| 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 
 | 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 
 | Definition 
 
        | combo of pharmcokinetic and pharmacodynamics to the therapueutic management of patients |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Receptors can encompass... |  | Definition 
 
        | -Coupled to signal transduction mechansim -enzymes
 -transport and structural proteins
 -ion channels
 -dna and rna...
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | exo or endogenous substances such as hormones that bind to receptor proteins to cause signaling events. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | everything that occurs between binding of ligand to receptor and the effect |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Pharmacologic: Mediator they respond to -Biochemical: the response elicted
 -Molecular/Structural: primary amino acid sequence
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ligand Gated Ion > G Protein Coupled Receptors > Kinase-Linked > Nuclear |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pharmacologic vs Physiologic |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | *Remember not a G-protein 1)Monomeric protein
 2) 7 transmembrane alpha-helical segments
 3) C-terminal tail (regulatory)
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | Definition 
 
        | Synthesized from Adenylyl Cyclase: 2 catalytic domains and 12 Transmembrane |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | GlycogenPhosprylase Kinase or CREB transaction factors. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 1)Hydrolysis GTP so GDP binds to alpha 2)Cleavage of cAMP by phosphodiesterases
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Smooth Muscle Relaxation by -phosphyrlates MYOSIN LIGHT CHAIN KINASE and PHOSPHOLAMBAN = increases reuptake of calcium into sarcoplasmic reticulum = reduced calcium levels
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | Definition 
 
        | DAG is phosphyrlated by PHOSPHATIDIC ACID. *Note, termination is phosphrylated, not dephosphyrlated like with IP3.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 1) Reuptake by ER via Ca ATPase pump 2) Ca kicked out of cell from intraceullular fluid
 3) Na/Ca exchanger.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | aka RECEPTOR DESENSITIZATION -tachyphylaxis, refractory, adaptation, down-regulation... |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Soluble or membrane bound hormones that attach to ligands to create effects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 1) LIGAND binds, 2) Phosphorylation of tyrosine residues.
 3) Adapator proteins like GRB2 and Ras proteins can bind and start reaction
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | A) STAT5 B) GRB2/SHC -> RAS -> MAPkINASE
 C) PLC -> increase Ca
 D) PI-3 -> PK-b
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | It is present in the cytosol as inactive, but when "stress" will be "rapidly activated" |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | 1) LIgand Gated = Gaba and Nicotonic 2) Voltage Gated.
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | act on Na Channels to block action potentials |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | can act on ligand and voltage ion channels |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Na channel blockers (again, like anesthetics) |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | 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 
 | 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 
 | 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)
 |  | 
        |  |