Pharmacology General Principles Flashcards (Mechanism of Drug Action II): Set 7 (20 questions)

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Examples of intracellular receptor ligands (these cross membranes):These ligands are cholesterol-derived hormones and include androgens (testosterone), glucocorticoids (cortisol), estrogens, mineralcorticoid (aldosterone), progesterone. An example of a non-steroid hormone example is vitamin D3.
Examples of intracellular receptor ligands across membranes and tend to be small, signaling molecules:Thyroxine (T4), triiodothyronine (T3), retinoic acid
Examples of intracellular receptor ligands that affect ion channels:Nucleotides, some neurotransmitters, ions
Examples of cell surface receptor ligands which stay in/at membrane surfaces and are stimulatory:Polypeptide hormones mediating effects through Gs receptors: adrenocorticotropic hormone, antidiuretic hormone (ADHR vasopressin in kidney), epinephrine (ß-adrenergic) corticotrophin--releasing hormone, calcitonin, follicle--stimulating hormone, glucagon, parathyroid hormone, lutenizing hormone, thyroid-stimulating hormone, prostaglandins-activation results in increased cAMP levels.
Examples of ligands acting at cell surface receptors (in/at membrane locations)-these ligands mediate effects through the Gq system:Polypeptide hormones mediating effects through the Gq system: epinephrine (alpha 1--adrenergic), angiotensin II, ADH (arterioles), thyrotropin-releasing hormone, gonadotropin-releasing hormone-The mechanism involves an increase in IP3/Calcium ions and diacylglycerol (via phospholipase C).
Cell surface receptor ligands (receptor system remains membrane associated)-polypeptide hormone effects mediated via Gi receptor system:Epinephrine (alpha-2 adrenergic), somatostatin-System activation results in reduced cAMP levels.
Cell surface receptor ligand system that involves integral receptor tyrosine kinase enzyme activity primarily,, although some may depend on G13 receptor system:Epidermal growth factor, insulin, insulin-like growth factor I, fibroblast growth factor, platelet-derived growth factor as well as other cytokines and growth factors.--Autophosphorylation at certain, specific receptor residues causes activation of other signaling pathways such as phospholipase C and MAP kinases. (MAP = mitogen-activated protein)
This receptor system depends on soluble receptor-associated tyrosine kinase, for example Janus kinase activity- some examples include:Growth hormone, leptin, prolactin, a variety of cytokines e.g. interferon-gamma,, colony-stimulating factor. Here receptor autophosphorylation results in activation of transcription factors.
This receptor system depends on membrane integrated guanylyl cyclase activity:The ligand example here is atrial natriuretic peptide, the activation of which increases cGMP through activation of guanylyl cyclase
Soluble receptor-associated tyrosine kinases:Receptor tyrosine kinases, integral guanyl cyclase a.k.a. guanylyl or guanylate cyclase, Janus kinases.
cAMP, when acting in the role of intracellular second messenger, mediates the is hormonal responses:Water retention by renal mechanisms through vasopressin activity, calcium regulation through parathyroid hormone activity, cardiac chronotropic (rate) and inotropic (contractile force) of heart muscle through ß-adrenergic receptor activation, making available stored energy through promoting hepatic carbohydrate catabolism and/or catabolism of fat cell triglycerides by means of ß-adrenergic receptor activation. Other regulatory sites and activities include smooth muscle relaxation, adrenal and sex steroid regulation and other endocrine and neural activities.
Two major functions served by second messenger reversible phosphorylation:flexible regulation and amplification
Flexible regulation:In this case the distinct specificities of protein kinases for different substrates resulting branch points in signaling pathways, thus allowing for independent regulation
Amplification via phosphorylation:Phosphorylation of a serine (or threonine or tyrosine) residue is a relatively long-lasting enhancement of the regulatory activation signal. A separate enzymatic step, dephosphorylation is required to reverse the amplification step..
Activity of the antibody drug: trastuzumab (Herceptin):Growth factor receptor signaling antagonism; may be useful in breast cancer management.
Excitatory neurotransmitters that function by ion channel activation following their binding to a specific region in the channel protein:Acetylcholine, glutamate; agonists include AMPA and NMDA
Inhibitory neurotransmitters that function by ion channel activation following their binding to a specific region in the channel protein:Glycine or GABA (gamma-aminobutyric acid).
Localization sites for the nicotinic acetylcholine receptor, an example of a ligand-gated ion channel receptor:CNS, autonomic ganglia, neuromuscular junction
The principal excitatory CNS transmitter:Glutamate
Number of ionotropic glutamate receptors:Three (AMPA, NMDA and kainate, which are ligands that selectively activate these types.)