Juxtacrine- cells in direct cell to cell contact communicate via cell surface signalling molecules.
Efficacy = describes the maximum biological response that a drug can produce, irrespective of concentration.
Potency = describes the effectiveness of an agonist to produce a biological response (effective concentration of an agonist required to produce 50% of the maximum response (EC50).
Receptors with no identifiable ligand = Orphan Receptor
Typical structure of ionotropic receptors - Pentamer; ligand binding sites on each alpha subunit, 4 transmembrane domains.
Example of typical ionotropic receptor - nicotinic receptor
Non-typical Structure of Ionotropic Receptors - tetramer
Example of non-typical ionotropic receptor - ionotropicglutamate receptor
AMPA receptors permit influx of sodium ions to depolarise the postsynaptic membrane.
NMDA receptors permit calcium influx following depolarisation; they are blocked by magnesium ions.
Pharmacological targets for treatment of neurological and psychiatric conditions. Also used for anaesthesia, chronic pain - ligand gated ion channels
Pharmacological targets for treatment of cancers, metabolic diseases (obesity, diabetes), neurological, cardiovascular, autoimmune conditions - enzyme linked receptors
Example of tyrosine linked receptors?
Insulin receptor
Structure of tyrosine/kinase linked receptor
2 alpha subunits and 2 beta subunits
αsubunits are linked with each other and with β subunits by disulphide bridges
The extracellular domain of α subunits have binding sites for insulin
Transmembrane domain
The intracellular domain of β subunits have intrinsic tyrosine kinase activity.
Example of nuclear intracellular receptor?
thyroid receptor
Example of cytoplasmic intracellular receptor?
steroid receptor
Structure of Intracellular Receptor
Monomeric with ligand binding domain within the C terminal region, DNA- binding domain in the central region of the receptor and N-terminal region is responsible for transcriptionalregulation
The hinge region connects ligand binding domain with the DNA binding domain.
Steroid hormone pathway:
The inactive receptor forms a complex with HSP90 (heat shock protein)
It blocks a region called the hinge site
When hormone binds, HSP90dissociates, and the hormone-receptor complex enters the nucleus.
Entry is facilitated by a nuclear localisationsignal (NLS) that is located at the hinge site.
dimerization occurs, and the hormone-receptor complex interacts with DNA to influence gene expression.
Pharmacological targets for treatment of cancers, diabetes, hyperlipidaemia, inflammatory and dermatological conditions - intracellular receptors.
G - proteins -> guanine nucleotide-binding proteins
Pharmacological targets for treatment of hypertension, gastrointestinal, neurological, inflammatory and mental health disorders, chronic pain - GPCRs
Structure of GPCRs
Monomers consisting of 7 transmembrane domains
Extracellular N-terminal region or 2-3 transmembrane domains are ligand binding sites
Intracellular C-terminal region interacts with G proteins.
G proteins consist of α, β and γ subunits
Endocytosis is the process by which substances enter a cell through the process of engulfment.
Three types of endocytosis
Phagocytosis
Pinocytosis
Receptor mediated endocytosis
Phagocytes also have lysosomes which are membrane-bound organelles containing hydrolytic enzymes. These fuse with phagosomes and release their cargo into the phagosome, degrading any internalised particles.
Phagocytes recognize PAMPs in pathogens via PRRs
Examples of phagocytes?
Neutrophils
Dendritic cells
Macrophages
Clinical relevance of phagocytosis?
Neutropenia- low neutrophil count, high risk of infections, particularly bacterial and progression to septic shock
Chronic granulomatous disease- NADPH oxidase deficiency, cannot kill pathogens via phagocytosis, leads to chronic inflammation and granuloma formation and persistent infections
Management via antibiotics
Takes up particles into the cell by invagination of the cell membrane - receptor mediated endocytosis
Function of endosome?
To transportextracellular material into the cell.
Viruses and receptor-mediated endocytosis?
haemagglutinin (HA) of influenza virus binds with sialic acid on the surface of cell membranes in the upper respiratory tract
Gp120 of HIV-1 binds to CD4 receptors on Th cells.
HIV and receptor mediated endocytosis?
CCR5 is a protein on the surface of CD4+ cells - HIV-1 binds via the CCR5 co-receptor on CD4+ Th cells to enter and infect host cells.
A few individuals carry a mutation in the CCR5 gene meaning that some HIV-1 strains can no longer enter the cell via the CCR5 receptor. - CCR5 co-receptor antagonists prevent HIV-1 from entering the cell by blocking the CCR5 cell surface co-receptor.
The placenta ensures foetal growth and health by ?
Mediating nutrient uptake from maternal blood
Waste removal from foetal blood
Providing a protective barrier to toxins and pathogens
the histological barrier of the placenta, which consists of two cell layers: syncytiotrophoblasts and endothelial cells of the foetal capillaries.
Transferrin (iron) and Cobalamin (B12) transfer across the placenta via receptor mediated endocytosis.
The placental transfer of maternal immunoglobulins to the foetus is a specific adaptative mechanism that confers short term passive immunity
Functions of Type G immunoglobulins?
neutralisetoxins by directly binding to them
bind to antigens on pathogen surfaces. This agglutinates them to impair their mobility and also opsonises them to enhance phagocytosis.
The binding of antibodies to antigens to form complexes activates the classical complement pathway (activates complement system)
They also directly activate effectorcells such as dendritic cells, NK cells and cytotoxic T cell
IgG bind to FcRn receptors in endosomes of the placental syncytiotrophoblasts. Following the pH gradient between the acidic endosome and foetal blood, maternal IgG then travels into the foetal circulation.
Zika virus is a single-stranded RNA virus of the Flaviviridae family (genus Flavivirus)
Transmission to humans is primarily through the bite of an infected Aedes species mosquito.