4. Moriakoi stoxoi farmakon 2014

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  • 1. G (GPCRs)

    2. 3. 4.

    a+

    Ca2+

    K+

    a+/K+-ATP

    -

    4

  • 1004

    4

    GPCR

    1. 2. 3. 4.

    1.

    G

    , GPCRs

    4

    ,

    4.1 Rs ), 1

    GPCRs)

    GPCRs .

    ,

    ( 45% .

    .

    (>1.0

    350

    ,

    .0%). 28 ,

    G .

    G

    1%

    000) -

    )

    %

    .

    : (G

    G

    . Richard

    (

    GPCRs).

    .

    (G prote

    2.000

    d Axel ( GPCRs

    ( .

    ,

    / /

    ein-couple

    . Nobe

    ,

    . .

    ed recepto

    GPCR-like

    , el 2004)

    ,

    ors:

    e

  • 105

    , . 150 , .

    , , , , GPCRs . GPCRs : 30%40% 50 400 GPCRs.

    2012 Nobel Brian Kobilka Robert Lefkowitz GPCRs.

    Brian Kobilka (1955 - ) Robert Lefkowitz (1943- )

    4.2 Brian Kobilka Robert Lefkowitz Nobel

    GPCRs. 1968, Lefkowitz -

    , 1980 Kobilka . - . 2011, Kobilka - . molecular masterpiece.

    GPCRs: :

    .

  • 106 4

    ( GPCRs) 11-cis- () trans-.

    : .

    : , , , , GABA.

    : , .

    : GPCRs, , , .

    : . .

    GPCRs,

    G (, ), (effectors) (cAMP, I3), . GPCRs .

    - GPCRs 3 ( 4.3 4.4).

    , , , GPCRs ( , , , ), GPCRs (fMLP-peptide, PAF, ), , (, , ), (LH, TSH, FSH) GPCRs. ( 4.3 ), 1 2 , .

    , NH2 , , . , , . , , , VIP , NH2-.

    C, , Ca2+ GABAB. 2- COOH-. 2 , .

  • 107

    1 2 , .

    4.3 - (, , C) GPCRs . Strosberg and Nahmias, G-protein coupled receptor signaling through protein networks, Biochemical Society Transactions, 2007, 35, 23-28.

    C

  • 108 4

    4.1 GPCRs , .

    (((777000222)))

    1: (CCR1- CCR8)

    2: (CXR3- CCR7), -8 (IL8-R)

    3:

    4: (delta, kappa, mu ) (SSTR1-5)

    5: (GALR1-3)

    6: (CCKAR), , , GnRH (Gonadotropin releasing hormone)

    7: TRH (Thyroptropin-releasing hormone)

    8: fMLP (Frmyl Met-Leu-Phe peptide)

    9: , , (neuropeptide Y), PRP (prolactin releasing peptide)

    10: (LH, TSH, FSH)

    11: (P2RY1-8)

    12: (P2RY12-14)

    13: (CNR), (LPAR1-3), ,

    14: (: PGD2, PGE1, PGE2, PGE3, PGE4, PGFF, PGI2, A2)

    15: (LPAR4-6), (2R-10)

    16: ( 1-5)

    17: (5-2, 5-2B, 5-2C, 5-6) , () (1, 1, 1D, 2A, 2B, 2C, 1, 2, 3), (D1 D5), (2)

    18: (1, 3, 4), (1, 2a, A2b, A3), (1-5)

    GPCRS A

    GPCRs . 400 600 7 . 7 - ( 20-25 ), 3 - (loops) 3 . , .

  • 3

    (

    C

    .

    G 2- COOH-

    .

    ,

    ,

    S1M

    . , ),

    .

    4.4 A- . Strosberg an17, 373-381.. Malbon, Phys

    , (PK

    G

    A. . COOH

    and F. Pietri-1. GPCsiological Re

    . , G

    Ser

    KA, PKC

    ( 2 , . D. -Rouxel, TiPS

    CR. Moev. 1999.

    S-S,

    r Thr, GRK),

    1

    ),

    3

    PS, 1996,

    orris and

    .

    109

  • 110 4

    . G -.

    4.5 . - (binding pocket).

    A C.D. Strader et al, Faseb J., 1989, 3, 1825-32. . , , Zubay G, Biochemistry 1998.

    4.6 . 3-, .

    sp117 3 , (Ser209 Ser212) 5 Phe309 6 . ( ). e1-e4: 4 , i1-i3: 4 . D. Strosberg and F. Pietri-Rouxel, TiPS, 1996, 373-381.

    . - . Berg et al, 2001.

    , (binding site) .

    1. (, , , , , ) . - ( sp 113: 113 2- ).

    A. B.

    A.

  • 111

    (COO-) (counter-ion) (2+) . , , . , 3, Ser209 Ser212 V (...) +, -. (binding pocket).

    2. , , , . , . 70 - GPCRs, (PARs: proteinases-activated receptors). , , - . - , - , .

    4.7 PARs (

    ). , , 2- , 2- , . Vergnolle N., et al, Proteinase-activated receptors: novel signals for peripheral nerves, Trends in Neurosci. 2003, 26, 496-500. 3. ,

    30 kDa -, , -, (FSH: follicle stimulating hormone), (LH: lutropin), (hCG: human chorionic gonadotropin), (350-400 ) , . 2- , 20-25 - -, . 2- 9 , .

  • 112 4

    4.8 . 2 (ectodomain) -, 7 (7TM) (IC) 3 C-.

    4.9 1 , -. , -.

    2 PARs , N2-, .

    3 , 2-, .

    1 ,

    2 8 (IL8) fMLP- PAF

    3 (LH, TSH, FSH)

  • 113

    4.10 GPCRs. , .

    GPCRs,

    . , .

    GPCRS A ,

    . H1, H2, H3 H4.

    H1 , , , . G (Gq), C PIP2. H1 , .

    , 1 ( 2). 1- . , 1 . , . , , ,

    3

    (LH, TSH, FSH)

    2

    ()

    2

    ,

    1 ,

    ,

  • 114 4

    , , .

    4.11 1

    , . , . , .

    H1- , Daniel Bovet (1933), , Institut Pasteur . Bovet 1957 Nobel. 1 Benadryl () Johnson & Johnson 1946. , ( ) .

    2 H1 ( 1 , ). , . pH (7.4) , . 2 H1 . 1993 Schering-Plough (. Claritin). 2 , , , Zyrtec Pfizer.

    3 (levocetirizine) (desloratadine & fexofenadine) 2 , , .

    H2 ,

    , . , 2 . H2- , . H2

  • 115

    , .

    4.12 , G , . 1, Gaq , C Ca2+. 2, Gas , cAMP. 3 4, Gai , + Ca2+. R. Ferstl, C. Akdis, L. O'Mahony, Histamine regulation of innate and adaptive immunity. Frontiers in Bioscience, 2012, 17, 40-53.

    o H2 Sir James

    Black Smith, Kline and French 1960 Tagamet 1976. , - . Glaxo , 2- ( , 10 , 10% CYP450 ). 1981 Zantac, 1988, 2-, , 2- CYP450 . Johnson & Johnson/Merck Pepcidine.

  • 116 4

    H3 (H3R) H4 (H4R) 1988 2000, , , . H3R , H4Rs , , . H3Rs , , , , . H3R II. H4R , , .

    GPCRS A , 5- (5-R),

    GPCRs (5-1, 5-2, 5-4, 5-5, 5-6, 5-7), 5-3 - . , , , , , , , , , , . GPCRs 5 , , . :

    buspirone 5-HT1A. 1986 Bristol-Myers Squibb BuSpar (GAD, generalized anxiety disorder). buspirone , .

    (lecozotan) 5-1, Wyeth Alzheimer. 5-1 . 2008, III .

    (sumatriptan) , - (DMT), 5---, (5--).

    4.13 , , 5-

    HT1D 5-HT1B, .

  • 117

    4.14 Albert Hofman

    (1906-2008) , LSD. 100 , LSD: My Problem Child.

    5-HT1D 5-HT1B, . : / , / / . 15 min 96% . GlaxoSmithKline Imitrex 1991 .

    (cisapride) 5-HT4, . (gastroprokinetic) . Janssen Pharmaceutica 1980, Prepulsid, , . , (), .

    (agomelatine) 5-HT2C , , , . Novartis, 2012, Valdoxan, . , .

    (fenfluramine) 5-HT2C 1972 Ponderax,

    . , .

    LSD (Lysergic acid diethylamide) Sandoz , Albert Hofmann 1938, . , (ergot), . , 1943. LSD , . Sandoz, Delysid, 1947, . LSD GPCRs, , , 5-HT2A, 5-HT2A . 5-HT2A 5- .

  • 118 4

    LSD, , 5-2 ( D2 ).

    4.15 ( -

    ) .

    GPCRS A GPCRs

    . 5 , GPCRs: D1, D2, D3, D4, and D5. D1 D5 D1-like, D2, D3 and D4 D2-like. , , , , , .

    (, ), . , Parkinson, (restless legs syndrome, RLS)1.

    1 (), , . , . .

    Fenfluramine

  • 119

    (ropinirole) D2, D3, D4 D2. GlaxoSmithKline Requip Parkinson Restless Legs Syndrome (RLS). SSRI (serotonin specific reuptake inhibitors) .

    (apomorphine) D1-like and D2-like . , , .

    4.16 , ,

    HCl, Parkinson. .

    Parkinson (1951), (1970), . . Parkinson Apokyn, . Uprima, Viagra, . -, Alzheimer. .

    (aripiprazole) 2 , , , . 2002, 2004, 2007. Otsuka Aripiprex. , D2 , .

    (risperidone) , D2 , , . , . ,

  • 120 4

    . Johnson & Johnson, 1994, Risperdal.

    4.17 D2 ,

    5-HT2A, 1 2, 1 . , , , , .

    (lanzapine) ,

    5-HT2 D2 . M3 , , 5-HT1, GABAA -. , Eli Lilly Zyprexa. Zyprexa 2008 4,7 $.

    GPCRS A - GPCRs

    , fight-or-flight. , - -. - : 1 2.

    1 Gq , C (PLC), PIP2 IP3 (DAG). , 3 Ca2+. , 1- , , , . , , .

    (phenylephrine) 1- , ,

  • 121

    , , , , , . 1- .

    (xymetazoline) 1- 2-, . Merck 1961, . , .

    4.18 ( Sudafed) ( 1- . (doxazosin) 1-,

    Pfizer Cardura, . 1- (), .

    (prazosin) 1-, Vasoflex, , . , .

    2 (2A, 2, 2C), Gi , , cAMP. . . , , , .

    (clonidine) 2-. 2 Ca2+ . . - 1950.

  • 122 4

    2010 (attention deficit hyperactivity disorder, ADHD). , ().

    (yohimbine) Pausinystalia yohimbe (Yohimbe), . 2-, , . . , , , . , , . 2- , 1-20% 55 .

    4.19 Pausinystalia yohimbe, 2-, , , . - 1, 2 3, Gs

    , , cAMP. 1- , ( ), . 2 , , . 3 . - , 1962, Sir James W. Black - (beta

  • blocker

    (chronic GlaxoSm

    Ventoli

    s),

    c obstructiv mithKline in.

    4.20 2-

    20

    (salmeter

    ve pulmona

    1980 (salbuta 2- .

    - .

    Nob

    .

    rol) ry disease, amol)

    - James

    bel 1988.

    COPD). 19 (

    (Serevent)

    Black,

    2 990 Sere ( 20

    ,

    2- . event. 2- 0 min)

    (Vent .

    .

    1.

    olin),

    1

    . 1968

    1962

    123

  • 124

    1

    4 19beta

    Ten

    4

    4.22

    4.21 962, blockers,

    .

    , , (normin, .

    (atenolol)

    (metopro (carvedilo

    , ,

    .

    ,

    ,

    olol) ol)

    (1, 2) .

    .

    beta b

    -.

    20

    blocker,

    , ,

    1 block

    1 . (

    failure, C Coreg (G(Roche), 2007. ,

    -

    , ,

    ker

    1 blocker ,

    1, 2) HF). GlaxoSmith Carlo

    -.

    Jame

    (5

    1 (congesti :

    hKline), Doc (Cipla)

    1 .

    ,

    es Black,

    1 2 , 5-1). .

    1976 .

    ,

    ive heart Carvil,

    Dilatrend 2-

  • GPCR

    4

    4

    Ther

    .

    RS

    , GPCR , . ().

    4.23

    ,

    4.24 5 3 C rapeutic oppo

    1-1

    A

    Rs.

    .

    .

    Gq Ca2+, , portunities f

    A

    (

    : / ,

    2 4

    from muscar

    -

    /

    5

    cAMP. rinic recepto

    ) ,

    , ,

    : 1, 2,

    5 Gi R. Eglena,or research,

    ,

    , 3, 4,

    , C,

    a, A. Choppin TiPS (2001)

    5.

    nb and N. Wa1) 22, 4094

    1

    : ,

    1, 3

    Watsonc, 414.

    125

  • 126 4

    1 , , , . Gq , C 3 Ca2+. 1 AF102B, AF150(S) AF267B , , stress, tau, . Alzheimer .

    2 , (sinoatrial node, SA) (atrioventricular node, AV), . 2 Gi , cAMP, - Ca2+ K+. , 2 , (), (AV node) .

    4.25 2 , (SA) (AV). Gi + Ca2+. , (AV) .

    2

    Gi Gi

    i i

  • 127

    M3 . Gq (PLC) Ca2+ . , 3 , , Ca2+ , . ( 3) . , 3 .

    4.26 3 , , . M3 , . ,

    , , .

    (pilocarpine) 3 , 100 . , , , , . . , , 3 , Ca2+ . , , . , .

    Muscarinic M3

  • 128

    4

    Piloca

    Sjgren

    4

    4.26

    carpus microp

    3 n.

    4.27

    . ophyllus,

    ,

    3 Sjgr

    3 (trabe .

    ren,

    ,

    ecular meshw

    Salag

    work), . .

    gen Evo

    ,

    Pil

    (cilliar 3

    xac,

    locarpus mic

    ry body) ,

    (cevimelin

    Venus Willi

    crophyllus

    ne), 3

    iams.

  • 129

    4.28 Albert Ladenburg 1880 .

    (- ) , Parkinson, , .

    Parkinson , . . . Parkinson (benzatropine), Cogentin.

    , , , Solanaceae , .

    M1, M2, M3, M4 M5 , Atropa belladonna. "Essential Drugs List", . "belladonna" ( ) , , , . , .

    2 : (SA) (AV). ( ), .

    , . .

    (scopolamine) , 1.

    Solanaceae, . Brugmansia, , . , . , , , , , .

    , . , 330 g ,

  • 130

    4

    Bo

    4

    Boeh

    4

    4.29 Brugmans

    . ehringer) . ,

    4.29 ringer) -

    ,

    , sia, Angel.

    -

    -

    . Albe

    l Trumpet

    , -

    ,

    ert Ladenbu

    ,

    ,

    urg 1880

    ,

    . , . .

    ,

    .

    Buscopan ( . .

    ,

    Buscop

    ( ,

    , pan ( -

  • ,

    48-

    GPCR

    , ,

    , ,

    4.30 .

    RS

    Na, , . ACE (ang 1 C Na+,

    (ipratropiu (dime .

    (d, .

    A

    : a+

    ,

    . giotensin-co 1, 2, +

    um) enhydrinate, , 8 , Dram

    dimenhydrin, D

    A

    /

    nverting en 3, 4. .

    D

    , A , ) 8- mamine

    nate)

    Dramamine

    .

    nzyme), G

    , ,

    iphenhydram

    Atrovent, A , .

    , ,

    GPCRs

    ,

    mine

    Apovent, Ip ,

    / , 40 , .

    G Ca2+ ,

    8-chloro-t

    praxa

    .

    : ,

    , .

    Gq +. , ,

    theophylline

    1

    , , .

    : ,

    ,

    ,

    e

    131

  • 132 4

    1 , (angiotensin receptor blockers, ARBs), - - . , , .

    (losartan) T1 , 1995 Merck. . 1 , . .

    4.30 , -, . (losartan) T1 , 1995 Merck.

  • 133

    GPCRS A

    ( 20- C). (COXs) (PGs) (TXs), (LTs).

    4.31 ( ) ( 20 C), (COX1 COX2). E2, D2, F2a 2, 2, GPCRs, Gs cAMP ( EP1, EP2, EP3, EP4, DP1, DP2 ), Gq C (PLC) Ca2+ ( FP2 ).

    ,

    ,

    PGE2 PGD2 PGI2 PGF2 Thromboxane A2

    EP1, EP2, EP3, EP4 DP1, DP2 FP2 IP TP

    2

    Prostaglandin synthases

    COX1

    COX2

    PLA2

  • 134 4

    , , . , , GPCRs, . , , sec min, .

    , 1930 Raphael Kurzrok Charles Leib. PGE2 , .

    (dinoprostone) 2, 1976 gel , Pfizer Inc Prostin E2, 2 . 17 , 25% .

    (latanoprost) F2 Carl B. Camras Columbia University 1996. . Pfizer Xalatan, , . FP . FP (MMPs), (uveoscleral drainage). , . .

    4.32 F2a. Xalatan , 1,6 $. FP (ciliary body) , (uveoscleral pathway). , , (trabecular pathway) .

  • 135

    - . Bengt Samuelsson 1979, , . 5-- (, , , ). shock. Ca2+, 5-- 2 (LTA2). LTB4, , LTC4, , LTD4 LTE4. -.

    4.33 .

    Ca2+ 2 (PL2). 5-- LTA2. LTB4, , LTC4. LTC4 - LTD4 LTE4. LTC4. LTB4 , LTD4 LTE4 . LTB4

    , . LTC4 LTD4 SRSA, . , ontelukast afirlukast, , , . montelukast D4

  • 136 4

    -, CysLT1, , .

    GPCRS A (ADH: antidiuretic hormone:)

    , : / H2, H2 , , / .

    4.34 (osmolarity) (ADH) . ADH , Henle , , , . , Henle , .

    3 GPCRs: V1, V2 V3. V1a , ,

    . Gaq, C, IP3 Ca2+, .

    V1b V3 , Gaq C, ACTH.

    V2 , ( Henle ),

    :

    (ADH)

    2

  • 137

    . H2O .

    ,

    (desmopressin) .

    V2 von Willebrand . DesmoMelt, Stimate, Minirin, , (diabetes insipidus)2, , ( von Willebrand ).

    , , V1a V1b ACTH, . , 10 , 1500 . , (. Na+). a+ (), , , , . .

    , (terlipressin) V1 . Teripress Glypressin , shock.

    2 ( "" ) (), . V2 , .

    2.

    .

  • 138 4

    , , .

    4.35 , ,

    V2 GPCRs , , H2. , , V1 GPCRs , C . J. Finley, M. Konstam, J. Udelson, Arginine Vasopressin Antagonists for the Treatment of Heart Failure and Hyponatremia, Circulation 118: 410-421 (2008).

    ADH

    ADH

  • 139

    4.36

    V2 , , .

    (VRAs, Vasopressin receptor antagonists) , (vaptan drugs), 2009. (SIADH, syndrome of inappropriate antidiuretic hormone secretion), . , , , . SIADH, , , , .

    (tolvaptan) V2, Otsuka Pharmaceutical Co, 2009. Resodim Na+.

    GPCRS A

    , Papaver somniferum Sertrner, 1803. 1827 Merck, Darmstadt, . , , , , , . GPCRs . , (1, 2, 3) , (1, 2), (1, 2, 3) , .

    , , , .

  • 140 4

    1 , 2 , .

    .

    . ( ), , , . () , , .

    , , , . .

    :

    (fentanyl). , . , , , . , , . .

    4.37 GPCRs . , Gi . cAMP Ca2+ . , + + . .

  • 141

    , , , . . 1832 Pierre Robiquet.

    : , , , .

    : , (naloxone) , , 17 . . . , . 1-3 , , . 1960 Sankyo Narcan.

    4.38 , 17 . .

    GPCRS A TH GnRH (GONADOTROPIN RELEASING HORMONE) GnRH, ,

    . - , GPCRs , GnRHRs, . GnRH , Gq PLC, 3 Ca2+. PKC, : (LH) (FSH) . , , .

    17

  • 142 4

    4.39 GnRH ,

    , GPCRs , LH FSH, , .

    4.40 GnRH , Gaq

    PLC. PKC, (LH, FSH).

    GnRH.

    GnRH , , ( ).

    GnRH , , LH FSH.

    LH FSH .

  • 143

    GnRH , , GnRH, , down regulation , , LH FSH, , . .

    GnRH . 8-14 , 9-14 . , , 35-70 . GnRH - : . ,

    . , .

    transsexual , trans women.

    in vitro fertilisation (IVF), FSH. GnRH, -, FSH , (hCG), 3.

    , .

    GnRH GnRH, 6 10. . FSH LH. , 10 , FSH LH, down-regulation .

    700 GnRH: leuprolide (Lupron, Eligard), buserelin (Suprefact, Suprecor), histrelin (Supprelin, Vantas), goserelin (Zoladex), and deslorelin

    (Suprelorin, Ovuplant).

    4.41 leucopride (Lupron) GnRH . , GnRH, , . in vitro (IVF).

    3 , LH FSH .

    , . , GnRH LH FSH. , GnRH . GnRH .

  • 144 4

    GnRH GnRH, . GnRH GnRH , LH FSH. LH , . GnRH, --, , , .

    , (castration) . GnRH GnRH.

    GnRH LH FSH in-vitro (IVF). hCG - . GnRH, Cetrorelix Ganirelix

    Cetrorelix GnRH. - (, ). , cetrorelix , GnRH , LH FSH. . LH hCG

    .

    4.42 To cetrorelix (Cetrotide) Serono LH FSH in-vitro (IVF).

  • G

    likerecrecepto

    VPAC1, Gs

    G

    Ca2+,T1

    GPCRs

    1,(),(GHRH),

    2ceptors(EMRors

    () ,

    GPCRs

    CCC

    1

    ,PACAP(pi

    R),leukocyte

    vasoact VPAC2 ,

    ,

    , )

    ituitaryaden

    EGFecellsurface

    tive intestin , (

    , VIP.

    C

    (GAB

    , , . .

    nylatecyclas

    NHeantigenCD9

    nal peptide , ). P.

    GPCRs BAB), GABA2.

    ,

    ,

    (((111555)))

    27141((CRH),eactivating

    H2:EG97,calciumin

    (VIP) , c

    VPA

    , , >27,

    (15):VIP),popypeptide

    Fmodulecondependent

    , , cAMP,

    AC1 VP

    C (mGlu2/

    GA

    (

    , , 7 /

    e)

    ontainingmulatrotoxin

    PAC2

    /3) G

    (((222222)))

    ABAB,

    1

    20 ,

    ,

    ucin

    : - ,

    GABA GABA1 . G-.

    145

  • 146 4

    2. (Ligand-gated ion channel receptors) - - .

    2 : cys-loop , 5 (2) ( , GABAA GABAC, 5-3), , 4 ( NMDA, AMPA ).

    4.43 - GABAA. 5

    (2) (), , .

    - ,

    , : a+ Ca2+ , 5-3 , Cl- GABAA, GABAC . (depolarization) -. , 5-3 ( NMDA, AMPA ), . (hyperpolarization) -. GABA, GABAC .

    , msec, (fast responding receptors), G, , G, (effector) . -

    O (subunits) - (4 5) : 4 , - - , - .

  • 147

    4 EN (-V). 20-30 -, . ( 20) .

    4.44 5 2 GABAA. 4 (1, 2, 3, 4). G.B. Smith and R.W. Olsen, TiPS 1995, 16, 162-167.

    ( , ) ( 5,6 ). , . (Pro) .

    , (Ser248, Ser254, Ser256, Ser262) , (non competitive blockers)* ( 3.14). (. , , ) (), , -.

    * , . (D). . . J-P. Changeux et al, Achetylcholine receptor: an allosteric protein, Science, 1984, 225, 1335-1344.

  • 148 4

    4.45 . -. 4 (1-4), 20-

    30 - . . . 2 . H.R. Arias, Brain Res.Rev., 1997, 25, 133-191. 4.46 , 2 Ch . CPZ (), (-), TID Arias H.R., Brain Res. Rv., 1997, 25, 133-91.

    4.47 .

    -. (high affinity site) . 30 , (low affinity sites) . J-P. Changeux et al, Science, 1984, 225, 1335-1343. 1 E 2 ,

    .

    A B

  • 149

    : GABAA, Cl-, , Na+ +. - , (driving force) .

    - , cAMP. .

    4.48

    . Hucho F. et al, TiBS, 1994, 19, 383-387.

    AMINOTEIKO AO (NH2-TERMINAL). , . (2) GABA 5-3, -, . . , .

    - GABA . GABA . GABA .

    (Cys139 Cys153), S-S. Cys-Cys , .

    , . . , , , ( - -). (2).

  • 150 4

    (COOH-TERMINAL). G, , - .

    4.49 . Cys138- Cys152 Cys198-Cys209, . Laube B. et al, TiPS, 2002, 23, 519-527.

    . , . , . , . . 2-3 nm . . 2 . - .

    4.50 () , . ,

    . . . () 2 . Unwin N., Achetylcholin receptor channel imaged in the open state, Nature, 1995, 373, 37-43.

    .

  • 151

    . . , 2 . . . . , . , 2. 2 . . 2 , . .

    4.51 () 2 . ( ) . . () 2 . 2 . (): 2 . . (): 2 . 2 . ( ) , . Unwin N., Achetylcholin receptor channel imaged in the open state, Nature, 1995, 373, 37-43.

    prefilter

    M2M2M2

  • 152 4

    - - . , , NMDA (--D-), AMPA (--3--5--4- ) . NMDA , . , NMDA . NMDA LTP ( ). , Ca2+. NMDA . NMDA :

    .

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    Mg2+ NMDA.

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    4.52 NMDA, ,

    . NMDA ( Mg2+ ) ( Na+). , Mg2+ NMDA a+ Ca2+.

  • 153

    NMDA

    NMDA -, NR1 2 NR2A, NR2B, NR2C NR2D ( NR1-NR1-NR2A-NR2A). 3 (1, 3 4). 2 . 2 2 . 2 , , S1, S2, COO- , .

    2 . 2 -, 1 3 . Q/R/N . (Q), (R) , () DA.

    4.53 NMDA. (NR1-NR4). 3 (1, 3

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  • 154 4

    3. (Receptors tyrosine kinase)

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    4.55 (EGF) ,

    , . (Protein Tyrosine Kinase) , . . J. Schlessinger, TiBS, 1993, 18, 273-275.

  • 155

    H PDGF. 5 ( ) (immunoglobulin-like domains). , (kinase insert region). , -.

    4.56 PDGF ( ). . . - , -, GAP (GTPase activating protein), 3- C- (PLC-). 85 / - -. W.J. Fantl et al, Annu. Rev. Biochem., 1993, 62, 453-481.

    FGF (fibroblast growth factor: ). 3 , ( ). . VEGF (vascular endothelial growth factor: ). , . NGF (nerve growth factor: ). NGF (neurotrophins) neurotrophin receptors family. trk, trk trkA. 2 (Ig-like domains) 2 (FNIII).

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  • 156 4

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  • 157

    RTKs

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  • 158 4

    4.

    . , . . , - , DNA-binding C- . DNA binding DNA, (nuclear localization) . 66 . n2+ 4 . DNA - C- DNA-binding. - . . trans-, (AF1). C- . (hormone-binding domain), trans- (AF2), trans-, . AF2 trans- .

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  • 159

    , , . , . , , chaperone ( shock), Hsp90, Hsp70, Hsp56 (Hsp: heat shock protein). . Hsp90, . Hsp79 sp90 . , DNA hormone responsive elements (HREs)

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  • 160 4

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  • 161

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  • 162 4

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  • 163

    . , VDR ER .

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  • 164 4

    -

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    , . S4 / . S4 . , ( msec) .

  • 165

    . ( ) . S4 , . S4 - - .

    4.68 - Na+ ( - ) . msec, ( ). , , , -.

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  • 166 4

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    . . 4.69 Na+,

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  • 167

    , . a+ .

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  • 168 4

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  • 169

    IK

    IKi

    Ito IKr

    4.71 + (Ito, Ikr, Iki) . Ito Na+. + . , 100-300 msec. Ca2+ L

    + IKr. + (-95mV) ki + .

    4.72 +. . + -, (v) (mink), . . + 4 - ( ). - 6 . C. Ta + (Inward rectifier K+ channels) 4

    - .

  • 170 4

    . Na+/K+ ATP

    Na+/K+- Na+ K+ , 3 Na+ 2 + , Na+ 10 , K+ 20 . , , . (5mV) 20 mV.

    4.73 4

    Na+/K+- (), ().

    . () Digitalis purpurea, William Withering () .

    a

    - b-

  • 171

    ( ), , , Na+ . Ca2+ . Ca2+ , Ca2+- a+/Ca2+ . Na+/K+- Na+ a+/Ca2+, Ca2+ .

    , . . , , , .

    .

    (neurotransmitter transporters) : , , , .

    : Na+/Cl-- ,

    Na+ Cl- +- ,

    + .

    4.74 , .

  • 172 4

    Na+/Cl-- Na+. , (uptake). , +- , +. Susan Amara and Mark Sonders, Drug and Alcohol dependence, 51, 87-96, 1998.

    , GABA (GAT1) (Guastella et al, 1990) () (Pacholczyk et al, 1991). cDNAs (DAT) (SERT). 4 GABA, 5 (GLYT1-5), , DAT, SERT . Na+/Cl-- 12 , 2- COOH- 3 4, .

    4.75 ()

    (). Susan Amara and Mark Sonders, Drug and Alcohol dependence, 51, 87-96, 1998.

  • 173

    +- . , +, (---) . , cDNA . (VMAT1 VMAT2) (VAChT). 12 , 2- COOH- 1 2, .

    :

    , (SSRIs, selective serotonine reuptake inhibitors): (Prozac), , . , , : : , , .

    , . (DAT) . GABA GAT-1 (Gabatril), GABA .

    . - , , . ( ACh ) : (AChE), (Ch) , .

    AChE , , S-S, 70-80 kDa, . 3.47 AChE , (G) (A) ( ). AChE .

    , ACh AChE (G1, G2 G4). 12 ACh .

    H ChE : 14.000 ACh /sec .

  • 174 4

    4.76 : , . Taylor and Radic, Annu. Rev. Toxicol. Pharmacol. 1994, 34, 281-320.

    1854

    Philipe de Clermont (1830-1921), Calabar, Physostigma venenosum Calabar . . 10 (), --

    . Clermont , , . 1877, , , .

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  • 175

    , AChE, (, ).

    , - (DPF) . Birjinni 25 1988,

    . LD50 ( !) 10g kg-1. Aum, 12 5500 . , , ; ( msec) . . . , DFP (-) (---) . , .

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    .

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  • 177

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    4.78 p38.

  • 178 4

    4.79 , in vitro .

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    (low activity). p38 , (nM) , mM .

    1 2 p38, . s s ( ). , .

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    . . , . .

  • 179

    .

    DNA DNA :

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    4.80 DNA : / DNA, / DNA / DNA.

    Camptotheca accuminata. 1970 . 15 TopI, .

  • 180 4

    4.81 , . DNA DNA . Mandragora officinarum TopII DNA. DNA .

    (DNA, RNA) .

    , DNA , , . Streptococcus verticillus. 2 2. , (Fe2+ Cu2+). DN, 2 Fe2+. 2 ( DTT) -Fe2+ - Fe2+ 2 , DNA.

    DNA (3- 4-2) (2-2 3-) 5. DNA DNA, - (linker domain) .

  • 181

    in vitro G2 , , DNA, .

    4.82 . 4.83

    DNA. Chen and Stubbe, Current Opinion in Chemical Biology, 8, 175-181, 2004.

  • 182

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  • 183

    5--

    , , 5 . 5 , , 5-- (5-FU) .

    5-FU ( ) (FdUMP, -), . F-C C-H 5 5-FU . FdUMP , (5,10-- ) . FdUMP - ( ) . DNA , .

    5-FU RNA, DNA.

    , .

    4.86 5-FU

    FUR: - FUDP: FUMP: FUTP: FUdR: FdUDP: FdUMP: FdUTP: o PRPP: 5--1-. 5'- (FUMP) :

  • 184 4

    / 5-FU (FUR) FUMP .

    ) 5-FU 5--1- (PRPP) FUMP.

    F-UMP RNA.

    ( ) 5--5'--2'- (F-dUMP). H 5-FU 5-FUdR F-dUMP . F-dUMP . F-dUMP (). F-dUMP 5-FU, 5-FUdR, F-dUMP . 5-FU DNA RNA. 5-FU, F-dUTP dUTP ( ) DNA ( ). F-dUTP dUTP . RNA RNA.

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