| Term 
 | Definition 
 
        | Study of the effects of chemicals on cells & organisms |  | 
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        | Term 
 | 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 
 
        | def 
 Pharmacokinetic process
 |  | Definition 
 
        | ADME - Absorption, Distribution, Metabolism, Excretion |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The study of how the target cells respond to the delivered concentration of drug (what the drug does to the body) |  | 
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        | Term 
 
        | What are the spectrum of Drug Sizes? (molecular wt) |  | Definition 
 
        | Varies from small ions to large proteins |  | 
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        | Term 
 
        | When do drugs have a greater ability to cross biological membranes? |  | Definition 
 | 
        |  | 
        
        | 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. |  | 
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        | Term 
 
        | What are the majority of drug receptors? |  | Definition 
 | 
        |  | 
        
        | 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 |  | 
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        | Term 
 
        | Which receptor type is used by >50% of the currents drugs used? |  | Definition 
 
        | G Protein-Coupled Receptors |  | 
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        | 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 
 | 
        |  | 
        
        | 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 
 | 
        |  | 
        
        | 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 
 | 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 
 | 
        |  | 
        
        | 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 
 | Definition 
 
        | gated channel to release intracellular Ca2+ |  | 
        |  | 
        
        | Term 
 
        | What activates PKC (Protein Kinase C)? |  | Definition 
 | 
        |  | 
        
        | 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 
 | 
        |  | 
        
        | Term 
 
        | What is the equation for the equilibrium dissociation constant for drug & receptor? |  | Definition 
 | 
        |  | 
        
        | 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 
 | 
        |  | 
        
        | 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 
 | Definition 
 
        | a ligand that binds to a receptor to directly activate a signaling pathway. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | stablize receptor in a particular conformation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | measure of the maximum response obtained with the highest concentrations of the agonist. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Measure of the concentration of agonist required to achieve 50% of maximum response |  | 
        |  | 
        
        | Term 
 
        | What is EC50 usually equivalent to? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is used to compare 2 agonists for the same receptor? |  | Definition 
 | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 
        |  | 
        
        | Term 
 
        | def 
 competetive antagonist
 |  | Definition 
 
        | an antagonist that binds reversibly therefore can be competed away by higher agonist concentrations. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | when an antagonist binds to its receptor, it "blocks" further binding of an agonist => hindering ability to activate receptor. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | 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 
 | 
        |  | 
        
        | Term 
 
        | def 
 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 
 | 
        |  | 
        
        | Term 
 
        | What is the equation for the response for non-competitive antagonism? |  | Definition 
 | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | produces a response opposite that of an agonist. 
 (unlike antagonist when alone produces no response)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | diffusion rate. 
 (it's fairly constant for sm. ligands)
 |  | 
        |  | 
        
        | Term 
 
        | What determines the magnitude of KD? |  | Definition 
 | 
        |  | 
        
        | 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 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-competitive Antagonist |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | 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. |  | 
        |  |