Cytochromes Flashcards

1
Q

Where are CYPs located

A

ER and mitochondria

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2
Q

3 functions of CYPs

A

Xenobiotic metabolism
Steroid, fatty acid, vitamin oxidation
Steroid biosynthesis

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3
Q

Structure of CYPs

A

Haem prosthetic group
Fe (III) bound to 4 nitrogen’s
Cysteine residue at C terminal

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4
Q

General CYP reaction

A

DH + NADPH + O2 —> DOH + NADP + H2O

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5
Q

3 components needed for CYP reaction

A

P450 enzyme
NADPH cytochrome P450 Reductase
Phosphatidylcholine

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6
Q

What is NADPH reductase for

A

Electron transfer
FAD is reduced by NADPH (released as NADP+)
FAD carries 2 electrons as FADH2
Passes electrons to FMN forming FMNH2
Passed electrons to CYP

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7
Q

Effect of P450s in xenobiotic metabolism

A

Inactivate drugs
Activate carcinogens
Produce toxic metabolites from harmless drugs (paracetamol —> NAPQI)
Activate prodrugs

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8
Q

Main 3 CYPs

A

3A4
2D6
2C9

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9
Q

CYP3A4 abundance in liver

A

28-30% and metabolised over half of all drugs

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10
Q

Why does CYP3A4 metabolise so many drugs

A

Large and flexible binding site

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11
Q

CYP3A4 substrate specificity

A

Binding involves hydrophobic interactions
Mainly metabolised steroids

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12
Q

CYP3A4 example substrates

A

Cocaine
Tamoxifen
Verapamil

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13
Q

What is CYP3A4 induced by

A

Glucocorticoids
Rifampicin
St John’s wort

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14
Q

CYP2D6 abundance in liver

A

Only 2-4% of CYPs in liver but still responsible for over 70 different drug oxidations

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15
Q

CYP2D6 substrate specificity

A

Basic nitrogen and ionised at physiological pH
Antipsychotics & antidepressants
Amitriptyline, propranolol, clozapine

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16
Q

CYP2D6 inducers

A

Cannot be induced

17
Q

CYP2D6 polymorphism statistic

A

5-10% population lack this enzyme

18
Q

CYP2C9 abundance in liver

A

2nd highest
~25%

19
Q

CYP2C9 substrate specificity

A

Areas of strong hydrogen bonding potential
Mainly small, acidic, lipophilic molecules
NSAIDS
Ibuprofen, Warfarin, phenytoin