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5 - Drug Metabolism
n/a
22
Pharmacology
Professional
08/12/2013

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Cards

Term
what are the three consequences of metabolic transformations of drugs?
Definition
inactivation, activation and maintenance of activity
Term
are hydrophobic or hydrophilic drugs more easily reabsorbed in the renal tubules?
Definition
hydrophobic
Term
what is the active form of the pro-drug L-dopa?
Definition
dopamine
Term
what is "lethal synthesis"?
Definition
production of a more toxic metabolite from a non-toxic compound
Term
what is the most important organ for biotransformation?
Definition
liver
Term
where are enzymes responsible for phase I reactions mainly located?
Definition
endoplasmic reticulum
Term
where are enzymes responsible for phase II reactions mainly located?
Definition
cytoplasm
Term
what are phase I reactions?
Definition
small chemical change makes drugs more hydrophilic and also provides functional group used to complete phase II reactions
Term
what are phase II reactions?
Definition
conjugation with small, endogenous substance on functional group added during phase I reaction
Term
what is the net effect of phase I and II reactions?
Definition
a lipophilic drug is converted to a more hydrophilic metabolite that is easily eliminated in the urine
Term
what are phase I referred to as?
Definition
"functionalization reactions"
Term
what are the four main Phase I reactions?
Definition
1. microsomal oxidations
2. non-microsomal oxidations
3. reductions
4. hydrolysis reactions
Term
what are the 7 types of microsomal oxidations?
Definition
1. aromatic hydroxylation
2. N-dealkylation
3. O-dealkylation
4. S-demethylation
5. sulfoxide formation
6. N-oxidation
7. N-hydroxylation
Term
what cellular compartment is rich in enzymes responsible for oxidative drug metabolism?
Definition
smooth endoplasmic reticulum
Term
what is a microsome?
Definition
vesicle-like artifacts re-formed from pieces of the ER when eukaryotic cells are broken up in the laboratory
Term
what happens to cells at 100,000g?
Definition
-microsomal fraction!
-ER sediments out of solution as a pellet (microsomes) but the soluble enzymes remain in the supernatant
-cytochrome P450 (CYP) is in the microsomes and is concentrated and isolated
Term
what is the most common in vivo system mediating drug oxidation reactions?
Definition
mixed-function oxidase (MFO) system
Term
what is a mixed-function oxidase?
Definition
-an enzyme that oxidizes two different substrates simultaneously
-each of the two atoms of oxygen are used for a different function in the reaction
Term
what enzymes are associated with MFO system?
Definition
CyP!
Term
what can companies use to assign P450 enzyme to a particular drug?
Definition
microsomal fraction
Term
how many P450 enzyme isoforms are there?
Definition
57
Term
what is the general equation for microsomal drug oxidation?
Definition
RH + O2 + NADPH + H+ --> ROH + H2O +NADP+
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