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Pharmacology:
Molecular Drug Binding
(BBC-2 K 25 K 26)
E
M
B Function
R of Cell
A
Ligand
N
E
Directly Cellular Biochemistry
• Ion Conductant
Receptor • Protein phosphorylation
• DNA Transcription
Indirectly
Stages of cell signaling
1. Reception
– chemical message (signal molecule) binds to a
protein (receptor) on the cell surface
2. Transduction
– binding of the signal molecule alters the receptor
protein
– signal usually starts a cascade of reactions known as
signal transduction pathway
– there is usually amplification and modulation of signal
3. Response
– transduction pathway finally leads to response
– responses can vary from turning on a gene, activating
an enzyme, rearranging the cytoskeleton…
Paul Ehrlich: Corpora non agunt fixata
(= a drug will not act, unless it is bound)
to what ? to “ receptor”
Signaling molecule
biological effect
Proteins and peptides:
Effect by
Signal intracellular Steroid hormones,
molecules receptors Thyroxine, VD3
Intracellular
cAMP, cGMP, IP3, DG, Ca2+
molecules
Receptors in RT System
Sensory Afferents
• Chemoreceptors are activated by hypoxemia, acute
hypercapnia, and acidemia. Stimulation of these
receptors, that lead to an increase in ventilation, produce
a sensation of air hunger.
• Mechanoreceptors in the lungs, when stimulated by
bronchospasm, lead to a sensation of chest tightness.
• J-receptors, sensitive to interstitial edema, and
pulmonary vascular receptors, activated by acute
changes in pulmonary artery pressure, appear to
contribute to air hunger.
– Hyperinflation is associated with the sensation of an inability to get a
deep breath or of an unsatisfying breath.
• Metaboreceptors, located in skeletal muscle, are
believed to be activated by changes in the local
biochemical milieu of the tissue active during exercise
and, when stimulated, contribute to the breathing
discomfort.
Metabo- and chemo-receptor
Membrane effects on drug-
receptor interactions
Membrane effects on drug-receptor interactions
Transmembrane Signaling Mechanisms
Closed Open
Transmembrane ion channels
• State-dependent binding important in the
mechanism of action some local anesthetic, anti-
arrhythmic and benzodiazepine derivatives that act
by altering the conductance of ion channels :
– local anesthetics blocks the conductance of Na+ ions
through voltage-gated Na+ channels in neurons that
transmit pain information from the periphery to CNS
preventing action potential propagation, and hence, pain
perception (nociception)
– benzodiazepines inhibit neurotransmission in the CNS
by potentiating the ability of the neurotransmitter GABA to
increase the conductance of Cl ions across neuronal
membrane driving the membrane potential further
away from its threshold for activation.
i_03_m_par_benzodiazepines[1].swf
Channel Families
• Voltage-gated
• Extracellular ligand-gated
• Intracellular ligand-gated
• Inward rectifier
• Intercellular
• Other
Outside Cell
Na+
Cl- Ca2+
K+
Inside Cell
Voltage-gated
• sodium:
– I, II, III, µ1, H1, PN3
• potassium:
– KA, Kv (1-5), Kv(r), Kv(s),KSR, BKCa, IKCa, SKCa,
KM, KACh
• calcium:
– L, N, P, Q, T
• chloride:
– ClC-0 - ClC-8
Extracellular ligand-gated
• nicotinic ACh (muscle): α embryonic, α
adult
• nicotinic ACh (neuronal): α (2-10), α (2-4)
• glutamate: NMDA, kainate, AMPA
• P2X (ATP)
• 5-HT3
• GABAA: (1-6), (1-4), (1-4), , , (1-
3)
• Glycine
Intracellular ligand-gated
• leukotriene C4-gated • Ca2+-gated Cl–
Ca2+ • cAMP cation
• ryanodine receptor • cGMP cation
Ca2+ • cAMP chloride
• IP3-gated Ca2+ • ATP Cl–
• IP4-gated Ca2+ • volume-regulated Cl–
• Ca2+-gated K+ • arachidonic acid-
• Ca2+-gated non- activated K+
selective cation • Na+-gated K+
Cellular Mechanisms of
Seizure Generation
Excitation (too much)
• Ionic-inward Na+, Ca++ currents
• Neurotransmitter: glutamate,
aspartate
Cytoplasmic Domain
Trans-
membrane 1 2 3 4 5 6 7
Domain
Extracellular Domain
a) In the resting state, the and subunits of G protein are associated with one another, and
GDP is boud to subunit.
b) Binding of an extracellular ligand (agonist) to a G protein-coupled receptor exchange of
GTP for GDP on the subunit.
c) The subunit dissociates from the subunit, which diffuses to interact with effector
proteins. Interaction of the GTP-associated subunit with an effector activates the effector.
o In some cases , the subunit can also activate effector proteins.
o Depending on the receptor subtype and the spesific G isoform, G can also inhibit the activity of an effector
molecule.
o The subunit posseses intrinsic GTPase activity, which leads to hydrolysis of GTP to GDP. This leads to reassociation
of the subunit with the subunit and the cycle can begin again.
Transmembrane G Protein-
coupled receptors
Activation of Adenylyl cyclase (AC) and Phospholipase C
(PLC) by G proteins
G Protein Actions
G-stimulatory (Gs) Activates Ca2+ channels,
activates adenylyl cyclase
G-inhibitory (Gi) Activates K+ channels,
inhibits adenylyl cyclase
Go Inhibits Ca2+ channels
Gq Activates phospholiphase C
G12/13 Diverse ion transporter
interaction
G-protein linked receptors
coupled to ion channels
• Acetylcholine (muscarinic) • Histamine
• Adenosine & adenine • 5-Hydroxytryptamine (1,2)
nucleotides • Leukotriene
• Adrenaline & noradrenaline • Melatonin
• Angiotensin • Neuropeptide Y
• Bombesin • Neurotensin
• Bradykinin • Glutamate (quisqualate)
• Calcitonin • Odorant peptides
• Cannabinoid • Opioid peptides
• Chemokine • Platelet-activating factor
• Cholecystokinin & gastrin • Prostanoid
• Dopamine • Protease-activated
• Endothelin • Tachykinins
• Galinin • Taste receptors
• GABA (GABAB) • VIP
• Vasopressin and oxytocin
Transmembrane receptors with
enzymatic cytosolic domains
Transmembrane receptors with enzymatic
cytosolic domains
• Transmembrane receptors that transduce an extracellular
ligand binding interaction into an intracellular action through
the activation of a linked enzymatic domain
• Play roles in a diverse set of physiologic processes:
– Cell metabolism
– Cell growth, and
– Cell differentiation
• Has five major classes based on their cytoplasmic mechanism
of action. All of these receptors are single-membrane
spanning proteins, in contrast to the seven-membrane
spanning motif present in G protein-coupled receptors.
• Phosphorilation is a ubiquitous mechanism of protein
signaling
Five transmembrane receptors with enzymatic
cytosolic domains
A. After ligand-induced activation, these receptor
dimerize and transphosphorylate tyrosine
residues in the receptor and, often, on target
cytosolic proteins. Examples of receptor
tyrosine kinases include the insulin receptor
and the BCR-Abl protein
B. Some receptor can act as tyrosine
phosphatases. This receptors dephosphorylate
tyrosine residues either on other
transmembrane receptors or on cytosolic
proteins. Many cells of the immune system have
receptor tyrosine phosphatases.
C. Some tyrosine kinase-associated receptors lack
a defenitive enzymatic domain, but binding of
ligand to the receptor triggers activation of
receptor associated protein kinase termed non
receptor tyrosine kinase) that then
phosphorylate tyrosine residues on certain
cytosolic proteins.
Five transmembrane receptors with enzymatic
cytosolic domains
D. Receptor serine/threonine kinases
phosphorylate serine and threonine
residues on cetain target cytosolic
proteins. Member of the TGF-
superfamily are in this category.
E. Receptorr guanylyl cyclases contain
a cytosolic domain that catalyzes
the formation of cGMP from GTP.
The receptor for B-type natriuretic
peptide is one of the receptor
guanylyl cyclases that has been well
characterized.
Intracellular receptors
Intracellular receptors
• The transcription regulatory factors are
important cytosolic receptors that are
targeted by lipophilic drugs.
• Steroid hormons are important class of
lipophilic drugs that can diffuse readily
through the plasma membrane and achieve
their action by binding to transcription factors
in the cytoplasm or nucleus
Lipophilic molecule binding to an intracellular
transcription factor
A. Small lipophilic can diffuse through the plasma membrane and bind to intracellular transcription factors. Ex.
Steroid hormone binding to a cytosolic hormone receptor is shown, although some receptor of this class
maybe located in the nucleus before ligand binding.
B. Ligand binding triggers a conformational change in the receptor (and often, as shown here, dissociation of a
chaperone repressor protein) that leads to transport of the ligand receptor complex into the nucleus. In the
nucleus, the ligand receptor complex typically dimerizes. In the examples shown, the active form of the
receptor is a homodimer (two identical receptors binding to one another), but heterodimers such as the
thyroid hormone receptor and the retinoid X receptor) may also form.
C. The dimerized ligand receptor complex binds to DNA, and may than recruit coactivators or copressors (not
shown). These complexes alter the rate of gene transcription, leading to a change either up or down) in
cellular protein expession
Impact of drug binding on receptor
conformation
A .Some drugs:
= act by preventing the endogenous ligands to
interact with their receptor no change in
conformation of the receptor.
B . Other drugs result in a change in the
conformation of the receptor altering the shape
of the receptor
Action-Effect Sequence
I. Drug action:
= initial interaction of the drug with its
receptor, resulting in:
a. conformational change in the receptor
(agonist)
b. prevention of conformational change
(antagonist)
II.Drug effect:
= the ultimate change in biologic function
brought about as a consequence of drug
action,thru‘ a series of intermediate steps
------ transducer
CELLULAR REGULATION OF
DRUG – RECEPTOR INTERACTIONS
• Drug Foreign Body To Our Cells
Homeostasis
Number of receptors
• Up regulation Beta blocker
• Down regulation TCA
• Opiate tolerance
Tachyphylaxis
• Reduced effect produced after repeated
administration.
• Occurs faster than tolerance.
CELLULAR REGULATION OF
DRUG – RECEPTOR INTERACTIONS
Desensitization
Homologous decrease response of a single
class of receptor
Heterologous multiple class.
Inactivation
Loss of ability of a receptor to respond to
stimulation by a drug.
Refractory
After a receptor is stimulated, a period of time is
required before the next drug-receptor
interaction can produce an effect.
MOLECULAR AND CELLULAR
DETERMINANTS OF DRUG SELECTIVITY
Drug – receptor interactions
SPECIFICITY:
tissue, systems, organ where receptors are
distributed
Adrenergic
Cholinergic
SELECTIVITY :
drug interacts preferentially on particular
receptor types or subtypes.
- Propranolol : non-selective antagonist of 1 and 2
adrenergic.
- Atenolol : 1 – selective, 2 less.
- Terbutaline : agonist of
Drugs that do not fit
the drug-receptor model
Ex.
1. Osmotic diuretics;
= many of diuretics act on ion-channels,-
thru” receptor binding
= SUGAR MANNITOL act by changing the
osmolarity in the nephron directly ,
because mannitol is secreted into the
lumen water is drawn into the lumen
volume urine increased
Drugs that do not fit
the drug-receptor model
Ex.
2. Antacids; NaHCO3 and Mg(OH)2
= act nonspecifically by;
Stomach
- absorbing,or
acid
- chemically neutralizing
3. Chelating agents;
= bind the heavy metals like Fe++,As
4. Cholestyramine; binds the bile acid in
GI-tract
Phospholipid
+ Phospho + Bradykinin
lipase A2
Arachidonic Acid
+ COX +
Prostaglandin
+ Nociceptor
Hyperalgesia
BK
Actions of Bradikinin on Sensory Neurons
B 2R
Desensitize?
cGMP PLC PLA2
mediated by B2 Receptors
Guanylate
cyclase DAG
Lipase
NO IP3 DAG AA
NOS
Calmodulin
[Ca2+] PKC
Activation PGs
Depolarize
Bevan, 2001
Mechanisms of Pain: Peripheral Sensitization
MECHANISM DEFINITION
Tachyphylaxis Repeated adm. Of the same dose of a drug results in a reduced
effect of the drug over time
Desensitization ↓ ability of a rec’r to respond tostimulation by a drug or ligand
1.Homologous 1. ↓ response of a single class of rec’r
2. Heterologous 2. ↓ response of a multiple classes of rec’r
Inactivation Loss of ability of a rec’r to respond to stimulation by a drug or
ligand
Refractory After a rec’r is stimulated, a period of time is required before
the next drug-rec’r interaction can produce an effect
Down Regulation Repeated or persistent drug-rec’r interaction results in removal
of the rec’r from sites where subsequent drug-rec’r interactions
could take place.
Molecular and Cellular Determinants of Drug Selectivity
http://www.rcsb.org/pdb/molecules/pdb17_1.html
Prostaglandins
As you might expect from a drug with such diverse actions, aspirin blocks a central
process in the body: Aspirin blocks the production of prostaglandins, key hormones
that are used to carry local messages.
Unlike most hormones, which are produced in specialized glands and then delivered
throughout the body by the blood, prostaglandins are created by cells and then act
only in the surrounding area before they are broken down.
Prostaglandins control many of these neighborhood processes, including the
constriction of muscle cells around blood vessels, aggregation of platelets during
blood clotting, and constriction of the uterus during labor.
Prostaglandins also deliver and strengthen pain signals and induce inflammation.
When aspirin blocks production of prostaglandins, the normal messages are not
delivered, so we don't feel the pain and don't launch an inflammation response.
These many different processes are all controlled by different prostaglandins, but all
created from a common precursor molecule.
http://www.rcsb.org/pdb/molecules/pdb17_1.html
What does COX do?
COX = Cyclooxygenase (PDB entry 1prh) performs the first step in the
creation of prostaglandins from a common fatty acid: It adds two
oxygen molecules to arachidonic acid, beginning a set of reactions.
http://www.rcsb.org/pdb/molecules/pdb17_1.html
Structure-based drug design
• Compare the structures of COX-1 and COX-2
• Identify differences that could be exploited
• Need to know the mechanism of COX
inhibition
Mechanism of COX inhibition?
Ser530 is not a catalytic
residue.
ARG513
Hydrophilic
side pocket
Structural Differences Cox1/2
Molecular modeling in drug discovery
I. Two case studies for sequence to structure mapping:
– Small changes in protein sequence cause dramatic
difference in drug binding: COX inhibitors
– Large changes in protein sequence still maintain similar
structure: G protein coupled receptors
1. Reception
chemical message (signal molecule) binds to a protein
(receptor) on the cell surface
2. Transduction
binding of the signal molecule alters the receptor protein
signal usually starts a cascade of reactions known as
signal transduction pathway
there is usually amplification and modulation of signal
3. Response
transduction pathway finally leads to response
responses can vary from turning on a gene, activating an
enzyme, rearranging the cytoskeleton…
TYPES OF EXTRACELLULAR SIGNALS
PHYSICAL SIGNALS
light, heat, gravitation, pressure, magnetic field
electric events mediated by transport of ions through
plasmatic membrane
CHEMICAL SIGNALS
1. HORMONS
derived from amino acids (adrenalin)
peptides and proteins (insulin, oxytocin)
steroid hormons (testosteron, oestrogene, progesterone)
tissue hormons (pepsin, trypsin)
2. NEUROTRANSMITTERS
(acetylcholin, adrenalin, noradrenalin, dopamin)
3. NEUROHORMONS
(D-serine, carnosin..)
4. CYTOKINS
- proteins produced by cell as a signals for proliferation,
differentiation or survival of cells
interleukins – produced by lymfocytes
interferons – induction of resistence against viruses
tumor necrotizing factors – inhibition of cell division
grow factors – stimulation of proliferation and differentiation
FORMS OF EXTRACELLULAR SIGNALING
A) ENDOCRINE
e.g. cells of thyroid produce tyrosin (hormone) increase
the metabolism
B) AUTOCRINE
e.g. chemical messenger is produced and accepted by one cell
ENDOCRINE AUTOCRINE
C) PARACRINE
e.g. mastocyts produce histamin (local mediator) cells
enlarge, increase their permeability inflammation
(C)
E) NEURONAL
e.g. neurons produce chemical signal acetylcholin
(neurotransmitter) electrical excitation (change in membrane
potential = action potential) signal is transmited rapidly and
over long distances in body
MEMBRANE POTENTIAL (-70 mV inside)
outside +++++++++++++ Na+ Animation of action potencial and
synaptic transmisssion:
inside ----------------------- K- http://bcs.whfreeman.com/thelifewi
re/content/chp44/4402002.html
activation
ADENYLYL CYCLASE
increase of concentration
http://www.celanphy.science.ru.nl/Bru
ce%20web/Flash%20Movies.htm
Animation of signal
transducion and amplification:
http://www.sinauer.com/coope
r/4e/animations15.html
http://www.wiley.com/college/b
oyer/0470003790/animations/s
ignal_transduction/signal_tran
sduction.htm
ACTIVATION OF KINASE C
signal
activation
DAG - diacylglycerol
IP3 - inositol triphosphate
PHOSPHOLIPASE C
ER
LIPIDS DAG + IP3
Ca2+
activation
Calmodulin – binds 4 ions of Ca2+
PHOSPHOLIPASE C
ER
tyrosine 1. 2.
adaptor protein
PHOSPHOLIPASE C
Ras protein
PROTEIN KINASE I
PROTEIN KINASE II
KINASE C
PROTEIN KINASE III