Unit 4 - Receptor pharmacology Flashcards

1
Q

What is an antagonist?

A

Bind to the receptor in such a way that they produce a different induced fit and do NOT activate receptor
- block natural messenger so cannot bind and activate

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2
Q

What is an agonist?

A

Bind to the receptor binding site in a similar way to the natural messenger and activates receptor

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3
Q

What is selectivity?

A

Relative affinity
- ligand has higher affinity for one receptor over another
Ligand will preferentially bind to one receptor more avidly than another
- at a lower concentration

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4
Q

What effect does better selectivity have?

A

Fewer side effects

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5
Q

Give examples of selective and non selective drugs

A

Atenolol - selective B1-adrenoceptor antagonist

Propranolol - non-selective B1-adrenoceptor antagonist

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6
Q

What effect does a drug with a low affinity have?

A

Need to have a higher concentration of drug to produce a response

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7
Q

How can selectivity be observed?

A
Response profiles
- not used any more
Concentration response curves
Radioligand binding
- direct method of measuring affinity of ant/agonist for a receptor
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8
Q

How are most receptors distributed?

A

Most receptors are not ubiquitously distributed

- distributed in discrete tissues/organs in the body

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9
Q

How is assaying selectivity carried out?

A

Different tissues can express different populations of receptor types

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10
Q

How do non-selective drugs affect tissues?

A

Non-selective drugs affect all tissues

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11
Q

How do selective drugs affect tissues?

A

Selective drugs affect some tissues but not all tissues

- response in SOME tissues

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12
Q

What type of adrenoceptor subtypes are found in the heart?

A

Beta 1

Beta 2

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13
Q

What effect does adrenaline have on beta 1 and beta 2 adrenoceptors in the heart?

A

Adrenaline is non-selective

  • will affect both types of receptor
  • heart rate increases
  • coronary flow increases
  • vasodilation
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14
Q

What effect does dobutamine have on beta 1 and beta 2 adrenoceptors in the heart?

A

Dobutamine is selective for Beta 1 adrenoceptor

  • heart rate increases
  • no effect on coronary flow
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15
Q

What effect does salbutamol have on beta 1 and beta 2 adrenoceptors in the heart?

A

Salbutamol is selective for Beta 2 adrenoceptor

  • no effect on heart rate
  • coronary flow increases
  • vasodilation
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16
Q

How can selectivity be revealed in tissue containing different receptor subtypes?

A

Concentration response curves

  • non-selective agonist
  • affinity for receptor is pretty much the same
  • sees entire receptor population as the same so targets equally
  • selective agonist
  • multiple curves
  • 2 stacked on top of each other
  • 2 EC50 values
  • 2 affinity types
17
Q

What is the function of radioligand binding?

A

Determines binding affinity of ligand for binding site
Affinity is a constant for a ligand-binding site
- receptor
- EXCEPTION
- different affinity states due to G-protein binding
Efficacy is NOT a factor
- no distinction between agonists and antagonists

18
Q

What are the two types of radioligand binding?

A

Saturation

Competition binding

19
Q

What is saturation binding?

A

Add radioligand to sample of tissue
- drug labelled with radioactivity
Wash unbound drug away
Measure the amount of radioactivity from sample

20
Q

What is specific binding?

A

Only interested in binding to the receptor

- specific

21
Q

Describe specific binding

A

Saturable

  • finite number of receptors to bind to
  • upper limit
  • the number of receptors present
  • plataeu when all the receptors are full
22
Q

Describe non-specific binding

A

Non-saturable

- will always increase with increasing addition of ligand

23
Q

What can be worked out from saturation binding?

A
Dissociation constant, KD
- affinity constant, KA
- 1/KD
Maximum specific binding
- total number of receptors present
24
Q

What is competition binding?(radioligand)

A

Add one concentration of radioligand
Displace radioligand from receptors with unlabelled ligand
- increasing concentration of unlabelled ligand
Radioligand and ‘cold’ ligand can be the same
- simplifies things
- but often use known radioligand with known affinity for receptor
Affinity is calculated based on the relative affinities and concentration of radioligand
- known concentration and affinity of radioligand

25
Why does the radioactivity in competition binding never go to zero?
Non specific not bound to receptor so can't be displaced
26
How did scientists know there were 2 histamine receptors?
In 1948, histamine antagonists already clinically used - to treat ulcers - H1 receptor selective Histamine caused gastric acid secretion - insensitive to available antihistamines - suggested presence of a second type of histamine receptor Clinical utility for treatment of peptic ulcers