Abstract
This commentary discusses a paper in this issue by Dr Jillian Baker on the antagonism of histamine H 2 receptors. It is an excellent example of the use of pharmacological principles to determine what systems can and can't do from the point of view of agonist-dependent antagonism. The most common model of antagonism, namely orthosteric, cannot discern agonist type; i.e. all agonists are blocked equally by a given orthosteric antagonist. Therefore, if quantitative assessment of antagonism unveils agonist dependence, then this is something an orthosteric mechanism cannot do and another mechanism must be considered. A simple alternative is a permissive allosteric model whereby the agonist and antagonist interact through conformational changes in the receptor protein. Under these circumstances, an agonist-antagonist dialogue can ensue whereby the nature of the agonist determines the magnitude of antagonist effect. Jillian Baker contrasts antagonist systems with historical data obtained for β-adrenoceptors and the present data for histamine H 2 receptors where the simpler model of orthosteric antagonism suffices and thus shows how quantitative receptor pharmacology can be used to determine the molecular mechanism of antagonism. © 2008 Nature Publishing Group All rights reserved.
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Kenakin, T. (2008, March). What systems can and can’t do. British Journal of Pharmacology. https://doi.org/10.1038/sj.bjp.0707677
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