- Stedman’s three-point fit model (1933) to explain the differential pharmacological
activity of drug enantiomers.
- Describes 3 simultaneous non-covalent bonding interactions and two simultaneous
non-covalent bonding interactions. Alternative interactions can take place but only
with two sites at a time.
- The 2 enantiomers of DCPG have different activities on different receptors. In this
case, in a model system, the combination of the 2 enantiomers had better anti-
epileptic activity as compared to each enantiomer.
- Plasma concentration of S-ibuprofen is lower in patients with liver cirrhosis probably
due to stereospecific clearance in 1st pass metabolism.
Conformational changes upon drug binding.
law of mass action assumes there are no conformational changes in the protein upon
ligand binding.
many target proteins undergo conformation changes upon drug binding.
ATP is bound to the kinase domain of the EGF receptor.
kinases transmit signals by attaching phosphate groups to specific sequences on their
target proteins. Hence, kinases have 2 binding events (binding of ATP; binding of target
protein to be phosphorylated).
Induced fit = the interaction of a drug can lock a protein into a conformational state that
may not normally be populated, i.e., rare but does exist.
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