Investigating the Effects of Agonists and Their Antagonists on Receptors in Guinea Pig Ileum Introduction: An agonist is a drug that binds and activates a receptor, producing a response. Antagonists combine with these receptors but do not activate them. In the case of competitive antagonism they reduce the probability of the agonist combining with the receptor by competing for the same binding site (Neal, 2009). These molecular interactions; the way in which drugs are absorbed and their responses, are crucial to our understanding of pharmacology. This was demonstrated through the smooth longitudinal muscle of guinea pig ileum which contracts in response to certain agonists acting on its receptors; of which the most relevant to the study are the muscarinic and histamine receptors on the muscle fibres (Feldburg, 1950). The main aim was to investigate the action of acetylcholine (ACh) on the muscarinic receptors, specifically M2 and M3 subtypes present in the ileum (Kardiol, 1991). Not only is this observed alone but also in the presence of the competitive antagonist atropine (Atr) and how this affects the control response. Another aim was to show that different agonists, ACh and histamine, can produce the same contractile response although binding to different receptors. Different receptors explain why certain drugs act as antagonists to some agonists but not others. Further shown, is how this selectivity is lost in higher dosages. This was all revealed through observation of the tissue’s biological response using both a computer simulation and live preparation. Method: The apparatus (Appendix 1) consisted of a 2-3cm piece of guinea pig ileum kept in a carbogen aerated organ bath full of Tyrode solution. The tissue was attached by hook and string, mounted under tension, to a transducer lever. The dose-response relationship was observed using a measurement principle based on the ability of typically relaxed ileum tissue to contract in the presence of ACh. As different doses were added to the bath, the extent of contraction was monitored as the lever changed its position and recorded into computer program Chart 4.2. The responses were interpreted using arbitrary units before being converted into percentages using the maximum response obtained. The response of the tissue to both ACh alone, the control, and in the presence of Atr was first observed using a computer simulation program. The ACh concentrations tested ranged from 1x109 M to 1x10-6M. An ACh dosage range from 5x10-9M to 5x10-6M was then tested with three different dosages of Atr - 5x10-9M, 5x10-8M and 5x10-7M. A dose-response curve was created with the data after converting it to a percentage using the maximum. This was used to estimate the EC50 for ACh alone and with 5x10-9M Atr. The amount of histamine required to produce the same response as this EC50 was found; the two responses used as controls. At these EC50s, ACh and histamine were tested for response to Atr and mepyramine at concentrations of 6x10-9M and 9x10-9M respectively. This was followed by the live preparation. Doses increasing in concentration were administered following a regular dose-wash cycle. ACh was injected, the response monitored for 30 seconds followed by a wash, then another after 90 seconds (for higher doses), then waiting for the tissue to return to its initial length by 3 minutes after which the next dose is added. Atr was added to the bath after ACh alone reached maximal contractile response. Chart 4.2 produced a representative trace (Appendix 3) and the response peaks were translated to a data pad in arbitrary units (Appendix 4). The concentration of the bath was calculated (Appendix 2) in order to plot a dose-response curve and estimate the EC50. Results: Table 1: Response of ACh alone and in the presence of three concentrations of Atropine expressed as percentages of the maximum [ACh] Control Response with 5x10-9 M Response with 5x10-8 M Response with 5x10-7 M (M) Response Atr Atr Atr -9 5x10 0.0 0.0 0.0 0.0 -8 1x10 0.0 0.0 0.0 0.0 -8 2x10 7.0 1.8 0.0 0.0 -8 4x10 17.5 14.0 0.0 0.0 -8 9x10 38.6 28.1 0.0 0.0 7 2x1057.9 52.6 5.3 0.0 -7 6x10 82.5 77.2 19.3 0.0 -6 1x10 94.7 91.2 38.6 0.0 -6 3x10 96.5 101.8 63.2 7.0 -6 5x10 100.0 100.0 75.4 17.5 Table 1 shows an increase in response proportional to the increase in ACh concentration. As the concentration of Atr increased, a greater amount of ACh was needed in order to achieve a similar response to the control; the two higher concentrations of Atr not reaching maximum at all. The highest dosage of ACh produced a 100% response from the control but 17.5% of the maximum response for the highest concentration of Atr, the lower dosages of ACh producing a response of 0. Antagonist Mepyramine (9x10^-9 M) Atr (6x10^-9 M) Histamine (2x107M) Ach (3x10-8M) Mepyramine (1x10^-5 M) Atr (1x10^-5 M) 0 10 20 30 40 Response (au) Figure 1. The Responses of Antagonists Ach and Histamine in the Presence of the Agonists This graph illustrates the effect of atropine and mepyramine at two different concentrations; one to abolish the EC50- equivalent response to ACh and histamine and the other to test the effect of using supramaximal concentrations of antagonists, which in this case was 1x10-5 M ACh and mepyramine. As shown above, in the presence of 6x10-9 M Atr, ACh response was reduced to 1 au whereas the response to histamine was normal at 27 au. Increasing the dose to 1x10-5 M, there was no response from ACh at all, and histamine was still unaffected. In the presence of low doses of mepyramine (9x10-9M), there was a low response from histamine at 2 au and a usual response from ACh, and increasing the concentration of mepyramine eradicated the appearance of histamine completely. Increasing the dose also affected ACh as it decreased to 14 from 27 au. 100 90 % Maximum Response to ACh 80 70 60 50 ACh in the absence of atropine (control) 40 ACh in the presence of atropine 30 20 10 0 1.00E-10 1.00E-09 1.00E-08 1.00E-07 1.00E-06 [ACh] M Figure 2. Dose-response curve of Ach alone and in the presence of Atropine. Figure 2 shows a sigmoidal graph, which in the case of ACh in the presence of Atr has shifted to the right in a parallel fashion. Both curves reach the maximum. The responses of ACh with Atr are lower than that of just ACh, the EC50 increased, and the maximum response achieved at a higher dosage. Discussion: The response of guinea pig ileum to the agonist ACh was a contraction of the smooth muscle with the extent of contraction proportional to each increase in dosage as seen in Table 1 and Figure 2. This was the case until it reached a maximal contractile response of around 75 au. In the presence of Atr, the same increase in ACh concentrations produced a lower response per dose. This is because ACh is no longer being taken up in a non-competitive environment. As seen in Table 1, as the concentration of the antagonist was increased from 5x10-9M to 5x10-7M, higher doses of ACh were required to reach the maximum response of the control. The EC50s of ACh also increased in the presence of Atr. This indicates that Atr reduced the potency of ACh by acting as a competitive antagonist. The mechanism by which this occurs involves Atr competing with ACh for a specific binding site as it has a high affinity for muscarinic cholinergic receptors like ACh. Atr then occupies and blocks the site, resulting in less frequent activation of ACh, but it does not actually produce its own response. This relationship was confirmed in our results from both Part A and B as expected. When noting certain characteristics of the dose-response curve (Figure 2), both curves still reach the 100% maximum even in the presence of Atr. The maximum is surmountable with a high enough concentration of agonist, which is why the curve with Atr is shifted to the right. This is because agonist efficacy is not affected by the presence of competitive antagonist. It is known that the antagonist is competitive as the curves are parallel to each other (Neal, 2009). Table 2 shows that in the higher range of concentrations of Atr, lower doses of ACh produced no response from the tissue at all. The log concentration-response curve produced a sigmoidal shape, unlike the rectangular hyperbola shape obtained from a linear concentration-response curve. The linear curve is rarely used as it is harder to analyse. Results bunch and overlap (Appendix 4), indicating the scale needs to be adjusted to estimate values like the EC50 with greater accuracy. The responses of ACh and histamine to Atr and mepyramine indicated selectivity in their functioning as antagonists (Figure 1). When both ACh and histamine were used in the presence of Atr it acted as an antagonist for ACh, but did not affect the response of histamine even at a higher dosage, with histamine still giving its control EC50 response of approximately 28 au. Similarly, at a low concentration, mepyramine acted as an antagonist for histamine and did not affect the response of ACh. However, at a high concentration of mepyramine it resulted in a lower response from ACh. This ability of drugs to act in this way and give responses as seen in Figure 1 can be explained by selective antagonism. In such a case a drug acts as an antagonist for specific drugs only and not others, binding to a certain receptor, though there is an exception to this in the event of overdose. The results thus imply that Atr and mepyramine work on different receptors. This is as expected for it is known that histamine does not bind to muscarinic receptors but inhibits histamine by competition when binding to the H1 receptor. (Kavoussi et al, 2007). ACh was affected in the 1x10-5M dosage of mepyramine despite it not being antagonist for ACh because the selectivity of drugs is lost in higher dosages. At the lower and more therapeutic dose, there was still a high affinity with histamine thus ACh gave its average EC50 response. At higher concentrations, this affinity is lost as other binding sites are considered for occupation, in this case the muscarinic receptors. Thus at certain concentrations antagonists can act on more than one agonist. As the experiment focused only on the contractile response of the drug - a functional assay, a measure of affinity expressed as the KD (association constant), could not be obtained due to lack of information about the amount of drug binding to tissue. The response is concerned with the activated state whereas the affinity is concerned with the agonist initially binding to the receptor to form a complex. Also, doses that do not produce an immeasurable response in terms of a contraction may still have agonist-receptor binding occurring but there is no way of estimating this reliably with the information given. The results followed the trends expected; however their quality for the live preparation could have been made more accurate if time was not a limitation. The purpose of the 3 minute dose-wash cycle was to bring the tissue back to its relaxed state and to ensure no trace of the previous dose was in effect. Yet following higher concentrations this cycle was insufficient, seen in the unstable and sometimes non-uniform baseline of the representative trace. Fluctuations in what should have been the relaxed state also occurred. This was due to the spontaneous activity of our tissue when it was not receiving sufficient amount of carbogen and because the tissues had been set up an hour prior to the experiment. This meant that response peaks would not have all been measured from the same point. A longer dose-cycle wash would reduce these discrepancies and make the data more reliable. Reliability of the results could be improved through repetition of the experiment so that multiple responses to the each dose could be compared and a more accurate average obtained. Another source of error, although slight, is the tendency of the tissue to become desensitised after subsequent doses thus affecting the responses. Tachyphylaxis can occur over a period of time, which involves the depletion of the neurotransmitter that is involved in the action of the drug. This is not something that can be improved on however, without changing the tissue several times which would cause larger inconsistencies, but should be taken into account when analysing results. Thus it can be seen that in the presence of a competitive antagonist, the response of an agonist is reduced as the potency is reduced. The maximum response is still surmountable however but requires a higher dosage of agonist. In the case of a selective antagonist, this affinity to a specific receptor can be compromised in higher concentrations, as it begins to bind to other receptors. References: Ehlert, F.J. (2001), Acetylcholine-Induced Desensitization of Muscarinic Contractile Response in Guinea Pig Ileum is Inhibited by Pertussis Toxin Treatment, The Journal of Pharmacology and Experimental Therapeutics, Vol. 299. No. 3 1126-1132 Feldburg, W. (1950), Effects of Ganglion-Blocking Substances on the Small Intestine, National Institute for Medical Research, 113, pp. 483-50 Kardiol, Z. (1991), Action of acetylcholine on smooth muscle, Department of Pharmacology & Clinical Pharmacology, pp. 7, 73-77 Kavoussi LR, Novick AC, Partin AW, Peters CA (2007), Wein: Campbell-Walsh Urology, 9th ed. Volume 3. W.B. Saunders. Neal, M.J. (2009), Medical Pharmacology at a Glance, Blackwell Science, 5th Edition, pp. 8-10 http://www.wisegeek.com/what-is-an-agonist.htm (last accessed 27/3/10) http://en.wikipedia.org/wiki/Competitive_antagonist (last accessed 29/3/10) http://en.wikipedia.org/wiki/Tachyphylaxis (last accessed 30/3/10) Appendices: Appendix 1: Apparatus used to record contractions of guinea pig ileum. Water circulates through the equipment as indicated, warming the solution to a physiological temperature. The clamps shown are opened and closed in a specific order when performing tissue wash. Appendix 2: Contractile responses to acetylcholine alone and in the presence of atropine [Ach] (µmol) Bath[Ach] (M) Response (au)- Control % Maximum Response to ACh (control) 0.01 0.1 0.1 0.1 1 1 1 10 10 10 100 100 100 100 2.00E-10 5.00E-10 1.00E-09 2.00E-09 5.00E-09 1.00E-08 2.00E-08 5.00E-08 1.00E-07 2.00E-07 5.00E-07 1.00E-06 2.00E-06 4.00E-06 1.064 1.3423 0.2319 8.4222 23.3321 58.7586 68.9951 73.8923 76.7242 77.3217 78.7404 79.1633 1.34 1.70 0.29 10.64 29.47 74.22 87.16 93.34 96.92 97.67 99.47 100.00 Response (au)- ACh & Atropine % Maximum Response to ACh and Atropine 0.3192 0.2783 0.8594 0.7939 14.6508 42.6455 56.6524 69.1915 73.1993 74.3916 75.2783 0.42 0.37 1.14 1.05 19.46 56.65 75.26 91.91 97.24 98.82 100.00 25-3-2010 25/03/2010 11:44:43.195 AM 100 Bench 8 (Arb. Unit) 80 60 20 0.1ml of 100um ACh 40 23 2210 2220 24 2230 2240 2250 2260 Appendix 3: Acetylcholine sample representative trace Appendix 4: Raw data pad Comment No. Comment Text 3 0.4ml of 0.01um ACh 5 0.1ml of 0.1um ACh 7 0.2ml of 0.1um ACh 9 0.4ml of 0.1um ACh 11 0.1ml of 1um ACh 13 0.2ml of 1um ACh 15 0.4ml of 1um ACh 17 0.1ml of 10umol ACh 19 0.2ml of 10um ACh 21 0.4ml of 10um ACh 23 0.1ml of 100um ACh 25 0.2ml of 100um ACh 27 0.4ml of 0.1um ACh 29 0.1ml of 1um ACh 31 0.2ml of 1um ACh 33 0.4ml of 1umol ACh 35 0.1ml of 10umol ACh 37 0.2ml of 10umol ACh 39 0.4ml of 10um ACh 41 0.1ml of 100um ACh 43 0.2ml of 100um ACh 45 0.4ml of 100um ACh 47 0.8ml of 100um ACh Max - Min 1.064 1.3423 0.2319 8.4222 23.3321 58.7586 68.9951 73.8923 76.7242 77.3217 78.7404 79.1633 0.3192 0.2783 0.8594 0.7939 14.6508 42.6455 56.6524 69.1915 73.1993 74.3916 75.2783 2270 2280 2290 2300 2310 2320 120.00 % Maximum Response 100.00 80.00 60.00 % Maximum Response to Ach (control) 40.00 % Maximum Response to Ach+Atropine 20.00 0.00 0.00E+00 -20.00 1.00E-06 2.00E-06 3.00E-06 4.00E-06 Bath [ACh] M Appendix 4: The linear dose-response relationship 5.00E-06