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Dose
Response Relationship
18
Pharmacology
Graduate
09/01/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
Kd
Definition

-the concentration at which half the receptors have ligand bound

 

Kd=[L][R]/[LR]

Term
Graded Dose Effect Relationships
Definition

-the response to a drug is proportional to the concentrationof receptors that have drug bound to them

 

Term
EC50
Definition

-concentration at which a half-maximal effect is obtained

-a measure of potency

-EC50 may or may not equal Kd

 

 

Term
agonist
Definition
compounds that promote the conformational change to an active receptor
Term
antagonist
Definition
bind to the receptor but do not promote the conformational change
Term
Physiological antagonist
Definition

-activation of an opposing physiological mechanism to reduce an undesirable response or state

-ex) vasoconstrict nasal mucosa with psuedoephedrine to contract vasodilation caused by histamine

-compensatory pathway

Term
Pharmacological antagonist
Definition
interact directly with the target for the endogenous ligand
Term
competitive antagonist
Definition

-binds reversibly to the active site but does not induce a conformational change

-increases EC50 therefore decrease the potency

-no effect on maximal efficacy

 

 

 

Term
Noncompetitive Antagonist
Definition

-either binds irreversibly to active site or reversibly to an allostertic site

-decrease the efficacy

-EC50 does not change

Term
Partial agonist
Definition

-binds to agonist binding site, but even when the receptors are fully occupied, they have a lower efficacy

-full and partial agonists bind to the same site but with different efficacies

-therefore, a partial agonist will reduce the effect of a full agonist, appearing as a competitive antagonist

-rather than completely inhibiting the response to a full agonist, one will see a reduction to a level of activity equal to the efficacy of the partial agonist

-used as a competitive antagonist with a built-in safe margin so that an overdose will not completely reduce activity

Term
Inverse Receptors
Definition

-in some cases, a receptor can be active in the absence of an agonist

-acts by inhibiting this constitutive activity of the unoccupied receptor

-deactivates receptors that are active in the absence of agonists

 

-there will be situations where the antagonist will have no effect(bc there is not agonist at the receptor

-inverse agonist will have an effect (bc the receptor is constitutively turned on)

 

 

Term
Spare Receptors
Definition

-We assume that the max effect is seen when 100% of receptors are bound (this is not the case)

-the maximal effect is obtained at a lower dose than is required for receptor saturation

-EC50<Kd

-due to the fact that various signal transduction pathways activated by drugs allow for significant amplification of a relatively small signal

Term
ED50
Definition
median effective dose to produce therapeutic response
Term
TD50
Definition
median dose to produce toxic reponse
Term
LD50
Definition
median dose to kill subjects
Term
Therapeutic Index
Definition

TD50/ED50

-the greater the therapeutic windo, the better margin of safety

Term
Margin of Safety
Definition

LD1/ED99

the bigger the better

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