TABLE 5

Impact of up- and downregulation on relevant pharmacological parameters for agonists

Target changeCauseBaseline R0Complex RLssPotency EC50
(numerical value = nv)
Efficacy parameter EmaxComment
Upregulation (increased concentration of target R or complex RL)ksynBaseline and complex and efficacy increase since target synthesis rate impacts all (eq. 3). Potency remains unchanged (eq. 2).
kdeg↑ (nv=↓)Baseline and potency increase (lower numerical value, eq. 2) whereas complex and efficacy remain unchanged.
ke(RL)↓ (nv=↑)Baseline unchanged, complex and efficacy increase, but potency drops (increased numerical value (eqs. 2 and 3)
Downregulation (decreased concentration of target R or complex RL)ksynBaseline, complex, and efficacy decrease since target synthesis rate impacts all (eq. 3). Potency remains unchanged (eq. 2).
kdeg↓ (nv=↑)Baseline and potency decrease (higher numerical value, eq. 2) whereas complex and efficacy remain unchanged.
ke(RL)↑ (nv=↓)Baseline unchanged, complex and efficacy decrease, but increased potency (decreased numerical value (eqs. 2 and 3)