liver detoxification Flashcards

1
Q

define xenobiotics

A

foreign chemical substance not normally found or produced in the body which cannot be used for energy requirements

eg drugs

can be absorbed across lungs or skin OR ingested

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2
Q

how are xenobiotics excreted

A

bile , urine , sweat and breath

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3
Q

properties of pharmacologically active compounds

A
  • lipophilic
  • non-ionised at pH 7.4
  • bound to plasma proteins to be transported in blood
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4
Q

lipophilic definition

A

able to dissolve in lipids/fats

to be able to pass through plasma membranes to reach metabolising
enzymes

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5
Q

what are the 2 types of enzymes involved in metabolic reactions

A
  • microsomal enzymes
  • non-microsomal enzymes
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6
Q

define microsomes

A

fragments of endoplasmic reticulum with attached ribosomes

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7
Q

where are microsomal enzymes found

A

in microsomes on smooth endoplasmic reticulum

mostly found in liver hepatocytes but can be found in the kidneys & lungs too

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8
Q

where are non-microsomal enzymes found

A

anywhere but microsomes

located in the cytoplasm & mitochondria of hepatocytes in the liver but also in other tissue too

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9
Q

which type of reactions do microsomal enzymes carry out

A

mainly Phase I reactions, but can do phase 2

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10
Q

what affects the activity of microsomal enzymes

A

drugs, food, age, bacteria & alcohol

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11
Q

which type of reactions do non-microsomal enzymes carry out

A

mainly Phase II reactions, but can do phase I

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12
Q

are non microsomal enzymes inducible

A

no

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13
Q

which reactions are non-microsomal enzymes involved in

A

all conjugation reactions except GLUCURONIDATION

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14
Q

which reactions are microsomal enzymes involved in

A

oxidative,reductive & hydrolytic reactions

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15
Q

how are drugs usually excreted

A

most are excreted by the kidneys

but lipophilic drugs are not effectively
removed

as they are passively absorbed

because they can diffuse through cell membranes easily

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16
Q

aim of drug metabolism

A

to make the drugs more polar so they cannot get across membranes and thus are easily excreted

17
Q

where does drug metabolism mainly occur

A

liver

18
Q

what are the 2 pathways for drug metabolism

A

phase 1 reaction
phase 2 reaction

19
Q

what is phase 1 liver detoxification

A

the first line of defense against toxins. It consists of a group of enzymes known as the cytochrome P450 family

20
Q

what is phase 2 liver detoxification pathway

A

neutralizes the byproducts of Phase I liver detoxification and other remaining toxins.

by making the toxins water-soluble.

so they can be excreted from the body - conjugation

21
Q

what is the aim of phase 1 for lipophilic drugs

A

to make the drug more hydrophilic so that it can be excreted by the kidneys
- it does this by adding a hydroxyl group to the drug

Introduces reactive group to drug - attack point for conjugation

22
Q

why do hydrophilic molecules not reach the metabolising enzymes

A

because they are excreted easily

23
Q

what are the 4 methods of oxidation

A
  • Hydroxylation (add -OH)
  • Dealkylation (remove -CH side chains)
  • Deamination (remove -NH)
  • Hydrogen removal
24
Q

what happens in reduction

A

hydrogen is added
so unsaturated bonds become saturated

25
Q

what is functionalisation

A
  • Introduces reactive group to drug
  • Includes adding or exposing; -OH,-SH,-NH2,-COOH
  • The product of the reaction is usually more reactive
  • There is a small increase in HYDROPHILICITY
26
Q

how do cytochrome P450 enzymes work

A

Uses heme group (Fe2+) to oxidise substances
the products are more water soluble

27
Q

how to name cytochrome P450 enzymes

A

1st number = the family the enzyme belongs to

Letter= indicates subfamily

2nd number= individual genes involved

28
Q

what is cytochrome P450 reductase

A

the enzyme required to transfer electrons from NADPH to CY P450

Contains flavoprotein which in turn consists of; Flavin adenine dinucleotide (FAD) & flavin mononucelotide (FMN)

29
Q

what does FAD do

A

accepts electrons from NADPH

30
Q

what does FMN do

A

electron donor to CYP’s

31
Q

what can phase I reactions do

A
  • Inactivate drugs
  • Further activate drug
  • Activate drug from pro-drug (inactive form of drug)
  • Make a drug into a reactive intermediate (could be carcinogenic or toxic)
32
Q

what happens in phase II reactions

A

“conjugation reaction”:
- Attachment of substituent groups (endogenous (from the body) molecules)

usually forms inactive products

33
Q

what are phase II reactions catalysed by

A

transferases

34
Q

where do phase II reactions occur

A

mainly in liver, but can occur in other tissues like the lungs & kidneys

35
Q

what is a glucuronidation reaction

A
  • Adding a glucuronic acid group
  • Increases hydrophilicity
  • substances produced from this are glucoronides
  • process forms covalent bonds
36
Q

enzyme for glucoronidation reaction

A

glucuronosyltransferase/ UGT - microsomal

37
Q

what is Uridine diphospho-glucuronic acid (UDPGA)

A

a co-enzyme/donor
compound required to conjugate glucuronic acid,

38
Q

functions of cytochrome p450 enzymes

A
  • detoxification of xenobiotics
  • cellular metabolism
  • homeostasis