Intrinsic activity

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Intrinsic Activity

Diagram illustrating the spectrum of intrinsic activity.

Intrinsic activity is a concept in pharmacology that describes the ability of a drug to activate a receptor and produce a biological response. It is a measure of the efficacy of a drug, which is distinct from its affinity, or the strength with which it binds to a receptor.

Definition

Intrinsic activity is defined as the relative ability of a drug-receptor complex to produce a maximum functional response. It is a dimensionless quantity that ranges from 0 to 1, where 0 indicates no activity (an antagonist), and 1 indicates full activity (a full agonist). Partial agonists have intrinsic activity values between 0 and 1.

Mechanism

When a drug binds to a receptor, it can stabilize the receptor in an active conformation, leading to a biological response. The intrinsic activity of a drug is determined by its ability to induce this active conformation. Drugs with high intrinsic activity are more effective at producing a response, even at lower concentrations.

Types of Drugs

  • Full Agonists: These drugs have an intrinsic activity of 1. They fully activate the receptor and produce the maximum possible response. Examples include morphine and adrenaline.
  • Partial Agonists: These drugs have an intrinsic activity between 0 and 1. They activate the receptor but produce a less than maximal response, even at full receptor occupancy. An example is buprenorphine.
  • Antagonists: These drugs have an intrinsic activity of 0. They bind to receptors but do not activate them, effectively blocking the action of agonists. Examples include naloxone and propranolol.

Clinical Implications

Understanding intrinsic activity is crucial in drug development and therapy. It helps in predicting the therapeutic and side effects of drugs. For instance, partial agonists can act as antagonists in the presence of full agonists, which is useful in conditions like opioid addiction treatment.

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Contributors: Prab R. Tumpati, MD