Superagonist

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Efficacy spectrum of receptor ligands.

In pharmacological research and drug development, the term superagonist designates a distinctive category of agonist molecules. Unlike typical agonists, which elicit a response by binding to a receptor, a superagonist can produce a maximal response that surpasses that of the receptor's endogenous agonist. This results in an efficacy of over 100%.

Definition and Mechanism[edit | edit source]

A superagonist can be defined as a compound that, when bound to a receptor, generates a greater maximal response than the receptor's natural or endogenous agonist. In essence, it has a heightened efficacy, surpassing the 100% mark typically attributed to endogenous agonists.

The mechanism by which superagonists achieve this amplified response remains a topic of investigation. Current hypotheses suggest alterations in receptor conformation, stabilization of specific receptor states, or enhanced recruitment of intracellular signaling proteins.

Example: Goserelin[edit | edit source]

An illustrative example of a superagonist is goserelin. Goserelin functions as a superagonist for the gonadotropin-releasing hormone receptor. When compared to the natural agonist for this receptor, goserelin induces a more potent response, effectively classifying it as a superagonist.

Clinical Implications[edit | edit source]

Superagonists, given their heightened efficacy, have potential therapeutic advantages. For certain conditions, the amplified response elicited by superagonists may offer improved clinical outcomes or a reduced dosage requirement. However, it's crucial to approach the use of superagonists with caution, as the amplified response might also lead to exacerbated side effects or unforeseen physiological responses.

See also[edit | edit source]

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Contributors: Prab R. Tumpati, MD