Organic Medicinals and Pharmacodynamics
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Questions and Answers

What is the study of pharmaceutical chemistry that focuses on the discovery, synthesis and design of bioactive molecules?

Organic Medicinal

What is the study of how drugs interact with their target?

Pharmacodynamics

Which of these are examples of drug targets?

  • Enzymes
  • Proteins
  • Lipids
  • Nucleic Acids
  • Receptors
  • All of the above (correct)

What type of inhibitor binds to the active site of an enzyme and competes with the endogenous substrate?

<p>Reversible inhibitor</p> Signup and view all the answers

What type of inhibitor forms a covalent bond to an amino acid residue within the active site of an enzyme, permanently inactivating it?

<p>Irreversible inhibitor</p> Signup and view all the answers

What type of inhibitor binds to a site distinct from the active site of an enzyme, inducing a conformational change that affects the enzyme's active site and reduces its activity?

<p>Allosteric Site Inhibitor</p> Signup and view all the answers

What type of inhibitor binds to the enzyme-substrate complex, inhibiting the enzyme's activity?

<p>Uncompetitive inhibitor</p> Signup and view all the answers

What is the cellular component that is responsible for mediating a drug's response?

<p>Receptor</p> Signup and view all the answers

What type of drug mimics the endogenous ligand and activates the receptor?

<p>Agonist</p> Signup and view all the answers

What type of drug binds to the receptor but does not activate it, preventing the endogenous ligand from binding?

<p>Antagonist</p> Signup and view all the answers

What type of drug binds to the receptor but does not elicit the full response of a full agonist?

<p>Partial agonist</p> Signup and view all the answers

What type of drug binds to the receptor but has an effect opposite to that of the agonist, inhibiting the natural receptor function?

<p>Inverse agonist</p> Signup and view all the answers

Constitutional activity refers to the activity of a receptor in the presence of an endogenous ligand.

<p>False (B)</p> Signup and view all the answers

What is the phenomenon that occurs when a receptor is continuously exposed to an agonist and becomes less responsive to subsequent stimulation?

<p>Desensitization</p> Signup and view all the answers

What is the phenomenon that occurs when a receptor is continuously exposed to an antagonist and becomes more sensitive to subsequent agonist stimulation?

<p>Sensitization</p> Signup and view all the answers

Tolerance is a situation where decreased doses of a drug are required to achieve the same effect over time.

<p>False (B)</p> Signup and view all the answers

What is the dependence on a drug, leading to withdrawal symptoms when the drug is discontinued?

<p>Dependence</p> Signup and view all the answers

What is the term for the study of the journey of a drug in the body, encompassing absorption, distribution, metabolism, and excretion?

<p>Pharmacokinetics</p> Signup and view all the answers

What is the process of drug transfer from the site of administration to systemic circulation?

<p>Absorption</p> Signup and view all the answers

What process governs the transfer of a drug from the bloodstream to tissues?

<p>Distribution</p> Signup and view all the answers

What is the process of drug modification by enzymatic reactions within the body?

<p>Metabolism</p> Signup and view all the answers

What is the process of drug elimination from the body?

<p>Excretion</p> Signup and view all the answers

Ionized drugs are generally absorbed more readily than unionized drugs.

<p>False (B)</p> Signup and view all the answers

What is the Henderson-Hasselbalch equation used for?

<p>Predicting the degree of ionization of weak acids and bases at a given pH</p> Signup and view all the answers

What is the name of the enzyme that catalyzes the breakdown of acetylcholine?

<p>Acetylcholinesterase</p> Signup and view all the answers

What class of drugs acts as a primary target for antibacterials?

<p>Cell Wall Synthesis Inhibitors</p> Signup and view all the answers

What class of drugs disrupts the bacterial cell membrane, leading to leakage of essential molecules and cell death?

<p>Plasma Membrane Disruptors</p> Signup and view all the answers

What class of drugs inhibits the synthesis of essential proteins in bacteria, leading to cell death?

<p>Protein Synthesis Inhibitors</p> Signup and view all the answers

What group of drugs inhibits DNA replication and transcription in bacteria?

<p>Nucleic Acid Transcription and Replication Inhibitors</p> Signup and view all the answers

What class of drugs targets enzymes involved in the synthesis of tetrahydrofolic acid, which is essential for nucleic acid synthesis?

<p>Antimetabolites</p> Signup and view all the answers

What class of drugs acts to reduce stomach acid production, primarily targeting H+/K+ ATPases?

<p>Proton Pump Inhibitors</p> Signup and view all the answers

What class of drugs targets the synthesis and release of insulin, primarily by stimulating pancreatic beta cells?

<p>Hypoglycemic Agents</p> Signup and view all the answers

What class of drugs antagonize the action of histamine, primarily by blocking H1 receptors?

<p>Antihistamines</p> Signup and view all the answers

What class of drugs are commonly used to relieve pain and inflammation, often acting by inhibiting COX enzymes?

<p>Analgesics</p> Signup and view all the answers

Salicylic acid is a precursor to aspirin.

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

What class of drugs acts by inhibiting the activity of the central nervous system, often producing sedation, anxiolysis, and hypnotic effects?

<p>CNS Drugs</p> Signup and view all the answers

What is the name of the class of drugs that act as analgesics and anti-inflammatory agents, but do not inhibit COX enzymes?

<p>Non-Steroidal Anti-inflammatory Drugs (NSAIDs)</p> Signup and view all the answers

Flashcards

Pharmacodynamics

The study of how drugs interact with their targets in the body, such as enzymes, receptors, or nucleic acids.

Active Site Inhibitors

A drug that binds to the active site of an enzyme and prevents the substrate from binding.

Reversible Inhibitors

A type of active site inhibitor that binds reversibly to the enzyme, allowing the substrate to potentially bind again.

Irreversible Inhibitors

A type of active site inhibitor that forms a permanent bond with the enzyme, inactivating it.

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Allosteric Site Inhibitors

A drug that binds to a site on an enzyme other than the active site, causing a conformational change that hinders substrate binding.

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Uncompetitive Inhibitor

A drug that binds to the enzyme-substrate complex, preventing the enzyme from properly releasing its product.

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Receptors

Any protein found on a cell membrane or in the cytoplasm that interacts with a drug to produce a specific response.

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Agonist

A drug that binds to a receptor and activates it, mimicking the effect of the natural ligand.

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Antagonist

A drug that binds to a receptor but does not activate it, blocking the effect of the natural ligand.

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Partial Agonist

A drug that can bind to a receptor but does not elicit a full response, even when all receptors are occupied.

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Allosteric Modulator

A drug that binds to a site other than the main binding site on a receptor, affecting the receptor's activity indirectly.

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Pharmacokinetics

The study of the journey of a drug within the body, including how it's absorbed, distributed, metabolized, and excreted.

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Absorption

The process by which a drug moves from the site of administration into the bloodstream.

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Distribution

The process by which a drug is distributed throughout the body, reaching its target tissues and organs.

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Metabolism

The process by which the body chemically modifies a drug to make it more water-soluble and easier to excrete.

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Phase I Metabolism

The initial stage of metabolism, where functional groups are added to the drug.

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Phase II Metabolism

The second stage of metabolism, where the drug is conjugated with polar molecules to make it even more water-soluble.

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Excretion

The process by which the body eliminates a drug and its metabolites.

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Renal Excretion

The elimination of drugs mainly through the kidneys, where they're filtered from the blood and excreted in urine.

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Biliary Excretion

The elimination of drugs through the bile, which is produced by the liver and travels to the intestines.

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Catecholamines

A group of neurotransmitters that includes dopamine, norepinephrine, and epinephrine.

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Cholinergic Agonists

A drug that mimics the effects of acetylcholine, a neurotransmitter involved in muscle contraction and memory.

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Cholinergic Antagonists

A drug that blocks the effects of acetylcholine.

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Acetylcholinesterase Inhibitors

A drug that blocks the enzyme acetylcholinesterase, which breaks down acetylcholine, leading to an increase in acetylcholine levels.

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Cell Wall Synthesis Inhibitors

Drugs that inhibit the synthesis of bacterial cell walls, disrupting the integrity of the bacterial cell and causing death.

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Plasma Membrane Disruptors

Drugs that disrupt the bacterial plasma membrane, leading to leakage of essential molecules and cell death.

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Protein Synthesis Inhibitors

Drugs that inhibit protein synthesis in bacteria, interfering with their ability to make essential proteins and causing death.

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Nucleic Acid Transcription and Replication Inhibitors

Drugs that inhibit the synthesis of nucleic acids in bacteria, preventing them from replicating their DNA and RNA.

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Antivirals

Drugs that inhibit the replication of viruses, interfering with their ability to multiply inside host cells.

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Antimetabolites

Drugs that interfere with the synthesis of DNA and RNA in cancer cells, preventing them from multiplying.

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Antihistamines

Drugs that block the action of histamine, a chemical messenger involved in allergic reactions.

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H2 Antagonists

Drugs that inhibit the production of gastric acid, reducing the acidity of stomach contents and protecting the stomach lining.

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Proton Pump Inhibitors

Drugs that block the proton pump, a key enzyme involved in the production of gastric acid, strongly suppressing acid secretion.

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Hypoglycemic Agents

Drugs that help regulate blood sugar levels, often used to treat type 2 diabetes.

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Insulin

A hormone produced by the pancreas that helps regulate blood sugar levels by allowing cells to absorb glucose.

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Sulfonylureas

Drugs that stimulate the release of insulin from the pancreas, helping lower blood sugar levels.

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Biguanides

Drugs that help improve insulin sensitivity and decrease glucose production by the liver, contributing to lower blood sugar levels.

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Intravenous Aesthetics

Drugs used to induce anesthesia, causing a temporary loss of consciousness and pain perception.

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Analgesics

Drugs that reduce pain, inflammation, and fever.

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Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

A class of drugs commonly used to reduce pain, inflammation, and fever by inhibiting the cyclooxygenase (COX) enzymes involved in prostaglandin production.

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COX-2 Selective NSAIDs

A class of drugs that selectively target the COX-2 enzyme, reducing inflammation without causing as much gastrointestinal irritation as non-selective NSAIDs.

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Study Notes

Organic Medicinals

  • Organic medicinal study of pharmaceutical chemistry focused on the discovery, synthesis, and design of bioactive molecules.

  • Pharmacodynamics studies how drugs interact with targets like enzymes, proteins, lipids, and receptors, and nucleic acids.

  • Enzymes as drug targets include active site inhibitors.

    • Reversible inhibitors compete with endogenous substrates for active sites.
    • Irreversible inhibitors form covalent bonds, permanently inactivating enzymes.
    • Allosteric site inhibitors bind to sites other than the active site, inducing a conformational change that inactivates the enzyme.
    • Uncompetitive inhibitors bind to the enzyme-substrate complex, preventing the reaction from proceeding.
  • Receptors as drug targets are cell components, usually proteins, in cell membranes or cytoplasm.

    • Agonists bind to receptors, activating them similarly to endogenous ligands.
      • Three requirements for agonist binding: correct functional groups, correct orientation, correct site
      • Allosteric modulators bind to sites other than the ligand binding site, indirectly affecting receptor activity. (e.g., benzodiazepines on GABA receptors).
    • Antagonists bind to, yet do not activate receptors, preventing endogenous ligands from binding.
      • Requirements/strategies for antagonist binding: correct functional groups & the correct binding position
      • Other mechanisms: allosteric modulators & umbrella effect
    • Partial agonists activate receptors less than endogenous ligands.
    • Inverse agonists bind to receptors and inhibit their constitutive activity (activity in the absence of an endogenous ligand).
    • Desensitization occurs when receptors become less responsive due to prolonged agonist binding.
    • Sensitization occurs when receptors become more responsive due to prolonged antagonist binding.
    • Tolerance is a situation where increased doses of a drug are required over time to achieve the same effect, often due to receptor desensitization or dependence.
    • Dependence is related to the body's ability to adapt to the presence of a drug. Withdrawal symptoms occur if the drug is stopped due to abnormal levels of target receptor.
  • Nucleic acids as drug targets involve intercalating and non-intercalating agents.

    • Intercalating agents slip between DNA base pairs, disrupting replication and transcription.
      • Examples include, Podophyllotoxins, Camptothecin
    • Non-intercalating agents prevent DNA replication or repair.
      • Examples include, Alkylating agents, Nitrogen Mustards, Cyclophosphamide, Cisplatin
  • Other components like the journey of the drug in the body, are examined via pharmacokinetics.

Pharmacokinetics

  • Absorption: Transfer of drug from administration site to systemic circulation. Factors influencing absorption include ionization, pH, and lipid solubility.
  • Distribution: Transfer of drug from blood to cells. Factors involved include plasma protein binding and drug's ability to enter cells.
  • Metabolism: Biotransformation of drugs to more polar metabolites.
    • Phase I reactions (e.g., oxidation, hydrolysis): Usually make drugs more polar.
    • Phase II reactions (e.g., glucuronidation, sulfation): Conjugate drugs with endogenous molecules to make them more water-soluble, and usually detoxify them.
  • Excretion: Removal of drugs from the body. Common pathways include renal excretion and biliary excretion.

Adrenergic Drugs

  • Catecholamines are adrenergic compounds with a catechol ring and alkylamine chain.
    • Biosynthesis, metabolism, and structure-activity relationships (SAR) are essential characteristics.

Cholinergic Drugs

  • Acetylcholine (ACh) is the primary neurotransmitter in the peripheral and central nervous systems.
    • Has acetylcholine production, metabolism, and structure-activity relationships (SAR).
  • Cholinomimetics and cholinergic antagonists are drugs that affect the acetylcholine system.

Antibacterials

  • Antibacterial drugs target various bacterial components, including cell walls and protein synthesis. (Examples include Penicillins, Cephalosporins, Carbapenems, etc)
  • General structure-activity relationships (SARs) for various drugs.

Antivirals

  • Antiviral drugs are directed at different components of viral replication. (Examples include Acyclovir, Valacyclovir, Desciclovir etc)

Other Anti-cancer Drugs

  • Anti-cancer drugs target various cellular processes, including DNA replication and protein synthesis.
  • Other, more general, anti-cancer drugs include specific examples, such as methotrexate, 5-fluorouracil, cytarabine, and gemcitabine.

Analgesics

  • Analgesics are drugs that relieve pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) are a common class of analgesics.
    • General structure-activity relationships (SAR) for several drugs.

Proton Pump Inhibitors (PPIs)

  • PPIs are a class of drugs that target the proton pump in the stomach, reducing acid secretion.

Hypoglycemic Agents

  • Hypoglycemic agents are drugs that lower blood sugar levels. Examples include insulin, sulfonylureas, and biguanides.
    • Some related structural characteristics and mechanisms.

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Description

Explore the fascinating world of organic medicinal chemistry focusing on drug design and synthesis of bioactive molecules. This quiz covers the interaction of drugs with various targets such as enzymes and receptors, including details on inhibitor types and mechanisms. Test your knowledge on pharmacodynamics and the intricate processes behind drug action.

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