PED2001 Metabolism Flashcards

1
Q

What is drug metabolism?

A

The process by which animals detoxify foreign chemicals (xenobiotics), including drugs, carcinogens, and toxins.

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2
Q

What are the two types of reactions in drug metabolism?

A

Phase 1 and Phase 2 reactions.

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3
Q

What is the impact of chirality on drugs?

A

Chirality affects drug metabolism as different stereoisomers may have distinct metabolic pathways.

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4
Q

What is the primary function of Phase 1 reactions?

A

To introduce reactive groups into the molecule, a process known as ‘functionalisation.’

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5
Q

What types of reactions fall under Phase 1?

A

Oxidation, reduction, and hydrolysis.

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6
Q

Where do Phase 1 reactions primarily occur?

A

In the liver.

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7
Q

What are CYP enzymes?

A

Cytochrome P450 enzymes that are involved in drug metabolism.

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8
Q

How are CYP enzymes classified?

A

Based on amino acid sequence similarities.

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9
Q

Which CYP enzyme family mediates the majority of Phase 1 metabolism?

A

CYP families 1-3 mediate 70-80% of Phase 1 metabolism.

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10
Q

What is the main outcome of the P450 reaction mechanism?

A

The addition of one oxygen atom to the drug, forming a hydroxylated product.

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11
Q

What is hydrolysis in drug metabolism?

A

A reaction where water participates as a nucleophile, breaking a chemical bond.

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12
Q

What characterizes Phase 2 reactions?

A

They are synthetic (anabolic) and involve conjugation of a substituent group.

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13
Q

What are common chemical groups added in Phase 2 reactions?

A

Glucuronyl, sulphate, methyl, and acetyl.

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14
Q

What is stereoselectivity in drug metabolism?

A

The phenomenon where stereoisomers differ in their pharmacological effects and metabolism.

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15
Q

What is enzyme induction?

A

The process where certain drugs increase the activity of microsomal oxidase and conjugating systems.

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16
Q

What is the significance of pre-systemic metabolism?

A

It reduces the bioavailability of drugs after oral administration.

17
Q

What are pro-drugs?

A

Drugs that are pharmacologically active only after metabolism.

18
Q

What can enzyme inhibition lead to?

A

Slowed drug metabolism and increased action of other drugs metabolized by the inhibited enzyme.

19
Q

What is the role of genetic polymorphisms in drug metabolism?

A

They are a major source of variation in P450 enzyme activity among individuals.

20
Q

Fill in the blank: Phase 1 reactions are _______ and often precede Phase 2 reactions.

A

catabolic

21
Q

True or False: All CYP enzymes are involved in drug metabolism.

A

False

22
Q

What is the effect of grapefruit juice on P450 enzymes?

A

It is an inhibitor that can cause cardiac dysrhythmias.

23
Q

What is the main route of warfarin inactivation?

A

Through oxidation by CYP2C9.

24
Q

Name one environmental factor that can influence P450 enzyme activity.

A

Cigarette smoke.

25
Q

What is the significance of the Aryl hydrocarbon receptor (AHR)?

A

It promotes transcription of genes inducing CYP1A1.

26
Q

What happens during the hydrolysis of suxamethonium?

A

It is metabolized by plasma cholinesterase.

27
Q

What is the consequence of enzyme induction on drug toxicity?

A

It can increase drug toxicity due to toxic Phase 1 metabolites.

28
Q

What is the role of UDP-glucuronyl transferase?

A

Catalyzes glucuronidation reactions with broad substrate specificity.

29
Q

Fill in the blank: The first-pass metabolism occurs in the _______ or gut wall.

A

liver

30
Q

True or False: Enzyme inhibition can enhance the therapeutic effect of some drugs.

A

True

31
Q

What is the potential impact of chronic alcohol consumption on drug interactions?

A

It can increase the risk of serious hepatic injury following paracetamol overdose.

32
Q

What is meant by pharmacokinetic tolerance?

A

Tolerance induced by enzyme induction, requiring dose adjustments over time.