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41 Cards in this Set

  • Front
  • Back
What allows for drug ligands to bind to their receptors?
Formation of bonds
What are 3 types of bonds involved in ligand-receptor binding?
1. Ionic
2. Hydrogen
3. Van der waal
What is involved in Ionic bond formation?
Charged amino acids on weak acids or bases
What is the ionization state of many weak acids or bases that are drugs, at physiological pH?
Charged
What is Ionic bonding the major determinant of in pharmacodynamics?
k1 - the association rate constant
What allows for Hydrogen bonds to form?
Hydrogens that are bound to electronegative atoms like FON, resulting in the H have a partial positive charge.
How do Hydrogen bonds compare to ionic bonds in general?
-H bonds are weaker
-Require ionic bonds to be formed first
What are the weakest bonds involved in ligands binding their receptors?
Van der waals
What type of bonds are Van der Waals?
Hydrophobic interactions that require very close distances
How do Van der Waals forces compare to ionic and hydrogen bonds?
They are the weakest; only strong when added together.
What effect do Van der Waals forces have on ligand-receptor binding?
They STRENGHTEN the binding interaction generated by ionic/hydrogen bonding
What are Van der Waals forces the major determinant of?
K2 - the dissociation rate constant
What does the Occupancy theory refer to?
The transduction of ligand binding into a cellular effect.
Who proposed the occupancy theory?
AJ Clark
What are the 2 implications of the occupancy theory?
1. The Effect of a drug binding its receptor is proportional to the fraction of occupied receptors
2. Maximal effect occurs when all receptors are occupied
What is the ratio of Observed effect / Max effect equal to?
[LR]/Rt
(the effect observed is proportional to the fraction of occupied receptors)
What is Kact?
The activation constant
What is another name for Kact?
EC50
What is the EC50?
The concentration of ligand that results in 1/2max effect
What is EC50 comparable to?
Kd
So how do you calculate E?
E = Emax x C / Kact + C
What does the Occupancy theory fail to remember?
That there are drugs that bind to receptors and cause NO effect, or reduced effects
Who modified the Occupancy theory to account for varying degrees of how much a drug can cause an effect?
Ariens
How did Ariens modify the occupancy theory?
By saying that an Effect is proportional to the fraction of occupied receptors AND the intrinsic activity of the ligand
What is the symbol for Intrinsic Activity?
alpha
How do we calculate the fraction of Observed Effect:Max Effect based on Arien's modification?
E/Emax = alpha x (Lr/Rt)
What is Intrinsic Activity mathematically?
The ratio of Emax of the compound of interest acting on a certain receptor, to the maximum Emax for a full agonist of that receptor
So Alpha =
Alpha = Emax/Emax max
What is the intrinsic activity of
-An agonist
-A Partial agonist
-An antagonist
Agonist = 1
Partial Agonist = between 0-1
Antagonist = 0
What is another name sometimes used for Intrinsic Activity?
Efficacy
What is a drug (ligand) that has Intrinsic Activity of 0, but High affinity for its receptor?
Curare - the ACh receptor antagonist
What happens to the rectangular hyperbolic shape of the concentration-effect curve if you instead plot logC?
It becomes sigmoidal
Who made the final modification to the occupancy theory?
Stephenson
What was Stephenson's modification of the occupancy theory?
That not all receptors have to be occupied in order for maximal effect to be occurring
How can the maximum effect be exerted by a drug if not all receptors are bound?
Tissues have spare receptors
What is the mathematical implication of the Stephenson modification?
The Kd (conc of L at which 1/2 of all receptors are bound) is not necessarily equal to the EC50 (conc of L at which 1/2 the max effect is observed)
How does the EC50 compare to Kd for most drugs in fact?
It is often lower than the Kd
How does the Stephenson modification change the calculation for E/Emax?
E/Emax = f(a x LR/Rt)
What is the function of spare receptors?
To increase the sensitivity of a cell to a low concentration of ligand
How do spare receptors increase the sensitivity of a cell to low drug concentrations?
At the same concentration of D, a larger proportion of Rt will be occupied, and since 1 effect results from every Receptor bound, the effect is larger for a tissue with spare receptors.
So the presence of spare receptors together with the normally low affinity of endogenous agonists allows for:
High sensitivity without long activation time