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Measuring Drug Action Dose – Response Curves R + D KA KD R:D Response Response fraction bound (fb) = Fraction bound [ R : D] [ R : D] K A[ R][ D] [ D] [ R]O [ R] [ R : D] [ R] K A[ R][ D] K D [ D] 1.0 0.5 [D] = KD 0.0 [D] MEDC 603 Fall 2007 1 Measuring Drug Action Dose – Response Curves D in system ‘R:D’ Response Response 100 % 90% 50% IC50 or EC50 or LD50 IC90 or EC90 or LD90 Inhibition Concentration Effective Concentration Lethal Dose 0% Log [antagonist]O Or Log [agonist]O Agonist: An agent that facilitates or enhances the normal action of a receptor. Antagonist: An agent that prevents the normal action of a receptor. MEDC 603 Fall 2007 2 Measuring Drug Action Dose – Response Curves Drug 1 Response 100 % ~30 % Drug 2 0% Log [antagonist]O MEDC 603 Fall 2007 3 Measuring Drug Action Efficacy and Potency D1 % Response 100 More potent than D2 D2 D3 Less efficacious than D2 0 Log [Drug] …… Potency corresponds to the strength of a drug, while Efficacy corresponds to the effectiveness of a drug. …… e.g., if 1 mg of drug A relieves pain as effectively as 10 mg of drug B, drug A is twice as potent as drug B …… the diuretic furosemide eliminates much more salt and water through urine than does the diuretic chlorothiazide. Thus, furosemide has greater efficacy than chlorothiazide. MEDC 603 Fall 2007 4 Measuring Drug Action 100 100 50 50 0 0 Toxicity (%) Desired Response (%) Efficacy / Potency / Toxicity Log [Drug] Blue lines …. Drug 1 Red lines …. Drug 2 Solid lines …. Desired response Dotted lines …. Toxicity response MEDC 603 Fall 2007 5 Measuring Drug Action How are these drug-response profiles generated? e.g., anticoagulants and inhibition of pro-coagulant enzymes Anticoagulant S T S [A] =0 S of Enz: Inhibition Response 100 % Color Development Activity of Enzyme = T S [A] = max KI or IC50 0% Time (s) Log[anticoagulant] [antagonist]O Log MEDC 603 Fall 2007 6 Measuring Drug Action How are these drug-response profiles generated? Cellular/Pharmacological assays Cell Viability Assay 100 % Response Drug Mouse Tail Flick Assay I C50 or EC50 or LD50 Heat! 0% Drug Log [antagonist]O Heat! MEDC 603 Fall 2007 7 Measuring Drug Action How are these drug-response profiles generated? High Throughput Screening Assays Simultaneous …. 96- or 384-well microtiter plates …. robotic analysis Chromogenic substrates …. develop color Yes or No answer ….. fixed concentration of drug Quantitative …. may also give you KI values!! 96-well microtiter plate MEDC 603 Fall 2007 8