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. 2020 Nov 14;13(11):388. doi: 10.3390/ph13110388

Table 1.

Classification of the various allosteric modulators and description of their effect.

Allosteric Modulator Description of the Effect
PAM (positive allosteric modulator) Increases orthosteric ligand affinity and/or efficacy
NAM (negative allosteric modulator) Decreases orthosteric ligand affinity and/or efficacy
SAM (silent allosteric modulator) Does not affect orthosteric ligand activity, but prevents other modulators from binding to the allosteric site, thus inhibiting their modulation
PAM agonist Works like PAM, but also functions as an agonist with and without the orthosteric ligand it modulates
PAM antagonist Works like PAM, but also functions as an antagonist and lowers the efficacy of the orthosteric ligand
NAM agonist Works like NAM, but also as an agonist with and without the orthosteric ligand it modulates
NAM inverse agonist Works like NAM, but also functions as an inverse agonist without the orthosteric ligand it modulates