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Pharm Exam 1
Set 1: Dose Response Curves
92
Pharmacology
Graduate
10/03/2011

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Cards

Term
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Pharmacology
Definition
Study of the effects of chemicals on cells & organisms
Term
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Pharmacokinetics
Definition
Study of the factors affecting the concentration on the drug at the active site as a function of time (what the body does to the drug)
Term
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Pharmacokinetic process
Definition
ADME - Absorption, Distribution, Metabolism, Excretion
Term
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Pharmacodynamics
Definition
The study of how the target cells respond to the delivered concentration of drug (what the drug does to the body)
Term
What are the spectrum of Drug Sizes? (molecular wt)
Definition
Varies from small ions to large proteins
Term
When do drugs have a greater ability to cross biological membranes?
Definition
Greater hydrophobicity.
Term
How do drugs achieve specificity for target action?
Definition
By targeting receptors that are only expressed on desired cells.
Term
What factors control the concentration of drug at a site at any given time?
Definition
Pharmacokinetic process - ADME.
Term
What are the majority of drug receptors?
Definition
Cell-surface proteins
Term
What are commonly used ligands for receptors?
Definition
Neurotransmitters or hormones.
Term
What happens once a ligand binds its receptor?
Definition
Transduction of the binding to a signal altering the intracellular biochemistry or ionic concentrations to change cellular metabolism.
Term
What are the 4 major receptor classes?
Definition
Ligand-gated ion channel
Tyrosine Kinase-linked receptors
G-protein Coupled Receptors
Ligand-activated Transcrption Factors
Term
Function:

Ligand-gated Ion Channel
Definition
Change in membrane potential or ionic concentration => cellular effect
Term
Function:

Tyrosine Kinase-linked receptors
Definition
Protein phosphorylation => cellular effect
Term
Function:

G-protein Coupled Receptors
Definition
Intracellular secondary messanger => cellular effect

or

Intracellular secondary messanger => protein phosphorylation => cellular effect.
Term
Function: Ligand-activated Transcription Factors
Definition
Nucleus activation => mRNA => protein => cellular effect
Term
Which receptor type is used by >50% of the currents drugs used?
Definition
G Protein-Coupled Receptors
Term
Besides receptors, what else can be used as drug sites of action? (drug targets)
Definition
other cell components s.a. phospholipids, DNA, enzymes, etc.
Term
Which receptor site works fastest?
Definition
Ligand-gated ion channel : milliseconds
Term
Which receptor site works slowest?
Definition
Ligand-activated Transcrption Factors: hours
Term
How fast do Tyrosine Kinase-linked receptors & G-protein Coupled Receptors work?
Definition
seconds to minutes
Term
What are the only 2 post-synaptic drug action site?
Definition
Post-synaptic adrenoreceptors => trigger biological responses Non-adrenergic post-synaptic autoreceptors => modulate actions of post-synaptic adrenergic receptors
Term
What 2 presynaptic receptors do drugs work on?
Definition
Pre-synaptic autoreceptors => limit further NE secretion when there's an abundance in the synaptic cleft

Non-adrenergic presynaptic receptors => modulate actions of the pre-synaptic adrenergic receptors
Term
What 3 OMPs are used as drug target sites?
Definition
Pre-synaptic NE transporter

The calcium channel

SNAP proteins involved in vesicular exocytosis
Term
What drug action site is a target for cocaine?
Definition
Presynaptic NE transporter
Term
What drug action site is a target for Ca2+ channel blockers?
Definition
Ca2+ Channel
Term
What 3 drug action sites have to do with vesicles?
Definition
Secretory vesicle/plasma fusion process

Vesicular DA transporter

(SNAP OMPs involved in vesicular exocytosis)
Term
What presynaptic enzyme can be a target for drugs?
Definition
Tyrosine Hydroxylase => rate limiting enzyme for neuronal NE synthesis
Term
What is the drug target site aimed at intrecaellular organelles?
Definition
Inhibition of mitochondrial MAO => increase presynaptic NE
Term
What 2 things can drugs add to the synaptic cleft as an action?
Definition
Exogenous NE (or similar agonist)

Receptor antagonist
Term
[image]
Definition
1) Post-synaptic adrenoreceptors
2) Pre-synaptic auto receptors
3) Non-adrenergic post-synaptic receptors
4) Non-adrenergic presynaptic receptors
5) Presynaptic NE transporter
6) Secretory vesicle/plasma membrane fusion process
7) Tyrosine Hydroxylase
8) Ca2+ Channel
9) Vesicular Dopamine Transporter
10) SNAP proteins
11) Inhibition of mitochondrial MAO
12) Add exogenous NE (or other agonists)
13) Add receptor antagonists.
Term
Function:

Nicotinic acetyl choline receptor
Definition
gates a sodium channel to produce depolarization in skeletal muscle
Term
Function: Muscarinic acetylcholine receptor
Definition
activate biochemical pathway to increase intrecellular Ca2+ in smooth muscles
Term
Function:

β-adrenergic receptor
Definition
Binds epi & activates an increase in cAMP in many cell types
Term
Function:

Insulin receptor
Definition
Activate recruitment of GLUT4 glucose transporter molecules to the plasma membrane of many cells
Term
Function:

Glucocorticoid receptor
Definition
translocates from cytoplasm to nucleus to turn on transcription of specific genes
Term
How does the anti-tumor drug adriamycin inhibit transcription?
Definition
Intercalation into the DNA minor groove
Term
How do statins inhibit cellular cholesterol biosynthesis?
Definition
Bind to HMG-CoA reductase
Term
Where does α1-adrenoreceptor signal?
Definition
Arteriolar smooth muscle =>contraction
Term
What signal molecule is released from a sympathetic nerve terminal in α1-adrenergic stimulation?
Definition
NE
Term
What does the singal molecule, NE, bind to in α1-adrenergic stimulation?
Definition
Arteriolar smooth muscle plasma membrane α1-adrenoreceptor
Term
What does NE binding to α1-adrenoreceptor do to the receptor?
Definition
Induces a conformational change in the receptor protein.
Term
What does the conformational change of the α1-adrenoreceptor allow?
Definition
Intracellular part of the receptor to catalyze the exchange of GDP with GTP on α subunit of Gq
Term
What happens once the α subunit of Gq is phosphorylated to GTP in α1-adrenergic signaling pathway?
Definition
Allows: Gq βγ subunits dissociate

Activates: Phospholipase Cβ to breakdown PIP2 => releases IP3 & DAG
Term
What does IP3 act on?
Definition
gated channel to release intracellular Ca2+
Term
What activates PKC (Protein Kinase C)?
Definition
DAG + intracellular Ca2+
Term
What does activated PKC do?
Definition
Allows entry of extracellular Ca2+ => muscle contraction.
Term
What does it mean that binding of ligands to receptor is controlled by mass action?
Definition
Increasing ligand concentration produces more binding, but there is a limit - a saturation point beyond which there is no further binding.
Term
What is the equilibrium equation for drug & receptor?
Definition
[image]
Term
What is the equation for the equilibrium dissociation constant for drug & receptor?
Definition
[image]
Term
What is kon? What is koff?
Definition
k on = forward rate constant

k off = reverse rate constant
Term
What does magnitude of response of a drug depend on?
Definition
binding of receptors, therefore response=max response when [DR] = [R]total (when all DR is formed)
Term
Equation

Response/Max Response
Definition
[image]
Term
When isn't binding of DR:response 1:1?
Definition
Signaling systems where downstream effects are amplification.
Term
How is Kd similar to Km in kinetics?
Definition
Just like Km = concentration where 1/2 receptors are occupied, Kd = concentration where 1/2 receptors are occupied.
Term
What plot types are used for plotting over a larger concentration range?

Why would we need to do this?
Definition
logarithmic plots

to compare drugs
Term
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Agonist
Definition
a ligand that binds to a receptor to directly activate a signaling pathway.
Term
Function:

agonist
Definition
stablize receptor in a particular conformation
Term
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Efficacy of a drug
Definition
measure of the maximum response obtained with the highest concentrations of the agonist.
Term
def EC50
Definition
Measure of the concentration of agonist required to achieve 50% of maximum response
Term
What is EC50 usually equivalent to?
Definition
KD
Term
What is used to compare 2 agonists for the same receptor?
Definition
Efficacies.
Term
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Potency
Definition
Comparison of EC50 values for 2 or more agonists. It compares the concentrations needed for 50% response.
Term
When does a drug have greater potency?
Definition
When EC50 is smaller, i.e. smaller concentration is needed to get desired response.
Term
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partial agonist
Definition
drugs that produce an effect with lower efficacy than the standard full agonists.
Term
How can compounds such as atropine with zero efficacy be useful?
Definition
Can antagonize the binding & therefore the biological actions of agonists.
Term
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antagonist
Definition
an agent that binds to a receptor but cannot produce the conformational change necessary to trigger the downstream events.
Term
What response is seen when an antagonist is bound by itself?
Definition
none
Term
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competetive antagonist
Definition
an antagonist that binds reversibly therefore can be competed away by higher agonist concentrations.
Term
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"blocker" drug
Definition
when an antagonist binds to its receptor, it "blocks" further binding of an agonist => hindering ability to activate receptor.
Term
[image]
Definition
D
Term
What happens to the concentration-response curve for an agonist with increasing concentrations of competitive antagonist?
Definition
EC50 gets pushed to the right, but there's no change in efficacy.
Term
What is the equation for the response for competitive antagonism?
Definition
[image]
Term
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non-competitive antagonist
Definition
antagonist that either inactivate the receptor molecules or else act on a downstream site
Term
What happens to the concentration-response curve for an agonist with a non-competitive antagonist?
Definition
decrease efficacy. no effect on EC50
Term
Will increasing concentrations of agonist overcome a non-competitive antagonist?
Definition
no
Term
What is the equation for the response for non-competitive antagonism?
Definition
[image]
Term
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"spare" receptors
Definition
Since enzymes can amplify a signal, not 100% of the receptors need to be used to produce max response.

The remaining unoccupied receptors are the spare receptors.
Term
What is the advantage to spare receptors?
Definition
activation at low concentrations with faster turn off.
Term
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inverse agonist
Definition
produces a response opposite that of an agonist.

(unlike antagonist when alone produces no response)
Term
What controls kon?
Definition
diffusion rate.

(it's fairly constant for sm. ligands)
Term
What determines the magnitude of KD?
Definition
koff
Term
What happens when koff is small?
Definition
KD is small => high affinity binding
Term
What happens when koff is large?
Definition
KD is large => low affinity binding
Term
When will there be a faster release of ligand when concentration drops?
Definition
Low affinity binding.
Term

Drug type?

[image]

Definition
Partial agonist
Term

Drug Type

[image]

Definition
Non-competitive Antagonist
Term

Drug Type?

[image]

Definition
Competitive Antagonist
Term
How can you change the potency, efficacy, and/or change an agonist to an antagonist?
Definition
Changing substituent groups around the core structure of a compound.
Term
How are congeners produced?
Definition
Adding on longer hydrocarbon chains.
Term
How are analogs produced?
Definition
A substitution of an esteric linkage.
Term
What are analogs often useful in producing?
Definition
Longer-lived version of an endogenous compound.
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