Phase I NON-P450 Reactions Flashcards

1
Q

What are non-P450-mediated Phase I reactions?

A

These are metabolic reactions that do not involve cytochrome P450 enzymes and include oxidation, reduction, and hydrolysis reactions.

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2
Q

What enzymes are involved in non-P450-mediated oxidation?

A

Enzymes include alcohol dehydrogenase, flavin monooxygenase (FMO), monoamine oxidase (MAO), aldehyde oxidase (AO), and xanthine oxidase (XO).

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3
Q

What is alcohol oxidation and its example?

A

Alcohol oxidation involves converting primary or secondary alcohols to aldehydes or ketones. For example, ethanol is oxidized to acetaldehyde by alcohol dehydrogenase using NAD⁺.

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4
Q

What is N-oxidation and its example?

A

N-oxidation involves oxidizing secondary or tertiary amines to produce N-oxides. For example, nicotine is oxidized to nicotine-1-oxide by flavin monooxygenase (FMO).

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5
Q

What is S-oxidation and its example?

A

S-oxidation involves oxidizing thiols to sulfoxides or sulfones. An example is the oxidation of sulindac to sulindac sulfoxide by methionine sulfoxide reductase.

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6
Q

What is the role of monoamine oxidase (MAO) in drug metabolism?

A

MAO catalyzes the oxidative deamination of neurotransmitters and certain drugs. For example, sumatriptan is metabolized by MAO-A to an indole-acetic acid derivative.

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7
Q

What is aldehyde oxidation and its example?

A

Aldehyde oxidation involves converting aromatic aldehydes to carboxylic acids. For example, benzaldehyde is oxidized to benzoic acid by aldehyde oxidase (AO), producing hydrogen peroxide (H₂O₂) as a by-product.

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8
Q

What is xanthine oxidation and its example?

A

Xanthine oxidation involves oxidizing purines. For example, 6-mercaptopurine is metabolized to 6-thiouric acid (inactive) by xanthine oxidase (XO).

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9
Q

What are reductive reactions and their importance?

A

Reduction reactions add hydrogen or remove oxygen, creating polar functional groups for excretion. These reactions include nitro reduction, sulfoxide reduction, and epoxide reduction.

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10
Q

What is nitro reduction and its example?

A

Nitro reduction involves converting nitro groups (-NO₂) to amines. For example, clonazepam is reduced to 7-amino clonazepam by nitroreductases in gut microflora.

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11
Q

What is sulfoxide reduction and its example?

A

Sulfoxide reduction involves converting sulfoxides (S=O) to sulfides. For example, sulindac is reduced to its active form, sulindac sulfide, by methionine sulfoxide reductase.

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12
Q

What is epoxide reduction and its example?

A

Epoxide reduction involves converting epoxides to diols. For example, vitamin K epoxide is reduced to vitamin K hydroquinone by epoxide reductase.

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13
Q

What are hydrolytic reactions in Phase I metabolism?

A

Hydrolysis involves cleaving chemical bonds using water. Key enzymes include carboxylesterase, paraoxonase, and alkaline phosphatase.

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14
Q

What is ester hydrolysis and its example?

A

Ester hydrolysis converts esters to alcohols and carboxylic acids. For example, heroin is hydrolyzed to morphine by carboxylesterase.

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15
Q

What is amide hydrolysis and its example?

A

Amide hydrolysis converts amides to carboxylic acids and amines. For example, procainamide is hydrolyzed to p-aminobenzoic acid by carboxylesterase.

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16
Q

What is lactone hydrolysis and its example?

A

Lactone hydrolysis converts lactones to active drugs. For example, lovastatin lactone is hydrolyzed to active lovastatin by paraoxonase (PON).

17
Q

What is phosphoric acid ester hydrolysis and its example?

A

Phosphoric acid ester hydrolysis involves converting phosphates to active drugs. For example, phosphenytoin is hydrolyzed to N-hydroxymethylphenytoin by alkaline phosphatase.