Metabolism Flashcards

1
Q

Which liver enzyme metabolizes 1/2 of the drugs used today?

A

CYP 450 family… CYP34A is involved the most

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2
Q

Introduction of OH group at a saturated carbon atom (mechanism steps)

A
  1. Abstraction of a hydrogen atom – From WEAK C-H bond (forms a table carbon centered radical)
  2. Reaction with molecular oxygen to form a hydroperoxy radial
  3. Abstraction of a hydogen atom from ANOTHER molecule giving a hydroperoxide
  4. Reduction of the hydroperoxide to an ALCOHOL
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3
Q

Intro of OH group at saturated (sp3)… key part?

A
  • active site in cytochrome enzyme – Fe+2

- can from Fe-hydro-peroxide + carbon centered radical which react together to form alcohol and Fe(O) species.

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4
Q

Stability of types of structures

A

Allylic and benzylic radicals are as or more stable than tertiary radicals resonance stabilization

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5
Q

Why are R2N-CH3 and Ar-O-CH3 favourable?

A

They have a weak C-H bond which makes abstraction much easier

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6
Q

Intro of OH group into aromatic rings

A
  • Formation of an epoxide followed by rearrangement
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7
Q

aliphatic

A
  • SINGLE (alkanes)

- rings without double bonds - not aromatic

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8
Q

Why is a different mechanism observed in aliphatic systems?

A
  • Aromatic and alkenes have higher bond strength than aliphatic compounds
  • aromatic+alkenes are much less stable
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9
Q

When is abstractation hard to do?

A

Strong C-H bond such as in aromatic rings and double bonds makes it difficult for the enzyme to perfrom an abstractation of a hydrogen

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10
Q

Effects of substituents on aromatic hydroxylation (nucleophile)

A
  • Substituent that is electron donating will increase reactivity
  • Substituent that is electron withdrawing will decrease reactivity
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11
Q

How can you slow down metabolism of an aromatic drug?

A
  • add an EWG (F or Cl) which;
    1. slows down the rate of metabolism
    2. Increase half life
    3. increases lipophilicity aka log P(makes it hydrophobic)
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12
Q

What kind of rings are more stable than a benzene ring?

A
  • Electron poor aromatic rings tend to be metabolically more stable than a benzene ring
  • Low electron density – high metabolic stability (decreases rate)
  • high electron density – low metabolic stability (increases rate)
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13
Q

In terms of stability, what increases the rate of metabolism?

A
  • low stability = low rate of metabolism (aromatics)

- high stability = high rate of metabolism (epoxide formation rate is also high) (alkanes)

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14
Q

3 things that need to be taken into consideration (drug to drug interaction)

A
  • Metabolism
  • degree of inhibition
  • therapeutic index
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15
Q

Therapeutic index formula

A

Toxic dosage for 50% (TD50)/Therapeutic dosage for 50%(ED50)

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16
Q

Therapeutic index

A
  • Ideally it is a large number

- If it is less than 5 (narrow window + small margin of error for safety)

17
Q

Why do some cancer cells have small TI’s?

A
  • This is because they are trying to be toxic to most cells (aka cancer) the drug has to be toxic but safe ish
18
Q

Digoxin

A

Small TI

19
Q

Acetominophen

A

Large TI

20
Q

First pass metabolism

A
  • the concentration of a drug is greatly reduced before it reaches the systemic circulation
21
Q

Oral administration

A
  • Drugs absorbed thru intestine + go to liver
  • oxidative metabolisms occur in the gut
  • can be avoided by releasing drug into blood stream before it can be metabolized by liver enzymes
22
Q

Different modes of administration

A
  1. Oral – most common, reasonable compliance
  2. Intravenous injection typical of many anti-cancer drugs, often problems with formulations
  3. Intramuscular injection –most vaccines, acid sensitive penillins
  4. Sublingual - angia drugs (ex. nitroglycerin)
    [Rapid absorption into the blood, rapid action]
  5. Inhalation- asthma drug – “puffer”
  6. Transdermal- hormones, nicotine patch
    7Rectal suppositories –aspirin
23
Q

What can you do for a drug to stay in body longer?

A
  1. adjust dosage = less rapid metabolism

2. avoid stomach where it is acidic and destroys compounds