Receptor:
It is a specific drug binding site in
a cell or on its surface that mediates the action of drug.
When a drug is introduced into the
body, it binds to its specific receptor and produces a biochemical response,
which can either stimulate or inhibit the receptor’s normal activity.
Drug receptors are typically found on
the surface of cells or within the cell, and they are highly specific to
certain drugs or classes of drugs. The interaction between a drug and its
receptor is often the key determinant of the drug’s therapeutic effect, as well
as its side effects.
Examples of drug receptors include
opioid receptors, which are targeted by drugs like morphine to produce pain
relief, and beta-adrenergic receptors, which are targeted by drugs like
albuterol to open up airways in the lungs. Understanding the molecular
structure and function of drug receptors is a crucial aspect of drug
development and can lead to the discovery of new therapies for a wide range of
medical conditions.
Nature of drug receptors:
Drug receptors maybe:
- Regulatory proteins that mediate actions of neurotransmitters, autacoids and hormones.
- Enzymes which may be inhibited (or less commonly, activated) by binding a drug for example dihydrofolate reductase, the receptor for antineoplastic drug methotrexate.
- Structural protein such as tubulin, the receptor for colchicine (an anti-inflammatory agent).
- Transport protein such as NA+ , K+ -ATPase (the membrane receptor for cardioactive digitalis glycosides).
Some drugs such as mannitol do not
have specific receptors.
Regulation of receptors
Down regulation of receptors:
In down regulation of receptors the
number of receptors is decreased or receptors become desensitized due to
continuous or prolonged exposure to an agonist.
The process of down regulation can
occur in many different types of receptors, including those involved in
neurotransmission, hormone signaling, and immune function. For example,
prolonged use of opioids can lead to down regulation of the opioid receptors,
reducing their sensitivity to the drug and requiring higher doses to achieve
the same therapeutic effect.
Up regulation of receptors:
In up regulation of receptors the count
of receptors is increased, happens when receptors activation is blocked for
prolonged period mostly for few days by pharmacological antagonists or by
denervation.
Up regulation can occur in many
different types of receptors, including those involved in neurotransmission,
hormone signalling, and immune function. For example, in patients with heart
failure, the body may upregulate beta-adrenergic receptors to increase the
heart’s responsiveness to sympathetic nervous system stimulation.
Functions of receptors:
- To propagate signals from outside to inside.
- Receptors enable cells to communicate with each other through the binding of signaling molecules, such as neurotransmitters, hormones, or growth factors.
- To amplify the signal.
- To integrate various extracellular and intracellular regulatory signals.
- Receptors in sensory organs, such as the eyes, ears, and skin, detect changes in the environment and transmit this information to the brain for processing.
- Receptors help regulate various physiological parameters, such as blood pressure, heart rate, and body temperature, to maintain the body’s internal balance.
- Receptors on immune cells detect foreign invaders, such as viruses and bacteria, and initiate an immune response to eliminate them.
- Receptors on cells involved in energy metabolism, such as the liver and adipose tissue, regulate the uptake, storage, and breakdown of nutrients.
- Receptors play a critical role in the development and growth of the body, including cell proliferation, differentiation, and migration.
- Receptors on muscle cells are involved in the initiation and regulation of muscle contraction.
- Receptors on nerve cells are involved in the transmission of signals between neurons, allowing for communication within the nervous system.
- Receptors in the brain are involved in the regulation of behavior and mood, and drugs that target these receptors can be used to treat conditions such as depression and anxiety.
Affinity and intrinsic activity:
Affinity:
Affinity is ability of a drug to bind
to a receptor.
Intrinsic activity:
Intrinsic activity is the ability of a
drug to produce a response after binding to a receptor.
Receptor Ligands
Agonist:
A drug that has affinity and intrinsic
activity is called Agonist. An Agonist produces some of the effects of
endogenous compounds when it interacts with receptor, for example isoproterenol
at beta adrenoceptors.
Antagonist:
A drug that has affinity but does not
have intrinsic activity is called antagonist. Antagonist is a drug that binds
to receptors without activating it, thereby blocking endogenus agonist from
exerting its effect, for example propranolol at beta adrenoceptors.
Partial Agonist:
A drug that has affinity and some
intrinsic activity is called partial agonist. for example nalbuphine. A partial
agonist may act as either an agonist if full agonist is absent or an antagonist
if full agonist is present.
Inverse agonist:
A drug that activates receptor to
produce an effect in the opposite direction to that of the agonist, for example
carbolines at benzodiazepine receptors.
Spare receptors:
When maximal pharmacological response
can be elicited by an agonist at concentration that does not result in
occupancy of all available receptors, the receptors that are not occupied or
called spare receptors. Spare receptors are not Hidden and not unavailable and
when they are occupied, can be coupled to response.
Drug receptor interactions:
Drug combines with the receptor and
making a drug receptor complex this combination results in a sequence of events
occurring intracellularly by which a drug receptor complex produce an effect.
Learn more
What is Receptor?
What is drug receptors?
Examples of drug receptors
Nature of drug receptors
What is regulation of receptors?
What is up regulation of receptors?
What is down regulation of receptors?
Functions of receptors
Top 10 Functions of receptors
What is affinity?
What is intrinsic activity?
Drug receptor interactions
What is spare receptors?
What is inverse agonist?
What is partial agonist?
What is antagonist ?
What is agonist?
What is Receptor Ligands?
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