Metabolism and Excretion Flashcards

1
Q

Define xenobiotics.

A

Compounds other than those with a well-defined physiological role

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Give examples of xenobiotics.

A

Most drugs, natural and industrial contaminants, food additives, recreational drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the three ways in which the body protects itself.

A

->body prevents drug from entering bloodstream e.g. blood brain barrier
->body can physically remove the drug e.g. unchanged drug may end up in bile or urine).
->body can subject xenobiotics to biotransformation with the aim that these products should be removed more rapidly than the parent (or unchanged) compound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Biotransformation involves the increase of what?

A

Polarity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to absorption if the lipophilicity is reduced?

A

The molecule is much less likely to be reabsorbed in the kidney tubule or intestine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

les are more likely to be absorbed?

A

Small non-polar molecules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to molecules after going through phase one of metabolism?

A

->excreted
or
->undergo phase two metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens in phase 1 metabolism?

A

Creating a functional group or modifying an existing one.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What kind of reactions result in the creation of new functional groups?

A

Oxidation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What kind of reaction is involved in modifying an existing functional group?

A

Hydrolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Given an example of a chemical functional group

A

hydroxyl (-OH)
amino (-NH2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most of the oxidations of drugs involve which enzymes?

A

Enzymes from the cytochrome P450 family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where can phase 1 metabolism take place?

A

-Liver
-Gut
-Small intestine
-Lungs
-Kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why does phase one metabolism take places in the liver, gut, small intestine, kidney and lungs?

A

All directly exposed to the environment and so play a frontline role in trying to protect the body by minimising its exposure to xenobiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where in the cell do the reactions in phase 1 take place?

A

Mostly in the SER
Some in cytosol
Some in mitochondria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is phase one intended to help to do?

A

Reduce toxicity

17
Q

In phase one, why is there sometimes no reduction to toxicity?

A

Some of the intermediates are highly electrophilic so an covalently modify macromolecules (adducts; proteins and DNA)

18
Q

What % of phase 1 metabolites are toxic?

19
Q

Name some metabolites that are toxic.

A

Quinones and quinone analogues

20
Q

Where does phase two occur?

21
Q

Where in the liver does phase two occur?

A

Hepatocytes

22
Q

Describe the products of phase two compared to phase one.

A

Products are larger, more hydrophilic and therefore more likely to be excreted.
Less pharmologically active.

23
Q

What do the products of phase two tend to be?

A

Weak acids.

24
Q

What does an intake of warfarin lead to the activation of?

A

Carboxylation

25
How does warfarin work?
Blocks vitamin K recycling preventing blood clots from forming.
26
Define elimination in terms of excretion.
Elimination is the final, irreversible removal of drug from the body.
27
Define excretion.
The rate at which a drug is removed from the body
28
What is clearance?
The volume of plasma from which the drug would be totally removed per unit time.
29
Where does active renal secretion take place?
Proximal tube mainly
30
What does active renal secretion do?
Can clear drugs too large to filter
31
Is tubular reabsorption passive or active?
Passive
32
What happens as kidneys get older?
Clearnace is reduced w a risk of toxicity
33
What factors are required for hepatic clearance?
Requires good blood flow to the liver Drug must be free (idk what this means either)