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    TARGETS OF DRUG ACTION

    BY

    ABDUL KHADER MOHAMMADM.PHARMACY(PHARMACOLOGY)

    1ST SEMISTERSIMS COLLEGE OF PHARMACY

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    VARIOUS TARGETS OF DRUG ACTION

    TARGETS:

    naturally exisiting cellular ormolecular structure involoved in thepathology of interest that the drug indevelopment is meant to act on.

    RECEPTORS

    ION CHANNELS

    ENZYMES

    TRANSPORTERS

    Exceptions:

    1. Colchicinewhich interacts with

    Tubulin protein.2. Ciclosporin which binds to cytosolic

    proteins known as Immunophilins.

    3. Chemotherapeutic drugs which actswith DNA and Cell wall constituents.

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    In 2006, Imming et al. catalogued218 molecular targets for

    approved drug substances, whereas Zheng et al. disclose 268

    successful targets in the current version of the Therapeutic

    Targets Database.

    Currently therapy is based upon less than 500molecular

    targets:

    45%ofwhich are G-protein coupled receptors

    28%are enzymes

    11%are hormones and factors

    5% ion channels

    2% nuclear receptors

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    DRUG:

    RECEPTORS:

    ION CHANNELS:

    ENZYMES:

    TRANSPORT PROTEINS:

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    RECEPTORS RECEPTORS:sensing elements in the system of chemical

    communication,w

    hich co-ordinates functions of all differentcells in body.

    TYPES OF RECEPTORS:

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    LIGAND GATED ION CHANNELS

    Also known as ionotropic receptors.

    These are the receptors on which fast

    neurotransmitters act.

    Examples : nicotinic acetylcholine (nAChR);

    GABAA receptor and glutamate receptors ofNMDA, AMPA and kainate types.

    LOCATION: membrane

    EFFECTOR: ion channel

    COUPLING: direct

    STRUCTURE: oligomeric assembly of subunits

    surrounding central pore.

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    G-protein coupled receptors (GPCRs)

    Also known as metabotropic receptors or 7-transmembrane receptors.

    Exs: muscarnic acetylcholine receptor(mAChR); adrenoreceptors, and chemokinereceptors.

    LOCATION: membrane

    EFFECTOR: channel or enzyme

    COUPLING: G-protein

    STRUCTURE: mono or oligomeric assembly

    of subunits comprising 7 transmembranehelices with intracellular G-protein coupling

    domain.

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    Targets for G-proteins Main targets for G-proteins through which GPCRs control

    various aspects of cell functions are:

    1. Adenylyl cyclase

    2. Phospholipase C

    3. Ion channels

    4. Rho A/Rho Kinase

    5. Mitogen-activated protein Kinase

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    Kinase-linked receptors

    Heterogenous group of membranereceptors responding mainly to

    protein mediators.

    Exs: insulin, growth factors, cytokine

    receptors.

    LOCATION: membrane

    EFFECTOR: protein kinases

    COUPLING: direct

    STRUCTURE: single transmembrane

    helix linking extracellular receptor

    domain to intracellular

    kinase domain.

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    3 Types:

    1. Receptor tyrosinekinases(RTKs): receptorsincorporate a tyrosine kinasemoiety in the intracellularregion. Eg:growth factors(epidermal and nerve); Insulinreceptors;

    2. Serine/threonine kinases:similar in structure to RTKs butphosphorylate serine orthreonine residues rather thantyrosine. Eg:Transforminggrowth factor (TGF);

    3. Cytokine receptors: lackintrinsic enzyme activity.

    they associate with, andactivate, a cytosolic tyrosinekinase, such as Jak or otherkinases. Eg:interferons,colony-stimulating factors.

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    Nuclear Receptors

    Nuclear receptor term is a

    misnomer because some are

    actually located in the cytosol and

    migrate to nuclear compartment

    when a ligand is present.

    LOCATION: intracellular EFFECTOR: gene transcription

    COUPLING: Via DNA

    STRUCTURE: monomeric structure

    with separate receptor and DNA-binding domains.

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    A family of 48 soluble receptors that senselipid and hormone signals and modulate genetranscription.

    Responsible for biological effects of approx10% of prescription drugs.

    Involved in endocrine signaling;

    Malfunctions:inflammation, cancer,diabetes, obesity, cardiovascular disorders

    and reproductive disorders. 2 main classes:

    Class 1: present in the cytoplasm, formhomodiamers in the presence of their partner,and migrate to nucleus. ligands are endocrinein nature. Eg: steroid hormones.

    Class 2: generally present in the nucleus,forms heterodiamers with retinoid X receptor.ligands are usually lipids. Eg: fatty acids.

    A 3rd subgroup transduces mainly endocrinesignals but functions as heterodiamers.

    Eg:

    thyroid hormone.

    Class 1

    Cytoplasm

    Homodiamers

    Endocrine ligands

    High affinity

    Eg: GR, MR, ER, PR

    Class 2

    Nucleus

    Heterodiamers

    Lipid ligands

    Low affinity

    Eg: PPAR, LXR,RXR

    Hybrid classEndocrine ligands

    RXR hetero diamers

    Eg: thyroid receptors,

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    Drugs can produce effects on enzyme reactions by substrate competition or by

    reversibly or irreversibly modifying the enzyme.

    ENZYMES

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    TRANSPORTERS

    Many epithelia (eg: renal tubules,exocrine glands) are specialized totransport specific ions.

    This transport depends on aspecial class of epithelial sodiumchannels (ENaCs).

    ENaCs allow Na+ entry into cell atone surface, couple to activate

    extrusion of Na+ or exchange ofanother ion, from the oppositesurface.

    Anion channel depends upon aspecific chloride channel,mutations ofwhich result in cysticfibrosis.

    These activities are regulated byvarious second messengers, whichcontrol the transport of ions inspecific ways.

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    Transport proteins Inhibitors False substrates

    Noradrenaline

    transporter

    Tricyclic anti-

    depressants,Cocaine.

    Amphetamine,

    Methyldopa

    Weak acid carrier

    (renal tubule)

    Probenecid

    Na+/K+/2Cl- transporter Loop diuretics

    Proton pump Omeprazole

    The main transporters involved in drug action are symporters and

    antiporters (exchangers):

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    Ion channels

    Voltage-gated channels:

    Channels open when cell membrane isdepolarized

    mechanism: membrane excitability.

    Sodium, potassium, calcium channels

    Channel opening is short lasting;

    Ligand-gated channels: Activate by binding of a chemical ligand

    to a site on the channel molecule.

    Fast neurotransmitters eg:glutamate,acetylcholine, GABA and ATP acts bybinding to sites outside of themembrane.

    Some ligand gated channels in plasmamembrane respond to intracellularsignals. Eg:calcium-activatedpotassium channels,

    ATP-sensitive potassium channels.

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    Ion channels Blockers Modulators

    Voltage-gated NA+

    channels

    Local anesthetics Veratridine

    Voltage gated Ca+channels

    Divalent cations (cd+2) dihydropyridine

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    Besides classical methods of cellular and molecular biology, new techniques

    of target identification are becoming increasingly important. These include:

    a) Genomics

    b) Bioinformatics

    c) Proteomicsa) Genomics: evolved from 2 independent advances:

    1) Automation resulting in a significant increase in the number of experimentsthat could be constructed in a given time. (eg. DNA sequencing)

    2) Informatics- the ability to transform raw data into meaningful information byapplying computerized techniques for managing, analyzing, and interpreting data.

    b) Bioinformatics the in silico identification of novel drug targets is nowfeasible by systematically searching for paralogs (related proteins within an

    organism) of known drug targets (eg. may be able to modify an existing drug to

    bind to the paralog).

    c) Proteomics concerning expression analysis, it has been shown that thecorrelation between RNA and protein expression is weak and ranges in yeast from

    10-40% for lower abundance proteins to up to 94% for higher abundance proteins.

    Modern methods for target identification

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    CONCLUSION

    The process of drug discovery starts with the identification of a potentialtarget at which the drug can act. The target can be an enzyme in a vital

    pathway, a receptor, a transporter, a protein in signal transduction or any

    protein produced in a pathological condition.

    At an early stage, the targets can be characterised based on

    pharmacogenetic studies combinedw

    ith proteomics and suitable drugcompounds selected.

    These current new concepts are making only a betterment for the present

    study and thereby for the control of diseases to make it fruitful for the

    survival of human beings.

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    REFERENCES

    RANG AND DALES PHARMACOLOGY 7TH EDITION.

    JOURNAL DRUG DISCOVERY TODAY:FINDING NEW DRUG TAREGTS IN THE

    21ST CENTURY by MARK A.LINDSAY. VOLUME 10/NUMBER

    23/24/DECEMBER 2005/PAGE 1683

    JOURNAL DRUG DISCOVERY TODAY:TARGET BASED DRUG DISCOVERY:ISSOMETHING WRONG? VOLUME10/NUMBER 2/JANUARY 2005/PAGE 139

    JOURNAL DRUG DISCOVERY:HOW MANY DRUG TARGETS ARE THERE?

    VOLUME:5,DECEMBER 2006, PAGE 994.

    JOURNAL DRUG DISCOVERY:DRUGS,THEIR TARGETSAND THE NATURE

    AND NUMBER OF DRUG TARGETS VOLUME 5/OCTOBER 2006/PAGE 821 Journal:Molecular aspects of drug action.

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