Tissue response maximal

FIGURE 2.11 Receptor-occupancy curves for activation of human calcitonin type 2 receptors by the agonist human calcitonin. Ordinates (response as a fraction of the maximal response to human calcitonin). Abscissae (fractional receptor occupancy by human calcitonin). Curves shown for receptors transfected into three cell types human embryonic kidney cells (HEK), Chinese hamster ovary cells (CHO), and Xenopus laevis melanophores. It can be seen that the different cell types lead to differing amplification factors for the conversion from agonist receptor occupancy to tissue response. 

The development of new drugs usually requires the synthesis of large numbers of structurally related compounds. If a set of agonists of this kind is tested on a particular tissue, the compounds are often found to fall into two categories. Some can elicit a maximal tissue response and are described as full agonists in that experimental situation. Others cannot elicit this maximal response, no matter how high their concentration, and are termed partial agonists. Examples include ... 

When the partial agonist P occupies all the binding sites in order to produce its maximal response, pPR = 1. Hence, the stimulus (5P) attributable to P is simply eP Assuming that the same tissue response, whether elicited by A or by P, corresponds to the same value of 5, we can write ... 

Intrinsic activity Intrinsic activity is the maximal stimulatory response induced by a compound in relation to that of a criven reference compound. This term has evolved with common use. It was introduced by Ariens as a proportionality factor between tissue response and receptor occupancy. The numerical value of intrinsic activity (alpha) could ran from unity (for full agonists, i.e., agonist inducing the tissue maximal response) to zero (for antacyonists). The fractional values within this ran denoting partial agonists. Arien-8 original definition equates the molecular nature of alpha to maximal response only when response is a linear function of receptor occupancy. This function has... 

FIGURE 2.19 Potentiation and modulation of response through control of cellular processes, (a) Potentiation of inotropic response to isoproterenol in guinea pig papillary muscle by the phosphodiesterase inhibitor isobutylmethylxanthine (IBMX). Ordinates percent of maximal response to isoproterenol. Abscissa percent receptor occupancy by isoproterenol (log scale). Responses shown in absence (open circles) and presence (filled circles) of IBMX. Data redrawn from [7], (b) Effect of reduction in calcium ion concentration on carbachol contraction of guinea pig ileum. Responses in the presence of 2.5 mM (filled circles) and l.5mM (open circles) calcium ion in physiological media bathing the tissue. Data redrawn from [8],... 

FIGURE 7.14 Effect of an allosteric modulator that increases the efficacy of the agonist but has no effect on affinity in two different systems, (a) For full agonists, increases in efficacy produce parallel shifts to the left of the concentration-response curves. Responses modeled with Equation 7.3 with a= 1, , = 5, t = 20, and Ka = 3j.lM. Curves shown for [B]/Kb = 0, 0.3, 1, 3, 10, and 30. (b) In systems with lower receptor density and/or poorer receptor coupling where the agonists does not produce the full system maximal response, an allosteric modulator increases the maximal response and shifts the curves to the left. Responses modeled with Equation 7.3 for the same agonist and same allosteric modulator but in a different tissue (parameters as for A except t= 1). 

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