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what are the four main classifications of drug targets
receptors, ion channels, enzymes, transporters
what are the two main pathways an agonist can cause an effect upon binding to a receptor
directly, through transduction mechanisms
what is an example of a direct effect an agonist may have upon binding
ion channel opening or closing
what are three basic examples of transduction mechanisms
enzyme activation/inhibition, ion channel modulation, DNA transcription
what is different about antagonists compared to agonists
antagonists do not cause a direct biological effect
what are the two main ways ion channels can respond to stimuli/drugs
as a receptor by binding to a ligand, by responding to physical stimuli like pressure or changes in membrane potential
what are the two main ways drugs act on ion channels
as blockers, as modulators that increase or decrease the opening probability
which drug target is an especially important one
enzymes
what are the three main ways drugs can interact with enzymes
inhibitors, false substrates which produce an abnormal metabolite, prodrugs which are changed into an active drug
what is a prodrug
a drug that has no biological effect until it has been metabolised in some way
where do transporters sit
in cell membranes
what are the two main ways drugs can act on transporters
inhibitors, false substrates which accumulate an abnormal compound
what properties do ligands that bind to cell surface receptors have
water soluble, short half lives
what properties do ligands that bind to intracellular receptors have
lipophilic
what are ionotropic receptors
ligand gated ion channels
what are the key features of ionotropic receptors
membrane spanning, millisecond activation, hyperpolarization/depolarization
give a brief overview of what happens when a ligand binds an ionotropic receptor and of their structure
causes a conformational shift in the ion channel which is essentially either closed or open, binding domain is outside, has a series of transmembrane domains which line the pore
what are metabotropic receptors
G protein coupled receptors
give a brief overview of metabotropic receptors
membrane spanning, activation in seconds, second messengers/protein phosphorylation (needs other proteins to produce their effect)
give a brief overview of ligand binding to metabotropic receptors and their structure
ligand binds on outside of cell, causes a conformational change, can change ion permeability or initiate second messenger systems, can involve calcium release, phosphorylation, etc, has seven transmembrane domains, intracellular G protein coupling domain
give a brief overview of kinase linked receptors
membrane spanning, activation in hours, protein phosphorylation causing changes in gene transcription and protein synthesis
why is the biological effect of kinase linked receptors slow
protein phosphorylation doesn’t lead to cascades, the effects are limited by the speed of gene transcription
brief overview of kinase linked receptor structure
extracellular binding domain, single transmembrane domain, intracellular catalytic domain
brief overview of kinase linked receptor action
ligand binds to extracellular domain, activates intracellular kinase domain, kinase transfers phosphate from ATP onto specific amino acids on the receptor or other proteins, triggers downstream signalling pathways
brief overview of intracellular receptors
ligand must pass through cell membrane, transduction of effect takes hours, leads to changes in gene transcription and protein synthesis
brief intracellular receptor structure
binding domain, DNA binding domain (zinc fingers), no membrane spanning domain
where can intracellular receptors be found
nucleus, cytosol
do the effects of intracellular receptors always lead to an increase in gene transcription
no, can also decrease or turn off transcription
what percentage of prescription drugs target intracellular receptors
15%
how many intracellular receptors are there
48
what are some examples of steroid hormones
oestrogen, testosterone, cortisol, aldosterone, progesterone
what diseases are orphan receptors involved in
diabetes, high cholesterol
what is another way to think of intracellular receptors
as ligand activated transcription factors
do intracellular receptors exist in isolation
no, they exist as a complex of different proteins, some hold the receptor in a specific location
what happens to accessory proteins of intracellular receptors upon binding
some proteins are removed, some are recruited