Medicinal Chemistry
Lecture 8
Exam Revision
Receptors and Receptor Site
Continue…
• Receptor down-regulation:
A phenomenon whereby an agonist, after binding to a
receptor, actually induce a decrease in the number of
these receptors available for binding
• Receptor Up-regulation:
The opposite of the above, involves an agonist-induced
increase in the number of receptors.
Continue…
• Affinity:
The ability of the drug to combine with a receptor. A ligand
of low affinity requires a higher concentration to produce
the same effect as a ligand of high affinity. Both agonists
and antagonists have affinity for the receptor.
Efficacy:
Describe the relative intensity with which agonist vary in
the response they produce when occupying the same
number of receptors and with the same affinity
Continue…
• Potency:
Refers to the dose of a drug required to produce effect of
given magnitude as compared to a standard reference.
Potency is dependent on both affinity and efficacy.
• Tolerance:
Decrease of the intensity of the response to a given dose
over time
Stereochemistry of Drug Action
Structurally Rigid Groups
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The influence of configuration on
ADME
• Absorption:
Active Transport:
• (-)Norgestrel is absorbed at twice the rate of
(+)Norgestrel
• L-Dopa is more rapidly absorbed in comparison to D-
Dopa
• Passive diffusion:
• No difference in absorption between enantiomers
• Racemates may be absorbed at a rate that is different to
their pure individual enantiomers
Distribution
• Stereoselectivity appears to have little influence on the
transport of stereoisomers through the circulatory
system.
• Some enantiomers prefer to bind to a specific plasma
protein (R-Propanalol prefers to bind to human albumin
while S-Propanalol prefers alpha-acid glycoproteins)
Metabolism
• S-Indacrinone plasma half-life is 2-5 hours
• R-Indacrinone plasma half-life is 10-12 hours
Extraction
• Modest stereoselectivity has been reported in the renal
excretion of these drugs
Next Lecture
• Drug Metabolism
THE END

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