16.2 Drug-Target Interaction
Macromolecules of biological origin perform various functions in the body. For example, proteins which perform the role of biological catalysts in the body are called enzymes, those which are crucial to communication system in the body are called receptors. Carrier proteins carry polar molecules across the cell membrane. Nucleic acids have coded genetic information for the cell. Lipids and carbohydrates are structural parts of the cell membrane. We shall explain the drug-target interaction with the examples of enzymes and receptors.
16.2.1 Enzymes as Drug Targets
(a) Catalytic action of enzymes
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(i) The first function of an enzyme is to hold the substrate for a chemical reaction. Active sites of enzymes hold the substrate molecule in a suitable position, so that it can be attacked by the reagent effectively. Substrates bind to the active site of the enzyme through a variety of interactions such as ionic bonding, hydrogen bonding, van der Waals interaction or dipole-dipole interaction (Fig. 16.1).

Fig. 16.1
(a) Active site of an enzyme (b) Substrate (c) Substrate held in active site of the enzyme
(ii) The second function of an enzyme is to provide functional groups that will attack the substrate and carry out chemical reaction.
(b) Drug-enzyme interaction
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Drugs inhibit the attachment of substrate on active site of enzymes in two different ways;
(i) Drugs compete with the natural substrate for their attachment on the active sites of enzymes. Such drugs are called competitive inhibitors (Fig. 16.2).

Fig. 16.2
Drug and substrate competing for active site
(ii) NEETprep Audio Note (English):

Fig. 16.3: Non-competitive inhibitor changes the active site of enzyme after binding at allosteric site.
If the bond formed between an enzyme and an inhibitor is a strong covalent bond and cannot be broken easily, then the enzyme is blocked permanently. The body then degrades the enzyme-inhibitor complex and synthesises the new enzyme.
16.2.2 Receptors as Drug Targets
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Fig. 16.5: (a) Receptor receiving chemical messenger
(b) Shape of the receptor changed after attachment of messenger
(c) Receptor regains structure after removal of chemical messenger.
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