Detoxification of Xenobiotics Flashcards

0
Q

What is a xenobiotic?

A

A compound that is foreign to the body

xenos = stranger

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1
Q

Where does detoxification of xenobiotics take place?

A

The liver

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2
Q

What are the principal classes of xenobiotics that are medically relevant?

A

pharmaceuticals, chemical carcinogens, petroleum products, and some pesticides

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3
Q

How are xenobiotics detoxified for removal?

A

Polar bonds are attached to the compound to increase water solubility of the xenobiotic, facilitating excretion from the body.

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4
Q

What is phase 1 metabolism of xenobiotics?

A

It involves isoforms of cytochrome P450s

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5
Q

What is the chief reaction involved in phase 1 metabolism?

A

Hydroxylation

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6
Q

What group of hemoproteins do cytochrome P450 come from?

A

Mono-oxygenases

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7
Q

What are the co-factors of phase 1?

A

Niacin, Riboflavin, and Iron

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8
Q

Where are CYP enzymes found?

A

In the ER and mitochondria.

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9
Q

What tissues are most CYP enzymes found?

A

Liver (MOSTLY), adrenals, kidney

Interfacing between internal and external environments: lungs and intestine

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10
Q

What is an enzymatic variation of CYP?

A

Some cytochrome p450s exist as polymorphs. Variation in enzyme activity can be found from person to person.

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11
Q

What are phase 2 reactions?

A

They are conjugation reactions that make the xenobiotic more water soluble for excretion via the urine or bile.

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12
Q

What are the 6 principal types of phase 2 reactions?

A

Glutathionation, glucuronidation, addition of amino acids, acetylation, sulfation, and methylation.

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13
Q

What is glutathionation?

A

Addition of glutathione to a xenobiotic

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14
Q

What is glucuronidation?

A

Addition of a sugar (UDP-glucuronate) to a xenobiotic

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15
Q

What is addition of an amino acid for detoxification?

A

A xenobiotic added to an amino acid (glycine or taurine)

16
Q

What is acetylation of a xenobiotic?

A

Acetyl CoA gives its acetyl group to the xenobiotic

17
Q

What is sulfation of a xenobiotic?

A

PAPS is combine with a xenobiotic to place the sulfur on the xenobiotic and frees the PAP.

18
Q

What is methylation of a xenobiotic?

A

Methyl groups are donated to the xenobiotic

19
Q

What are responses to xenobiotics?

A

Pharmacologic, toxic, immunologic, or carcinogenic.

20
Q

What are negative pathways of xenobiotic detoxification?

A

Covalent binding to macromolecules that lead to: Mutation (cancer), Hapten (antibody production leading to cell injury), and Cell Injury