Drug-Receptor Binding and Signal Transduction
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Questions and Answers

Which characteristic of a drug would MOST likely allow it to cross the blood-brain barrier (BBB) via simple diffusion?

  • Hydrophilic properties
  • Lipophilic properties (correct)
  • Large surface area
  • High molecular weight

What is the PRIMARY role of astrocytes in relation to the blood-brain barrier (BBB)?

  • To form a selective barrier that restricts entry of substances into the brain (correct)
  • To produce myelin for neurons
  • To actively transport nutrients into the brain
  • To regulate blood glucose levels

What directly facilitates the activation of multiple G-proteins by a single agonist?

  • One agonist binds to one GPCR, which then activates many G-proteins. (correct)
  • Each GPCR can only activate one G-protein.
  • Each G-protein phosphorylates multiple targets.
  • GTP hydrolysis deactivates the GPCR.

Which of the following mechanisms describes how Ibudilast affects bronchodilation and vasodilation?

<p>Inhibition of phosphodiesterase IV (PDEIV). (B)</p> Signup and view all the answers

During GPCR signaling, what event immediately follows the binding of a ligand to the receptor?

<p>Recruitment of G-protein (B)</p> Signup and view all the answers

Sildenafil, Tadalafil and Vardenafil share a common mechanism of action, which is the inhibition of what?

<p>Phosphodiesterase V (PDEV). (A)</p> Signup and view all the answers

Which step in the GPCR cycle is directly inhibited by Cholera toxin?

<p>GTPase activity of Gs proteins (A)</p> Signup and view all the answers

What is the function of the $\beta\gamma$ subunit after it dissociates from the $\alpha$ subunit during GPCR signaling?

<p>It performs its own signaling function. (D)</p> Signup and view all the answers

Which of the following best describes the interaction between an agonist and a receptor?

<p>The agonist binds to the receptor and activates it, leading to downstream signaling. (C)</p> Signup and view all the answers

Methylated xanthines, such as theophylline and caffeine, exert their effects through which primary mechanisms?

<p>Non-specific inhibition of PDE and antagonism of adenosine receptors. (A)</p> Signup and view all the answers

A researcher is designing a drug that needs to cross the blood-brain barrier (BBB) to target neurons. Which strategy would be MOST effective for delivering a non-lipophilic drug?

<p>Attaching the drug to a carrier molecule that is transported across the BBB (B)</p> Signup and view all the answers

A new drug is being developed that needs to cross the blood-brain barrier (BBB). Which property would be most important for the drug to possess?

<p>High fat solubility to pass through the tight junctions of the endothelial cells. (B)</p> Signup and view all the answers

Which of the events listed activates protein kinase C (PKC)?

<p>Increase in diacylglycerol (DAG) concentration and calcium ions. (A)</p> Signup and view all the answers

During GPCR signaling under normal conditions, what causes the eventual inactivation of the $\alpha$ subunit?

<p>Hydrolysis of GTP to GDP. (D)</p> Signup and view all the answers

A drug has a pKa of 7.4. At a physiological pH of 7.4, what can be expected regarding the drug's ionization?

<p>The drug will be equally balanced between charged and uncharged forms. (C)</p> Signup and view all the answers

What is the primary function of the sarcoplasmic/endoplasmic reticulum Ca++ ATPase (SERCA) pump?

<p>To pump Ca++ into the endoplasmic reticulum. (A)</p> Signup and view all the answers

Which type of chemical bond is generally considered the strongest and most stable in drug-receptor interactions, often leading to irreversible effects?

<p>Covalent bonds (A)</p> Signup and view all the answers

Arachidonic acid is converted into leukotrienes by what enzyme?

<p>5-lipoxygenase (5-LO). (B)</p> Signup and view all the answers

An antagonist binds to a receptor, what effect does this have?

<p>Inactivates it. (D)</p> Signup and view all the answers

Aspirin and NSAIDs cause gastrointestinal irritation because they inhibit which enzyme?

<p>Both cyclooxygenase 1 (COX1) and cyclooxygenase 2 (COX2). (A)</p> Signup and view all the answers

Dimerization and autophosphorylation are critical steps for signaling in which receptor type??

<p>Tyrosine kinase receptors. (D)</p> Signup and view all the answers

If the pH is greater than the pKA, what will occur?

<p>The drug will be completely dissolved. (B)</p> Signup and view all the answers

What structural feature of the blood-brain barrier (BBB) primarily accounts for its high selectivity regarding which substances can enter the brain?

<p>Tight junctions between endothelial cells (B)</p> Signup and view all the answers

Which of the following is an example of an endogenous substance that interacts with receptors in the body?

<p>A hormone produced by the endocrine system (A)</p> Signup and view all the answers

How does pertussis toxin affect $G_i$ proteins and subsequent cell signaling?

<p>It prevents $G_i$ proteins from coupling with receptors, disrupting their inhibitory effect on adenylyl cyclase and leading to increased cAMP levels. (B)</p> Signup and view all the answers

Which of the following is the primary mechanism by which nitric oxide (NO) induces smooth muscle relaxation?

<p>Activation of guanylyl cyclase (GC), leading to increased cGMP and subsequent activation of protein kinase G (PKG). (A)</p> Signup and view all the answers

A researcher is studying a novel compound that increases intracellular calcium levels. Which of the following downstream effectors would NOT be directly activated by this change in calcium concentration?

<p>MEK (MAPK/ERK kinase) (A)</p> Signup and view all the answers

Which of the following best describes the mechanism by which cAMP activates protein kinase A (PKA)?

<p>cAMP binds to the regulatory subunits of PKA, causing them to dissociate from the catalytic subunits and activate them. (D)</p> Signup and view all the answers

A patient with congestive heart failure is prescribed a medication that inhibits PDEIII. What is the expected mechanism of action and therapeutic effect of this medication?

<p>Increased levels of cAMP and cGMP, leading to vasodilation and improved cardiac contractility. (C)</p> Signup and view all the answers

Forskolin is known to activate most adenylyl cyclases (ACs). What downstream effect would be expected in cells treated with forskolin?

<p>Increased production of cAMP and increased activation of PKA. (A)</p> Signup and view all the answers

Arachidonic acid (AA) metabolites, produced via cyclooxygenase (COX) or lipoxygenase enzymes, mediate diverse cellular responses. From which molecule is AA cleaved, and what enzyme directly facilitates this cleavage?

<p>Membrane phospholipids; phospholipase A2 (D)</p> Signup and view all the answers

A researcher is investigating the effects of a novel compound on calcium signaling. They observe that the compound increases intracellular calcium levels and subsequently activates calmodulin. What is the MOST direct downstream effect of calmodulin activation in this scenario?

<p>Activation of calcium/calmodulin-dependent protein kinase (CaMK). (B)</p> Signup and view all the answers

Flashcards

Drug

A chemical that interacts with proteins to cause a cellular response.

Receptor

A protein that interacts with a molecule to alter signaling pathways.

Agonist

A drug that binds to a receptor and activates it.

Antagonist

A drug that binds to a receptor and inactivates it.

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Covalent Bonds

Stable bonds formed by sharing valence electrons between atoms.

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pKA

The pH at which a drug is balanced between uncharged and charged forms.

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Blood-brain barrier (BBB)

A protective barrier formed by tight junctions in brain blood vessels.

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Mass Action

The principle that drug solubility changes with pH levels.

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Lipophilic Drugs

Drugs that can easily pass through cell membranes into the brain due to their fat-loving properties.

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Non-lipophilic Drugs

Drugs that cannot cross the Blood-Brain Barrier unless aided by transporters.

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G-Protein Coupled Receptors (GPCRs)

Cell receptors that activate G-proteins, triggering various signaling pathways when a ligand binds.

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G-Protein Structure

A complex made of α, β, and γ subunits that binds to GTP/GDP for signaling.

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GPCR Cycle

The sequence of events where GPCR becomes active upon ligand binding, activating G-proteins.

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Amplification in GPCR

A single agonist binding to a GPCR can activate many G-proteins and phosphorylate multiple targets.

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Cholera Toxin Effect

A toxin that causes persistent activation of Gs proteins by inhibiting GTPase activity.

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Pertussis Toxin

A toxin that prevents Gi proteins from coupling with receptors.

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Calcium Influx

Entry of calcium ions through channels or release from the ER.

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Cyclic AMP (cAMP)

A second messenger formed by adenylyl cyclase; activates protein kinase A.

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Protein Kinase A (PKA)

An enzyme activated by cAMP that phosphorylates various proteins.

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Phosphodiesterases (PDEs)

Enzymes that break down cAMP and cGMP.

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Guanylyl Cyclase (GC)

Enzyme that generates cGMP, mainly activated by nitric oxide.

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Calmodulin

A calcium-binding protein that activates various kinases and phosphatases.

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Calcium/Calmodulin-dependent Protein Kinase (CaMK)

A kinase activated by the calcium-calmodulin complex.

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Ibudilast

A drug that inhibits PDEIV, acting as a bronchodilator and vasodilator.

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Phospholipase C (PLC)

An enzyme that catalyzes the breakdown of phosphatidylinositol into IP3 and DAG.

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Inositol trisphosphate (IP3)

A second messenger released by PLC that opens calcium channels in the ER.

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Arachidonic acid metabolites

Compounds derived from arachidonic acid, including leukotrienes and prostaglandins.

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Cyclooxygenase (COX)

Enzymes (COX1 and COX2) that convert arachidonic acid into prostaglandins.

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Tyrosine Kinase Receptors

Enzymes that initiate a signaling cascade after dimerization and autophosphorylation.

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5-lipoxygenase (5-LO)

An enzyme that converts arachidonic acid into leukotrienes, activated by FLAP.

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Study Notes

Drug-Receptor Binding & Signal Transduction

  • A drug is any chemical that interacts with a protein or other molecule to cause a cellular response. Drugs can be endogenous (made in the body) or exogenous (delivered to the body). Examples of exogenous drugs include poisons and toxins.
  • A receptor is a protein that interacts with a molecule and triggers changes in downstream signaling pathways.

Drug-Receptor Binding

  • Drugs bind to receptors via chemical bonds. Types of bonds include covalent (strong), hydrogen, electrostatic, and van der Waals forces (weak).
  • Agonists are drugs that bind to a receptor and activate it.
  • Antagonists are drugs that bind to a receptor and inactivate it.
  • Different receptors have different binding sites and mechanisms of action.

Parts of an Atom

  • Protons are subatomic particles with a positive electrical charge.
  • Electrons are subatomic particles with a negative electrical charge.
  • Neutrons are subatomic particles with no electrical charge.

Blood-Brain Barrier (BBB)

  • The BBB protects the brain from many substances in general circulation.
  • The BBB is formed by tight junctions between endothelial cells that make up the blood vessels of the central nervous system.
  • The vessel of the central nervous system is surrounded by cells called pericytes and astrocytes that form a basement membrane and a protective layer to keep drugs out of the brain tissue.
  • Lipophilic drugs can diffuse through the membranes while non-lipophilic drugs cannot, unless they have a transporter.
  • Other tricks to get the drug across the BBB include binding the drug to a transporter or giving a stimulus to transiently open the BBB.

Signal Transduction Mechanisms

  • Signal transduction mechanisms are processes in which one type of signal converts into another signal
  • There are various signal transduction mechanisms including
    • Ion channels
    • G protein-coupled receptors (GPCRs)
    • Enzyme-linked receptors
    • Nuclear receptors

G-protein coupled receptors (GPCRs)

  • GPCRs are a complex of alpha, beta, and gamma subunits that bind GTP/GDP.
  • GPCRs can bind to various ligands, such as odorants, pheromones, and endogenous molecules.

GPCR Signaling Pathways

  • Cholera toxin persists activation of G proteins by blocking GTPase activity.
  • Pertussis toxin prevents G proteins from coupling receptors.

Second messengers

  • Calcium- influx through channels or release from intracellular stores (endoplasmic reticulum). 2nd messengers include, cyclic nucleotides- cAMP or cGMP from adenylyl or guanylyl cyclase, respectively, and phospholipase C that breaks down phosphatidylinositol into IP3 and DAG. Arachidonic acid (AA), metabolized by cyclooxygenase (COX) or lipoxygenase enzymes into numerous bioactive substances.

Effectors downstream of Ca++

  • Calmodulin binds to Ca++ via 4 EF-hand domains, activating CaMK, calcineurin (a phosphatase), MAPK, and phosphodiesterase (PDE). CaMK is also regulated through a catalytic and regulatory domain.
  • Protein Kinase C- phosphorylates many proteins.
  • MEK which is a mitogen activated protein kinase (MAPK)/extracellular signal-related kinase (ERK).
  • Phosphoinositide kinase 3 (PI3K) which phosphorylates protein kinase B (also known as Akt).

Cyclic Nucleotides

  • Cyclic AMP (cAMP) is produced by adenylyl cyclase (AC)
  • GPCRs coupled to G, stimulate AC while those coupled to G, inhibit AC.
  • cAMP is a ligand for ion channels. Activates Protein Kinase A (PKA) that phosphorylates cyclic AMP response element-binding protein (CREB)
  • Cyclic GMP (cGMP) produced by guanylyl cyclase (GC).
  • cGMP regulates ion channels, relaxes smooth muscle. Activates Protein Kinase G (PKG)
  • Nitrates are used as vasodilators that activate GC, increase cGMP and dilate vessels.

Phospholipase C (PLC)

  • PLC catalyzes the breakdown of phosphatidylinositol in two second messenger products including IP3 and DAG
  • PLC is commonly activated by Gq proteins, specifically the βγ subunits.
  • IP3 binds to the IP3 receptor on the ER and opens a Ca++ channel.
  • Ca++ is pumped into the ER, and DAG (along with Ca++) activates protein kinase C (PKC).

Arachidonic acid (AA) metabolites

  • AA is an eicosanoid with 20 carbons that can be cleaved out from the membrane by phospholipase A2. Activated by Ca++ and phosphorylation mediated by MAPKs.
  • AA metabolites include leukotrienes from 5-lipoxygenase (5-LO), and prostaglandins and prostacyclin from cyclooxygenase (COX).
  • COX1 and COX2 convert AA to prostaglandins and other important molecules for the gastrointestinal tract and inflammation.

Enzyme-linked Receptors

  • Cytokine receptors, tyrosine kinase receptors, and serine/threonine kinase receptors.
  • Ligands for enzyme-linked receptors include cytokines, growth factors, and hormones.

Tyrosine Kinase Receptors

  • Dimerization and autophosphorylation are critical for signaling in tyrosine kinase receptors. This involves multiple steps such as receptors being activated by growth factors and phosphorylating tyrosine residue, and triggering a cascade of phosphorylation events that lead to various cellular responses.

Nuclear Receptors

  • Ligands for Nuclear receptors must be able to cross the plasma membrane to bind to the intracellular receptor.

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Description

This lesson delves into drug-receptor interactions and signal transduction pathways. It covers drug and receptor definitions, binding mechanisms such as covalent and non-covalent bonds, and the roles of agonists versus antagonists. Learn about the different receptor binding sites.

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