2. Pharmacodynamics (PD)
• Pharmacodynamics: biochemical &
physiological effects of drugs and their
mechanisms of action
• Drug binding
– Law of Mass Action
• Depot Binding (covered in PK lecture)
• Drug-Receptor Coupling
• DRC Revisited (covered in basics lecture)
3. PD: Drugs & Receptors
• Receptor: large molecules of protein where ligands induce
effects
• Ligands: endogenous; biologically active chemicals such as
hormones, neurotransmitters, neuromodulators,
neurohormones
• Drug: exogenous
• Receptor + Ligand/Drug Coupling (Lock & Key Analogy)
• Affinity: relative capacity of a compound to maintain contact
with or be bound to a receptor
• Efficacy: degree of biological activity or relative capability of a
compound to activate the receptor after being bound to it
5. PD: Law of Mass Action
D + R ←→DR*→biological effect
Active
Complex Cellular
Drug Reversible Behavioral
Receptor Response
6. PD: Law of Mass Action
D + R ←→DR*→biological effect
•The active form DR* is in equilibrium with the inactive
components D,R
•Drug associated with receptor and then dissociates;
weaker non-covalent interactions
1) Ionic or electrostatic: bond formed between charged groups on
receptor
2) Hydrogen bonds: exchange of hydrogen bond between drug
molecule, receptor, and surrounding environment
3) Hydrophobic Interactions: non-polar hydrocarbon groups on
receptor and drug molecule; non-specific bonds
7. PD: Law of Mass Action & DRC
Max Response
Response is in proportion to fraction of receptors occupied!
8. PD: Drugs & Receptors
• Full Agonists: affinity and efficacy; facilitates
or increases neural transmission
D + R ←→ DR* →biological effect
• Antagonist: affinity without efficacy; drug binds
to receptor but fails to initiate intracellular
effect; blocks agonist
A + R ←→ AR → no biological effect
9. PD: Drugs & Receptors
• Types of Agonists
– Direct Agonist: exerts effect at receptor site
– Indirect Agonist: does not bind directly with receptor
but enhances amount of endogenous ligand available
– Partial Agonist: Intermediate efficacy in receptor activation;
may have greater affinity than full agonist; Abilify @ DA
receptors is good example.
– Inverse Agonist: drug acts through same receptor as
agonist but produces effects opposite to those of an
agonist (negative efficacy); BZD example.
10. GABAa receptor
Inverse Agonist:
Causes Indirect Antagonist
Direct Agonists: muscimol
convulsions
BDZs Valium, Xanax
are Indirect Agonists
Indirect Agonists BUT!!!
Phenobarbitol
Pentobarbitol Endogenous
substance is Inverse
Agonist
Direct Antagonists:
bicuculine
11. PD: Drugs & Receptors
• Types of Antagonists
– Competitive Antagonists: affinity without efficacy;
competition for fixed number of receptors affected by
concentration
D + A + R ←→ DR* + AR
D α DR*
D+A DR* + AR
12. PD: Drugs & Receptors
• Types of Antagonists
– Non-competitive antagonists: high affinity without
efficacy; AR complex not affected by concentration
A + R ←→ AR → no biological effect
A + R → AR → no biological effect
– NMDA receptor & PCP
– Different sites along neural pathway
– Reversible and irreversible
14. PD: Drugs & Receptors
• Other D-R Interactions
– Mixed Agonist-Antagonist: drug will act as an agonist at
receptor A but as an antagonist at receptor B
• When administered alone, will facilitate neurotransmitter function at
one receptor but block neurotransmitter function at the other
– Ex: GABAa and GABAa receptor subunits
• When combined with a full agonist that activates both receptors (A,
B), the mixed agonist-antagonist blocks some of the effects of full
agonist
– EX: GABAa and GABAb receptor both activated by GABA
– Mixed agonist-antagonist will block some effects of GABA at the GABAb receptor
but not the GABAa receptor
– Our drug is then an agonist at GABAa and an antagonist at GABAb
Notes de l'éditeur
When receptor number held constant, and we increase the concentration of the drug, we form greater amounts of DR complexes and attain greater effects. Maximum effect is achieved when receptors are fully occupied.
When receptor number held constant, and we increase the concentration of the drug, we form greater amounts of DR complexes and attain greater effects. Maximum effect is achieved when receptors are fully occupied.