Knowledge

Intrinsic activity

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efficiency of transformation of the inactive form of the drug-receptor complex to the active drug-receptor complex may not be high enough to evoke a maximal response. Since the observed response may be less than maximal in systems with no spare receptor reserve, some low efficacy agonists are referred to as partial agonists. However, it is worth bearing in mind that these terms are relative - even partial agonists may appear as full agonists in a different system/experimental setup, as when the number of receptors increases, there may be enough drug-receptor complexes for a maximum response to be produced, even with individually low efficacy of transducing the response. There are actually relatively few
263:) are in fact partial agonists or inverse agonists, but with very low efficacy (less than 10%). Compounds considered partial agonists tend to have efficacy in between this range. Another case is represented by silent agonists, which are ligands that can place a receptor, typically an ion channel, into a desensitized state with little or no apparent activation of it, forming a complex that can subsequently generate currents when treated with an allosteric modulator. 22: 35: 109:
vary in the response they produce, even when they occupy the same number of receptors. High efficacy agonists can produce the maximal response of the receptor system while occupying a relatively low proportion of the receptors in that system. There is a distinction between efficacy and intrinsic
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Agonists of lower efficacy are not as efficient at producing a response from the drug-bound receptor, by stabilizing the active form of the drug-bound receptor. Therefore, they may not be able to produce the same maximal response, even when they occupy the entire receptor population, as the
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R. P. Stephenson (1925ā€“2004) was a British pharmacologist. Efficacy has historically been treated as a proportionality constant between the binding of the drug and the generation of the biological response. Stephenson defined efficacy as:
527: 259:) are more accurately described as high efficacy partial agonists, as a partial agonist with efficacy over ā‰ˆ80-90% is indistinguishable from a full agonist in most assays. Similarly many antagonists (such as 277: 844: 748:"Identification of Ī±7 Nicotinic Acetylcholine Receptor Silent Agonists Based on the Spirocyclic Quinuclidine-Ī” -Isoxazoline Scaffold: Synthesis and Electrophysiological Evaluation" 597: 668: 550: 105:
of the drug and which is proportional to both efficacy and affinity. This use of the word "efficacy" was introduced by Stephenson (1956) to describe the way in which
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Stevenson and Furchgott's models of efficacy have been criticised and many more have been developed. The models of efficacy are shown in Bindslev (2008).
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Linderman JJ (2000). "Kinetic Modeling Approaches to Understanding Ligand Efficacy". In Kenakin T, Angus JA (eds.).
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Drug-Acceptor Interactions: Modeling Theoretical Tools to Test and Evaluate Experimental Equilibrium Effects
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full agonists or silent antagonists; many compounds usually considered to be full agonists (such as
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Quadri M, Matera C, Silnović A, Pismataro MC, Horenstein NA, Stokes C, et al. (August 2017).
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There are mistakes in this article; efficacy and intrinsic activity are different properties.
433:. This model was arguably flawed in that it did not incorporate the equilibrium between the 2485: 2329: 2182: 2135: 1775: 1637: 1547: 1388: 1268: 1036: 400:
is the stimulus to the biological system. The response is generated by an unknown function
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complex to produce a maximum functional response. This must be distinguished from the
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The Pharmacology of Functional, Biochemical, and Recombinant Receptor Systems
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later improved on Stephenson's model with the definition of efficacy, e, as
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agonist-bound-receptor that is shown in the del Castillo Katz model.
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Goodman and Gilman's The Pharmacological Basis of Therapeutics
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is the proportion of agonist-bound receptors (given by the
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Intrinsic activity of a test agonist is defined as:
1142: 797: 697:Chojnacka K, Papke RL, Horenstein NA (July 2013). 591: 544: 521: 421: 392: 368: 345: 304: 2504: 890:Bindslev N (2008). "Chapter 1: Simple Agonism". 625:British Journal of Pharmacology and Chemotherapy 832:. British Pharmacological Society. 2 June 2016. 44:needs attention from an expert in pharmacology 1816: 1623: 988: 703:Bioorganic & Medicinal Chemistry Letters 137:Efficacy higher than the endogenous agonist 739: 690: 612: 1823: 1809: 995: 981: 843:Brunton L, Chabner BA, Knollman B (2011). 618: 183:Efficacy less than the endogenous agonist 2024: 1596: 1064: 1019: 942: 899: 864: 860: 858: 856: 793: 791: 771: 722: 644: 599:is the total concentration of receptors. 160:Efficacy equal to the endogenous agonist 889: 798:Foreman JC, Johansen T, Gibb AJ (2009). 113: 20: 1523: 1231: 931:Microbial Ecology in Health and Disease 924: 444: 315: 2505: 1830: 1356: 1286: 853: 788: 54:may be able to help recruit an expert. 25:Efficacy spectrum of receptor ligands. 16:Measure of relative response to a drug 1804: 976: 894:. London: CRC Press. pp. 19ā€“20. 266: 1411: 295:maximal response to the test agonist 28: 621:"A modification of receptor theory" 82:refer to the relative ability of a 13: 2430:Angiotensin II receptor antagonist 2374:Endocannabinoid reuptake inhibitor 1781:Minimum bactericidal concentration 637:10.1111/j.1476-5381.1956.tb00006.x 583: 580: 577: 495: 492: 489: 285: 282: 14: 2524: 2321:Acetylcholine receptor antagonist 2083:Norepinephrine reuptake inhibitor 869:. Berlin: Springer. p. 120. 801:Textbook of Receptor Pharmacology 673:Glaxo Wellcome pharmacology guide 592:{\displaystyle _{\mathrm {Tot} }} 1771:Minimum inhibitory concentration 1002: 298:maximal response to full agonist 33: 2449:Vasopressin receptor antagonist 2363:Cannabinoid receptor antagonist 1711:WHO list of essential medicines 1204:Non-specific effect of vaccines 918: 619:Stephenson RP (December 1956). 437:agonist-bound-receptor and the 2435:Endothelin receptor antagonist 2299:Acetylcholine receptor agonist 2058:Adrenergic receptor antagonist 1766:Antimicrobial pharmacodynamics 883: 836: 818: 804:(Second ed.). CRC Press. 572: 563: 484: 475: 416: 410: 1: 2267:Glutamate receptor antagonist 2183:Serotonin receptor antagonist 2136:Histamine receptor antagonist 1911:Negative allosteric modulator 1905:Positive allosteric modulator 1691:Functional analog (chemistry) 937:(4). London: Routledge: 213. 605: 2424:Adenosine reuptake inhibitor 2358:Cannabinoid receptor agonist 2277:Glutamate reuptake inhibitor 2196:Serotonin reuptake inhibitor 2107:Dopamine receptor antagonist 1244:Hill equation (biochemistry) 849:(12th ed.). p. 46. 545:{\displaystyle \varepsilon } 101:, which is a measure of the 7: 2112:Dopamine reuptake inhibitor 2034:Adrenergic receptor agonist 117: 46:. The specific problem is: 10: 2529: 2403:Opioid receptor antagonist 2257:Glutamate receptor agonist 2178:Serotonin receptor agonist 2131:Histamine receptor agonist 1759:Antimicrobial pharmacology 1239:Doseā€“response relationship 1169:Desensitization (medicine) 826:"R P ('Steve') Stephenson" 715:10.1016/j.bmcl.2013.05.039 2461: 2416: 2383: 2348: 2289: 2247: 2218: 2209: 2168: 2121: 2102:Dopamine receptor agonist 2092: 2011: 1997: 1982: 1965: 1958: 1838: 1681:Coinduction (anesthetics) 1674: 1475: 1347: 1133: 1010: 944:10.1080/08910600802431931 830:Pharmacology Hall of Fame 429:, which is assumed to be 208:Affinity but no efficacy 126: 2368:Endocannabinoid enhancer 2314:Cholinesterase inhibitor 2233:GABA receptor antagonist 1746:Multiple drug resistance 1719:Tolerance and resistance 1087:Physiological antagonist 52:WikiProject Pharmacology 2408:Enkephalinase inhibitor 2398:Opioid receptor agonist 2238:GABA reuptake inhibitor 1943:♦ Miscellaneous: 1497:Neuropsychopharmacology 1259:Cheng-Prussoff Equation 1254:Del Castillo Katz model 1181:Other effects of ligand 1164:Receptor (biochemistry) 1082:Irreversible antagonist 1991:Ion channel modulators 1633:Classical pharmacology 1394:Plasma protein binding 1369:Volume of distribution 1077:Competitive antagonist 764:10.1002/cmdc.201700162 593: 546: 523: 423: 394: 370: 347: 306: 26: 2228:GABA receptor agonist 1741:Antibiotic resistance 1533:Clinical pharmacology 1052:Physiological agonist 1012:Ligand (biochemistry) 901:10.4324/9781315159782 594: 547: 524: 424: 395: 371: 348: 307: 114:Mechanism of efficacy 24: 1638:Reverse pharmacology 1548:Pharmacoepidemiology 1389:Biological half-life 1269:Ligand binding assay 1143:Activity at receptor 1037:Irreversible agonist 560: 536: 459: 445:Furchgott's efficacy 422:{\displaystyle f(S)} 404: 384: 360: 346:{\displaystyle S=ep} 328: 316:Stevenson's efficacy 278: 2444:receptor antagonist 1686:Combination therapy 1574:Pharmacoinformatics 1543:Medicinal chemistry 1149:Mechanism of action 450:Robert F. Furchgott 1832:Pharmacomodulation 1656:Immunopharmacology 1606:Pharmacotoxicology 1507:Psychopharmacology 1299:Intrinsic activity 1199:Pleiotropy (drugs) 1120:Agonist-antagonist 1032:Endogenous agonist 925:Kirkeby H (2017). 589: 554:intrinsic efficacy 542: 519: 512: 505: 419: 390: 366: 343: 302: 267:Intrinsic activity 72:Intrinsic activity 27: 2500: 2499: 2496: 2495: 2457: 2456: 2285: 2284: 2205: 2204: 1975:Enzyme inhibition 1798: 1797: 1794: 1793: 1754: 1753: 1651:Photopharmacology 1646: 1645: 1619: 1618: 1592: 1591: 1556: 1555: 1519: 1518: 1512:Electrophysiology 1502:Neuropharmacology 1457: 1456: 1407: 1406: 1343: 1342: 1330:Therapeutic index 1282: 1281: 1227: 1226: 1176: 1175: 1105: 1104: 1060: 1059: 954:978-1-351-66057-0 911:978-91-977071-0-7 876:978-3-540-66124-5 758:(16): 1335ā€“1348. 709:(14): 4145ā€“4149. 569: 481: 470: 468: 393:{\displaystyle S} 369:{\displaystyle p} 300: 299: 296: 248: 247: 231:Inverse efficacy 204:Silent antagonist 69: 68: 2520: 2513:Pharmacodynamics 2474:Enzyme cofactors 2393:Opioid modulator 2350:Cannabinoidergic 2216: 2215: 2022: 2021: 2009: 2008: 1963: 1962: 1825: 1818: 1811: 1802: 1801: 1756: 1755: 1716: 1715: 1696:Polypharmacology 1621: 1620: 1594: 1593: 1584:Pharmacogenomics 1579:Pharmacogenetics 1558: 1557: 1521: 1520: 1482: 1481: 1409: 1408: 1379:Rate of infusion 1354: 1353: 1349:Pharmacokinetics 1284: 1283: 1229: 1228: 1178: 1177: 1140: 1139: 1135:Pharmacodynamics 1115:Neurotransmitter 1097:Enzyme inhibitor 1062: 1061: 1017: 1016: 997: 990: 983: 974: 973: 967: 966: 946: 922: 916: 915: 903: 887: 881: 880: 862: 851: 850: 840: 834: 833: 822: 816: 815: 795: 786: 785: 775: 743: 737: 736: 726: 694: 688: 687: 685: 684: 675:. 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Retrieved 677:the original 672: 663: 628: 624: 614: 601: 553: 531: 448: 438: 434: 355: 319: 270: 252: 249: 156:Full agonist 133:Superagonist 124:Description 79: 75: 71: 70: 57: 47: 43: 18: 2486:Amino acids 2385:Opioidergic 2291:Cholinergic 2004:transporter 1984:Ion channel 1920:Transporter 1864:Ion channel 1786:Bactericide 1462:Compartment 1273:Patch clamp 1249:Schild plot 752:ChemMedChem 435:inactivated 2334:Ganglionic 2325:Muscarinic 2303:Muscarinic 2026:Adrenergic 1895:Antagonist 1666:Physiology 1598:Toxicology 1490:psychology 1439:Metabolism 1429:Absorption 1423:Liberation 1265:Organ bath 1193:Functional 1072:Antagonist 1065:Inhibitory 1020:Excitatory 683:2009-07-11 606:References 431:hyperbolic 110:activity. 60:April 2019 2481:Precursor 2330:Nicotinic 2308:Nicotinic 2220:GABAergic 1945:Precursor 1930:Inhibitor 1856:Inhibitor 1448:Clearance 1444:Excretion 1263:Methods ( 540:ε 514:⋅ 503:⏟ 473:ε 439:activated 2507:Category 2469:Cofactor 2339:Muscular 1999:Receptor 1950:Cofactor 1936:Releaser 1924:Enhancer 1918:♦ 1881:Receptor 1879:♦ 1862:♦ 1845:♦ 1566:genetics 1538:Pharmacy 1525:Medicine 1335:Affinity 1294:Efficacy 1232:Analysis 1214:Toxicity 963:83584731 782:28494140 733:23746476 655:13383117 261:naloxone 107:agonists 92:affinity 88:receptor 80:efficacy 2426:(AdoRI) 2376:(eCBRI) 1959:Classes 1885:Agonist 1873:Blocker 1851:Inducer 1476:Related 1419:(L)ADME 1373:Initial 1357:Metrics 1304:Potency 1287:Metrics 1189:Binding 1159:Binding 1027:Agonist 773:5573630 724:3882203 646:1510558 552:is the 121:Ligand 103:potency 2370:(eCBE) 1967:Enzyme 1868:Opener 1847:Enzyme 1478:fields 961:  951:  908:  873:  808:  780:  770:  731:  721:  653:  643:  532:where 380:) and 356:where 78:) and 2483:(see 2471:(see 2417:Other 2240:(GRI) 2198:(SRI) 2114:(DRI) 2085:(NRI) 2001:& 1913:(NAM) 1907:(PAM) 1839:Types 1675:Other 1412:LADME 959:S2CID 237:< 195:< 189:< 143:> 2271:NMDA 2261:AMPA 2187:5-HT 1989:See 1972:see 1938:(RA) 1932:(RI) 1926:(RE) 1564:and 1488:and 1324:TD50 1320:LD50 1316:ED50 1312:IC50 1308:EC50 1110:Drug 949:ISBN 906:ISBN 871:ISBN 806:ISBN 778:PMID 729:PMID 651:PMID 556:and 253:true 198:100 169:100 146:100 84:drug 1421:: ( 939:doi 896:doi 768:PMC 760:doi 719:PMC 711:doi 641:PMC 633:doi 257:DOI 2509:: 2440:NK 2341:)) 2310:) 2211:AA 2054:)) 2013:BA 1922:: 1883:: 1866:: 1849:: 1322:, 1318:, 1314:, 1310:, 1271:, 1267:, 1191:, 957:. 947:. 935:20 933:. 929:. 904:. 855:^ 828:. 790:^ 776:. 766:. 756:12 754:. 750:. 727:. 717:. 707:23 705:. 701:. 671:. 649:. 639:. 629:11 627:. 623:. 240:0 234:E 217:0 214:= 211:E 192:E 186:0 166:= 163:E 140:E 98:50 96:EC 76:IA 2489:) 2477:) 2442:1 2332:( 2323:( 2301:( 2273:) 2269:( 2263:) 2259:( 2192:) 2189:3 2185:( 2161:) 2158:3 2156:H 2150:2 2148:H 2142:1 2140:H 2138:( 2079:) 2077:Ī² 2073:) 2071:2 2066:1 2064:( 2062:Ī± 2060:( 2052:2 2047:1 2045:( 2043:Ī² 2038:Ī± 2036:( 2017:M 2015:/ 1824:e 1817:t 1810:v 1450:) 1446:( 1425:) 1375:) 1371:( 1326:) 1306:( 1275:) 1220:) 1216:( 1195:) 996:e 989:t 982:v 965:. 941:: 914:. 898:: 879:. 814:. 784:. 762:: 735:. 713:: 686:. 657:. 635:: 584:t 581:o 578:T 573:] 568:R 564:[ 517:p 509:e 496:t 493:o 490:T 485:] 480:R 476:[ 466:= 463:S 417:) 414:S 411:( 408:f 388:S 364:p 341:p 338:e 335:= 332:S 290:= 286:A 283:I 86:- 74:( 62:) 58:(

Index


WikiProject Pharmacology
drug
receptor
affinity
EC50
potency
agonists
Superagonist
Full agonist
Partial agonist
Silent antagonist
Inverse agonist
DOI
naloxone
Hill equation
hyperbolic
Robert F. Furchgott
"A modification of receptor theory"
doi
10.1111/j.1476-5381.1956.tb00006.x
PMC
1510558
PMID
13383117
"In vitro pharmacology: concentration-response curves"
the original
"Synthesis and evaluation of a conditionally-silent agonist for the Ī±7 nicotinic acetylcholine receptor"
doi
10.1016/j.bmcl.2013.05.039

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