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PDA Exam 01
PDA EXAM One
95
Pharmacology
Graduate
01/28/2012

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Term
In preclinical phase, drugs are look at for properties that put them into which categories?
Definition
Teratogen: adverse effects in fetus
Mutagen: inberitable disease
Carcinogen: cancer causing
Term
Pharmacology is?
Definition
drugs and their composition, uses, and effects on living systems.
Term
Pharmacokinetics? Pharmacodynamics?
Definition
-What the body does to the drug
ex. drug absorption, distribution, metabolism, and excretion
-What the drug does to body.
biochemcial and phsyiological effects of drugs and the MOAs
Term
Clinical Pharmacology
Definition
combo of pharmcokinetic and pharmacodynamics to the therapueutic management of patients
Term
Pharmacotherapeutics
Definition
use of drugs in treatment and prevention of disease
Term
Characteristics of Drug Action
Definition
-most drugs are reversible
-magnitude/frequency = fxn of drug concentration
-Graded response = ranked/scaled
There are a few exceptions: quantal response (all or nothing) in seizure and antiarrhythmic
Term
Therapeutic window/concentration range
Definition
the concentration range between the minimal effective concentration that will result in a pharmacological desired outcome and the minimum concentration that results in unacceptable toxicity
Term
receptors are usually
Definition
proteins
Term
Receptors can encompass...
Definition
-Coupled to signal transduction mechansim
-enzymes
-transport and structural proteins
-ion channels
-dna and rna...
Term
Ligands are
Definition
exo or endogenous substances such as hormones that bind to receptor proteins to cause signaling events.
Term
Siganl trandsduction
Definition
everything that occurs between binding of ligand to receptor and the effect
Term
Classes of Receptors
Definition
-Pharmacologic: Mediator they respond to
-Biochemical: the response elicted
-Molecular/Structural: primary amino acid sequence
Term
Order to speed
Definition
Ligand Gated Ion > G Protein Coupled Receptors > Kinase-Linked > Nuclear
Term
Exogenous ? Endogenous?
Definition
Pharmacologic vs Physiologic
Term
Structure of GPCR
Definition
*Remember not a G-protein
1)Monomeric protein
2) 7 transmembrane alpha-helical segments
3) C-terminal tail (regulatory)
Term
Classes of GPCR
Definition
I) Rhodopsin
II) Secretin-like
III) Metabotropic glutamate
Term
Role of Effector Molecules
Definition
Synthesis of 2nd Messengers
Term
Activation of GPCR leads to?
Definition
Activate trimeric G-proteins which then affect EFFECTOR molecules
Term
Important Second Messengers
Definition
cAMP, cGMP,
PI (phospho-inositides)
AA (arachdonic Acid), DAG,
Sphigolipids (ceramide)
Ca, NO
Term
GPCR: Heterotrimeric:
What is basal inactive state? Active?
Definition
Basal State -alpha:beta:gamma complex with GDP bound on the Alpha.
Active State - Exchange GTP and GDP, so now have two Active Proteins 1)alpha-GTP and beta:gamma
Term
What is unique about alpha?
Definition
It has "intrinsic GTPase activity" which means hydrolyzes the GTP naturally so it can go back to GDP basal state.
*but this "hydrolysis" is slow...so remiains active for a while
Term
Diseases and GPCR's
Definition
Cholera: Modifies alpha by adding ADP-Ribosyl = Inactivate GTPase = permanant active = high cAMP...
-Pertussis: inactivates alpha = increased cAMP
Term
Do GPCR's exist as single proteins?
Definition
Not only single, but also dimers and oligomers such as homomer and heteromers.
Term
Which 2nd messengers are intracellular? Extracellular?
Definition
-cAMP, cGMP, Inositol TriP (IP3), DAG and Ca
- NO, Eicosanoids
Term
Structure of cAMP
Definition
Synthesized from Adenylyl Cyclase: 2 catalytic domains and 12 Transmembrane
Term
cAMP response
Definition
cAMP stimulates PKA (cAPK), which is a heterotetramer of 2R and 2C subunits
Inactive: R's bound to C's
Active: R's release C's to PHOSPHRYLATE PROTEIN SUBSTRATES ON SER/THR side chains.
Term
Target proteins for cAMP
Definition
GlycogenPhosprylase Kinase or CREB transaction factors.
Term
How termination cAMP?
Definition
1)Hydrolysis GTP so GDP binds to alpha
2)Cleavage of cAMP by phosphodiesterases
Term
Role of PKA
Definition
Smooth Muscle Relaxation by
-phosphyrlates MYOSIN LIGHT CHAIN KINASE and PHOSPHOLAMBAN = increases reuptake of calcium into sarcoplasmic reticulum = reduced calcium levels
Term
cGMP are produced via?
Definition
-produced by membrane bound or cytosolic/soluble enzymes
Term
what is the importance of NO in cGMP?
Definition
Soluble forms of cGMP are activated by NO, which are formed by NOsythase.
-Since NO is LABILE, it can difuse and act locally on aterial smooth muscle (i.e. Viagra)
Term
exceptions of cGMP activity?
Definition
EYE rods and cones.
-instead of using PKG, uses Na and Ca, where in the dark, high cGMP concentrations are presnt to keep Na/Ca channels open = depolarizing the membrane.
Term
Process of Eye activity when light hits
Definition
Light absorbed into GPCR (rhodopsin) -> activate G-protin G-t-alpha -> cGMP Phosphodiesterase (PDE) -> decrease cGMP -> close Na/Ca -> hyperpolarization.
Term
other second messengers of GPCR: IP3 and DAG
Definition
Created by PLC-Beta, which itself is from Gq and Go.
IP3 then activates on Ca by telling SR to release so influx of cytosol CA.
Term
What does Ca do as a GPCR second messenger
Definition
Calmodulin binds 4 Ca molecules via its EF HAND, then activates enzymes or PKC
Term
NOTE: there is cross talk between different signal transduction...
Definition
such as between cAMP with IP3/DAG.
Term
How terminate IP3?
Definition
Stepwise dephos, see, IP3 go to 2 than IMP, then Inositol.

*The last dephospho is UNOSITOL-1-PHOSPHATASE, which can be inhibited by LITHIUM.
Term
Termination of DAG?
Definition
DAG is phosphyrlated by PHOSPHATIDIC ACID.
*Note, termination is phosphrylated, not dephosphyrlated like with IP3.
Term
Termination of Ca?
Definition
1) Reuptake by ER via Ca ATPase pump
2) Ca kicked out of cell from intraceullular fluid
3) Na/Ca exchanger.
Term
GPCR overall regulation
Definition
aka RECEPTOR DESENSITIZATION -tachyphylaxis, refractory, adaptation, down-regulation...
Term
Receptor Desensitization
Definition
2 Mechnisms
1) Receptor phosphorylation
2) Receptor internlization aka SEQUESTRATION
Term
What is Receptor Phosphorylation
Definition
PART 1 of RECEPTOR DESENSITIZATION:
Ser and Thr is phosphylated by Kinases which decreases its binding affinity to G-proteins.
*PKA can phosphyrlate it, but also other GPCR's = HETERLOGUS DESENSITIZATION
Term
What is RECEPTOR INTERNALIZATION
Definition
Part 2 of Receptor desensitization.
This is also known as SEQUESTRATION
Uses a scaffolding protein, ARRESTIN, to recruit other proteins in order to intiate a different signal transduction pathway.
Term
Protein phosphylation is done by? Dephosphorylation?
Definition
ATP kinases, which makes it INACTIVE, Protein phosphatases, which makes it Active.
Term
How does phosphorylation make something active/inactive.
Definition
It has a highly NEGATIVE CHARGE (-2), which changes the LOCAL CHARGE/HYDROPHOBICITY which causes CONFORMATION CHANGE (primary, secondary, etc) and THUS FUNCTIONAL ACTIVITY.
*in addition, it is a covalent atttachement to free side chain of OH on Ser Thr or Tyr
Term
What are RTK's?
Definition
Soluble or membrane bound hormones that attach to ligands to create effects
Term
Process of RTK's
Definition
1) LIGAND binds,
2) Phosphorylation of tyrosine residues.
3) Adapator proteins like GRB2 and Ras proteins can bind and start reaction
Term
Role of Ras
Definition
a GTPase switch protein, is a proto-onconogene - basically when a mutation of Ras = cancer.
It stimulates Raf -> MEK -> MAPk (map-kinase) -> several transcription factors
Term
Example of Ras Drugs
Definition
TRASTUZUMAB: aka HERCEPTIN
- bind to HER2, receptor, a RTK like EGFR, forming a heterodimer and inhibits it, inducing tumor reduction/regression.
Term
Drugs utiliized as Tryosin kinase INhibitors
Definition
CP GE and EV IT
1)monoclonal anitbodies to EGF
CETUXIMAB = ERBITUX
PANITUMUMAB = VECTIBIX
2)Binds to EGFR
GEFITINIB = IRESSA
ERLONTINIB = TARCEVA.
Term
Extrinsic Tyrosine Receptors aka
Definition
Cytokine Receptors. THe kinase function is not a part of the receptor protein, and uses Ligand binding.
Term
Cytokine Receptor Process.
Definition
JAK kinase = no transmembrane region, no ligand binding domain = non-receptor tyorsine kinase.
Term
Cytokine receptrs uses SH2 and PTB domains as
Definition
attaches to phosphotyrosine residues that served as their "docking sites".
Term
INsulin is an example of what type of receptor?
Definition
RTK example where glucose uptake increases, increased glycogen synthesis, glucose for energy, inhibits gluconeogensis, lipid/protein synthesis.
Term
INsulin Signaling cascade of IRS-1
Definition
activates ras/map kinase to promote activity of insulin/growth!
Term
INsulin signaling by IRS-2
Definition
uses PI-3. (not IP3 of GPCR)to
1) activate PKB = phosphyrlate GSK3 = inhibit it, so glycogen systhesis is stimulated.
*GSK3 = glycogen sythase kinase-3, which means inactivates glycogen sythase...
2)recruit PK to increase upregulation f glucose transport via GLUT4 = increase number of glucose transporters .
Term
Specifics of Jak-stat
Definition
bind to Tyr-phosphyrlated receptor, dissociate from receptor, dimierize, and the move to nucleus.
Term
Cytokine Signaling Example with EPO. What is it?
Definition
Released from kidneys when low oxygen. It stimulates blood cell production by preventing apotpsosis.
Term
Cytokine Signaling: EPO, MOA
Definition
Binds to receptor => phosphyrlation => JAK-2-Stat5 activation = >transcriptional activation
Term
EPO/cYTOKINE PATHWAYS
Definition
A) STAT5
B) GRB2/SHC -> RAS -> MAPkINASE
C) PLC -> increase Ca
D) PI-3 -> PK-b
Term
Regulation of Cytokine
Definition
1)PhosphoTyrosine Phosphatase = inactivate JAK's
2) Feedback Loop = STATS
3) Desensitization *think same thing as GPCR's. SO basically...receptor phosphorylation and internilization. = phosphylation and recruiting other cytosolic proteins (via Arrrestin)
Term
Protein Cleavage achieved by?
Definition
Proteolytic degradation of a protein (think NF-KB signalling)when TNF or IL-1 activates....
Term
What is NF-KB
Definition
It is present in the cytosol as inactive, but when "stress" will be "rapidly activated"
Term
NF-KB activation process
Definition
TNF and IL-1 -> phosphrylates I-KB Kinase (does poly0ubiquetinaiojdion) -> free NFKB goes to nucleus = gene transcription.
Term
Difference between RTK and Cytokine Receptors
Definition
Cytokine receptors are transmembrane receptors with no kinase activity of their own, but RTK's DO!...
Term
Characteristics of Ion Channels
Definition
1)Fast!
2) Combines receptor and effecto function
ex. Nicotinic AcH receptor
Term
Nicotinic is an example of? What does it do?
Definition
Ligand Gate Ion Channel.
It control pore for Na and Ca and uses AcH as its endogenous ligand.
Term
3 types of Nicontic Receptors
Definition
Depolarization in
1) Muscle:
2) Neronal (CNS)
*distinction between the two: Only muscle Nic Receptor binds the snake venom toxins with high affinity.
Term
Drugs utilizing Nictonic (Ion Channel Receptors)
Definition
Curare, to achieve muscle relaxation by blocking nicotinic receptors
and VARENICLINE = an agonist for CNS for smoking cessation.
Term
Structure of Nicotonic Receptor
Definition
Pentameric Structure with 4 membrane domains.
Uses ASP and GLU side chains via M2 Transmembrane segment on the hydrophobic alpha helix.
PORE
Term
Basal State of Nictonic Receptor
Definition
AC is abound on alpha subunit, where two ligand molecules have "cooperative behavior, so that the whole pentamer changes. Otherwise channels are closed at the basal state.
Term
Ion Channel Types
Definition
1) LIgand Gated = Gaba and Nicotonic
2) Voltage Gated.
Term
Gaba receptor structure
Definition
Anion channel for Cl-
Also pentameric, just like nocotinic.
with 6 alpha, three beta, three gamma, and one delta.
Term
So what's the difference between gaba and nictonic? and what does it do differently?
Definition
Its a Inhibitory thingy.
It opens chnannels for Cl- so it's actually hyperpolarizing, no depolozrizing.
Term
Drugs and Gaba
Definition
Benzodiaspaine: has allosteric sites for ...
1) BZ agnists bind to enhance GABA
2) BZ antagonist blocks agnoists, otherwise no activity.
3) Inverse negativel alloster modulators to inhibit Gaba
Term
Any other drug/chemical regulators of GABA?
Definition
1) Ethanaol, Barbiturates, and Steroids.
2) Znion specifically block GABA receptors and its known that convulsants block GABA too in order to enhance excitability.
Term
To review, what the ion channels, and are there others?
Definition
The main ones are Ligand Gate Ion Channels, and GABA.
Other examples include:
1) Ionotropic Glutatamate/Aspartate Receptors (AMPKA; KAINATE; NMDA)
2) Serotonin 5HT
*the first two are excitatory
3) Glycine Receptors = iNHIBITOR.
Term
Difference between voltage gated K, Na, and Ca
Definition
Tetramers = K
Na and Ca = large monomers
Term
Strucure of Voltage
Definition
1)4th transmembrane = voltage sensor
2) PLoop formed from segments 5 and 6
3) Loops form CLOG for the PORE = inactivate channel.
4) has alpha = activating
5) beta = regulatory.
Term
Drugs and Voltage Gated Ion Channels
Definition
1) Anesthetics
2) Antiarrhythmics
3) Antieplipetics
4) Antihypertensives
Term
MOA of Local Anesthetics
Definition
act on Na Channels to block action potentials
Term
Anti-epileptics
Definition
can act on ligand and voltage ion channels
Term
Anti-arrhymthmics MOA
Definition
Na channel blockers (again, like anesthetics)
Term
Antihypertensive MOA
Definition
Ca blockers
Term
of the voltage gated channels, which one is most heterogenous?
Definition
POTASIIUM CHANELS!
so lots of drug targets.
Term
name some examples of NUCLEAR RECEPTORS as a drug target
Definition
CAD SLT (CAD Stream-Load Time)
1) Corticosteroids
2) Vit A
3) Vit D
4) Steroids
5) Lipids
6) Thyroid
Term
Nuclear receptors all belong to?
Definition
Transcription Factors family where they bind to DNA targets called REGULATORY elements.
Term
Characteristics of Nuclear Receptors
Definition
All are Transcription Factors
Contain 3 distinct domains
Term
How do Nuclear Receptors Act like TF?
Definition
Have Zince Finger ptortines.
Exisit as homo or heterodimers
Have various DNA domains , binding, activation, flexible
Term
the 3 distinct domains of Nuclear Receptors
Definition
1) Activating (NH2 Terminal)
2) Dna Binding = Zinc Finger
3) Ligand Binding (COOH terminal) is conserved and not vary.
Term
Nuclear Receptors: Characteristics of HomoDimers
Definition
1) exist in cytosol if no ligand
2) Inverted Repeats
3) tyype 1 receptor
Term
Characteristics of Nuclear Heterodimers
Definition
RXR is partner
Direct repeats at varaible distances
remain in nucleaus even if ligand is present
Type 2 receptors.
Term
Homo vs Hetero
Definition
Homo:
1) If no ligand, exist in cytosol,
2) Type 1
3) Inverted Repeats
Hetero
1) Type 2
2) Direct repeats at variable distances
remain in nucleaus with or without ligand
aka RXR
Term
Response elements?
Definition
Short consesus DNA seqeuences with inverted repeats or direct repeats.
Term
Endogenous ligands that bind to GPCR
Definition
Muscarni,
adrenergic
angiotensin,
dopamine,
histamine
opoid
Serotonin (hydoxytryptamine)
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