Biotransformation Flashcards

1
Q

Enzmes that hydrolyze xenobiotics

A

Carboxyesterases- CES1(liver, lung), CES2(intestine, liver), AADAC(liver), humans lack any in plasma
Cholinesterases- AChE (muscle, brain, selective), BChE (plasma, other tissues)
Paraoxonases (lactonases)- PON1(liver ER, plasma), PON2(mitochodria), PON3(liver, kidney ER, plasma)
Epoxide hydrolases

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2
Q

What does AADAC do to biotransform which xenobiotics?

A

Deacetylates (hydrolyzes) phenacetin, 2-acetylaminofluoride

Also hydrolyzes flutamide

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3
Q

What is physostigmine and what is it used for?

A

AKA eserine
Parasympathomimetic that reversibly inhibits AChE and BChE
Naturally found in calabar bean
Used to treat atropine toxicity, Datura, Atropa belladona poisining, glaucoma, delayed gastric emptying

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4
Q

Drugs that selectively inhibit AChE and BChE in the brain are used for what and give examples

A

Treat Alzheimers disease

Eg: rivastigmine, tacrine, gelantamine, donepezil

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5
Q

Organophospates MOA, examples, and antidotes

A

Bind the active site of cholinesterase or carboxyesterase-> inactive cholinesterase -> excess ACh leads to parasympathetic effects
can also undergo dealkylation (“aging”) which impedes release

Eg: nerve agents- soman, sarin
Pesticides- parathion, malathion, diazonon, chlorpyrifos
Naturally occurring- anatoxin a(S) from bluegreen algae, physostigmine from Calabar bean, huperzine A from club moss, solandine from green potatoes, cocaine from Erythroxylum coca plant

Carbamate pesticide have similar MOA- aldicarb, carbaryl, carbofuran

Antidotes- pralidoxime (2-PAM), obidoxime

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6
Q

Paraoxonases

A

Hydrolyze OPs, organphosphonites, aromatic carboxylic acid esters, cyclic carbonates, lactones, oxidized phospholipids

Calcium dependent, contain -SH group
Inhibited by EDTA, metal ions, and mercurials

Only PON1 has arylesterase activity and can hydrolyze oxon metabolites of OPs
All can hydrolyze different lactones

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7
Q

How does alkaline phosphatase affect prodrugs?

A

ALK is present on the luminal surface of enterocytes and can hydrolyze prodrugs into their active form to be absorbed

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8
Q

How does B-glucuronidase contribute to enterohepatic circulation?

A

When a drug is glucuronidated and excreted in bile, B-glucuronidase can hydrolyze it and release the parent drug and be reabsorbed

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9
Q

Epoxide hydrolases

A

Catalyze the trans addition of water to alkene epoxides and arene oxides

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10
Q

Carboxyesterases

A

Hydrolyze esters and amides

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11
Q

Azo and nitro reduction are generally catalyzed by:

A

Intestinal microflora

Azos and nitros get reduced to amines

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12
Q

List the enzymes that catalyze reduction of aldehydes and ketones to alcohols

A

AKRs- aldo keto reductases; cytosolic, can also oxidize
SDRs- short chain dehydrogenases/reductases, cytosol and ER
MDRs- medium chain “”
ALDHs- aldehyde dehydrogenases
NQO- NAD(P)H- quinone oxido reductase

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13
Q

mARC

A

mitochondrial amidoxime reducing component
molybdenum containing enzyme that catalyzes dehydroxylation of amidoximes and N-hydroxy compounds
requires NADH, cytochrome b5, NADH-cytochrome b5 reductase
Converts -N-OH to -N-H

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14
Q

What are the two most important molybdoenzymes and what os their location in the cell?

A

XOR xanthine oxidoreductase- 2 forms: xanthine oxidase and xanthine dehydrogenase
AO aldehyde oxidase

Cytosol

Can oxidize, but can also reduce (even AO, but requires anaerobic conditions and reducing substrate)

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15
Q

What 2 organs have the most AO?

A

Liver and adrenal

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16
Q

Compare the types of carbon atoms that CYP likes to oxidize versus those that XOR and AO like to oxidize.

A

CYP- oxidize carbon atoms with high electron density
XOR, AO- oxidize carbon atoms with low electron density (eg: carbon atoms adjacent to nitrogen)

But there is some overlap

17
Q

What are the 3 main substrate groups for AO?

A

Aldehydes, especially aromatic ones
Nitrogen heterocycles
Imminium ions

18
Q

What group has SNPs in the AOX1 gene?

19
Q

How does AO activity compare amongst the species?

A

Human and monkey>rodents(male>female)>dogs (absent)

Large differences in roles due to different number and function of AO genes

20
Q

What is cotinine and how is it formed?

A

Metabolite of nicotine excreted in urine

Formation of a C=N double bond in pyrrole ring-> nicotine imminium ion -> oxidixed by AO

21
Q

Name 3 inhibitors of AO

A

Raloxifene (selective estrogen receptor modulator)- estrogenic effects on bone, anti-estroden on breast and uterus
Perphenazine (antipsychotic)
Menadione (nutritional supplement with Vit K activity)
Hydralazine

Proadifen (methadone analog) - widely used as CYP inhibitor, also inhibits AO

22
Q

What are the two types of amine oxidases?

A
  1. FAD containing mitochondrial MAOs, PAO and spermine oxidase (SMOX)
  2. Copper containing amine oxidases CuAOs that contain CuII and a quinone residue
23
Q

What are the CuAOs and where are they located?

A
  1. Lysyl oxidase LOX- intracellular
  2. Diamine oxidase DAO aka AOC1
  3. Semicarbazide sensitive SSAOs - plasma and plasma membranes
24
Q

Class I amine oxidases

A

MAOA, MAOB, PAO, SMOX
Oxidative deamination of primary, secondary and tertiary amines-> produces ammonia or primary amine and an aldehyde which is usually further oxidized to carboxylic acid or reduced to alcohol

25
Q

MAO

A

Located in the MOM of many tissues incl brain, but now erythrocytes
MAOA - placenta, locus coerulus
MAOB- platelets, lymphocytes, chromaffin cells, raphe nuclei

MAOs don’t work on pyrrolidine or piperidine ring nitrogens
Don’t work as well when there is substitution at the alpha carbon

26
Q

What are triptan drugs?

A

tryptamine-based drugs used in the treatment of migraines, agonists for serotonin 5-HT1B and 5-HT1D receptors at blood vessels and nerve endings in the brain

27
Q

What is the preferential inhibitor of each MAO?

A

MAOA- clorgyline

MAOB- selegiline (L-deprenyl)

28
Q

Biotransformation of MPTP

A

Crosses BBB and oxidized by MAOB in astrocytes, then auto oxidizes to MPP+ (ultimate toxicant) which is transported by the dopamine transporter into neurons -> impairs mito respiration (complex I)-> kills dopaminergic neurons causing Parkinson’s like disease

29
Q

Classes of compounds that undergo one electron oxidation rxns by peroxidases

A

Aromatic amines
Phenols
Hydroquinones
Polycyclic hydrocarbons

(Electrophlic quinones are often produced)