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MOLECULAR MECHANISM OF DRUG
ACTION
CELLULAR SIGNALLING
 What is cell signalling
 Cell signalling within, between & among the cell & their classification
 A. EXTRACELLULAR- protein, peptides, AA, hormones, PG, Steroids, etc
 1) Intracrine – signal produced & stayed in target cell itself
 2) Autocrine – target cell, are secreted and effects on target cell via receptor
 3) Paracrine - target cell in viscinity,,,eg Neurotransmitter
Local chemical mediators- GF, PG
 4) Endocrine- duct, hormone,distant cell-- insulin, thyroxine, adrenaline
 5) Juxtracrine- signal targets adjascent cell
 6) Gaseous- NO, CO
 7) Neuronal- synapses
B. INTRACELLULAR
• Ca2+ : ions
• DG, ceramide : lipid derivatives
• IP3 : carbohydrate derivatives
• cAMP cGMP : nucleotides
• Ras, JAK, Raf : proteins
 SECOND MESSENGER
Ca2+,DAG, Ceramide, IP3, cAMP, cGMP
 THIRD MESSENGER- transmit signal from outside to inside or
inside to outside of nucleus/ DNA binding protein
MOLECULAR MECHANISM OF DRUG ACTION
 RECEPTOR OCCUPANCY :-
 The receptor concept
 Nature of drug receptor interaction
 1.Receptor occupancy model-
 Law of mass action
 More receptor occupied more
effect at equilibrium
 2.two state receptor model- inactive and active
 3.ternary complex model- ligand,receptors and G-protein
 4. competitive inhibitory model.
TRANSDUCER MECHANISM
 What are receptors ?
 Able to recognize and bind to corresponding ligand molecules, become
activated, and transduce signal to next signaling molecules.
 Glycoprotein / lippoprotein
 1. G-Protein coupled receptors
 2. ligand gated Ion channel receptors
 3. Enzyme linked receptor
 4. Nuclear/Steroidal receptor
LIGAND GATED ION CHANNEL RECEPTORS
LIGAND GATED ION CHANNEL RECEPTORS
 Nicotinic acetylcholine receptor
 NMDA- type glutamate receptor
 Glycine receptor
 GABAA receptor
 Serotonin receptor (5-HT3)
NMDA- type glutamate receptors
ENZYME LINKED RECEPTORS
1. Intrinsic tyrosine kinase receptors
2. JAK-STAT kinase binding receptors
NUCLEAR RECEPTORS
Steroids
Hormones
Pituetory hormones
CYCLIC NUCLEOTIDES
cAMP - 3’5’-cyclic adenosine monophosphate,
cGMP- 3’5’-cyclic guanosine monophosphate,
cCMP- cytidine 3',5'-monophosphate, and
cUMP- uridine 2',3'-cyclic phosphate.
cyclic nucleotide Known binding proteins
Pathway/Biological
association
cAMP
1.protein kinase A
2.cyclic nucleotide-gated ion
channels
3.Epac
4.Catabolite Activator
Protein (CAP)
1.smooth muscle relaxation[14]
2.photo/olfactory receptors[3]
3.glucagon production in
pancreatic beta cells[15]
4.lac operon regulation in E.
coli[16][17]
cGMP
1.cGMP-dependent protein
kinase (PKG)
2.cyclic nucleotide-gated ion
channels
1.smooth muscle relaxation[14]
2.photo/olfactory receptors[3]
cCMP
1.cGMP kinase I 1.smooth muscle
[12][18]
CYCLIC NUCLEOTIDE PATHWAYS
CALCIUM
Calcium- major intracellular cation
Calcium – heart (ion channel)
As second messenger
Role of Calcium at –
Skeletal Muscle
neurone
MECHANISM OF ACTION
IP3 AND DAG
IP3-DAG PATHWAY
ION CHANNELS AND THEIR MODULATORS
 Sodium
 Calcium
 Potassium
 Types – voltage gated or ligand gated
 Modulators-
1. SODIUM ION-
a) Voltage Gated
b) Ligand gated
- Role in Action potential
SODIUM CHANNELS
Structure-
DIVERSITY-
Subunits-
a) alpha subunit
b) Beta subunit
Sr.n
o
Protein
name
gene Expression profile associated
1 Nav 1.1 SCN 1A Central & peripheral
neuron, myocytes
Febrile epilepsy
2 Nav 1.1 SCN 2A -’’- Inherited seizures
3 Nav 1.3 SCN 3A -”- ------
4 Nav 1.4 SCN 4A -”- Paralysis,myotoni
a
5 Nav 1.5 SCN 5A Cardiac myocytes, central
neuron
Long QT
syndromes
Sr.no Protein
name
gene Expression profile Associated
6 Nav 1.6 SCN 8A Skeletal muscle Epilepsy
7 Nav 1.7 SCN 9A DRG Fibromyalgia
8 Nav 1.8 SCN 10A DRG ------------
9 Nav 1.9 SCN 11A DRG -------------
10 Nax SCN 7A Heart,uterus,SM --------------
--
β-subunit
Nav β1-- Nav β4
PHARMACOLOGICAL MODULATION
Activators-
Aconitine
Batracotoxin
Brevetoxin
Ciguatoxin
Veratridine
Gating modifiers-
Peptide based toxin-
µ-conotoxin
Δ-atracotoxin
Scorpian venum
Blocker-
Class-1
A- Quinidine, procainamide
B- Lidocaine
C- propafenone
CALCIUM CHANNEL
Structure
VOLTAGE GATED CALCIUM CHANNEL
type voltage Αlpha 1-
subunit
Genes occurance
L-type High volt.
Activated(HVA
)
α2, δ,β,γ Cav 1.1-1.4 SM, dendrites & spines
P-type
Or
Q-type
HVA α2, δ,β Cav2.1 Purkinje
neurones,cerebellar
granules
N-type HVA α2, δ/β,
β3,β4
Cav2.2 Trough out brain
R-type Intermidiate
voltage
α2, δ,β Cav2.3 Cerebellar granule cells
T-type Low voltage ----------- Cav3.1-3.3 Bones, neuronal cell
having pacemaker
activity
Sr
no.
type Gated by gene location Function
1 IP3 IP3 ITPR1-3 ER/SR Release ca+
2 Rynodine
receptor
DHPR,in T-
tubule
RyR1-3 ER/SR Release in
myocytes
3 Two pore
channel
------- ----------------
-----
------------- -------
4 Store
operated
Indirectly by
ER/SR depletion
of ca+
ORAI1-3 Plasma
membrane
--------
LIGAND GATED CALCIUM CHANNEL
PHARMACOLOGY OF CALCIUM CHANNEL
 Calcium channel blockers-
1. L-type- DHPD, phenylalkylamines, benzothiazepines.
2. P/Q – type- ω-Agatotoxin
3. N- type- ω-conotoxin
4. R-type-SNX 482
5. t-type- ethosuccimide
 Activators–
GPCR , Calcium etc.(may be)
POTASSIUM CHANNEL
 Structure and types:-
a.2T1P, b.6T1P, c.8T2P, d.4T2P
K CHANNEL
K CHANNEL
class subclass function blocker Activators
Ca+
Activated
6T&1P
BK
Sk
Decrease then
increase intracellular
calcium
Cellular calcium
Charybdotoxin
apamin
1-EBIO
NS309
CYPPA
Inwardly
rectifying
2T&1P
ROMK
GPCR
regulated Kir
ATP sensing
Recification&
secretion of K
Mediate or inhibit
effects of GPCR
Close when high
ATP
--
Ifenprodil
Tolbutamide etc
----
GPCR agonist
pinacidil
Tandem
pre domain
4T&2P
TWICK
TREK
TASK
TALK 1&2
THICK &
TESK
Resting mem. Pot. bupivacaine Halothane
Voltage
gated
hERG(Kv11.1) Repolarisation Tetraethyl
ammonium Ritagabine
THANK
YOU

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Molecular Mechanisms of Drug Action and Cell Signaling

  • 2. CELLULAR SIGNALLING  What is cell signalling  Cell signalling within, between & among the cell & their classification  A. EXTRACELLULAR- protein, peptides, AA, hormones, PG, Steroids, etc  1) Intracrine – signal produced & stayed in target cell itself  2) Autocrine – target cell, are secreted and effects on target cell via receptor  3) Paracrine - target cell in viscinity,,,eg Neurotransmitter Local chemical mediators- GF, PG  4) Endocrine- duct, hormone,distant cell-- insulin, thyroxine, adrenaline  5) Juxtracrine- signal targets adjascent cell  6) Gaseous- NO, CO  7) Neuronal- synapses
  • 3.
  • 4. B. INTRACELLULAR • Ca2+ : ions • DG, ceramide : lipid derivatives • IP3 : carbohydrate derivatives • cAMP cGMP : nucleotides • Ras, JAK, Raf : proteins  SECOND MESSENGER Ca2+,DAG, Ceramide, IP3, cAMP, cGMP  THIRD MESSENGER- transmit signal from outside to inside or inside to outside of nucleus/ DNA binding protein
  • 5. MOLECULAR MECHANISM OF DRUG ACTION  RECEPTOR OCCUPANCY :-  The receptor concept  Nature of drug receptor interaction  1.Receptor occupancy model-  Law of mass action  More receptor occupied more effect at equilibrium
  • 6.  2.two state receptor model- inactive and active  3.ternary complex model- ligand,receptors and G-protein  4. competitive inhibitory model.
  • 7. TRANSDUCER MECHANISM  What are receptors ?  Able to recognize and bind to corresponding ligand molecules, become activated, and transduce signal to next signaling molecules.  Glycoprotein / lippoprotein  1. G-Protein coupled receptors  2. ligand gated Ion channel receptors  3. Enzyme linked receptor  4. Nuclear/Steroidal receptor
  • 8. LIGAND GATED ION CHANNEL RECEPTORS
  • 9. LIGAND GATED ION CHANNEL RECEPTORS  Nicotinic acetylcholine receptor  NMDA- type glutamate receptor  Glycine receptor  GABAA receptor  Serotonin receptor (5-HT3)
  • 10. NMDA- type glutamate receptors
  • 11. ENZYME LINKED RECEPTORS 1. Intrinsic tyrosine kinase receptors 2. JAK-STAT kinase binding receptors
  • 13. CYCLIC NUCLEOTIDES cAMP - 3’5’-cyclic adenosine monophosphate, cGMP- 3’5’-cyclic guanosine monophosphate, cCMP- cytidine 3',5'-monophosphate, and cUMP- uridine 2',3'-cyclic phosphate. cyclic nucleotide Known binding proteins Pathway/Biological association cAMP 1.protein kinase A 2.cyclic nucleotide-gated ion channels 3.Epac 4.Catabolite Activator Protein (CAP) 1.smooth muscle relaxation[14] 2.photo/olfactory receptors[3] 3.glucagon production in pancreatic beta cells[15] 4.lac operon regulation in E. coli[16][17] cGMP 1.cGMP-dependent protein kinase (PKG) 2.cyclic nucleotide-gated ion channels 1.smooth muscle relaxation[14] 2.photo/olfactory receptors[3] cCMP 1.cGMP kinase I 1.smooth muscle [12][18]
  • 15. CALCIUM Calcium- major intracellular cation Calcium – heart (ion channel) As second messenger Role of Calcium at – Skeletal Muscle neurone
  • 19. ION CHANNELS AND THEIR MODULATORS  Sodium  Calcium  Potassium  Types – voltage gated or ligand gated  Modulators- 1. SODIUM ION- a) Voltage Gated b) Ligand gated - Role in Action potential
  • 21. DIVERSITY- Subunits- a) alpha subunit b) Beta subunit Sr.n o Protein name gene Expression profile associated 1 Nav 1.1 SCN 1A Central & peripheral neuron, myocytes Febrile epilepsy 2 Nav 1.1 SCN 2A -’’- Inherited seizures 3 Nav 1.3 SCN 3A -”- ------ 4 Nav 1.4 SCN 4A -”- Paralysis,myotoni a 5 Nav 1.5 SCN 5A Cardiac myocytes, central neuron Long QT syndromes
  • 22. Sr.no Protein name gene Expression profile Associated 6 Nav 1.6 SCN 8A Skeletal muscle Epilepsy 7 Nav 1.7 SCN 9A DRG Fibromyalgia 8 Nav 1.8 SCN 10A DRG ------------ 9 Nav 1.9 SCN 11A DRG ------------- 10 Nax SCN 7A Heart,uterus,SM -------------- -- β-subunit Nav β1-- Nav β4
  • 23. PHARMACOLOGICAL MODULATION Activators- Aconitine Batracotoxin Brevetoxin Ciguatoxin Veratridine Gating modifiers- Peptide based toxin- µ-conotoxin Δ-atracotoxin Scorpian venum Blocker- Class-1 A- Quinidine, procainamide B- Lidocaine C- propafenone
  • 25. VOLTAGE GATED CALCIUM CHANNEL type voltage Αlpha 1- subunit Genes occurance L-type High volt. Activated(HVA ) α2, δ,β,γ Cav 1.1-1.4 SM, dendrites & spines P-type Or Q-type HVA α2, δ,β Cav2.1 Purkinje neurones,cerebellar granules N-type HVA α2, δ/β, β3,β4 Cav2.2 Trough out brain R-type Intermidiate voltage α2, δ,β Cav2.3 Cerebellar granule cells T-type Low voltage ----------- Cav3.1-3.3 Bones, neuronal cell having pacemaker activity
  • 26. Sr no. type Gated by gene location Function 1 IP3 IP3 ITPR1-3 ER/SR Release ca+ 2 Rynodine receptor DHPR,in T- tubule RyR1-3 ER/SR Release in myocytes 3 Two pore channel ------- ---------------- ----- ------------- ------- 4 Store operated Indirectly by ER/SR depletion of ca+ ORAI1-3 Plasma membrane -------- LIGAND GATED CALCIUM CHANNEL
  • 27. PHARMACOLOGY OF CALCIUM CHANNEL  Calcium channel blockers- 1. L-type- DHPD, phenylalkylamines, benzothiazepines. 2. P/Q – type- ω-Agatotoxin 3. N- type- ω-conotoxin 4. R-type-SNX 482 5. t-type- ethosuccimide  Activators– GPCR , Calcium etc.(may be)
  • 28. POTASSIUM CHANNEL  Structure and types:- a.2T1P, b.6T1P, c.8T2P, d.4T2P
  • 30. K CHANNEL class subclass function blocker Activators Ca+ Activated 6T&1P BK Sk Decrease then increase intracellular calcium Cellular calcium Charybdotoxin apamin 1-EBIO NS309 CYPPA Inwardly rectifying 2T&1P ROMK GPCR regulated Kir ATP sensing Recification& secretion of K Mediate or inhibit effects of GPCR Close when high ATP -- Ifenprodil Tolbutamide etc ---- GPCR agonist pinacidil Tandem pre domain 4T&2P TWICK TREK TASK TALK 1&2 THICK & TESK Resting mem. Pot. bupivacaine Halothane Voltage gated hERG(Kv11.1) Repolarisation Tetraethyl ammonium Ritagabine