0Receptors as Drug Targets Ch 8

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    Chapter 8

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    M

    M

    E

    R

    Agonists are drugs designed to mimic the natural messenger Agonists should bind and leave quickly - number of binding interactionsis important Antagonists are drugs designed to block the natural messenger Antagonists tend to have stronger and/or more binding interactions,resulting in a different induced fit such that the receptor is not activated .

    R

    M

    E

    R

    Signal transduction

    Notes on Drug Design

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    van der Waals binding region H-bond

    binding region Ionic binding region

    Binding groups

    Neurotransmitter

    O O 2 C H

    Binding site

    Receptor

    N H 2 Me

    O HH

    Design of a agonist and receptor

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    O N H 2 M e

    H

    H O O 2 C

    H

    Binding site

    Receptor

    O N H 2 M e

    H

    H O O

    2 C H

    Binding site

    Receptor

    INDUCEDFIT

    Induced fit allows stronger bindinginteractions

    Design of an agonist and receptor

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    Hypotheticalneurotransmitter

    HON H 2 M e

    H

    Compare Binding groups:

    Identify important binding interactions in natural messenger Agonists are designed to have functional groups capable of the same interactions Usually require the same number of interactions

    H-bondinggroup

    van der Waals-bondinggroup

    Ionicbindinggroup

    H2NN H 2 M e

    H N H M e

    HO HO N H 2 M e H

    H

    HMe

    Possible agonists with similar binding groups

    Design of an agonist

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    O O

    2 C

    H

    Binding site

    Receptor

    O O

    2 C

    H

    Binding site

    Receptor

    H C H 2 M e

    H

    Structure II has 2 of the 3 requiredbinding groups - weak activity

    H N H 2 M e

    H

    I

    HCH2Me

    H

    II

    H N H 2 M e

    H

    Structure I has one weak bindinggroup - negligible activity

    Design of an agonist

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    Binding groups must be positioned such that they can interact withcomplementary binding regions at the same time Example has three binding groups, but only two can bind simultaneously Example will have poor activity

    H N H

    2 M e

    O H

    H

    O O 2 C

    H

    Binding site

    2 Interactions only

    H

    N H 2 M e

    H

    O H

    No interaction

    Design of an agonist

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    One enantiomer of a chiral drug normally binds more effectively thanthe other

    Different enantiomers likely to have different biological properties

    O O

    2 C

    H

    Binding site

    3 interactions

    O

    N H 2 M e

    H

    H O

    O 2

    C

    H

    Binding site

    2 interactions

    O H

    N H 2 M e

    H

    O N H 2 M e

    H

    H

    O M e H 2 N

    H

    H

    Mirror

    Enantiomers of achiral molecule

    Design of an agonist

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    O N H 2

    H

    H

    Me

    C H 3

    Agonist must have correct size and shape to fit binding site Groups preventing access are called steric shields or steric blocks

    No Fit

    O

    O 2 C

    H

    Binding site

    C H 3

    Steric block

    Me

    Steric block

    Design of an agonist

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    Design of antagonists Antagonists bind to the binding site but fail to produce the correct induced fit -receptor is not activated

    Normal messenger is blocked from binding

    O N

    H

    H

    M e

    H

    H

    O O 2 C

    H

    Binding site

    Perfect Fit(No change in shape)

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    Design of antagonists

    OH O

    2 C

    Receptor binding site

    Extra binding regions

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    O

    O

    Asp

    -

    HO

    Design of antagonists Antagonists can form binding interactions with extra binding regions neighboring the binding site for the natural messenger

    Extra hydrophobicbinding region

    Hydrophobicbinding region

    Ionic bindingregion

    H-bondbinding region

    Hypotheticalneurotransmitter

    N H 2 Me

    H O

    H

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    Hydrophobicregion

    O

    O

    Asp

    HO

    Hydrophobicregion

    HO

    Initial binding

    -

    Design of antagonists Different induced fit resulting from extra binding interaction

    N HMe

    H O

    H

    Hydrophobicregion

    O

    O

    Asp

    HO

    Different induced fit

    -N HMe

    H O

    H

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    Irreversible antagonists

    Antagonist binds irreversibly to the binding site Different induced fit means that the receptor is not activated

    Covalent bond is formed between the drug and the receptor Messenger is blocked from the binding site Increasing messenger concentration does not reverse antagonism Often used to label receptors

    X

    OH OH

    X

    O

    Covalent Bond

    Irreversible antagonism

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    1

    N u

    N u

    Receptor

    Propylbenzilylcholine mustard

    Cl

    Cl

    Agonistbinding site

    Antagonistbinding site

    C l

    C l

    H OO

    O

    NCl

    Cl

    Irreversible antagonists

    N u

    N u

    Receptor

    2 Irreversiblebinding

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    Allosteric antagonists

    Antagonist binds reversibly to an allosteric binding site Intermolecular bonds formed between antagonist and binding site

    Induced fit alters the shape of the receptor Binding site is distorted and is not recognised by the messenger Increasing messenger concentration does not reverse antagonism

    ACTIVE SITE (open)

    ENZYME Receptor

    Allostericbinding site

    Binding site

    (open) ENZYME Receptor

    Inducedfit

    Binding siteunrecognisable

    Antagonist

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    Partial agonists Agents which act as agonists but produce a weaker effect

    Partialagonist Slight shift

    Partial openingof an ion channel

    Receptor

    O O 2 C

    H

    1

    N H M e O

    H

    H H

    Receptor

    O O 2 C

    2

    N H M e O

    H

    H

    Possible explanations Agent binds but does not produce the ideal induced fit for maximum effect

    Agent binds to binding site in two different modes, one where the agent actsas an agonist and one where it acts as an antagonist Agent binds as an agonist to one receptor subtype but as an antagonist toanother receptor subtype

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    Inverse agonists Properties shared with antagonists Bind to receptor binding sites with a different induced fit from the normal

    messenger Receptor is not activated Normal messenger is blocked from binding to the binding site

    Properties not shared with antagonists Block any inherent activity related to the receptor (e.g. GABA receptor) Inherent activity = level of activity present in the absence of a chemicalmessenger Receptors are in an equilibrium between constitutionally active and inactive

    forms

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    Explanation of how drugs affect receptor equilibria A) Resting state

    B) Addition of agonist

    C) Addition of antagonist

    D) Addition of inverse agonist

    E) Addition of partial agonist

    Inactive conformations Active conformation

    Agonist binding site

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    Desensitization Receptors become desensititized on long term exposure to agonists Prolonged binding of agonist leads to phosphorylation of receptor Phosphorylated receptor changes shape and is inactivated Dephosphorylation occurs once agonist departs

    Receptor

    O O2C

    1

    H Ion channel(closed)

    Agonist NH3

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    Receptor

    O

    H

    Agonist NH3

    O2C

    Desensitization Receptors become desensititized on long term exposure to agonists Prolonged binding of agonist leads to phosphorylation of receptor Phosphorylated receptor changes shape and is inactivated Dephosphorylation occurs once agonist departs

    Induced fit alters protein shape Opens ion channel

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    Receptor

    O

    H

    Agonist NH3

    O2C

    Desensitization Receptors become desensititized on long term exposure to agonists Prolonged binding of agonist leads to phosphorylation of receptor Phosphorylated receptor changes shape and is inactivated Dephosphorylation occurs once agonist departs

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    Receptor

    O

    H

    Agonist P

    O2C

    NH3

    Desensitization Receptors become desensititized on long term exposure to agonists Prolonged binding of agonist leads to phosphorylation of receptor Phosphorylated receptor changes shape and is inactivated Dephosphorylation occurs once agonist departs

    Phosphorylation alters shape Ion channel closes Desensitization

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    Sensitization Receptors become sensititized on long term exposure to antagonists Cell synthesises more receptors to compensate for blocked receptors

    Cells become more sensitive to natural messenger Can result in tolerance and dependence Increased doses of antagonist are required to achieve same effect (tolerance) Cells are supersensitive to normal neurotransmitter Causes withdrawal symptoms when antagonist withdrawn Leads to dependence

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    Sensitization

    Antagonist

    Neurotransmitter

    Normal response

    Receptorsynthesis

    No response

    Response

    StopantagonistExcess response No response

    Increaseantagonist

    Tolerance

    Receptorsynthesis

    Sensitization

    Dependence

    No response

    No response

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    O

    Me OH

    H

    H H

    H

    H

    H 2 O

    His 524

    Glu353

    Arg394

    Hydrophic skeleton

    Oestradiol

    Phenol and alcohol of estradiol are important binding groups Binding site is spacious and hydrophobic Phenol group of estradiol is positioned in narrow slot Orientates rest of molecule Acts as agonist

    Design of an antagonist for the estrogen receptor

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    Action of the oestrogen receptor

    Oestradiol

    H12

    Oestrogenreceptor

    Bindingsite

    AF-2regions

    Dimerisation &exposure of

    AF-2 regions

    Coactivator

    Nucleartranscription

    factor

    Coactivator

    DNA

    Transcription

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    OH

    S

    O

    O

    Raloxifene

    Asp351

    His 524

    O

    Glu353

    Arg394

    N

    H

    H

    Sidechain

    Raloxifene is an antagonist (anticancer agent)Phenol groups mimic phenol and alcohol of estradiolInteraction with Asp-351 is important for antagonist activitySide chain prevents receptor helix H12 folding over as lid

    AF-2 binding region not revealedCo-activator cannot bind

    Design of an antagonist for the estrogen receptor

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