Tj. Feuerstein et al., NEW INSIGHTS INTO RECEPTOR THEORY, AS PROVIDED BY AN ARTIFICIAL PARTIAL AGONIST MADE-TO-MEASURE, Naunyn-Schmiedeberg's archives of pharmacology, 350(1), 1994, pp. 1-9
In the present study a mixture of a full agonist (noradrenaline) and a
full antagonist (yohimbine) was used to mimic the effects of a partia
l agonist (clonidine) on alpha(2)-autoreceptor-mediated regulation of
noradrenaline release in order to learn more about the shape of concen
tration-response curves in the absence and presence of spare receptors
. The sigmoidal shape of the cloud of single experimental data points
may be reflected by different curve fits based on either descriptive o
r mechanistic mathematical models. Only mechanistic models allow the i
nterpretation of the relationship between occupancy of receptors and i
nduced response. The experiments were performed in rat neocortex and i
n rabbit hippocampus tissue where electrical field stimulation with 4
pulses/100 Hz of slices prelabelled with [H-3]noradrenaline elicited t
he release of noradrenaline. A receptor reserve was found in the rabbi
t hippocampus and quantified from the concentration-response curve of
noradrenaline in this tissue using a mechanistic general response func
tion, developed to reflect the condition of spare receptors. The mixtu
re of noradrenaline and yohimbine, NA-Yoh, (three parts to one part),
corrected by the different affinities to the alpha(2)-autoreceptors, w
as designed to mirror the quantified proportion of 75% non-spare and 2
5% spare alpha(2)-autoreceptors. In the spare receptor-free rat cortex
NA-Yoh acted like a typical partial agonist, as clonidine, with nearl
y the same EC(50) K-d in this case) as the full agonist noradrenaline,
but with a maximum effect significantly lower than that of noradrenal
ine. In the rabbit hippocampus, however, the same maximum effect was o
btained with NA-Yoh, noradrenaline and clonidine. In this tissue the E
C(50) of the logistic fit of the concentration-response relationship o
f noradrenaline was lower than that of NA-Yoh and the correspending sl
ope parameter of the noradrenaline curve was significantly higher than
unity, indicating the descriptive character of this curve fit which d
oes not allow an interpretation of the link between occupation and res
ponse. NA-Yoh and clonidine, however, yielded slope parameters of arou
nd unity. Therefore, the logistic EC(50)'s of NA-Yoh and of clonidine
may be interpreted mechanistically as K-d's which was confirmed by the
estimation of their K-d,'s using the general response function. In co
ntrast, the general response function yielded a K-d of noradrenaline s
ignificantly higher than its logistic EC(50). The observation that the
mixture of a pure agonist and a pure antagonist shows the properties
of a partial agonist, suggests that the efficacy of the agonist-antago
nist continuum is the conditional probability p (O less than or equal
to p less than or equal to 1) to activate a receptor given it occupies
this receptor, where p is unity for a full agonist and zero for a ful
l antagonist. Activation of a receptor, however, leads to a response o
nly when this receptor is a non-spare receptor. In a system with a pos
sible receptor reserve the use of both an ( (artificial) partial agoni
st and a full agonist, which induce different slope parameters in the
logistic fits of their concentration-response curves, allows us to qua
ntify the receptor reserve of the full agonist by nonlinear regression
analysis of the concentration-response curve of the full agonist with
the general response function.