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Pharm -3- Pharmacodynamics

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Question
Answer
What is Pharmacology   the study of the interaction of chemicals with biological systems  
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What is Pharmacodynamics   the study of the biochemical and physiological effects of drugs and their mechanism of action.  
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What is Pharmacokinetics   ADME, absorption, distribution, metabolism, exrection  
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Objectives of pharmacodynamics   1. to show the chemical or physical interactions between a drug and a target cell 2. the sequence and scope of actions of each drug 3. to provide the basis for both the therapeutic use of a drug and the design of new and superior drugs  
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What is a Drug   chemical substance that alters physiologic function of cells and tissues through a chemical reaction Chemical substances used to prevent, treat or provide symptomatic relief of disease  
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What are the 5 Basic Principles of Drug Theory   1 binds specifically 2 alter pathways 3 inhibit/activate 4 compare to basal levels 5 proportional response  
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Drugs chemically bind to specific cellular macromolecules known as receptors ultimately triggering some biochemical response. The response can be measured at the level of the cell, tissue, organ or whole organism refers to what part of the drug theory   1 binds specifically  
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II. Drugs do not create new cellular responses but alter preexisting ones refers to what part of drug theory   2 alter pathways  
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III. Drugs inhibit or activate biochemical or physiological processes or replace elements needed to initiate or enhance cellular processes refers to what part of drug theory   3 inhibit/activate  
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IV. The response to and effectiveness of a specific drug must be measured by comparing it to the physiologic activity of the system it affects prior to administration refers to what part of drug theory   4 compare to basal levels  
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V. The response of a system to any given drug is proportional to the dose of the drug, the extent of the physical interaction with its receptors and the number of receptors containing bound drug refers to what part of drug theory   5 proportional response  
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Most drugs are what size   MW between 100 and 1000 g/mole  
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a sufficient size gives a compound a unique structure which facilitates what   selective receptor binding  
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smaller compounds and ions do not _____ ____ to receptors   Bind selectively  
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Why do large drug molecules need to be administered parentally   may not readily be absorbed in the GI tract (protein drugs)  
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The hypothesis that drugs must have a complementary shape to the receptor for binding to occur is called   Lock and Key Hypothesis  
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Stereo isomerism is important because   Normally only one optical isomer of a drug is pharmacologically active  
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Drug Polarity refers to it being either __________ or __________   Hydrophobic or Hydrophilic  
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Site of Drug Action are known as what and give 3 sites of drug action   receptor 1 Membrane protein (adrenergic receptor) 2 Cytoplasmic/extracellular enzyme (gastric proton pump, cyclooxygenase (COX) 3 Nucleic acid (alkylating agents)  
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What are the 2 Main categories for receptors   Molecules essential to normal cellular function (enzymes, nucleic acid, etc.) and **Molecules specifically involved in intercellular communication (specialized receptors)  
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**Molecules specifically involved in intercellular communication (specialized receptors) are more commonly known as what   Generally are G protein linked receptors  
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What are the Common Features of Receptors   Molecular Weight 45 to 200 kilodaltons, may be composed of a single or multiple protein subunits, Receptor activities are localized to a discrete portion of the receptor  
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How are receptors Grouped   Super families, Families and finally subtypes IE GPCR, Alph or Beta, Alpha1 Alpha 2, Alpha 1a  
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I. What are the characterisitcs of the 7 Trans membrane spanning (TMS) G Protein Coupled Receptors (Metabotropic Receptors)   i. 7, nonpolar, transmembrane regions ii. three extracellular loops iii. three intracellular loops iv. extracellular amino terminal tail v. intracellular carboxy terminal tail vi. coupled to G proteins  
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Where does the G protein bind to within the GPCR   Heterotrimeric G proteins bind to third intracellular loop and carboxy terminal tail  
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What is the time frame for action with GPCR's   Minutes  
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What ere the 5 Common features of membrane-bound receptor   1 Hydrophobic and hydrophilic segments 2 Act as signal transducers 3 Initiate a signal transduction pathway 4 May have enzymatic properties 5 Often contain lipid or carbohydrate modifications  
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what type of receptor do 30-50% of drugs affect   GPCRs  
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What two subunits of the G protein never separate   gamma and Beta  
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what subunit separates away from the betas and gamma subunits of the G protein   Alpha subunit  
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alpha stimulatory subtypes cause ____ adenlyle cyclase activity and ______ cAMP   Increase adenylyl cyclase activity and Increase cAMP  
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What are common alpha stimulatory receptors   B1 adrenergic, B2 adrenergic, glucagon receptor  
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Alpha i subunit subtypes cause ____ adenylyl cyclase activity and ______ cAMP   Decrease adenylyl cyclase activity and decrease cAMP  
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What are common alpha i receptors   alpha 2 adrenergic receptor, mu opiod receptor  
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Alpha q/11 subtype _________ phospholipase C which then ________ protein kinase C and IP3   increase phospholipase C and then activates protein kinase C and IP3  
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In desensitization and internalization of receptors what is the key in determining if it gets sent to lysosome or back to the membrane   length of stimulation  
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In desensitization and internalization what is the molecule that phosphorylates activated receptors that don't have their G-proteins attached anymore   GRK (G protein coupled receptor kinase)  
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What molecule attaches to phosphorylated receptors to signal internalization   Beta-arr  
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decreased effect to a drug when used at a similar dose is know as _______ or _______   desensitization or tachyphylaxis  
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This typically deals more with the rapid effects of phosphorylation or internalization of receptor and no receptor degredation   desensitization or tachyphylaxis  
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Like desensitization manifests a decreased response but has long lasting effect due to degradation of the receptor.   Down-regulation and tolerance  
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increased response to a drug following increased synthesis of receptors   sensitization  
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adaptive response that is a result of receptor blockade (long term treatment with antagonist)   Sensitization  
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Results with loss of endogenous ligand   sensitization  
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long term treatment with antagonist   receptor blockade  
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what are the common alpha q/11 receptor types   Alpha 1 adrenergic receptor, angiotensin  
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these receptors are multiprotein subunits usually tatramer or pentamer and make a pore through wich positively or negatively charged molecules flow   ligan gated ion-channels  
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what is the timeframe of action of ion channel receptors   miliseconds  
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receptors that produce an effect by altering cell's membrane potential   ion channel receptors  
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polypeptide receptor that has extracellular hormone binding domain, cytoplasmic enzyme domain, hydrophobic segment that connects the binding domains.   tyrosine kinase receptors  
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what is the time frame of action for tyrosine kinase   minutes/hours/days  
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receptors effects are on cellular function as well as the regulation of the transcription of gene involved in cell growth and differentiation   tyrosin-kinase receptor  
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what are 4 endogenous activators of tyrosin kinase receptors   insulin, epidermal growth factor, platelet-derived growth factor, and atrial natriuretic factor.  
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polypetide receptor with extracellular hormone binding domain hydrophobic segment that connects domains, separate mobile tyrosine kinase JANUS KINASE (JAK)   Cytokine receptor  
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Receptor that regulates genes involved in synthesis and release of many inflammatory mediators and hematopoeitic factors   Cytokine receptor  
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What is the time frame of action of a cytokine receptor   hours to days  
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Endogenous activators of cytokine receptors   cytokines, growth hormones, erythropoietin, interferon  
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hormone binding receptor with DNA binding domain transcription activating domain which primarily acts to regulate gene transcription   intracellular receptors  
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What is the time frame of action of an intracellular receptor   hours/days  
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What are the endogenous activators of intracellular receptors   corticosteroids mineralcorticoids sex steroids vitamin D thryoid hormone  
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Drugs that act at nuclear receptors are   hydrophobic  
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What are the 4 types of bond in decreasing bond strengths   covalent bond ionic bond hydrogen bond Van der Waals  
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measurement of how readily a molecule will bind to a receptor   binding affinity Kd  
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concentration of drug required to bind 1/2 of the receptors in a fixed population   Kd binding affinity  
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The Higher Kd of the drug the _______ its affinity for the receptor   the lower its affinity for the receptor high Kd equals low affinity  
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binding of a drug to a receptor can be reversible or irreversible true or false   true  
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true or false binding of a drug to the receptor is a stereoselective reaction   true lock and key theory  
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True or false specificity of drug to receptor is not absolute and therefore you can get side effects   true  
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L+R <---> LR* -----> biological response   law of mass action L=ligand R=receptor R* activated receptor  
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end result of ligand receptor interactions can be biochemical, physiological or both   biologic response- only specific drug-receptor complexes will produce biological response  
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what is the equation for Kd   Kd= [L][R]/[LR]  
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ability of a ligand to induce the receptor to adopt an active conformation to get a biological response   efficacy  
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Efficacy is measured bewteen what   0-1  
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substance which bind a receptor and produces a biological response   agonist  
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substance which has a maximum biological response can reach that response be either activating 100% or less of the receptors have an efficacy of 1   full agonist  
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A substance that produces even at highest concentrations and 100% receptor binding less than maximum response of system efficacy less than 1   partial agonist  
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substance that produces a decrease in basal activity of a system   inverse agonist  
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compounds that increase the affinity or efficacy of agonists for the receptor and act at a site other than the active site   allosteric agonist or enhancers  
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What is a chemical antagonist and name an example   direct chemical interaction between agonist and antagoinist in such a way that renders the agonist pharmacologically inactive such as chelating agents  
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what is physiological antagonism   interaction of two agonists that act independantly but happen to cause opposite effects and cancel each other out. actylcholine and epinepherine's actions on the heart  
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substance that inhibits a biological response by acting at a site beyond the receptor and can block agonist acting through more than one receptor.   indirect antagonism  
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Most frequently encountered type of agonist encountered in clinical practice agonist and antagonist compete for the binding site on the receptor   competitive antagonist has affinity but no efficacy  
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Types of competitive antagonists   reversible antagonist- (equilibrium competitive antagonist) irreversible antagonist- (nonequilibrium competitive antagonist) Allosteric Antagonism  
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type of competitive antagonist that binds reversibly to receptor antagonist can be overcome by agonist at receptor   reverible antagonism  
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type of competitive antagonist that binds irreversibly via covalent bond to the receptor cannot be overcome by agonist at receptor   Irreversible antagonist  
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Chemical compound that reduces the affinity and or efficacy of agonist for receptors by binding and altering receptors conformation binds to distinct location than agonist binding region   allosteric antagonist  
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