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-conjugation reactions (compound is joined to a molecule) -makes more water soluble -maybe conjugation enzymes exhibit polymorphisms |
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most drugs metabolized by |
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-UGTs -liver and intestinal epithelia -UDPGA is cofactor -prefers OH, NH2, COOH |
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-SULTs -liver cytosol -prefs OH groups -lesser group - NH2 -PAPS is cofactor |
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-NAT -in liver -prefers primary NH2 -Acetyl CoA is cofactor -DECREASE water solubility -products undergo hydrolysis before elimination |
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-ONS methyltransferase -OH, NH2, SH -SAM-e is cofactor -common with NE,DA -DECREASE water solubility |
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-two steps two enzymes -COOH -"activated" by combining with ATP and acetyl CoA (acyl CoA synthetase) -CoA derivatives are conjugated with glycine or glutamine (N-acyltransferases) -very water soluble product |
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-GST -electrophilic groups -very important for detoxification of toxicants and carcinogens |
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-major pathway UGT,ST detoxification -minor pathway CYP2E1, forms NAPQI, GST detoxifies |
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cases of liver failure caused by acetaminophen |
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antidote for liver poisoning |
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N-acetyl cysteine (Mucomyst) |
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examples of activation by conjugation |
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-morphine -minoxidil -procalnamide |
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