Table Of ContentENZYMES AND 
DRUG  ACTION
Cibe Foundation Symposia 
General Volumes 
MammalianGermCells  -  -  -  -  - 
Preservation and  Transplantation of  N o d  
Tissues  -  -  -  -  -  -  - 
LeukaemiaResearch -  -  -  -  - 
Chemistry and Biology of Pteridines  - 
Porphyrin Biosynthesis and Metabolism  - 
Histake  -  -  -  -  -  - 
Extrasensory Perception  -  -  --  - 
Bone Structure and Metabolism  -  - 
Ionizing  and Cell Metabolism - 
Radiations 
TheNatureofViruses  -  -  -  - 
Chemistry and Biology of Purines  -  - 
Drug Resistance in Micro-organisms -  - 
TheCerebrospinalFluid  -  -  -  - 
Amino Acids and Peptides with Antimetabolic 
Activity  -  -  -  -  -  -  - 
Medical Biology and Etruscan Origins  -  - 
Biosynthesis of Terpenes and Sterols -  -  - 
Carcinogenesis: Mechanisms of Action  -  - 
Biochemistry of Human Genetics  -  -  - 
Significant Trends in Medical Research  -  - 
CongenitalMalformations  -  -  -  - 
Haemopoiesis: Cell Production and its Regula- 
tion  -  -  -  -  -  -  -  - 
AdrenergicMechanisms  -  -  -  -  - 
QuinonesinElectronTransport  -  -  - 
- 
TheNatureofSleep  -  -  -  -  - 
Somatic Stability in the Newly Born  -  - 
RenalBiopsy  -  -  -  -  -  -  - 
A leajet giving  details of the Ciba Foundafion Colloquia on 
Endocrinology, Colloquia on Ageing and Study Group volumes 
is available from the Publishers
CIBA  FOUNDATION  SYMPOSIUM 
Jointly  with 
CO-ORDINATING  COMMITTEE 
FOR  SYMPOSIA ON DRUG ACTION 
on 
ENZYMES  AND 
DRUG  ACTION 
Eriitorfor thc Co-ordinating  Committec 
J. L.  MONGAR, PH.D. 
Editorfor the Ciba Foundation 
A. V. S. de REUCK, M.SC.,  D.I.C. 
With 90 Illustrations 
LITTLE,  BROWN  COMPANY 
AND 
BOSTON 
1962
LIBRARY OF CONGRESCSA TALOCGA RD 
NUMBBR: 
61-16595 
ALL RIGHTS~  E R V B U  
This book is protected under the Benie Conuedon. 
It may not be reproduced by any means, in whole 
or  in part, without permission.  Application  with 
regard to  reproduction  should  be  addressed  to tht 
Publishers. 
Printed in Great Britcritt
PREFACE 
THISs ymposium is the eighth in the series organized by the 
Co-ordmating Committee for Symposia on Drug Action.  In 
choosing so general a subject as Enzymes and Drug Action it was 
hoped to take account of some of the many growing points in 
biochemistry which are likely to be of importance for future 
advances in pharmacology. 
The symposium was divided into two parts.  The first took 
the form of a meeting at the Wellcome Building with papers and 
discussion before an audience of about three hundred. The second 
took the form of a small meeting at the Ciba Foundation consisting 
almost entirely of  unscripted discussion by  a  panel  of about 
thirty participants.  The proceedings at these two meetings are 
published in separate sections of the present volume as one of 
the series of Ciba Foundation Symposia.  It is edited jointly by 
the Co-ordinating Committee for Symposia on Drug Action and 
by the Ciba Foundation. 
The main responsibility for the meeting lay in the hands of 
the British Pharmacological Society with the co-operation of the 
Biochemical Society, the Physiological Society and the Royal 
Society of Medicine.  The Organizing Committee consisted of 
W. A. Bain, F. Bergel (Chairman), A. C. Dornhorst, H. McIlwain, 
J. L. Mongar (Secretary) and H. 0. Schild.  The Committee is 
grateful to the Wellcome Foundation for the facilities provided 
at the Wellcome Building, to the Wellcome Trust for financing 
the Symposium, and to the Ciba Foundation not only for generous 
hospitality  and  travelhg expenses for  some of  the  overseas 
members, and for providing a unique Conference Room whose 
intimate atmosphere provided an ideal setting for the second 
part of the meeting, but also for the excellent editorial fadties 
which make possible the early appearance of the proceedings of 
the symposium. 
"
CONTENTS 
Wellcome Building Sessions 
Sessioii 1 :E nzymes as Primary Points o f Drug Action 
Chairman: F. BERCEL 
PAGE 
Chairman’s introduction  .  . .  
I 
Inhibition  acetylcholinesterase 
of 
by I. B. WILSON  .  . .   4 
Discussion: ALDRIDGEB, ECKEITB, ERGELB,L ASCHKKOR, EBS,R  . J.  P. 
WILLIAMS, WILSON  .  .  . . 13  
Carbonic anhydrase inhibition and physiological 
by H. W. DAVENPORT.   . . fu nction  16 
Discussion: BBRGEL, BLAIR, DAVENPOHRUT,N TL, UTWAK-MANN, J. P. 
Wn.Lims .  . .   R..  . 37  
Session 2: Active Transport 
Chairman: W. WILBRANDT 
Pinocytosis 
by H. HOLTER  .  30 
Discussion: GOLBERGH, OLTERSO, LS,Y  OUNG  .  39 
Possible mechanisms  active transport 
by W. WILBRAofN D. T  .  . .   . . 43  
Discussion: HOLTERSM, YTH, WIDDAS, WILBHANVT  .  57 
Effects  drugs  active transport 
byo fK . H. BBonY ERan d J. E. BAER.   .  60 
Discussion: BEYERW, ILBRANDT  .  . .   82 
Session 3: Multiple Mechanisms 
Chairman: J. H. GADDUM 
I. Insuliri 
The explanation  the action  insulin  sugar permeability at 
of  of  on 
molecular level 
by R. B. FISHER .  .  83 
on metabolic reactions 
Actionb yo fE .in Bsu.l iCnH AIN  . . .   9s 
Discussion:  BUSH, CHAIN, DANIELLdIe,   DUVE,F ISH~R,K  EYNES, 
MARRACKSO, LS, WILBRANDT, WQLLENBBRGEB, YOUNG  .  .  I I0 
vii
viii  CONTENTS 
PACE 
11. Digitalis 
Acdon of cardiac glycosides  ionic movements 
byM.WmmmtN.L  .o n .  .  . .  
Digitalis: action  metabolism and the contractile system 
by A. WOLoLnE NBERGBR  . . .   . 
127 
Discussion:  BAKERD, RAPERE, DMAN, KEYNES,W  ASER,  WHI'ITAM, 
WOU~NBERGER.   .  .  .  .  150 
111. Central Nervous System Depressants 
Action of barbiturates upon respiratory enzymes 
by W. N. ALDXUDCE.   .  .  . .   .  155 
Appraising enzymic actions of central depressants by examining 
cerebral tissues 
by H. MCILWAIN  .  . . . . .   . 
170 
Discussion: ALDRIDGEB, RADLEYC,R EMERD,R  APERJO, HNSONJU, DAH, 
KXYNES,  MCILWAIN, NICOLLS,P HILLIS,  W m m ,  
REMMER, 
R. J.  WILLIAM. S  .  . . .  . 
P.  I99 
Session 4: Receptors 
Chairman:  W. D. M. PATON 
Relation between enzymes and cholinergic receptors 
by P. G. WASER .  . . .   206 
Discussion:  Corm, CREESBH, OBBIGEWR,A  SER  .  . 
218 
Induction of receptors 
by R. MILIDI  .  .  . .   .  220 
Discussion:  BECKETTD,O  RNIIORST,  PATON, PETERSV, RBOVA, 
ZAIMls  .  . .   M.ILB. DI ,  . 
236 
Session 5: Altered Drug Metabolisni 
Chairman:  T. WILLIAMS 
K. 
Chairman's introduction  .  . .   .  *  239 
Adaptive enzymes in animals 
by W. E. KNOX  .  . 
*  24s 
Discussion: BERGBL,  .  .  . 
FISHER, KNOX  274 
tolerance 
Drug byH.RHMMBR  .  .  .  .  . 
Discussion:  Re~~aSnC,H  ULMARN.,  T. WILLIAMS.   .  .  227968
CONTENTS  ix 
PAGE 
The genetics of drug sensitivity with special reference to suxa- 
methonium 
by H. HARRIaSn d MARYW  HITTAKER .  .  301 
Discussion: AMBACHEB. LASCHKDOA, NIE~JH, ARRISH,O  BBIGEKRN, OX, 
. 
h4ILED1,  SPINKS  313 
Session 6: Drug Metabolism: Subcellular Aspects 
Chairman: SIR RUDOLPPHL TERS 
Drug metabolism-subcellular  mechanisms 
by B. B. BRODIE .  .  ’  *  3x7 
Discussion: BECKEWB, RODIEL, ACEYN, IMMO-SMITHK, BMMBRR.,  J. P. 
WILLIAMS .  340 
’ 
Cellular injury by drugs 
by K. R. REES  .  .  344 
Protection against cellular injury by drugs 
by J. D. JUDAH  .  . .   .  359 
Discussion:  ATKINSONB,R  ODIED, RAPERG, OLBERCJU, DAH.O ’BREN, 
PATONR, EES, REMMERW, EATHERAL. L  .  384 
Session 7: lhwl Discussion 
Chairman: J. F. DANIELLI 
Speakers: ALDNDGEB, ERGELB, LASCHKOB, RODIE,d c  DUVE, FISHER, 
GADDUMH,O  LTERJU, DAHM, CILWAINP, ATONP. BTERSR, EMMERSH, UL- 
SMYTHS,O  LSS, PINKSW, ASERW, EATHERAWLLIL, RRANDRT. J, . P. 
MWANIL, LIAMRS.,  T. WILLIAMS.   .  386 
Ciba Foundation  Sessions on Drug-Enzyme 
Interaction at the Molecular Level 
Chairman: SIR HANSK REBS 
Session 1: Etizymes 
Introduction: Enzymes 
byJ. F. DANIELLI  .  .  401 
Models of active centres: acetylcholine  .  .  .  410 
Advetransport  .  .  . 
418
X  CONTENTS 
PAGE 
Mode of action of  .  .  .  .  .  .  .  . 
insulin  423 
.  .  .  .  .  429 
Limitationsofenzymesasmodels 
Speakers:  BELOFF-CHAIN,  BERGELB, RODIB,  DALE,D  ANLELLI, 
CHAIN, 
de DWE,  GADDUMH, OLTERb, s , M  CILWAIN, 
FISHER,  SCHILD, 
WASERW, ILBRANDRT.,  J. P. WILLIAMSW, ILSON 
Session 2: Receptors 
Introduction: Receptors 
by H. 0. SCHILD  .  .  .  .  .  435 
Definition of receptors  .  . . . .  .  439 
Identifying active cenhes  .  . . .  .  443 
EiFect of denervation on receptors  .  . . .  .  451 
Events at the cell membrane  .  .  . . . .  .  453 
Rate theory of drug action  .  . .  .  456 
Speakers: BERGELB, EYERB, RODIEC, HAIN,D ALE,D ANIELLId, e DWE, 
FISHER, GADDUMJU, DAH, KATZ, KREBS, MCILWAIN, h’biDI, PATON, 
PETERS,  WASERR, . J. P. WILLIAMS,W  ILSON,W  OLLBNBBRGBR 
SCHILD, 
Interaction  at the Subcellular and Cellular Levels 
SIR RUDOLPHPE TERS 
Chairman: 
Session 3: Subcellular Level 
Introduction: Membranes 
by C. DE DWE  .  .  463 
Subcellularparticles  .  .  .  472 
Phosphatidic acid cycle  .  .  . .   .  478 
Antihistamines and membrane permeability .  .  .  481 
Drug concentrations in vitro .  .  .  484 
Speakers: ALDmce, BLASCHKBOR. ODIED,A  NIELLDIA, VENPORdTe ,D UVE, 
GADDUMH, OLTERJ,U DAH, KREBS, MChWNN, PETERS, hES, SCHILD, 
WEATHERALL,W  HI-ITAKEWRI, LBRANDT 
Session 4: Cellular Level 
Introduction: Cellular aspects 
by H. MCILWAIN .  .  .  487 
Reconstituting in vitro  .  .  .  488 
In vitro and in vivo  .  .  .  .  .  .  .  *  . 494
CONTENTS  xi 
PAGE 
Miaosomalenzymes  .  . . .   .  497 
Endoplasmicreticulum .  .  .  505 
Enzymes  young animals  .  .  50s 
in 
TransamiaaseandGABA  .  .  514 
Druginteractions  .  .  .  .  .  .  .  516 
General considerations  .  .  518 
Speakers: ALDRIDGBEE, RGEL,  BLASCHKBOR, ODIEC, HAIN,D ALE, 
BEYER, 
DAVENPORDTO, RNHORSdTe , Dm,  GADDUM, 
FISHER,  HARRIS, 
HOLTFRJ, UDAH,  KNOX. Mchwm,  PJXERS, REMMER,  Scm, 
WHlrrAKER, R. T. WILLIAMS, WOLLENB6RCER