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Drug Receptor Interactions - 2: Prof Graham Ladds Dept Pharmacology Grl30@cam - Ac.uk
Drug Receptor Interactions - 2: Prof Graham Ladds Dept Pharmacology Grl30@cam - Ac.uk
Drug Receptor Interactions - 2: Prof Graham Ladds Dept Pharmacology Grl30@cam - Ac.uk
1. Concept of “receptor”
2. Mechanism of drug receptor interactions
3. Agonism and antagonism
4. Quantifying drug receptor interactions
Receptor Families
1. Intracellular receptors.
2. Receptors that are ion channels.
3. Receptors with intrinsic enzyme activity.
4. Receptors linked to protein kinases.
5. Receptors coupled to target proteins via a G protein.
Intracellular signalling - Second messengers.
Figure 44
Quantifying drug receptor interactions…
• At equilibrium:
Þ forward rate equals backward rate
Þ k+1[D][R] = k-1[DR]
Þ k+1 = Ka = [DR]
k-1 [D][R]
• At equilibrium:
Þ forward rate equals backward rate
Þ k+1[D][R] = k-1[DR]
Þ k+1 = Ka = [DR]
k-1 [D][R]
• At equilibrium:
Þ forward rate equals backward rate
Þ k+1[D][R] = k-1[DR]
Þ k+1 = Ka = [DR]
k-1 [D][R]
a massive number - 1000 ~ 10^9.
Ka is essentially a ratio of [product]:[reactants] because drugs gotta bind
D + R DR
(1-a) a
Then Ka = [DR]
[D][R]
Þ Ka = a
[D](1 - a)
Þ[D]Ka- [D]Kaa = a
Þ a (1 + [D]Ka) = [D]Ka
Þ a = [D]Ka
1 + [D]Ka
Figure 50
BUT how many receptors are actually associated with the drug?
Receptor occupancy
D + R DR
(1-a) a
Then Ka = [DR]
[D][R]
Þ Ka = a
[D](1 - a)
Þ[D]Ka- [D]Kaa = a
Þ a (1 + [D]Ka) = [D]Ka
Þ a = [D]Ka
1 + [D]Ka
Figure 51
BUT how many receptors are actually associated with the drug?
Receptor occupancy
D + R DR
(1-a) a
Then Ka = [DR]
[D][R]
Þ Ka = a
[D](1 - a)
Þ[D]Ka- [D]Kaa = a
Þ a (1 + [D]Ka) = [D]Ka
Þ a = [D]Ka
1 + [D]Ka
[D][R]
Figure 52
Þ
BUT how many receptors are actually associated with
Ka the
= a
drug?
[D](1 - a)
Receptor occupancy
Þ[D]Ka- [D]Kaa = a
D + R DR 1 + [D]Ka
(1-a) a
Þ Ka = a
Þ [D] = 1 = Kd
[D](1 - a)
Ka
Þ[D]Ka- [D]Kaa = a
Kd - conc. when 50% of
of receptors are occupied.
Þ a (1 + [D]Ka) = [D]Ka ≠EC50 -
- EC50 only applies to agonists
- amplification
Þ a = [D]Ka
1 + [D]Ka
Figure 53
The absolute numbers of receptors in a tissue
• Fractional occupancy is only a percentage of the total receptors.
• It is not an absolute number.
• Are there any ways we can obtain an absolute number??Agonism and antagonism
• The actions of a drug are related to
Isolated organ experiments
concentration
e.g. Guinea-pig ileum
Amplification
• Magnus preparation 100
Agonist + Receptor
% ¯
Drug-receptor 50
complex
Response
¯
Conformational change
¯ 0
Second messenger system0 activated50 100 1 2 3
[Agonist] log [Agonist]
¯
Second messenger
• Log generated
concentration-response curves are used
¯
• Pseudo-linear at midpoint
[Ca2+]i
Contraction
to ACh
1 min
Kd is NOT EC50
¯ • Competitive antagonists give parallel shift
Þ Can accommodate large shifts
Actin/myosin activated of an agonist
¯
100
Muscle contracts
ACh ACh ACh ACh ACh Agonist
alone
%
Þ Kdiss is not the EC50 for50an agonist Agonist
Figure 54
Radioligand binding is the answer
• Allows direct analysis of the Drug - Receptor interact
• A radiolabelled drug enables us the essentially ‘count’ receptors
• Common isotopes are:
3H - tritium
125I Radio-iodine (good for proteins)
Figure 55
Radioligand binding is the answer
• Allows direct analysis of the Drug - Receptor interact
• A radiolabelled drug enables us the essentially ‘count’ receptors
Radioligand binding
• Common isotopes are:
• Allows direct observation of drug-receptor
interactions 3H - tritium
125I Radio-iodine (good for proteins)
• A radiolabelled drug ("radioligand") is used to
'count' receptors
Radiolabelled Drug
125I - radio-iodine
Radiolabelled Drug
must be in high concentrations so that it reaches equilibria
Wash pellet
then count
radioactivity
Centrifuge
125I - radio-iodine
We must separate the unbound ‘free’ label
• Iodine is particularly useful to label peptide
ligands from that bound to the receptor Wash filter
vacuum pump
The unbound fraction (D*) is in excess compare then count
radioactivity
Text
Figure 59
Specific vs non-specific binding
• How do we discriminate between the specific and non-specific binding?
• If we add excess non-radioligand we can block specific binding.
• Anything else must be non-specific and it is linear with concentration.
Bound
radioligand
Total binding
Bmax
Specific binding
Bmax
Non-specific binding
2
[radioligand]
Kd
Kdiss
Bound
radioligand
Total binding
Bmax
Specific binding
Bmax
Non-specific binding
2
[radioligand]
Kdiss
Bmax
2
Non-specific binding
Þ
Remember a = [D]Ka
1 + [D]Ka
Kd Þ [D] = 1 = Kd
Ka
Figure 62
Two methods can help us……
• Estimates are easier when using data that is linear - Re: M & M kinetics..
Figure 63
Two methods can help us……
• Estimates are easier when using data that is linear - Re: M & M kinetics..
• 1. Double reciprocal plot…
Binding curves
a = B = [D]K1a
Bmax 1 + [D]K1a
Þ Bmax = 1 + [D]K1a
B [D]K1a
Þ Bmax = 1 +1
B [D]K1a
• Plot 1 versus 1
B [D]
1/B
1/Bmax
- K1 0
-Ka 1/[D]
Figure 64
Two methods can help us……
• Estimates are easier when using data that is linear - Re: M & M kinetics..
• 1. Double reciprocal plot…
Binding curves
Binding curves a = B = [D]Ka
1
a = B = [D]K1a Bmax 1 + [D]K1a
Bmax 1 + [D]K1a
Þ B + B[D]Ka
1 = Bmax[D]K1
a
Þ Bmax = 1 + [D]K1a
Þ B + BKa = BmaxKa
B [D]K1a 1 1
[D]
Þ Bmax = 1 +1
Þ B = BmaxKa
1 - BK1a
B [D]K1a
[D]
• Plot 1 versus 1
B [D] • Plot B versus B
[D]
Þ Double reciprocal plot
Þ Scatchard plot
N.B. [D] strictly represents free drug
1/B
B/[D]
1/Bmax
-Ka
slope = -K1
- K1 0
-Ka 1/[D]
0 B
Bmax
Figure 65
Two methods can help us……
• Estimates are easier when using data that is linear - Re: M & M kinetics..
• 1. Double reciprocal plot…
Binding curves
Binding curves a = B = [D]Ka
1
a = B = [D]K1a Bmax 1 + [D]K1a
Bmax 1 + [D]K1a
Þ B + B[D]Ka
1 = Bmax[D]K1
a
Þ Bmax = 1 + [D]K1a
Þ B + BKa = BmaxKa
B [D]K1a 1 1
[D]
Þ Bmax = 1 +1
Þ B = BmaxKa
1 - BK1a
B [D]K1a
[D]
• Plot 1 versus 1
B [D] • Plot B versus B
[D]
Þ Double reciprocal plot
Þ Scatchard plot
N.B. [D] strictly represents free drug
1/B
B/[D]
1/Bmax
-Ka
slope = -K1
- K1 0
-Ka 1/[D]
0 B
Bmax
Figure 66
Two methods can help us……
• Estimates are easier when using data that is linear - Re: M & M kinetics..
• 1. Double reciprocal plot… MUST KNOW
• 2. Scatchard plot… Binding curves
Binding curves a = B = [D]K1
a = B
Bmax
=
Key Assumptions:
[D]K1
1 + [D]K1
Þ
Bmax
B + B[D]K1 = Bmax[D]K1
1 + [D]K1
Þ Bmax
B 1. Drug is in excess to RT
= 1 + [D]K1
[D]K1 Þ B + BK1
[D]
= BmaxK1
2. Reaction is in equilibrium
Þ Bmax = 1 +1
Þ B = BmaxK1 - BK1
B [D]K1
[D]
• Plot 1 versus
3. Reversible reaction
1
B [D] • Plot B versus B
[D]
Þ Double reciprocal plot
N.B.
Scatchard plot
[D] strictly represents free drug
1/B
B/[D]
1/Bmax
-Ka
slope = -K1
- K1 0
-Ka 1/[D]
0 B
Bmax
Figure 67
Binding with Binding withtwo
more than twosites
receptor populations
• The Scatchard plot is well-suited to
• When we have more than one site the linear relationship changes…
demonstrating the presence of > 1 binding
• The Scatchard plot is well-suited to demonstrate this presence of > 1 site.
sites for a ligand
irl its a curve because there is no single “cutoff point” for 2nd site binding
B/[D]
high affinity site
0 B
Bmax1
Bmax1 + Bmax2
two binding sites
Cooperativity - exploring multiple binding sites Figure 68
glass electrode
polished tip
cell
NAChR in
membrane
patch
gigaohm
(109 W) seal
membrane
cytosol
Cooperativity - exploring multiple binding sites Figure 69
Neher & Sakmann - 1978 2nd binding site binding gets easier 1 open
once 1st is bound
glass electrode NOTE: not a log graph
current
2 open
polished tip
cell
• Ion flux = 104 Na+ ions ms-1
Acetylcholine 1.0 ms
Carbachol 0.3 ms
NAChR in
membrane Suberyldicholine 1.7 ms
patch
gigaohm
Expected
(109 W) seal
Frequency
membrane of channel Observed
opening
cytosol
Concentration of ACh
100 ACh on
NAChR
Cooperativity - exploring multiple binding
Response sites steep slope Figure 70
1:1 binding
50
0
1 3 5
The Hill plot log [Agonist]
(
1:1 binding
)
R
nH < 1 nH = 1 one to one
50 Rmax - R
shallow slope
Shallow slope
0
1 3 5
1 3 5
log [Drug]
log [Agonist]
• nH ~2 for ACh on NAChR
• Replotting these as a Hill plot
ACh on
NAChR
nH > 1
log
( R
)
Rmax - R
nH < 1
shallow slope
nH = 1
Generating radioligands for all drugs is not feasible Figure 71
• It is expensive and often not possible to generate radioligands of all drugs
• How can we use one single radioligand to tell us about other drugs binding?
• We can use competition binding of radioligand with non-labelled ones.
• Two types of competition - homologous or heterologous. COMPETITION BINDING
• Homologous - competing ligand the same as radioligand. finding specific binding
• Heterologous - competing ligand is different to radioligand.
COLD ANALOGUE
Competition heterologous binding curves Figure 72
Radioligand binding
• Inhibit binding of fixed concentration of
radioligand (L) with increasing concentrations
of unlabelled ligand (U)
• L gives an amount of binding X in the
absence of U
• The concentration of U inhibiting half of
the specific binding is the IC50
IMPORTANT
X is not the same as Bmax; it can be any degree
of occupancy between 0 and 100% normally 40-60% — WHY (maybe sigmoidal curve)?
Radioligand binding:
Competition heterologous binding Figure
curvescompetition experiments 73
Radioligand binding
• Inhibit binding of fixed concentration of SAY 40% of receptors are initially occupied by L ( )
radioligand (L) with increasing concentrations
of unlabelled ligand (U)
• L gives an amount of binding X in the
absence of U
TO REDUCE occupancy by L to 20% (i.e.by 50%),
• The concentration of U inhibiting half of need to occupy 50% with U ( )
the specific binding is the IC50
Binding aU = [U]KU
1 + [U]KU + [L]KL
of Specific binding
X/2
labelled WHEN [U] = IC50, aU = 0.5
X
this is when IC50 happens
Binding aU = [U]KU
1 + [U]KU + [L]KL
of Specific binding
X/2 two ligands in the denom
X IC50
Binding slope = KL/
KU
of Specific binding
X/2
intercept = 1/
labelled KU
Fluor. ligand
interacts with luciferase
conjugated receptor.
how does
this not change
the behaviour
of the receptor?
The relationships between Affinity and Efficacy Figure 77
Text
The relationships between Affinity and Efficacy Figure 78
Pre-1960’s Receptor
occupancy
view BAD Response
EC50 = KD
The relationships between Affinity and Efficacy Figure 79
EC50 KD
EC50 = Kd
Figure 80
Irreversible antagonist provide the answer
• As mentioned before cell systems contain amplification.
• Thus Kd and EC50 are NOT the same. Why?
• How can we explore this???
Isolated organ experiments acetylcholine
e.g. Guinea-pig ileum
Amplification
Agonist + Receptor
reactive
¯
chlorethyl
Drug-receptor complex
¯ benzilycholine mustard
Conformational change
¯
Second messenger system activated
¯
Second messenger generated
¯
[Ca2+]i
¯ irreversible
Actin/myosin activated occlusion of ligand-
¯ binding site
Muscle contracts
acetylcholine
reactive
chlorethyl
benzilycholine mustard
cy
number (5˃1)
an
decreasing
up
se
receptor
on
c
Oc
sp
Re
Predicted
Decreased maximal responses
5
1.0
4
irreversible
Response
3 occlusion of ligand-
0.5 binding site
2
1
0.0
-3 -2 Unchanged
-1 0 EC50 1 2 3
log [Agonist]
Figure 82
Irreversible binding of an antagonist uncovers ‘spare receptors’
• The assumptions was irreversible binding immediately reduces the response.
• However this was not the case - there was ‘reserve receptors’…
acetylcholine
in reality there are “spare receptors” — response moves
to the right at low concentrations of the irreversible receptors.
e.g. concentration
reactive
can respond to multiple signals? would
the body just ignore the new signals then?
chlorethyl
number (8˃1)
irreversible antagonist basically should take out receptors.
decreasing
benzilycholine mustard
receptor
cy
number (5˃1)
an
decreasing
up
se
receptor
Observed
on
c
Oc
sp
Re
maximal responses
Predicted
Decreased maximal responses
5 8 7 6 5 4
1.0
4
irreversible 3
Response
3 occlusion of ligand-
2
0.5 binding site
2
1
1
number (8˃1)
decreasing
receptor
cy
number (5˃1)
an
decreasing
up
se
receptor
Observed
on
c
Oc
sp
Re
maximal responses
Predicted
Decreased maximal responses
5 8 7 6 5 4
1.0
4
3
Response
3
2
0.5
2
1
1
[receptor-agonist] [2]
e.g. Guinea-pig ileum 1. Agonist
Agonist + Receptor
Amplification
[agonist] [1]
¯
Conformational change [receptor-agonist] [2]
[phospholipase C] [4]
3. Active G protein
Second messenger system activated
¯ [active G protein] [3]
[IP3 ] [5]
[Ca2+]i 5. IP3
¯ 6. IP3 receptor [phospholipase C] [4]
7. Ca2+
Actin/myosin activated 8. Ca2+-calmodulin
on
racti
9. Active MLCK
ing
¯ 10. MLCK phosphorylation
bind
cont
11. Contraction
Muscle contracts
log [agonist]
Drug receptor interactions - summary of L2 Figure 85
1. Quantifying
Receptordrug receptor interactions - occupancy
occupancy
D + R DR
(1-a) a
Bound
radioligand
Then Ka = [DR] Total binding
[D][R] Bmax
Specific binding
Þ Ka = a
[D](1 - a) Bmax
Non-specific binding
2
Þ[D]Ka- [D]Kaa = a
Þ a (1 + [D]Ka) = [D]Ka
[radioligand]
Kdiss
Þ a = [D]Ka
1 + [D]Ka Kd
1 max 1
Þ B = BmaxK1 - BK1
2. Scatchard plot to[D]measure Ka and Bmax
• Plot B versus B
[D]
Þ Scatchard plot
N.B. [D] strictly represents free drug
B/[D]
-Ka
slope = -K 1
0 B
Bmax
• Inhibit binding of fixed concentration of
radioligand (L) withRadioligand binding:
increasing concentrations Figure 87
Drug receptor
of unlabelled (U)interactions
competition
ligand experiments - summary of L2
• L gives an amount of binding X in the
absence
SAY of
40%U of receptors are initially occupied by L ( )
3.• The
Cheng-Prusoff eqn half
concentration of U inhibiting forofcompetitive binding
the specific binding is the IC50
Radioligand binding:
competition experiments
TOXREDUCE occupancy by L to 20% (i.e.by 50%), PLOT IC50 versus [L]
need to occupy 50% with U ( )
Binding
of Specific binding
X/2
IC50
labelled
IC50 slope = KL/
drug aU = [U]KU KU
0 1 + [U]KU + [L]KL
Non-specific binding intercept = 1/
KU
WHEN [U] = IC50, aU = 0.5
log [Unlabelled drug] 0 [Radioligand]
Þ 0.5 + 0.5(IC50)KU + 0.5[L]KL = IC50.KU
IMPORTANT
Þ 0.5 + 0.5[L]KL = 0.5(IC50)KU
WHEN U and L are the same drug
X is not Þ
the1 same
+ [L]KLas Bmax; Uit can be any degree
= IC50.K
of occupancy between 0 and 100% THEN KL = KU = K
Þ KU = 1 + [L]KL Þ 1 + [L]K = IC50.K
IC50 Þ K(IC50 - [L]) = 1
Þ K = 1
(IC50 - [L])
Drug receptor interactions - summary of L2 Figure 88
reactive
chlorethyl
benzilycholine mustard
number (8˃1)
decreasing
receptor
Observed
response
occupancy irreversible
maximal responses
occlusion
8 of7ligand-
6 5 4
binding site
3
2
1
The affinity constant of [3H]phenylephrine is 0.5 x 108 M-1, which of the following is the Binding
correct affinity constant for prazosin?
of aU =Specific [U]K
binding
U
a) 5.0 x 108 M-1 X/2
b) 7.0 x 108 M-1 1 + [U]KU + [L]KL
c) 4.0 x 109 M-1 labelled
d) 5.0 x 109 M-1
WHEN IC50
[U] = IC50, aU = 0.5
e) 7.0 x 109 M-1
drug
10. Benzilylcholine mustard (BCM) irreversibly alkylates the muscarinic receptor and was used 0
to provide early evidence for the existence of ‘spare receptors’. It is now appreciated that ‘spare
9. In aor
radioligand binding assay, a1-adrenoceptor
Þ 0.5 + 0.5(IC50)KU Non-specific
+ 0.5[L]KL = IC50.K
binding
U
receptors’ a ‘receptor reserve’ are the
a feature antagonist
of many receptor prazosin displaced the
systems.
specific binding of [3H-]phenylephrine in a concentration dependent manner such that a plot
of the ICof50the
Which for following
prazosin against the concentration
statements [3H-]phenylephrine
about spareofreceptors is correct? was linear and the Þ 0.5 + 0.5[L]KL = 0.5(IC50)KU
slope was 0.2. The affinity constant of [3H-]phenylephrine is 0.5 x 108 M-1. log [Unlabelled drug]
Which
a) of the
All full following
agonists is the
have the correct affinity constant
same proportion forreceptors
of spare prazosin? in a particular tissue
Þ 1 + [L]KL = IC50.KU
b) In systems
a) 1.0 x 108 M-1with spare receptors, radioligand binding detects two distinct populations of
b) 2.5 x 108 M-1
receptors
c) 4.0 108 M-1 of spare receptors increases the sensitivity of tissues to agonists
Thexpresence IMPORTANT
d) 1.0 x 109 M-1 of spare receptors for a particular full agonist is constant, irrespective of the
d) The proportion Þ KU = 1 + [L]KL
e) 2.5 x 109 M-1
tissue X is not the same as Bmax; itIC50
can be any degree
e) When the receptor reserve is progressively removed using an irreversible antagonist, the
sensitivity of the tissue to agonist (i.e. the EC50) is initially unaffected
10. Benzilylcholine mustard (BCM) irreversibly alkylates the muscarinic receptor and
of occupancy between 0 and 100%
was used to provide early evidence for the existence of ‘spare receptors’. Radioligand binding:
Which of the following best describes the effect of progressive alkylation of cholinergic
11. Sulphonylurea
receptors by BCM ondrugs, such as glibenclamide,
the responses of the guinea pigare usedtoasagonists?
ileum oral hypoglycaemic agents. competition experiments
Which of the following best describes the action of sulphonylureas?
a) The maximum response to acetylcholine decreases gradually as the EC50 shifts to the right PLOT IC50 versus [L]
b) They
a) The maximum response
are commonly to acetylcholine
used to treat Typefalls gradually, but the EC50 remains constant
I diabetes
c) The maximum response to acetylcholine
+ falls
b) They bind within the pore of the K ATP channel immediately to a constant level
d) The maximum response to acetylcholine initially remains unaffected but eventually begins
c) They cause hyperpolarisation of pancreatic β-cells
to fall
d) They cause the K+ATP channel to close always attainable at very high agonist
e) The maximum response to acetylcholine is
e) They have the opposite effect on the K+ATP channel to that of ATP itself
concentrations IC50
slope = KL/
11. The ‘dose ratio’ method allows the determination of antagonist affinity constants. The KU
contractions of a section of guinea pig ileum in response to histamine were measured in the
absence and presence of the histamine H1 receptor antagonist mepyramine. The EC50 for
histamine in the absence of mepyramine was 1.1 x 10-6 M. In the presence of 1.6 x 10-8 M intercept = 1/
mepyramine, the EC50 for histamine was 9.9 x 10-6 M. [Question 12 starts on the next page] KU
What is the affinity constant for mepyramine?
0 [Radioligand]
a) 2.0 x 108 M-1
b) 5.0 x 108 M-1
8 -1