This document discusses the mechanisms of action of how drugs interact with the body at a molecular level. It describes how drugs can interact with receptors, enzymes, and ion channels to alter their normal functions. Specifically, it defines key terms like agonists, antagonists, efficacy, potency, and how drugs can cause effects through receptor activation, inhibition, or desensitization. It provides examples of different types of receptors that drugs can target, such as G-protein coupled receptors and intracellular receptors, and how their activation leads to changes in cellular processes.
This document discusses the mechanisms of action of how drugs interact with the body at a molecular level. It describes how drugs can interact with receptors, enzymes, and ion channels to alter their normal functions. Specifically, it defines key terms like agonists, antagonists, efficacy, potency, and how drugs can cause effects through receptor activation, inhibition, or desensitization. It provides examples of different types of receptors that drugs can target, such as G-protein coupled receptors and intracellular receptors, and how their activation leads to changes in cellular processes.
This document discusses the mechanisms of action of how drugs interact with the body at a molecular level. It describes how drugs can interact with receptors, enzymes, and ion channels to alter their normal functions. Specifically, it defines key terms like agonists, antagonists, efficacy, potency, and how drugs can cause effects through receptor activation, inhibition, or desensitization. It provides examples of different types of receptors that drugs can target, such as G-protein coupled receptors and intracellular receptors, and how their activation leads to changes in cellular processes.
Pharmacodynamics Describes the biochemical interaction between a Sonia Alam Pharmacodynamics is the study of how drugs interact drug and organism. Drugs do NOT induce new Sumaya Aslam functions in tissues, they alter the rate or strength of Tania haq with a molecular target, i.e.; effect of the drug on the body. existing functions. Tachyphylaxis Enzyme Interactions The receptor may become desensitized Receptor Drug molecules selectively Non-Selective due to too much agonist stimulation Protein molecules with one or more binding sites, bind to naturally occurring Receptor Interactions Interactions Drug resulting in diminished response. This located on catalysts Drug molecules molecules physically phenomenon, called tachyphylaxis. cell membranes. Receiv e a signal from the body’s selectively bind to interfere with, or chemicals: neurotransmitters, hormones, enzymes. reactive sites on cell chemically alter cellular Chemicalbinding surfaces alters the enzyme structures & processes.. Down-regulation interaction with A decrease in total receptor number in the normal target cell due to endocytosis and subsequent Transmembrane ligand-gated lon channels Antagonists molecules to 1 or degradation of the receptors caused by more commonly, Agonists Bind to cell Antagonism may occur either by blocking long-term exposure to agonists. The extracellular portion of ligand-gated lon channels reaction rotes receptors to function the drug’s ability to bind to the receptor or contains the drug-binding site. The channel is usually by blocking its ability to activate the closed until the receptor is activ ated by an agonist, receptor Full Agonists which opens the channel for a few milliseconds. Allosteric antagonists Up-regulation of receptors Depending on the ion conducted through these if a drug binds to a receptor Competitive antagonists channels, these receptors mediate div erse functions, and produces a maximal if the antagonist binds to An allosteric antagonist binds In which receptor reserv es are inserted into including neurotransmission and muscle contraction. biologic response that mimics the same site on the to a site (allosteric site) other the membrane, increasing the number of the response to the receptor as the agonist Enzyme-linked receptors in a rev ersible manner, it than the agonist-binding site receptors av ailable. endogenous ligand, it is a full agonist is “competitive and prevents receptor This family of receptors undergoes activ ation by the agonist. conformational changes when activ ated Partial Agonists Partial agonists Irreversible antagonists by a ligand, resulting in increased hav e intrinsic activ ites greater Functional antagonism Desensitization than zero but less than one rev ersible antagonists intracellular enzyme activ ity. This response bind cov alently to the An antagonist may act at a Repeated or continuous administration of lasts for minutes to hours. Inverse Agonists activ e site of the completely separate receptor an agonist or antagonist often leads to Transmembrane G protein-coupled receptors receptor, thereby initiating effects that are inv erse agonists have an intrinsic changes in the responsiv eness of the permanently reducing functionally opposite those of receptor. There are many kinds of G proteins for example, Gs, activ ity less than zera, rev erse the number of receptors the agonist Gi, and Gq. Gs: activ ates adenylyl cyclase → the activ ation state of receptors av ailable to the agonist produces CAMP. Gi: inhibits the activation of and exert the opposite pharmacological effect of adenylyl cyclase. Gq: generates secondary agonists. managers (1. IP2 and 2. DAG) Intracellular receptors Dose-response relationship Toxic Dose 50% (ED50) The Efficacy (emax) Alterations in absorption, dose which results in an The primary targets of activated intracellular the maximum response to distribution, metabolism adverse effect in 50% of the Therapeutic Index (TI) Describes receptors are transcription factors in the cell a drug produced in and excretion change sample population a margin of safety between the nucleus that regulate gene expression. Other randomized control trials. effects of a giv en dose effectiv e and toxic dose Potency (EC50) Effective Dose 50% (ED50) targets of intracellular ligands are structural TI = TD50/ED50 the concentration of a The dose which results in proteins, enzymes, RNA, and ribosomes. drug required to produce therapeutic effect in 50% of 50% of emax the sample population.