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receptor theory and dose-response
j
28
Pharmacology
Pre-School
07/15/2012

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Term
what bonds are necessary to initiate drug-receptor interactions
Definition
ionic
Term
some drugs bind to receptor covalently, this cause long duration of actions. what are some examples?
Definition
phenooxybenzamine,aspirin (COX inhibitor)
Term
receptors are
Definition
extra or intracellular macromoleculs that mediate biochem and physiological interactions.
Term
drug receptor theory says
Definition
cellular response is directly proportional to fraction of receptors bound or occupied by the drug.
Term
Law of Mass Action has the following assumptions
Definition
1. reverisble interaction
2. receptor exists in only two states
3. drug must bind to each receptor with equal affinity
Term
what is Kd?
Definition
drug conc when half of the receptors are occupied by the drug
Term
Lower Kd value =
Definition
higher affinty
Term
Kd represents
Definition
a proportion rather than a finite number.
Term
EC50 is
Definition
drug conc that causes half the maximal effect
Term
potency
Definition
the lower the EC50, the more potent the drug
Term
efficacy is defined by
Definition
ability of a drug-receptor complex to produce a functional response.
Term
full agonist have an efficacy of ...
Definition
1
Term
Antagonists have efficacies of...
Definition
0
Term
what type of graph is used to measure EC50 and drug efficacy?
Definition
dose-response curve
Term
what are the three classes of antagonists?
Definition
pharmacological, chemical, and physiological
Term
pharmacological antagonists have ...
Definition
no net effect of the receptor. it has eqaul affinity for the active and inactive receptor confirmations
Term
Chemical antagonists
Definition
interact directly with the drug.
Term
eg of chemical antagonist
Definition
protamine binds to heparin and neutralizes it, not allowing it to induce a response
Term
physiological antagonists
Definition
act on a site different from the receptor on or in the same cell.
Term
non-competitive antagonists cause...
Definition
a downward shift to the dose response curve.
Term
spare receptor system?
Definition
not all receptors must be bound to observe maximal response.
Term
eg of spare receptor system.
Definition
the heart has spare beta-1 receptors. this allows full response to NE even if there is an irreversible antgonist blocking some of the receptors.
Term
What does the spare receptor system tell u about Kd and EC50.
Definition
Kd and EC50 are not always the same. in a spare system the EC 50 is lower than Kd.
Term
What mechanisms have spare receptor systems?
Definition
GPCR, RTKs, and cytokine receptors
Term
What is a quantal dose-response relationship?
Definition
the average amount of drug to reach max effect in 50% of a population.
Term
What is the TI-therapeutic index?
Definition
a ratio of TD50 to ED50 (TD50/ED50)
Term
what does a high TI value signify?
Definition
that the difference bw effective dose is much smaller than the toxic dose.
Term
what are examples of drugs with low TI? these must be closely monitored.
Definition
digoxin and warfarin.
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