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Receptor antagonist

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680:, as it competes with the full agonist for receptor occupancy, thereby producing a net decrease in the receptor activation as compared to that observed with the full agonist alone. Clinically, their usefulness is derived from their ability to enhance deficient systems while simultaneously blocking excessive activity. Exposing a receptor to a high level of a partial agonist will ensure that it has a constant, weak level of activity, whether its normal agonist is present at high or low levels. In addition, it has been suggested that partial agonism prevents the adaptive regulatory mechanisms that frequently develop after repeated exposure to potent full agonists or antagonists. E.g. 346: 567:. While the mechanism of antagonism is different in both of these phenomena, they are both called "non-competitive" because the end-results of each are functionally very similar. Unlike competitive antagonists, which affect the amount of agonist necessary to achieve a maximal response but do not affect the magnitude of that maximal response, non-competitive antagonists reduce the magnitude of the maximum response that can be attained by any amount of agonist. This property earns them the name "non-competitive" because their effects cannot be negated, no matter how much agonist is present. In functional assays of non-competitive antagonists, 291: 615: 649: 474:(active site) as the endogenous ligand or agonist, but without activating the receptor. Agonists and antagonists "compete" for the same binding site on the receptor. Once bound, an antagonist will block agonist binding. Sufficient concentrations of an antagonist will displace the agonist from the binding sites, resulting in a lower frequency of receptor activation. The level of activity of the receptor will be determined by the relative 439: 780:. But, once irreversible bonding has taken place, the receptor is deactivated and degraded. As for non-competitive antagonists and irreversible antagonists in functional assays with irreversible competitive antagonist drugs, there may be a shift in the log concentration–effect curve to the right, but, in general, both a decrease in slope and a reduced maximum are obtained. 2370: 209:. Antagonists mediate their effects through receptor interactions by preventing agonist-induced responses. This may be accomplished by binding to the active site or the allosteric site. In addition, antagonists may interact at unique binding sites not normally involved in the biological regulation of the receptor's activity to exert their effects. 31: 771:
from binding. Inactivation of receptors normally results in a depression of the maximal response of agonist dose-response curves and a right shift in the curve occurs where there is a receptor reserve similar to non-competitive antagonists. A washout step in the assay will usually distinguish between
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determination is independent of the affinity, efficacy or concentration of the agonist used. However, it is important that equilibrium has been reached. The effects of receptor desensitization on reaching equilibrium must also be taken into account. The affinity constant of antagonists exhibiting two
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Uncompetitive antagonists differ from non-competitive antagonists in that they require receptor activation by an agonist before they can bind to a separate allosteric binding site. This type of antagonism produces a kinetic profile in which "the same amount of antagonist blocks higher concentrations
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site. These antagonists bind to a distinctly separate binding site from the agonist, exerting their action to that receptor via the other binding site. They do not compete with agonists for binding at the active site. The bound antagonists may prevent conformational changes in the receptor required
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An antagonist that binds to the active site of a receptor is said to be "non-competitive" if the bond between the active site and the antagonist is irreversible or nearly so. This usage of the term "non-competitive" may not be ideal, however, since the term "irreversible competitive antagonism" may
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and that ligand-specific receptor conformations occur and can affect interaction of receptors with different second messenger systems may mean that drugs can be designed to activate some of the downstream functions of a receptor but not others. This means efficacy may actually depend on where that
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that exhibit intrinsic or basal activity can have inverse agonists, which not only block the effects of binding agonists like a classical antagonist but also inhibit the basal activity of the receptor. Many drugs previously classified as antagonists are now beginning to be reclassified as inverse
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on a receptor, or they may interact at unique binding sites not normally involved in the biological regulation of the receptor's activity. Antagonist activity may be reversible or irreversible depending on the longevity of the antagonist–receptor complex, which, in turn, depends on the nature of
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in the presence of a competitive antagonist as determined on a dose response curve. Altering the amount of antagonist used in the assay can alter the dose ratio. In Schild regression, a plot is made of the log (dose ratio-1) versus the log concentration of antagonist for a range of antagonist
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of each molecule for the site and their relative concentrations. High concentrations of a competitive agonist will increase the proportion of receptors that the agonist occupies, higher concentrations of the antagonist will be required to obtain the same degree of binding site occupancy. In
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Irreversible competitive antagonists also involve competition between the agonist and antagonist of the receptor, but the rate of covalent bonding differs and depends on affinity and reactivity of the antagonist. For some antagonists, there may be a distinct period during which they behave
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or more effects, such as in competitive neuromuscular-blocking agents that also block ion channels as well as antagonising agonist binding, cannot be analyzed using Schild regression. Schild regression involves comparing the change in the dose ratio, the ratio of the EC
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Silent antagonists are competitive receptor antagonists that have zero intrinsic activity for activating a receptor. They are true antagonists, so to speak. The term was created to distinguish fully inactive antagonists from weak partial agonists or inverse agonists.
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targets. Reversible antagonists, which bind via noncovalent intermolecular forces, will eventually dissociate from the receptor, freeing the receptor to be bound again. Irreversible antagonists bind via covalent intermolecular forces. Because there is not enough
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cellular response by binding to the receptor, thus initiating a biochemical mechanism for change within a cell. Antagonists were thought to turn "off" that response by 'blocking' the receptor from the agonist. This definition also remains in use for
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was originally coined to describe different profiles of drug effects. The biochemical definition of a receptor antagonist was introduced by Ariens and Stephenson in the 1950s. The current accepted definition of receptor antagonist is based on the
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Partial agonists are defined as drugs that, at a given receptor, might differ in the amplitude of the functional response that they elicit after maximal receptor occupancy. Although they are agonists, partial agonists can act as a
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Parsons CG, Stöffler A, Danysz W (November 2007). "Memantine: a NMDA receptor antagonist that improves memory by restoration of homeostasis in the glutamatergic system—too little activation is bad, too much is even worse".
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bind to the receptor target and, in general, cannot be removed; inactivating the receptor for the duration of the antagonist effects is determined by the rate of receptor turnover, the rate of synthesis of new receptors.
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to break covalent bonds in the local environment, the bond is essentially "permanent", meaning the receptor-antagonist complex will never dissociate. The receptor will thereby remain permanently antagonized until it is
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the greater the potency of the antagonist, and the lower the concentration of drug that is required to inhibit the maximum biological response. Lower concentrations of drugs may be associated with fewer side-effects.
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and the biochemical definition of a receptor antagonist continues to evolve. The two-state model of receptor activation has given way to multistate models with intermediate conformational states. The discovery of
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on the receptor. A receptor may contain one or more binding sites for different ligands. Binding to the active site on the receptor regulates receptor activation directly. The activity of receptors can also be
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value). This can be calculated for a given antagonist by determining the concentration of antagonist needed to elicit half inhibition of the maximum biological response of an agonist. Elucidating an IC
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Cheng Y, Prusoff WH (December 1973). "Relationship between the inhibition constant (K1) and the concentration of inhibitor which causes 50 per cent inhibition (I50) of an enzymatic reaction".
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values from the Cheng-Prusoff equation, agonist concentrations are varied. Affinity for competitive agonists and antagonists is related by the Cheng-Prusoff factor used to calculate the K
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antagonist–receptor binding. The majority of drug antagonists achieve their potency by competing with endogenous ligands or substrates at structurally defined binding sites on receptors.
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value is useful for comparing the potency of drugs with similar efficacies, however the dose-response curves produced by both drug antagonists must be similar. The lower the IC
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D.E. Golan, A.H Tashjian Jr, E.J. Armstrong, A.W. Armstrong. (2007) Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy Lippincott Williams & Wilkins
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functional assays using competitive antagonists, a parallel rightward shift of agonist dose–response curves with no alteration of the maximal response is observed.
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Greasley PJ, Clapham JC (December 2006). "Inverse agonism or neutral antagonism at G-protein coupled receptors: a medicinal chemistry challenge worth pursuing?".
221:. It narrows the definition of antagonism to consider only those compounds with opposing activities at a single receptor. Agonists were thought to turn "on" a 302:
to activate the receptors they bind. Antagonists do not maintain the ability to activate a receptor. Once bound, however, antagonists inhibit the function of
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is where the line cuts the x-axis on the regression plot. Whereas, with Schild regression, antagonist concentration is varied in experiments used to derive K
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of the maximal response of agonist dose-response curves, and in some cases, rightward shifts, is produced. The rightward shift will occur as a result of a
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also be used to describe the same phenomenon without the potential for confusion with the second meaning of "non-competitive antagonism" discussed below.
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Bleicher KH, Green LG, Martin RE, Rogers-Evans M (June 2004). "Ligand identification for G-protein-coupled receptors: a lead generation perspective".
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non-competitive and irreversible antagonist drugs, as effects of non-competitive antagonists are reversible and activity of agonist will be restored.
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Agonists get its maximum effect reduced when in the presence of an Irreversible Competitive Antagonist or a Reversible Non-Competitive Antagonist.
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Principles and Practice of Pharmacology for Anaesthetists By Norton Elwy Williams, Thomas Norman Calvey Published 2001 Blackwell Publishing
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Fletcher A, Cliffe IA, Dourish CT (December 1993). "Silent 5-HT1A receptor antagonists: utility as research tools and therapeutic agents".
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Competitive antagonists are used to prevent the activity of drugs, and to reverse the effects of drugs that have already been consumed.
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Leurs R, Church MK, Taglialatela M (April 2002). "H1-antihistamines: inverse agonism, anti-inflammatory actions and cardiac effects".
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Bosier B, Hermans E (August 2007). "Versatility of GPCR recognition by drugs: from biological implications to therapeutic relevance".
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Lees P, Cunningham FM, Elliott J (December 2004). "Principles of pharmacodynamics and their applications in veterinary pharmacology".
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site of the receptor, or by irreversibly binding to the active site of the receptor. The former meaning has been standardised by the
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Agonists require higher dose/concentration to achieve the same effect when in the presence of a reversible competitive antagonist.
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eds, David E. Golan, ed.-in-chief; Armen H. Tashjian Jr., deputy ed.; Ehrin J. Armstrong, April W. Armstrong, associate (2008).
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Ariens EJ (September 1954). "Affinity and intrinsic activity in the theory of competitive inhibition. I. Problems and theory".
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Figure demonstrates the noncompetitive antagonistic behaviour of Phenoxybenzamine on alpha-adrenergiv norepinephrine receptors.
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Many antagonists are reversible antagonists that, like most agonists, will bind and unbind a receptor at rates determined by
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measures the effect of the ability of a range of concentrations of antagonists to reverse the activity of an agonist. The
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Christopoulos A (March 2002). "Allosteric binding sites on cell-surface receptors: novel targets for drug discovery".
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competitively (regardless of basal efficacy), and freely associate to and dissociate from the receptor, determined by
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A non-competitive antagonist is a type of insurmountable antagonist that may act in one of two ways: by binding to an
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Rees S, Morrow D, Kenakin T (2002). "GPCR drug discovery through the exploitation of allosteric drug binding sites".
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Vauquelin G, Van Liefde I, Birzbier BB, Vanderheyden PM (August 2002). "New insights in insurmountable antagonism".
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can have effects similar to those of an antagonist, but causes a distinct set of downstream biological responses.
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May LT, Avlani VA, Sexton PM, Christopoulos A (2004). "Allosteric modulation of G protein-coupled receptors".
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Kenakin T (January 2004). "Efficacy as a vector: the relative prevalence and paucity of inverse agonism".
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Swinney DC (September 2004). "Biochemical mechanisms of drug action: what does it take for success?".
572: 69:. Antagonist drugs interfere in the natural operation of receptor proteins. They are sometimes called 3893: 3737: 3590: 3543: 3183: 3045: 2955: 2796: 2676: 2444: 101:
for their cognate receptors, and binding will disrupt the interaction and inhibit the function of an
230:, substances that have opposing physiological actions, but act at different receptors. For example, 3514: 3093: 2981: 2950: 2596: 2556: 760: 757: 604: 315: 450: with: information about irreversible/insurmountable competitive antagonists. You can help by 3741: 3710: 3441: 3337: 3063: 3013: 2914: 2727: 2706: 2606: 2527: 2439: 2306: 2263: 2031: 1988: 1801: 1742: 1694: 1467: 1341: 1287: 1037: 991: 949:
T. Kenakin (2006) A Pharmacology Primer: Theory, Applications, and Methods. 2nd Edition Elsevier
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Chart demonstrating the difference between agonists, silent antagonists, and inverse agonists
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Pulvirenti L, Koob GF (April 2002). "Being partial to psychostimulant addiction therapy".
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Stevens, E. (2013) Medicinal Chemistry: The Modern Drug Discovery Process. pg. 79, 84
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Colquhoun D (December 2007). "Why the Schild method is better than Schild realised".
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Urban JD, Clarke WP, von Zastrow M, Nichols DE, Kobilka B, Weinstein H, Javitch JA,
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Surin A, Pshenichkin S, Grajkowska E, Surina E, Wroblewski JT (March 2007).
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Our understanding of the mechanism of drug-induced receptor activation and
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that blocks or dampens a biological response by binding to and blocking a
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Frang H, Cockcroft V, Karskela T, Scheinin M, Marjamäki A (August 2001).
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Pharmacology Guide: In vitro pharmacology: concentration-response curves
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or for competitive antagonists in radioligand binding studies using the
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molecule, inhibiting the signal produced by a receptor–agonist coupling.
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Principles of pharmacology: the pathophysiologic basis of drug therapy
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Ritter J, Flower R, Henderson G, Loke YK, MacEwan D, Rang H (2020).
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agonists because of the discovery of constitutive active receptors.
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has been shown to act as a reversible non-competitive antagonist of
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Neubig RR, Spedding M, Kenakin T, Christopoulos A (December 2003).
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raises arterial pressure through vasoconstriction mediated by alpha
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The English word antagonist in pharmaceutical terms comes from the
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at receptors. Antagonists mediate their effects by binding to the
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by the binding of a ligand to other sites on the receptor, as in
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Type of receptor ligand or drug that blocks a biological response
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Patil PN (2002). "Everhardus J. Ariëns (1918–2002): a tribute".
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Hopkins AL, Groom CR (September 2002). "The druggable genome".
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between the receptor and its ligand, at locations called the
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The second form of "non-competitive antagonists" act at an
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Archives Internationales de Pharmacodynamie et de Thérapie
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at a receptor is receptor-independent property of a drug.
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The Journal of Pharmacology and Experimental Therapeutics
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of agonist better than lower concentrations of agonist".
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Competitive antagonists bind to receptors at the same
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molecules that can be activated by the binding of a
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Journal of Veterinary Pharmacology and Therapeutics
911: 587:for receptor activation after the agonist binds. 1487:"Taking the time to study competitive antagonism" 418:Enzyme inhibitor § Types of reversible inhibitors 1712: 1710: 1708: 1007: 1005: 1437: 1435: 1433: 517:Competitive antagonists are sub-classified as 267:receptor is expressed, altering the view that 3224: 2396: 1201: 1199: 1197: 945: 943: 941: 8: 1806:: CS1 maint: multiple names: authors list ( 1303: 1301: 728:have been reclassified as inverse agonists. 692:in pain management and as an alternative to 1397: 1395: 1393: 1359: 1357: 1355: 1256:Vauquelin G, Van Liefde I (February 2005). 322:of an antagonist is usually defined by its 3623: 3429: 3416: 3370: 3231: 3217: 3209: 3163: 3123: 3028: 3001: 2965: 2928: 2889: 2816: 2761: 2691: 2636: 2585: 2547: 2469: 2424: 2403: 2389: 2381: 1769: 1767: 1765: 717:, originally classified as antagonists of 595:. Another example of a non-competitive is 486:(also known as Narcan) is used to reverse 2341: 2179: 1938: 1862: 1594: 1510: 1273: 1231: 1208:"A modification of receptor theory. 1956" 1150: 34:Antagonists will block the binding of an 636:, is an uncompetitive antagonist of the 1719:Fundamental & Clinical Pharmacology 1262:Fundamental & Clinical Pharmacology 811: 696:in the treatment of opioid dependence. 1799: 383:of an agonist alone compared to the EC 358:The affinity of an antagonist for its 298:By definition, antagonists display no 176:. Receptors can be membrane-bound, as 1884: 1882: 1218:(4 Suppl): 106–20, discussion 103–5. 324:half maximal inhibitory concentration 314:. In functional antagonist assays, a 7: 932:participating institution membership 2330:The Journal of Biological Chemistry 1368:(9 ed.). Edinburgh: Elsevier. 1057:Current Opinion in Chemical Biology 3838:Angiotensin II receptor antagonist 3782:Endocannabinoid reuptake inhibitor 3189:Minimum bactericidal concentration 2129:Trends in Pharmacological Sciences 2094:Trends in Pharmacological Sciences 2067:Trends in Pharmacological Sciences 2008:Trends in Pharmacological Sciences 1587:10.1111/j.1476-5381.1975.tb07365.x 1536:Trends in Pharmacological Sciences 1224:10.1111/j.1476-5381.1997.tb06784.x 526: 518: 65:rather than activating it like an 25: 3729:Acetylcholine receptor antagonist 3491:Norepinephrine reuptake inhibitor 2283:Clinical and Experimental Allergy 1571:"An ambiguity in receptor theory" 1485:Wyllie DJ, Chen PE (March 2007). 752:is an example of an irreversible 388:concentrations. The affinity or K 234:lowers arterial pressure through 3179:Minimum inhibitory concentration 2368: 2295:10.1046/j.0954-7894.2002.01314.x 2205:European Journal of Pharmacology 1977:10.1016/j.neuropharm.2007.07.013 1855:10.1016/j.neuropharm.2006.09.018 1731:10.1046/j.1472-8206.2002.00095.x 1416:10.1111/j.1365-2885.2004.00620.x 1275:10.1111/j.1472-8206.2005.00319.x 795:Growth factor receptor inhibitor 437: 192:. Binding occurs as a result of 3857:Vasopressin receptor antagonist 3771:Cannabinoid receptor antagonist 3119:WHO list of essential medicines 2612:Non-specific effect of vaccines 1575:British Journal of Pharmacology 1491:British Journal of Pharmacology 1212:British Journal of Pharmacology 1206:Stephenson RP (February 1997). 710:Constitutively active receptors 599:which binds irreversibly (with 3843:Endothelin receptor antagonist 3707:Acetylcholine receptor agonist 3466:Adrenergic receptor antagonist 3174:Antimicrobial pharmacodynamics 1444:Nature Reviews. Drug Discovery 1014:Nature Reviews. Drug Discovery 848:Nature Reviews. Drug Discovery 836:Retrieved on December 6, 2007. 1: 3675:Glutamate receptor antagonist 3591:Serotonin receptor antagonist 3544:Histamine receptor antagonist 3319:Negative allosteric modulator 3313:Positive allosteric modulator 3099:Functional analog (chemistry) 2162:Vadivelu N, Hines RL (2007). 2141:10.1016/S0165-6147(00)01991-X 2079:10.1016/S0165-6147(02)02068-0 968:Current Pharmaceutical Design 892:. Online Etymology Dictionary 3832:Adenosine reuptake inhibitor 3766:Cannabinoid receptor agonist 3685:Glutamate reuptake inhibitor 3604:Serotonin reuptake inhibitor 3515:Dopamine receptor antagonist 2652:Hill equation (biochemistry) 2217:10.1016/j.ejphar.2006.09.032 2168:Journal of Opioid Management 2020:10.1016/0165-6147(93)90185-m 1632:10.1016/0006-2952(73)90196-2 1366:Rang and Dale's pharmacology 800:Selective receptor modulator 3520:Dopamine reuptake inhibitor 3442:Adrenergic receptor agonist 1569:Schild HO (February 1975). 684:, a partial agonist of the 632:, used in the treatment of 3949: 3811:Opioid receptor antagonist 3665:Glutamate receptor agonist 3586:Serotonin receptor agonist 3539:Histamine receptor agonist 3167:Antimicrobial pharmacology 2647:Dose–response relationship 2577:Desensitization (medicine) 2106:10.1016/j.tips.2007.06.001 1913:Lipton SA (January 2004). 1548:10.1016/j.tips.2007.09.011 1069:10.1016/j.cbpa.2004.04.008 664: 426: 415: 278: 149: 3510:Dopamine receptor agonist 3089:Coinduction (anesthetics) 1143:10.1016/j.bcp.2005.12.038 919:Oxford English Dictionary 756:—it permanently binds to 743:Irreversible antagonists 228:physiological antagonists 194:non-covalent interactions 3776:Endocannabinoid enhancer 3722:Cholinesterase inhibitor 3641:GABA receptor antagonist 3154:Multiple drug resistance 3127:Tolerance and resistance 2495:Physiological antagonist 1620:Biochemical Pharmacology 1246:of the original article. 1131:Biochemical Pharmacology 1092:Receptors & Channels 980:10.2174/1381612043384303 778:receptor-ligand kinetics 738:receptor-ligand kinetics 490:caused by drugs such as 219:receptor occupancy model 207:allosteric binding sites 180:, or inside the cell as 83:calcium channel blockers 3816:Enkephalinase inhibitor 3806:Opioid receptor agonist 3646:GABA reuptake inhibitor 3351:♦ Miscellaneous: 2905:Neuropsychopharmacology 2667:Cheng-Prussoff Equation 2662:Del Castillo Katz model 2589:Other effects of ligand 2572:Receptor (biochemistry) 2490:Irreversible antagonist 1931:10.1602/neurorx.1.1.101 1671:Pharmacological Reviews 1330:10.1124/jpet.106.104463 924:Oxford University Press 188:including those of the 182:intracellular receptors 152:Receptor (biochemistry) 3399:Ion channel modulators 3041:Classical pharmacology 2802:Plasma protein binding 2777:Volume of distribution 2485:Competitive antagonist 2343:10.1074/jbc.M104167200 2240:Molecular Pharmacology 1503:10.1038/sj.bjp.0706997 1125:Negus SS (June 2006). 1104:10.1080/10606820214640 674:competitive antagonist 653: 619: 429:Competitive inhibition 406:competitive inhibition 372:Cheng-Prusoff equation 350: 295: 264:functional selectivity 178:cell surface receptors 43: 3636:GABA receptor agonist 3149:Antibiotic resistance 2941:Clinical pharmacology 2460:Physiological agonist 2420:Ligand (biochemistry) 2181:10.5055/jom.2007.0038 676:in the presence of a 651: 617: 565:allosteric antagonist 427:Further information: 348: 293: 33: 3923:Receptor antagonists 3046:Reverse pharmacology 2956:Pharmacoepidemiology 2797:Biological half-life 2677:Ligand binding assay 2551:Activity at receptor 2445:Irreversible agonist 2377:at Wikimedia Commons 2375:Receptor antagonists 761:adrenergic receptors 605:adrenergic receptors 547:and thus destroyed. 286:Efficacy and potency 252:-adrenergic receptor 18:Receptor antagonists 3928:Signal transduction 3852:receptor antagonist 3094:Combination therapy 2982:Pharmacoinformatics 2951:Medicinal chemistry 2557:Mechanism of action 922:(Online ed.). 634:Alzheimer's disease 404:that occurs during 316:dose-response curve 73:; examples include 48:receptor antagonist 3240:Pharmacomodulation 3064:Immunopharmacology 3014:Pharmacotoxicology 2915:Psychopharmacology 2707:Intrinsic activity 2607:Pleiotropy (drugs) 2528:Agonist-antagonist 2440:Endogenous agonist 2252:10.1124/mol.65.1.2 1894:tmedweb.tulane.edu 825:2019-07-26 at the 654: 644:Silent antagonists 620: 510:is an antidote to 502:is an antidote to 351: 296: 44: 3908: 3907: 3904: 3903: 3865: 3864: 3693: 3692: 3613: 3612: 3383:Enzyme inhibition 3206: 3205: 3202: 3201: 3162: 3161: 3059:Photopharmacology 3054: 3053: 3027: 3026: 3000: 2999: 2964: 2963: 2927: 2926: 2920:Electrophysiology 2910:Neuropharmacology 2865: 2864: 2815: 2814: 2751: 2750: 2738:Therapeutic index 2690: 2689: 2635: 2634: 2584: 2583: 2513: 2512: 2468: 2467: 2373:Media related to 1965:Neuropharmacology 1843:Neuropharmacology 1787:978-0-7817-8355-2 1683:10.1124/pr.55.4.4 1375:978-0-7020-8060-9 930:(Subscription or 686:μ-opioid receptor 468: 467: 368:Schild regression 186:nuclear receptors 16:(Redirected from 3940: 3933:Pharmacodynamics 3882:Enzyme cofactors 3801:Opioid modulator 3758:Cannabinoidergic 3624: 3430: 3417: 3371: 3233: 3226: 3219: 3210: 3164: 3124: 3104:Polypharmacology 3029: 3002: 2992:Pharmacogenomics 2987:Pharmacogenetics 2966: 2929: 2890: 2817: 2787:Rate of infusion 2762: 2757:Pharmacokinetics 2692: 2637: 2586: 2548: 2543:Pharmacodynamics 2523:Neurotransmitter 2505:Enzyme inhibitor 2470: 2425: 2405: 2398: 2391: 2382: 2372: 2356: 2355: 2345: 2336:(33): 31279–84. 2321: 2315: 2314: 2278: 2272: 2271: 2235: 2229: 2228: 2200: 2194: 2193: 2183: 2159: 2153: 2152: 2124: 2118: 2117: 2089: 2083: 2082: 2062: 2056: 2046: 2040: 2039: 2003: 1997: 1996: 1959: 1953: 1952: 1942: 1910: 1904: 1903: 1901: 1900: 1886: 1877: 1876: 1866: 1834: 1828: 1818: 1812: 1811: 1805: 1797: 1795: 1794: 1771: 1760: 1757: 1751: 1750: 1714: 1703: 1702: 1668: 1659: 1644: 1643: 1626:(23): 3099–108. 1615: 1609: 1608: 1598: 1566: 1560: 1559: 1531: 1525: 1524: 1514: 1482: 1476: 1475: 1439: 1428: 1427: 1399: 1388: 1387: 1361: 1350: 1349: 1305: 1296: 1295: 1277: 1253: 1247: 1245: 1235: 1203: 1192: 1191: 1171: 1165: 1164: 1154: 1122: 1116: 1115: 1087: 1081: 1080: 1052: 1046: 1045: 1009: 1000: 999: 963: 957: 947: 936: 935: 927: 915: 908: 902: 901: 899: 897: 886: 880: 879: 843: 837: 816: 790:Enzyme inhibitor 750:Phenoxybenzamine 700:Inverse agonists 661:Partial agonists 597:phenoxybenzamine 573:receptor reserve 535:receptor protein 463: 460: 441: 433: 312:partial agonists 308:inverse agonists 281:Pharmacodynamics 275:Pharmacodynamics 138:("against") and 21: 3948: 3947: 3943: 3942: 3941: 3939: 3938: 3937: 3913: 3912: 3909: 3900: 3861: 3851: 3820: 3787: 3752: 3689: 3651: 3609: 3598: 3572: 3567: 3559: 3551: 3525: 3496: 3410: 3401: 3386: 3362: 3308:Inverse agonist 3298:Partial agonist 3242: 3237: 3207: 3198: 3158: 3144:Drug resistance 3122: 3078: 3050: 3023: 3019:Neurotoxicology 2996: 2960: 2923: 2885: 2879: 2861: 2811: 2807:Bioavailability 2792:Onset of action 2747: 2686: 2631: 2580: 2537: 2509: 2500:Inverse agonist 2464: 2450:Partial agonist 2414: 2409: 2365: 2360: 2359: 2323: 2322: 2318: 2280: 2279: 2275: 2237: 2236: 2232: 2202: 2201: 2197: 2161: 2160: 2156: 2126: 2125: 2121: 2091: 2090: 2086: 2064: 2063: 2059: 2047: 2043: 2005: 2004: 2000: 1961: 1960: 1956: 1912: 1911: 1907: 1898: 1896: 1888: 1887: 1880: 1836: 1835: 1831: 1819: 1815: 1798: 1792: 1790: 1788: 1773: 1772: 1763: 1758: 1754: 1716: 1715: 1706: 1666: 1661: 1660: 1647: 1617: 1616: 1612: 1568: 1567: 1563: 1533: 1532: 1528: 1484: 1483: 1479: 1456:10.1038/nrd1500 1441: 1440: 1431: 1401: 1400: 1391: 1376: 1363: 1362: 1353: 1307: 1306: 1299: 1255: 1254: 1250: 1205: 1204: 1195: 1173: 1172: 1168: 1137:(12): 1663–70. 1124: 1123: 1119: 1089: 1088: 1084: 1054: 1053: 1049: 1011: 1010: 1003: 974:(17): 2003–13. 965: 964: 960: 948: 939: 929: 910: 909: 905: 895: 893: 888: 887: 883: 845: 844: 840: 827:Wayback Machine 817: 813: 808: 786: 734: 725: 706:inverse agonist 702: 669: 667:Partial agonist 663: 646: 625: 593:mGluR1 receptor 553: 551:Non-competitive 512:benzodiazepines 488:opioid overdose 464: 458: 455: 448:needs expansion 442: 431: 425: 420: 414: 403: 399: 395: 391: 386: 382: 377: 365: 356: 340: 336: 331: 288: 283: 277: 259:receptor theory 243: 154: 148: 130:ἀνταγωνιστής – 124: 115:allosteric site 107:inverse agonist 28: 23: 22: 15: 12: 11: 5: 3946: 3944: 3936: 3935: 3930: 3925: 3915: 3914: 3906: 3905: 3902: 3901: 3899: 3898: 3886: 3873: 3871: 3867: 3866: 3863: 3862: 3860: 3859: 3854: 3849: 3845: 3840: 3835: 3828: 3826: 3822: 3821: 3819: 3818: 3813: 3808: 3803: 3797: 3795: 3789: 3788: 3786: 3785: 3779: 3773: 3768: 3762: 3760: 3754: 3753: 3751: 3750: 3744: 3735: 3726: 3725: 3724: 3713: 3703: 3701: 3695: 3694: 3691: 3690: 3688: 3687: 3682: 3672: 3661: 3659: 3653: 3652: 3650: 3649: 3643: 3638: 3632: 3630: 3621: 3615: 3614: 3611: 3610: 3608: 3607: 3601: 3596: 3588: 3582: 3580: 3574: 3573: 3571: 3570: 3565: 3561: 3557: 3553: 3549: 3541: 3535: 3533: 3527: 3526: 3524: 3523: 3517: 3512: 3506: 3504: 3498: 3497: 3495: 3494: 3488: 3482: 3476: 3463: 3457: 3448: 3438: 3436: 3427: 3414: 3403: 3402: 3396: 3394: 3388: 3387: 3379: 3377: 3368: 3364: 3363: 3361: 3360: 3355: 3348: 3347: 3341: 3335: 3323: 3322: 3316: 3310: 3305: 3300: 3295: 3284: 3283: 3278: 3267: 3266: 3261: 3250: 3248: 3244: 3243: 3238: 3236: 3235: 3228: 3221: 3213: 3204: 3203: 3200: 3199: 3197: 3196: 3191: 3186: 3184:Bacteriostatic 3181: 3176: 3170: 3168: 3160: 3159: 3157: 3156: 3151: 3146: 3141: 3136: 3134:Drug tolerance 3130: 3128: 3121: 3116: 3114:Lists of drugs 3111: 3106: 3101: 3096: 3091: 3086: 3084: 3080: 3079: 3077: 3076: 3071: 3066: 3061: 3055: 3052: 3051: 3049: 3048: 3043: 3037: 3035: 3033:Drug discovery 3025: 3024: 3022: 3021: 3016: 3010: 3008: 2998: 2997: 2995: 2994: 2989: 2984: 2978: 2976: 2962: 2961: 2959: 2958: 2953: 2948: 2943: 2937: 2935: 2925: 2924: 2922: 2917: 2912: 2907: 2902: 2900: 2887: 2881: 2880: 2878: 2877: 2875:Bioequivalence 2872: 2866: 2863: 2862: 2860: 2859: 2849: 2844: 2839: 2834: 2823: 2821: 2813: 2812: 2810: 2809: 2804: 2799: 2794: 2789: 2784: 2774: 2768: 2766: 2759: 2753: 2752: 2749: 2748: 2746: 2745: 2740: 2735: 2709: 2704: 2698: 2696: 2688: 2687: 2685: 2684: 2669: 2664: 2659: 2654: 2649: 2643: 2641: 2633: 2632: 2630: 2629: 2619: 2617:Adverse effect 2614: 2609: 2604: 2592: 2590: 2582: 2581: 2579: 2574: 2569: 2564: 2562:Mode of action 2559: 2554: 2552: 2545: 2539: 2538: 2536: 2535: 2530: 2525: 2520: 2514: 2511: 2510: 2508: 2507: 2502: 2497: 2492: 2487: 2482: 2476: 2474: 2466: 2465: 2463: 2462: 2457: 2452: 2447: 2442: 2437: 2431: 2429: 2422: 2416: 2415: 2410: 2408: 2407: 2400: 2393: 2385: 2379: 2378: 2364: 2363:External links 2361: 2358: 2357: 2316: 2273: 2230: 2195: 2154: 2119: 2084: 2057: 2041: 1998: 1971:(6): 699–723. 1954: 1905: 1878: 1829: 1813: 1786: 1761: 1752: 1704: 1677:(4): 597–606. 1645: 1610: 1561: 1542:(12): 608–14. 1526: 1477: 1429: 1410:(6): 397–414. 1389: 1374: 1351: 1297: 1248: 1193: 1166: 1117: 1098:(5–6): 261–8. 1082: 1047: 1026:10.1038/nrd746 1020:(3): 198–210. 1001: 958: 937: 903: 881: 860:10.1038/nrd892 838: 810: 809: 807: 804: 803: 802: 797: 792: 785: 782: 733: 730: 723: 715:Antihistamines 701: 698: 665:Main article: 662: 659: 645: 642: 624: 621: 601:covalent bonds 552: 549: 531:insurmountable 466: 465: 445: 443: 436: 424: 421: 413: 410: 401: 397: 393: 389: 384: 380: 375: 363: 355: 352: 338: 334: 329: 287: 284: 279:Main article: 276: 273: 241: 150:Main article: 147: 144: 123: 120: 75:alpha blockers 50:is a type of 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3945: 3934: 3931: 3929: 3926: 3924: 3921: 3920: 3918: 3911: 3896: 3895: 3890: 3887: 3884: 3883: 3878: 3875: 3874: 3872: 3870:Miscellaneous 3868: 3858: 3855: 3853: 3846: 3844: 3841: 3839: 3836: 3833: 3830: 3829: 3827: 3823: 3817: 3814: 3812: 3809: 3807: 3804: 3802: 3799: 3798: 3796: 3794: 3790: 3783: 3780: 3777: 3774: 3772: 3769: 3767: 3764: 3763: 3761: 3759: 3755: 3748: 3745: 3743: 3739: 3736: 3734: 3730: 3727: 3723: 3720: 3719: 3717: 3714: 3712: 3708: 3705: 3704: 3702: 3700: 3696: 3686: 3683: 3680: 3676: 3673: 3670: 3666: 3663: 3662: 3660: 3658: 3657:Glutamatergic 3654: 3647: 3644: 3642: 3639: 3637: 3634: 3633: 3631: 3629: 3625: 3622: 3620: 3616: 3605: 3602: 3599: 3592: 3589: 3587: 3584: 3583: 3581: 3579: 3575: 3568: 3562: 3560: 3554: 3552: 3545: 3542: 3540: 3537: 3536: 3534: 3532: 3531:Histaminergic 3528: 3521: 3518: 3516: 3513: 3511: 3508: 3507: 3505: 3503: 3499: 3492: 3489: 3486: 3483: 3480: 3477: 3475: 3471: 3467: 3464: 3461: 3458: 3456: 3452: 3449: 3447: 3443: 3440: 3439: 3437: 3435: 3431: 3428: 3426: 3422: 3418: 3415: 3413: 3408: 3404: 3400: 3395: 3393: 3389: 3385: 3384: 3378: 3376: 3372: 3369: 3365: 3359: 3356: 3354: 3350: 3349: 3345: 3342: 3339: 3336: 3333: 3329: 3325: 3324: 3320: 3317: 3314: 3311: 3309: 3306: 3304: 3301: 3299: 3296: 3294: 3290: 3286: 3285: 3282: 3279: 3277: 3273: 3269: 3268: 3265: 3262: 3260: 3256: 3252: 3251: 3249: 3245: 3241: 3234: 3229: 3227: 3222: 3220: 3215: 3214: 3211: 3195: 3192: 3190: 3187: 3185: 3182: 3180: 3177: 3175: 3172: 3171: 3169: 3165: 3155: 3152: 3150: 3147: 3145: 3142: 3140: 3139:Tachyphylaxis 3137: 3135: 3132: 3131: 3129: 3125: 3120: 3117: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3095: 3092: 3090: 3087: 3085: 3081: 3075: 3072: 3070: 3067: 3065: 3062: 3060: 3057: 3056: 3047: 3044: 3042: 3039: 3038: 3036: 3034: 3030: 3020: 3017: 3015: 3012: 3011: 3009: 3007: 3003: 2993: 2990: 2988: 2985: 2983: 2980: 2979: 2977: 2975: 2971: 2967: 2957: 2954: 2952: 2949: 2947: 2944: 2942: 2939: 2938: 2936: 2934: 2930: 2921: 2918: 2916: 2913: 2911: 2908: 2906: 2903: 2901: 2899: 2895: 2891: 2888: 2882: 2876: 2873: 2871: 2868: 2867: 2857: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2832: 2828: 2825: 2824: 2822: 2818: 2808: 2805: 2803: 2800: 2798: 2795: 2793: 2790: 2788: 2785: 2782: 2778: 2775: 2773: 2770: 2769: 2767: 2763: 2760: 2758: 2754: 2744: 2741: 2739: 2736: 2733: 2729: 2725: 2721: 2717: 2713: 2710: 2708: 2705: 2703: 2700: 2699: 2697: 2693: 2682: 2678: 2674: 2670: 2668: 2665: 2663: 2660: 2658: 2655: 2653: 2650: 2648: 2645: 2644: 2642: 2638: 2627: 2626:Neurotoxicity 2623: 2620: 2618: 2615: 2613: 2610: 2608: 2605: 2602: 2598: 2595:Selectivity ( 2594: 2593: 2591: 2587: 2578: 2575: 2573: 2570: 2568: 2565: 2563: 2560: 2558: 2555: 2553: 2549: 2546: 2544: 2540: 2534: 2533:Pharmacophore 2531: 2529: 2526: 2524: 2521: 2519: 2516: 2515: 2506: 2503: 2501: 2498: 2496: 2493: 2491: 2488: 2486: 2483: 2481: 2478: 2477: 2475: 2471: 2461: 2458: 2456: 2453: 2451: 2448: 2446: 2443: 2441: 2438: 2436: 2433: 2432: 2430: 2426: 2423: 2421: 2417: 2413: 2406: 2401: 2399: 2394: 2392: 2387: 2386: 2383: 2376: 2371: 2367: 2366: 2362: 2353: 2349: 2344: 2339: 2335: 2331: 2327: 2320: 2317: 2312: 2308: 2304: 2300: 2296: 2292: 2289:(4): 489–98. 2288: 2284: 2277: 2274: 2269: 2265: 2261: 2257: 2253: 2249: 2245: 2241: 2234: 2231: 2226: 2222: 2218: 2214: 2210: 2206: 2199: 2196: 2191: 2187: 2182: 2177: 2173: 2169: 2165: 2158: 2155: 2150: 2146: 2142: 2138: 2134: 2130: 2123: 2120: 2115: 2111: 2107: 2103: 2100:(8): 438–46. 2099: 2095: 2088: 2085: 2080: 2076: 2072: 2068: 2061: 2058: 2055: 2054:0-632-05605-3 2051: 2045: 2042: 2037: 2033: 2029: 2025: 2021: 2017: 2014:(12): 41–48. 2013: 2009: 2002: 1999: 1994: 1990: 1986: 1982: 1978: 1974: 1970: 1966: 1958: 1955: 1950: 1946: 1941: 1936: 1932: 1928: 1925:(1): 101–10. 1924: 1920: 1916: 1909: 1906: 1895: 1891: 1885: 1883: 1879: 1874: 1870: 1865: 1860: 1856: 1852: 1849:(3): 744–54. 1848: 1844: 1840: 1833: 1830: 1827: 1826:0-7817-8355-0 1823: 1817: 1814: 1809: 1803: 1789: 1783: 1779: 1778: 1770: 1768: 1766: 1762: 1756: 1753: 1748: 1744: 1740: 1736: 1732: 1728: 1725:(4): 263–72. 1724: 1720: 1713: 1711: 1709: 1705: 1700: 1696: 1692: 1688: 1684: 1680: 1676: 1672: 1665: 1658: 1656: 1654: 1652: 1650: 1646: 1641: 1637: 1633: 1629: 1625: 1621: 1614: 1611: 1606: 1602: 1597: 1592: 1588: 1584: 1580: 1576: 1572: 1565: 1562: 1557: 1553: 1549: 1545: 1541: 1537: 1530: 1527: 1522: 1518: 1513: 1508: 1504: 1500: 1497:(5): 541–51. 1496: 1492: 1488: 1481: 1478: 1473: 1469: 1465: 1461: 1457: 1453: 1449: 1445: 1438: 1436: 1434: 1430: 1425: 1421: 1417: 1413: 1409: 1405: 1398: 1396: 1394: 1390: 1385: 1381: 1377: 1371: 1367: 1360: 1358: 1356: 1352: 1347: 1343: 1339: 1335: 1331: 1327: 1323: 1319: 1315: 1311: 1304: 1302: 1298: 1293: 1289: 1285: 1281: 1276: 1271: 1267: 1263: 1259: 1252: 1249: 1243: 1239: 1234: 1229: 1225: 1221: 1217: 1213: 1209: 1202: 1200: 1198: 1194: 1189: 1185: 1181: 1177: 1170: 1167: 1162: 1158: 1153: 1148: 1144: 1140: 1136: 1132: 1128: 1121: 1118: 1113: 1109: 1105: 1101: 1097: 1093: 1086: 1083: 1078: 1074: 1070: 1066: 1063:(3): 287–96. 1062: 1058: 1051: 1048: 1043: 1039: 1035: 1031: 1027: 1023: 1019: 1015: 1008: 1006: 1002: 997: 993: 989: 985: 981: 977: 973: 969: 962: 959: 956: 955:0-12-370599-1 952: 946: 944: 942: 938: 933: 925: 921: 920: 914: 907: 904: 891: 885: 882: 877: 873: 869: 865: 861: 857: 854:(9): 727–30. 853: 849: 842: 839: 835: 833: 832:GlaxoWellcome 828: 824: 821: 815: 812: 805: 801: 798: 796: 793: 791: 788: 787: 783: 781: 779: 773: 770: 769:noradrenaline 766: 763:, preventing 762: 759: 755: 754:alpha blocker 751: 746: 741: 739: 732:Reversibility 731: 729: 727: 720: 716: 711: 707: 699: 697: 695: 691: 687: 683: 682:Buprenorphine 679: 675: 668: 660: 658: 650: 643: 641: 639: 638:NMDA receptor 635: 631: 623:Uncompetitive 622: 616: 612: 610: 606: 602: 598: 594: 590: 589:Cyclothiazide 585: 580: 576: 574: 570: 566: 562: 558: 550: 548: 546: 545:ubiquitinated 541: 536: 532: 528: 524: 520: 515: 513: 509: 505: 501: 498:. Similarly, 497: 493: 489: 485: 480: 477: 473: 462: 459:November 2017 453: 449: 446:This section 444: 440: 435: 434: 430: 422: 419: 411: 409: 407: 373: 369: 361: 353: 347: 343: 332: 325: 321: 317: 313: 309: 305: 301: 292: 285: 282: 274: 272: 270: 265: 260: 255: 253: 249: 245: 237: 233: 229: 224: 220: 215: 210: 208: 204: 199: 195: 191: 190:mitochondrion 187: 183: 179: 175: 171: 167: 163: 159: 153: 145: 143: 141: 137: 133: 129: 121: 119: 116: 112: 108: 104: 100: 96: 92: 88: 84: 80: 79:beta blockers 76: 72: 68: 64: 60: 56: 53: 49: 41: 37: 32: 19: 3910: 3892: 3880: 3578:Serotonergic 3502:Dopaminergic 3381: 3302: 3109:Chemotherapy 3069:Cell biology 2970:Biochemistry 2894:Neuroscience 2842:Distribution 2772:Loading dose 2479: 2455:Superagonist 2412:Pharmacology 2333: 2329: 2319: 2286: 2282: 2276: 2243: 2239: 2233: 2211:(1–3): 1–9. 2208: 2204: 2198: 2174:(1): 49–58. 2171: 2167: 2157: 2135:(4): 151–3. 2132: 2128: 2122: 2097: 2093: 2087: 2073:(7): 344–5. 2070: 2066: 2060: 2044: 2011: 2007: 2001: 1968: 1964: 1957: 1922: 1918: 1908: 1897:. Retrieved 1893: 1846: 1842: 1832: 1816: 1791:. Retrieved 1776: 1755: 1722: 1718: 1674: 1670: 1623: 1619: 1613: 1578: 1574: 1564: 1539: 1535: 1529: 1494: 1490: 1480: 1450:(9): 801–8. 1447: 1443: 1407: 1403: 1365: 1321: 1317: 1268:(1): 45–56. 1265: 1261: 1251: 1215: 1211: 1182:(1): 32–49. 1179: 1175: 1169: 1134: 1130: 1120: 1095: 1091: 1085: 1060: 1056: 1050: 1017: 1013: 971: 967: 961: 917: 913:"antagonist" 906: 894:. 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Index

Receptor antagonists

agonist
receptor
receptor
ligand
drug
receptor
agonist
alpha blockers
beta blockers
calcium channel blockers
pharmacology
affinity
efficacy
agonist
inverse agonist
active site
allosteric site
Greek
Receptor (biochemistry)
receptors
protein
ligand
hormone
drug
cell surface receptors
intracellular receptors
nuclear receptors
mitochondrion

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