Unit 3 Flashcards
translational research
research designed to translate basic scientific discoveries into effective clinical treatments
-from bench to bedside
to develop a new drug it must be…
-safe
-more effective
phases of development for new drugs
- discovery, development, testing on animals: patent issued (20 year clock begins)
- approval process of 8 years takes place
- only about 5 in 5000 drugs make it to clinical trials
- human clinical trials begin
- approved: 1 in 5000 drugs make it to the public
orphan drug problem
drugs for rare diseases are unprofitable
tolerance=
decrease in sensitivity to a drug as a result of exposure to it
metabolic (pharmacokinetic) tolerance=
less drug reaches the brain
-slower absorption and distribution
-faster metabolism
-faster excretion of the drugs
Pharmacodynamic tolerance
occurs at the level of the synapse (alcohol increases GABA signaling)
-body increases excitatory processes to restore the balance
conditioned tolerance
environmental cues predict drug delivery
-conditioned compensatory change prepare for drug effect
going to the bar
acute tolerance
tolerance also develops during single use
-behavioral effects of drug are not the same
ex. may feel fine to drive but really blood alcohol levels are still high
sensitization
repeated administration of a drug can also lead to an amplification of some effects
withdrawal
with great tolerance comes great withdrawal
-ex. alcohol shakes
-usually opposite to the effects of the drug
craving
following a period of abstinence, the addict remains vulnerable to relapse into another cycle of drug taking
incubation of craving
craving for the drug seems to progressively increase as time goes by since the last “high”
If we inhibit presynaptic GABAergic cells what happens to the post-synaptic cell?
Increase Dopamine release
-remember if you cut brakes (inhibit) GABA, only left with gas (dopamine)
GABRA2
mutated genes associated with alcoholism and binge drinking
-mutated genes are just correlative, does not mean you are bound to have an addiction
Who H.M.
case study
-suffered from severe epilepsy and had medial portions of temporal lobe, hippocampus and amygdala removed to stop seizures
what was learned from H.M.
- learning may be independent from recall (HM could still learn (motor skills), rehearsal is necessary (tracing the triangle)
- there are multiple forms of memory
- the neural systems associated with memory depend on the information type (HM procedural memory still intact)
Basal Ganglia =
Motor skills
whats the role of hippocampus
-short term memory
-encoding
-unrehearsed info is lost here
-send encoded info to cortex