3. The component of a cell or organism that
interacts with an agonist and initiates the
chain of events leading to agonist observed
effects.
3
4. Occupation theory:
The interaction between the 2 molecules ie drug
and receptor to be governed by law of mass
action and the effect to be a direct function of
drug receptor complex
D+R DR E
4
5. Intensity of response is proportional to the
fraction of receptors occupied by the drug and
maximal response occurs when all receptors are
occupied
Drugs exert All or none phenomenon
A drug and receptor have a complementary
structural features like lock and key
this theory just gave a fundamental concept
5
6. Rate theory
Magnitude of response depends upon rate of
agonist/ receptor association and
dissociation.
6
8. It was discovered by Alfred G.Gilman and
Martin Rodbel for which they won nobel prize
in physiology in 1994.
There are about more than 1000 known
GPCRs
8
9. GPCRs are divided into three distinct families.
There is considerable sequence homology
between the members of one family, but none
between different families.
All have same seven-helix structure, but differ in
other respects, principally in the length of the
extracellular N terminus and the location of the
agonist binding domain.
9
10. Group I,
the largest group, contains the receptors for
catecholamines, peptide hormones,
neuropeptides, and glycoproteins.
Group II, contains
the secretin/glucagon/vasoactive intestinal
peptide receptor family.
Group III
contains the metabotropic receptors (eg,
calcium-sensing and glutamate receptors)
10
12. G-protein-coupled receptors consist of a single
polypeptide chain of up to 1100 residues .
comprises seven transmembrane α-helices, with
an extracellular N-terminal domain of varying
length, and an intracellular C-terminal domain.
12
13. The helices are connected by 3 loops, both
intra and extracellularly.
3rd cytoplasmic loop couples to G-protein.
(heterotrimeric GTP binding proteins)
In synthesis of GPCR, during mRNA splicing,
additions/deletions/substitution of bases
lead to variation in specificity of receptor.
Leads to functional selectivity.
13
14. 2 Types
Heterotrimeric referred to as large G
proteins that are activated by GPCRs and are
made up of α,γ and β.
Small G proteins or monomeric belong to Ras
superfamily of small GTPases
involved in signal transduction.
14
15. Associated with guanine nucleotides – GTP
and GDP.
α subunit interacts with GTP/GDP and also
has enzymatic action.
Remain as a complex due to addition of
hydrophobic groups
15
16. Gαs , Gαolf : activates plasma membrane adenylyl
cyclases, increasing cAMP, which stimulates
phosphorylation of target proteins
Gαs and its downstream signaling can be covalently
activated by cholera toxin
.
16
17. Gαi , Gαo : inhibit most adenylyl cyclases,
decreasing cellular cAMP.
Gαi and Gαo can be covalently inactivated and
their signaling turned off by Pertussis toxin.
17
18. Gαq , Gα11 : activate phospholipase Cβ
Gα12 , Gα13 : enhance Rho kinase and change
expression of some genes
Gα transducin: activates cGMP phosphodiesterase
that cleaves and depletes cytoplasmic cGMP
(retina only)
Gα gustducin:activates cAMP phosphodiesterase
that cleaves and depletes cAMP (taste receptors)
18
22. Forskolin and fluoride ions can directly
activate cAMP
PDEs like theophylline, Rolipram, milrinone
can act indirectly by decreasing cAMP
degradation.
22
24. Ex: vasopressin on liver cells.
Muscarinic and α adrenoceptor agonists
acting on smooth muscle and salivary glands.
24
25. Can directly act on ion channels , without 2nd
messengers.
Especially influence K+ and Ca+ channels.ex:
m2 AChR in cardiac muscle – enhance K+
permeability.
Inhibitory drugs like opioids .
25
26. Couples to G12-13 subtype
Free Gα interacts with guanosine nucleotide
exchange factor, facilitates GTP-GDP
exchange in Rho kinase.
Rho kinase involved in Pulmonary HTN.
Fasudil- under trials for use in Rx of
Pulmonary HTN.
26
27. Involved in cell division,
apoptosis, and tissue regeneration.
27
30. Four types of protease-activated receptors
(PARs), have been identified.
Eg.Thrombin activate PARs by snipping off
the end of the extracellular N-terminal tail
of the receptor to expose five or six N-
terminal residues that bind to receptor
domains in the extracellular loops
30
32. It is thought to play a role in inflammatory
pain.
A PAR molecule can be activated only once,
because the cleavage cannot be reversed
Inactivation occurs by a further proteolytic
cleavage, or by desensitisation, involving
phosphorylation.
32
33. Calcium sensing receptor: autosomal
dominant hypocalcemia
CXCR 4 : target of HIV
Endothelin receptor B(Etb) : hirschsprung’s
disease
Rhodopsin: in Retinitis pigmentosa.
33
34. BIBLIOGRAPHY
Goodman and Gilman – 12th edition
Introduction to Physiology- Guyton – 11th edition
Essentials of medical pharmacology – K.D.Tripathi
Rang and Dales pharmacology 7th edition
Textbook of medical pharmacology – Padmaja
udaykumar
Basic clinical pharmacology Katzung 11th edition
Uptodate.com
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