4 natural products Flashcards

1
Q

toxicity may result from:

A

-a pharmacological effect at a receptor or enzyme
-reaction of a metabolite with biological macromolecules
IT IS IMPORTANT TO UNDERSTAND THE TOXICITY TO HELP PREVENT IT FROM HAPPENING

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2
Q

what is digitalis?

A

digoxin
-treatment of atrial fibrillation
-inhibition of Na/K ATPase
-drug-drug interactions, narrow therapeutic range

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3
Q

what is opium?

A

morphine
-chronic pain
-respiratory depression

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4
Q

what is comfrey?

A

-pyrrolizidine alkaloids

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5
Q

what is sassafras oil?

A

safrole

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6
Q

what does the body do when xenobiotics enter it? (metabolism)

A

-the body tries to get rid of foreign substances
-the body tries to inactivate foreign substances (drugs and non-nutritive compounds like xenobiotics)

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7
Q

what happens in the liver and GI tract?

A

-biotransformation or detoxification
-phase 1 and phase 2

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8
Q

what happens when something is already relatively water soluble?

A

blood to kidney to urine

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9
Q

compounds that are lipid soluble undergo metabolism to:

A

-increase water solubility
-diminish pharmacological activity

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10
Q

what is phase 1 metabolism?

A

-cytochrome P450 (CYP)
-membrane bound, heme-containing group of enzymes
-responsible for the majority of phase 1 metabolism
-specific enzymes are indicated as: CYP3A4, CYP2C9, CYP2D6

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11
Q

what is the first example of CYP metabolic reactions?

A

-CYP inserts an O into a C-H bond

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12
Q

what is the second example of CYP metabolic reations?

A

-CYP adds an O to a double bond

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13
Q

what do we also observe in CYP metabolic reactions?

A

-CYP-mediated de-alkylation reactions (removes an alkyl group)

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14
Q

what happens in CYP metabolic reactions?

A

-aromatic ring hydroxylation

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15
Q

what are reactive intermediates?

A

-CYPs can oxidize compounds to produce very reactive compounds
-oxidation=loss of electrons
-“electrophilic” or “electron deficient”

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16
Q

what are examples of electrophiles?

A
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17
Q

what are reactive intermediates that are nucleophiles?

A

-chemically modified protein= toxicity
-can also react with nucleic acids (DNA)

18
Q

what is a quick review of phase 1?

A

-xenobiotic metabolism tries to get rid of and inactivate xenobiotics
-CYP enzymes are the major metabolizing enzymes
-electrophilic metabolites can lead to toxicity

19
Q

what is phase 2?

A

-add a polar molecule to a nucleophilic atom on the drug (usually O or N) and create a water soluble molecule
-there are 3 major processes: glucuronidation, sulfonation, GSH

20
Q

what is glucuronidation?

A

adds a molecule of glucuronic acid (Gluc) via an enzyme called UDP-glucuronosyl transferase (UGT)

21
Q

what is sulfonation?

A

adds a sulfonate (SO3-) via the enzyme sulfotransferase (SULT)

22
Q

what is GST/GSH?

A

-these enzymes react with electrophilic molecules to form a conjugate through the cysteine thiol glutathione

23
Q

what is the structure of GSH?

A
24
Q

what is the quick review of phase 2?

A

-UGT adds a glucuronic acid molecule
-SULT adds a sulfonate molecule
-GST adds a glutathione molecule
-GST/GSH “mops up” electrophilic reactive intermediates

25
Q

what is safrole?

A

-found in saffron, sassafras
-metabolized in the following manner

26
Q

what is left on the safrole

A

-however SO42- is a good leaving group
-a positive charge is left on safrole (electron deficient)

27
Q

what is eugenol?

A

-natural flavourant
-toxicity a problem when GST/GSH is overwhelmed

28
Q

what is a creosote bush?

A

nordihydroguaiaretic acid (NDGA)

29
Q

what is NDGA used for?

A

-traditional medicine (Tohono O’odham)
-antioxidant
-anti-cancer actinex
-pro-apoptotic
-anti-microbial
-lipoxygenase inhibitor
-tubulin binding

30
Q

how is NDGA consumed?

A

-herbal product (capsules or pills)-Chaparral
-chronic consumption (kidney and liver toxicity)
-toxicity not observed with traditional treatments

31
Q

what is the structure NDGA?

A
32
Q

what is the metabolism of NDGA?

A

-rapid UGT-mediated elimination
-GST/GSH conjugation
-dose

33
Q

what do we do to NDGA?

A

-preparation in water
-drink or apply as salve

34
Q

what is flaxseed lignans?

A

secoisolariciresinol (SECO)
-BPH
-breast cancer
-LDL
-type 2 diabetes
No toxicity

35
Q

what is alfatoxin B1?

A

-a natural product produced by a number of strains of aspergillus favus
-a potential contaminant in grains and peanuts stored in warm, humid conditions for extended periods of time
-aflatoxin B1 is a potent hepatocarcinogen

36
Q

what is beta-asarone?

A

-found in asarum (wild ginger)
-fragrance oil
-pesticide
-carcinogen

37
Q

what are other pathways of beta-asarone?

A

other metabolic pathways that do not produce reactive intermediates
-dealkylations

38
Q

what is star fruit?

A

-caramboxin
-interfered with glutamate ion-channels
-cleared via the kidneys
-but: individuals with kidney disease have toxicity (confusion, feeling of intoxication, seizures)
-toxicity seems to be inconsistent

39
Q

what are pyrrolizidine alkaloids?

A

-monocrotaline (crotalaria spectabilis)
-liver, lung, kidney toxicity
-protective mechanism for ornate bella moth

40
Q

what are some thoughts?

A

-these are just a few examples of natural products that can form electrophilic reactive metabolites
-many natural products that can form reactive intermediates are eliminated by CYP, UGT or SULT
-most reactive intermediates are de-toxified by GST/GSH
-too high a dose can overwhelm the protective systems

41
Q

what should we be able to do?

A

-explain the role of xenobiotic metabolizing enzymes
-recognize the basic metabolic reactions of CYPs, UGTs, and SULTs
-recognize reactive intermediates
-explain how reactive intermediates may lead to toxicity
-recognize when GST/GSH may protect against reactive intermediate-mediated toxicity