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Summary lectures and syllabus pharmacology for nutrisionists

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This document contains a summary of all the lectures and the syllabus of the course pharamcology for nutrisionists. With this document you can pass the exam

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  • December 1, 2022
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  • 2021/2022
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PHARMACOLOGY AND NUTRITION – HNH23306
Lecture 1 + syllabus
Pharmacology = study of the effects of drugs on living systems, aiming to improve their
functioning.

Pills dont exist -> it’s a tablet
OTC: over the counter, get it without
prescribtion




Pharmacotherapy = refers to the treatment of disease with drugs in an applied science.
Pharmacokinetics = what the body does to a drug (ADME)
Drug = any substance or combination which may be administered to human being with a
view to making a medical diagnosis or t orestoring, correcting or modifying physiological
functions in human beings.

Medicines need approval
- National autorities (CBG in NL)
- European (EMA)
In the Netherlands each medicine should have a unique registration code:
 Nationally approved: RVG code
 Homeopathic medicines: RVH code
 European registration: EU code

Naproxen-sodium
- Nonsteroidal anti-inflammatory drug (NSAID)
- Analgesic and antipyretic properties
- Basic salt, conjugated
- De NSAID binds to cyclo-oxygenase: prostaglandins (immune-sustem). They are all
formed from arachidonic acid (omgea-6, diet)
- Cox-1: constictutive, good guys always present
Cox-2 more produced with fever, bad guys (feeling bad,
not the inflammation)

There are structural differences between the substrate-binding
channels of COX-1 and COX-2 that allow the design of selective
inhibitors -> some substrates are nonselective (can bind to both). Some substrates are only
COX-2 selective inhibitors.

There need to be a balance between selectivity. Too much COX-2: higher risk of
cardiovascular diseases. Too much blocking COX-1: gastrointestinal risk.

,Tablet: used because you can’t see a very small amount (10 ug) and you can easily
modulate it (stability, uptake time): formulation. Drug substances are rarely adminstered
alone but often as a part of a formulation or dosage form.

Formulation = refers to a combination of one or
more active compounds (drugs) and one or more
excipients (hulpstoffen)
Coated tablets: protects core in the stomach,
released in the upper GI tract after the stomach.

Phases in pharmacology:
- Pharmaceutical phase: formulation,
disintegration, dissolution
- Pharmokinetic phase: ADME
- Pharmodynamic phase: interaction with molecular targets




Oral drug absorption:
 Mostly in duodenum
 Should be in dissolved state
 Cross several semi permeable cell membranes before circulation (biological barriers
that selectively inhibits passage of drug molecules)
 Often by passive diffusion, sometimes active
 Lipid soluble compounds (partly) with lipids
 Metabolism in intestinal wall can be considerable

Difference MTC – MEC is therapeutic window

Mechanisms transport (active/passive), rate-limiting and
excretion, biotransformation -> diettri summary


Phyto therapeutics: in NL mostly regulated as “food
supplements”
Phytotherapy is based on plants, homeopathy can use plants but not only (they will dilute
the plant extract)

Food supplements = foodstuffs the purpose of which is to supplement the normal diet and
which are concentrated sources of nutrients or other substances with a nutritional or
physiological effect.

, Food supplements, functional foods, but also normal food products may carry nutrition
and/or health claims. Such as milk: good source of calcium, calcium helps build strong
bones. It can also contain indirect claims, but these are not allowed (stophoest; is a brand
name)

Nutrition claims/ content claim = what it in the food? (without directly referring to a health
benefit)
Health claims = what does the food do?
- Function claims based on generally accepted scientific data (article 13.1)
- Function claims based on newly developed scientific data (article 13.5)
- Reduction of disease risk claims + claims growth and development of children (article
14)

Lecture 2 + syllabus
Pharmacodynamics
- The molecular action of a drug / bioactive can often be explained by- and predicted
from a receptor concept.
- Receptors are mostly normal regulatory structures
- Natural ligands: neurotransmitters, hormones or other signalling molecules
- Drugs just bind by coincidence or by design to these receptors

Receptors = macromolecules including enzymes, transporters, structures on cell
membranes, transcription factors, nucleotides etc.

Different classes of receptors
- Multi-subunit ion channels (ligand-gated ion channels)
o cell surface transmembrane (location)
o examples of ligands: Acetylcholine, GABA, glutamate, glycine
o the flow is regulated
o milliseconds; controls the fastest synaptic events
o modulated by binding of agonists or antagonists
- G-protein coupled receptors
o Cell surface transmembrane (location)
o Examples of ligands: acetylcholine, a and B-adrenergic eicosanoids
o Seconds
o Called G-proteins because of their interaction with GTP and GDP
- Protein kinases
o Cell surface transmembrane (location)
o Example of ligands: growth factors, Insulin, peptide hormones
o Hours
- Transcription factors
o Cytoplasm (location)
o Examples of ligands: steroid hormones, thyroid hormone, vitamin D
o Hours

Types of target for drug action:
- Receptors -> agonist / antagonist
- Ion channels -> blockers / modulators
- Enzymes -> inhibitor / false substrate
- Transporters
Real receptors = regulated by themselves; channels, receptors. Enzymes and transporters
aren’t real receptors.

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