P2: Journey of a drug: the pharmacokinetic phase Flashcards

1
Q

What happens in phase I metabolism?

A

Converts the parent drug to more polar metabolite by introducing or unmasking a functional group (OH, NH2, SH).
Usually loss of pharmacological activity.
Prepares drug for phase II.
Sometimes may be equally or more active than parent (prodrug).

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2
Q

What catalyses oxidation in phase I?

A

Cytochrome P450.
Uses molecular oxygen. - inserts 1 oxygen into substrate/drug. 2nd oxygen reduced to water.
Cyt p450 receives e- from NADPH.

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3
Q

What is CYP?

A

Heme containing enzyme.
Membrane bound protein/monooxygenase in smooth ER.
Must be associated in a complex w/ P450 reductase.
Important for steroidogenesis

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4
Q

How does electron flow to CYP?

A

NADPH –> FAD –> FMN –> CYP
(1st 3 happen in P450 reductase)

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5
Q

What is in the active site of CYP?

A

Mainly hydrophobic residues.
Haem/heme moiety anchored through cys sidechain

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6
Q

What is the main function of the CYP catalytic cycle?

A

Insert oxygen into a stable, hydrophobic compound.

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7
Q

What are the 5 steps in CYP450 catalytic cycle?

A

1) substrate binding
2) Oxygen binding
3) Oxygen scission
4) insertion of O into substrate.
5) release of product

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8
Q

What happens in the substrate binding?

A

A. the ferric CYP450 binds reversibly w/ substrate.
B. The ferric-substrate complex undergoes 1-e- reduction to give ferrous state.

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9
Q

What occurs in oxygen binding?

A

C. Reduced ferrous complex binds dioxygen as its 6th ligand.

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10
Q

What happens in oxygen scission?

A

D. 2nd e- is acquired from reductase generating a full negative charge on oxygen.
E. The resulting anion adds 2 protons and loses water, generating the Fe(IV) species or for simplicity Fe(V).

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11
Q

What happens in insertion of oxygen into the substrate?

A

G/F. Highly reactive Fe(IV)-porphyrin complex species abstracts a hydrogen atom from the substrate to give the carbon radical R attached to the Fe(IV)-OH species.

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12
Q

What can alkanes undergo?

A

Hydroxylation or dehydrogenation

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13
Q

What can generate epoxides?

A

Alkenes

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14
Q

How are epoxides made?

A

New bond forms between part of C from alkene (removes =).
Reduces the iron from Fe 4+ =O.
Free radical on other C.
Iron reduced again.
One e- from Fe-O goes to Fe.
One e- combines w/ radical on the carbon to form a second bond on oxygen.
Epoxide is formed.

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15
Q

Why are epoxides bad?

A

Toxic
Very reactive w/ DNA and proteins.
Carcinogenic

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16
Q

Where are hydrolytic enzymes found?

A

Blood, liver, kidneys and other tissues.

17
Q

Are esters more stable than amides?

A

No - amides are more stable

18
Q

What makes a better substrate?

A

More lipophilic the amide, better the substrate