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Systems Pharmacology
Phase 2
13
Biology
Graduate
10/23/2011

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Term
phase 2
Definition
-conjugation reactions (compound is joined to a molecule)
-makes more water soluble
-maybe conjugation enzymes exhibit polymorphisms
Term
most drugs metabolized by
Definition
UGTs
Term
Glucuronidation
Definition
-UGTs
-liver and intestinal epithelia
-UDPGA is cofactor
-prefers OH, NH2, COOH
Term
Sulfation
Definition
-SULTs
-liver cytosol
-prefs OH groups
-lesser group - NH2
-PAPS is cofactor
Term
Acetylation
Definition
-NAT
-in liver
-prefers primary NH2
-Acetyl CoA is cofactor
-DECREASE water solubility
-products undergo hydrolysis before elimination
Term
Methylation
Definition
-ONS methyltransferase
-OH, NH2, SH
-SAM-e is cofactor
-common with NE,DA
-DECREASE water solubility
Term
amino acid conjugation
Definition
-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
Term
Glutathine conjugation
Definition
-GST
-electrophilic groups
-very important for detoxification of toxicants and carcinogens
Term
acetaminophen
Definition
-major pathway UGT,ST detoxification
-minor pathway CYP2E1, forms NAPQI, GST detoxifies
Term
cases of liver failure caused by acetaminophen
Definition
35%
Term
antidote for liver poisoning
Definition
N-acetyl cysteine (Mucomyst)
Term
examples of activation by conjugation
Definition
-morphine
-minoxidil
-procalnamide
Term
glutathione
Definition
Gln-Cys-Gly
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