Inverse agonism:
Inverse agonism is phenomenon associated with G-protein coupled receptor (GPCR), in which inverse agonist binds to the same receptor as an agonist but induces an opposite pharmacological response to the agonist. For inverse agonist response the receptor must have an intrinsic activity in the absence of any ligand1,2.
How inverse agonist act?
According to the two state receptor theory, receptors are quiescent at rest (Ri) and are stimulated by drugs (R*, receptors are switched on) known as agonists. Antagonists do not have intrinsic activity and therefore oppose the effects of agonists by preventing agonist binding and activation …show more content…
This means that a proportion of the receptor population spontaneously undergoes a conformational change that can bind and activate G-proteins or the alternative pathways.
Examples of inverse agonists include cimetidine and ranitidine on H2 receptors, haloperidol on D2 receptors, prazosin on α1-adrenergic receptors, timolol on β2-adrenergic receptors, clozapine on D2 and 5HT2C receptors5, GABAA receptor (such as benzodiazepines) inverse agonists have anxiogenic effects (for example, Ro15-4513) or convulsive effects (certain beta-carbolines)6,7 and yohimbine on α2A-adrenergic receptors8.
Undeniably, many drugs previously believed to be competitive antagonists have recently been shown to act as inverse agonists and it can be expected that several more inverse agonists will be …show more content…
An exciting area is hypertension, where constitutive activation of beta-adrenergic receptors may lead to a rise in blood pressure. Potential new antihypertensive with inverse agonism can standardize the receptor movement, giving a balanced restorative way to deal with vital hypertension. In future it will likewise be feasible for a clinician to have exceedingly specific specialists with changing degrees of remedially helpful inverse agonistic action for the treatment of chronic disorders, for example, asthma and constant congestive heart failure.14 New discoveries soon in the field of GPCRs will lead to novel restorative methodologies going for the streamlining of