- Coupling - Direct
- Examples - Acetylcholine at the neuromuscular junction or glutamate in the CNS
- Structure - Oligomeric assembly of subunits surrounding central pore.
What do we know about G-protein-coupled receptors (GPCRs)?
Inc.
- Location
- Effector
- Coupling
- Examples
- Structure
- Largest family of receptors
- Metabotropic receptors that are coupled to intracellular effector systems primarily via a G protein
- Receptors for many hormones and slow transmitters, timescale: seconds
- Location - Membrane
- Effector - Channel / enzyme
- Coupling - G protein or arrestin
- Examples - Muscarinic acetylcholine receptor, adrenoceptors
- Structure - monomeric or oligomeric assembly of subunits. Consists of seven membrane-spanning alpha helices, extracellular N-terminal domain and intracellular C-terminal domain, 3rd intracellular loop interacts with the G protein.
What are some main targets for G proteins?
- Adenylyl cyclase, the enzyme responsible for cAMP formation
- Phospholipase C, the enzyme responsible for inositol phosphate (IP) and diacylglycerol (DAG) formation
- Ion channels, particularly calcium and potassium channels
- Rho A/Rho Kinase, a system that regulates the activity of many signalling pathways controlling cell growth, proliferation and smooth muscle contraction
- Mitogen-activated protein kinase (MAP kinase), a system that controls many cell functions, including cell division
What do we know about Kinase-linked receptors?
Inc.
- Location
- Effector
- Coupling
- Examples
- Structure
- Receptor tyrosine kinases (RTKs)
- Receptor serine/threonine kinases
- Cytokine receptors
- Location - Membrane
- Effector - Protein kinases
- Coupling - Direct
- Examples - Insulin, growth factors, cytokine receptors
- Structure - Single transmembrane helix linking extracellular receptor domain to intracellular kinase domain
What do we know about Nuclear receptors?
Inc.
- Location
- Effector
- Coupling
- Examples
- Structure
- Intracellular receptor
- Directly interact with DNA
- Regulate gene transcription
- Two main subfamilies according to their phylogenetic development:
Class I: Located in the cytoplasm; endocrine steroid receptors
Class II: Located within the nucleus; receptors for fatty acid, cholesterol, thyroid hormones etc. - Location - Intracellular
- Effector- Gene transcription
- Coupling - Via DNA
- Examples - Steroid receptors
- Structure - Monomeric structure with receptor- and DNA-binding domains
What are two distinct steps in the generation of the receptor-mediated response by an agonist?
- Binding
- Activation
What is a receptor antagonist?
A receptor antagonist binds to the receptor without causing activation, therefore preventing the agonist from binding.
What is affinity?
The tendency of a drug to bind to the receptors and form a receptor complex
What is efficacy?
The tendency of a drug, once bound, to activate the receptor and evoke a response (the maximum response the drug can produce)
What is potency?
The amount of drug required to produce a defined effect (usually 50% of the maximum)
What do we know about intensity of pharmacological effect?
The intensity of the pharmacological effect is directly proportional to the number of receptors occupied and formation of drug-receptor complex (i.e. rate of association/dissociation)
For most drugs, binding and activation are reversible, dynamic process –> response ceases when this complex dissociates
What is occupancy theory?
The intensity of the pharmacological effect is directly proportional to the number of receptors occupied by the drug.
Maximal response occurs when all the receptors are occupied at equilibrium
Drugs of high potency generally have a high affinity for the receptors and thus occupy a significant proportion of the receptors even at low concentrations.
What are agonists?
Agonists are drugs that mimic natural processes in the body by activating receptors.
What are the three types of agonists?
- Full agonists
- Partial agonists
- Inverse agonists
What is the formula for receptor theory?
D + R ⇌ DR complexes
–> = K+1
<– = K-1
Where D = drug R = receptor
What do concentration-effect and dose-response curves tell us?
Concentration-effect curve (in vitro) and dose response curve (in vivo) allows us to estimate the maximal response that the drug can produce (Emax) and the concentration or dose needed to produce a 50% maximal response (EC50 or ED50)
A logarithmic concentration or dose scale is often used, producing a rectangular hyperbola to sigmoidal curve.
What does a dose-response curve tell us?
Concentration/dose of agonist to produce 50% of maximal response (EC50/ED50) which tells us the relative potencies of drugs
What CAN’T a concentration-response curve tell us?
The affinity of agonists for their receptors
Why is it important to be able to compare drug potency?
- Relevant to drug administration
- Determine the dose required to produce the desired effect
- Generally, the more potent a drug, the more selective it is (i.e. fewer side effects)
What is potency vs efficacy?
Potency is the amount of a drug that is needed to produce a given effect (i.e. EC50/ED50) whereas efficacy is the effect that a drug can produce regardless of dose.
What do we know about spare receptors?
A “maximal response can be produced when only a very small proportion of the total receptors are occupied by a drug.”
Cells have more receptors than required (receptor reserve)
Magnitude of responses is NOT proportional to receptor occupancy
Not all tissues have spare receptors
What is a full agonist vs a partial agonist?
A full agonist produces the maximum possible response
A partial agonist produces a sub-maximal response (no matter how high a concentration is applied, it’s unable to produce maximal activation of the receptors)
How do agonists and partial agonists interact?
Although they are agonists, partial agonists can act as an irreversible competitive antagonist if co-administered with a full agonist.
The partial agonist competes with the full agonist for receptor activation observed with the full agonist alone
What is an inverse agonist?
A drug which produces an effect opposite to that of an agonist (or antagonist), yet acts as the same receptor.
Such compounds have also been described as having negative efficacy.
Constitutively active receptors which exhibit intrinsic or basal activity can have inverse agonists, which not only block the effects of binding agonists but inhibit the basal activity of the receptor:
- A prerequisite for an inverse agonist response is that the receptor must have a constitutive (also known as intrinsic or basal) level of activity in the absence of any ligand
E.g. Antihistamines are inverse agonists of histamine H1 receptors
What do most agonists do?
Mimic natural body processes!
p.s. inverse agonists do not!
What does the size of the response to given concentrations of agonists depend on?
- Concentration at receptors
- Number of receptors available
- Affinity of drug for receptor (potency of drug - assessed as EC50)
- Efficacy of drug/receptor complex (assess as maximum response)