2. Definition of Terms
Receptors – are chemicals which binds to the drug to
exert a pharmacologic effect.
Formula:
D + R = D-R ------ Drug Response
Note: Binding of a drug to the receptor is usually reversible
A Receptor is analogous to
a switch in that it has two
configurations: “ON” and “OFF”
3. Definition of Terms
Receptor
Four Primary Receptor Families
1. Cell-membrane embedded proteins
2. Ligand-gated Ion Channel
3. G –protein coupled Receptor Systems
4. Transcription Factors
4. Definition of Terms
Agonist – are molecules that activates receptors.
- a drug that has both affinity and high
intrinsic activity.
Many drugs produce their effects
by acting as an agonist.
For example:
DOBUTAMINE - it mimics the action of
norephenephrine at the receptors on the
heart. Thereby causing the heart to contract
and increase the heart beat.
5. Definition of Terms
Affinity – allows the agonist to bind to receptors.
Intrinsic Activity – allows the bound agonist to
activate or turn on its receptor
function.
6. Definition of Terms
Antagonist – molecules that acts against and blocks
drug action
7. Types of Antagonism
Chemical Antagonism
Interaction of drug (agonist) with another chemical
(antagonist) outside of receptor to form an inactive
complex.
Competitive Antagonism
Drug (agonist) is displaced from drug-receptor
binding by another chemical (antagonist).
It is reversible and depends on actual drug and
antagonist concentration in the biophase.
Law of mass action
8. Types of Antagonism
Partial Antagonism
Antagonist has high affinity but low
intrinsic activity
Non-equilibrium Antagonism
Antagonist forms irreversible receptor
binding
Noncompetitive Antagonism
Agonist and antagonist bind to different
receptors and have opposite pharmacologic
actions
9. Types of Pharmacologic Action of the
Drugs
Structural Non-specific Drugs
- drugs which do not depend its pharmacologic
action to the chemical structure of the drug.
- only its structure affects its physicochemical
property.
- slight modification of its structure does not produce
a change in its pharmacologic action.
10. Types of Pharmacologic Action of the
Drugs
Structural Specific Drugs
- drugs in which the pharmacologic action directly
depend on its chemical structure
- it attaches itself to a receptor in the biophase
Three Prerequisites of the binding of
drug to the receptor
1. chemical reactivity
2. presence of functional group
3. electronic distribution
4. mirror-like image of the receptor
11. Drug-Receptor Theories
Hypothesis of Clark
“ The Pharmacologic effect of the drug depends on the
percentage of the receptors occupied”
If receptors are occupied, maximum effect is
obtained.
Chemical binding follow the Law of Mass Action.
12. Drug-Receptor Theories
Hypothesis of Ariens and Stephenson
“ Effectiveness of a drug lasts as long as the
receptor is occupied. Many substance possess
different effect , some have high affinity for the
receptor, some have low affinity and some are not
effective, and those ineffective substances block or
inhibit the receptor.”
It is also called Occupation Theory.
13. Drug-Receptor Theories
Hypothesis of Paton
“ Effectiveness of a drug does not depend on
the actual occupation of the receptor but by
obtaining proper stimulus”
This is also known as the Rate Theory.
14. Drug-Receptor Theories
Lock and Key Hypothesis
“ The drug molecule must fit into the receptor
like a key fits into the lock”
Known as the Intrinsic Activity.