ADME 3 - Tavalin Flashcards

1
Q

What is biotransformation?

A

chemical modification of xenobiotics by endogenous enzymes

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2
Q

What is the michaelis-menton equation?

A

V = vmax * [S]/(km+[S])

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3
Q

What is a Phase I reaction?

A

functionalization reactions. Usually converts the parent drug to an inactive metabolite by introducing or unmasking a functional group. In some cases activity is only modified or even increased (prodrugs). Often times the resulting products are highly reactive and potentially toxic.

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4
Q

What is a Phase II reaction?

A

leads to covalent addition of a functional group onto the parent comound or the reactive product of a phase I reaction. They are usually inactive and readily excreted.

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5
Q

Where is the main site of biotransformation?

A

Liver. Can occur in virtually every tissue to some extent though.

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6
Q

Where does subcellular metabolism occur?

A

Most occurs in the ER and cytosol. Some can happen in the mitochondria, nuclear envelope and plasma membrane.

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7
Q

What is a microsome?

A

fragment of the ER that contains enzymes and drugs.

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8
Q

Where do most phase I reactions take place?

A

In the ER

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9
Q

Where do the enzymes responsible for phase II reactions generally exist?

A

in the cytosol

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10
Q

What is an oxidation reaction? Where does it occur? Is it phase I or II?

A

Oxidation is a phase I reaction that primarily occurs in the ER. It involved the addition of an oxygen or the removal of hydrogen.
examples: alkyl group to alcohol, aromatic ring to phenol, S or N to sulfoxide or nitroxides

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11
Q

What is a reduction reaction? Is it Phase I or Phase II?

A

Reduction is a phase I reaction that involves addition of hydrogen or removal of oxygen.
Ex: azo or nitro gourps to amines

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12
Q

What is a hydrolysis reaction? Where does it occur? Is it Phase I or Phase II? What enzymes catalyze it?

A

Addition of water with breakdown of molecule. Performed in blood plasma and liver by esterases.
Phase I
Ex: Esters -> alcohol and acid

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13
Q

What is glucuronidation? Where does it occur? Phase I or Phase II? What enzymes catalyze it?

A

the main conjugation reaction in the body. occurs in the liver.
Phase II
catalyzed by UPD-Glucoronsyl transferases (UGTs)
Aliphatic alcohols and phenols are commonly conjugated with glucuronide.

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14
Q

What type of reaction is acylation: I or II? Are its products typically more or less water soluble?

A

Phase II. Typically less water soluble.

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15
Q

What type of reaction is Glycine addition?

A

Phase II

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16
Q

What is glutathione (GSH) reaction? Phase I or II. Are its products more water or lipid soluble.

A

conjugation of tripeptide of glu-cys-gly that leads to a mercapturic acid metabolite that is more water soluble, and less lipid soluble.

17
Q

What does the CYP3A subfamily do?

A

metabolizes many drugs during absorption form the GI tract, where it decreases the bioavailability.

18
Q

Describe the cytochrome-P450 enzyme complex.

A

Consists of a CYP450 enzyme and reductase.
1 oxygen is added to the drug and 1 atom of oxygen is reduced from H20.
NADPH is the only energy source, no ATP

19
Q

What is induction?

A

When drugs promote their own metabolism or the metabolism of other drugs.
Ex: Phenobarbital induces metabolisim of itself and other drugs, requiring huge doses for chronic treatment.

20
Q

What is inhibition?

A

When drugs inhibit metabolism of themselves or other drugs.

Ex: warfarin eliminates tolbutamide which can lead to accumulation of drug and requires downward adjustmen.

21
Q

What are the mechanisms of inhibition?

A

competition among substrates
Inactivation by formation of a tight complex with heme
depletion of cofactors (more common with Phase II)
enzyme inhibitors
increased degradation.

22
Q

What enzyme family does grapefruit juice inhibit?

A

CYP3A family

23
Q

Concerning polymorphisms, how many different response populations will a monogenic trait (one which has only one changed segment) produce?

A

A monogenic trait generally produces two response curves: one with the change and one without.

24
Q

How many response populations would a polygenic trait produce?

A

a polygenic trait would produce a massive bell curve response due to the multiple combinations of response frequencies.