What are the main processes involved in Phase I of detoxification?
Oxidation, Reduction, and Hydrolysis of xenobiotics.
What happens to a molecule after Phase 1 reactions involving oxidation?
The polar and reactive group on the molecule can subsequently undergo conjugation.
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p.15
Phase 1 and Phase 2 Reactions

What are the main processes involved in Phase I of detoxification?

Oxidation, Reduction, and Hydrolysis of xenobiotics.

p.22
Phase 1 and Phase 2 Reactions

What happens to a molecule after Phase 1 reactions involving oxidation?

The polar and reactive group on the molecule can subsequently undergo conjugation.

p.33
Excretion Pathways for Detoxified Substances

What substances are secreted into bile by the liver during biliary excretion?

Glucuronides, sulfates, GSH derivatives, and other derivatives.

p.3
Detoxification Process Overview

What are lipophilic toxicants and why are they problematic for the body?

Lipophilic toxicants are hard for the body to eliminate and can accumulate to hazardous levels.

p.6
Detoxification Process Overview

What is the definition of detoxification?

Detoxification refers to reactions that convert certain substances into compounds that are more water soluble and thus readily excreted from the body, reducing toxicity.

p.24
Role of the Liver in Detoxification

Where is monoamine oxidase located?

In the mitochondria, found in the liver, heart, CNS, and vascular tissue.

p.20
Detoxification Process Overview

What are the two phases of detoxification?

Phase 1 involves chemical modification, and Phase 2 involves conjugation following chemical modification.

p.27
Conjugation Reactions in Detoxification

What is conjugation in the context of detoxification?

Conjugation is the addition of endogenous groups to foreign compounds, making them more polar and less lipid soluble, which increases excretion and reduces toxicity.

p.24
Cytochrome P450 Enzyme System

What is the most important enzyme involved in the metabolism of endogenous compounds?

Monoamine oxidase

p.7
Detoxification Process Overview

What is detoxification?

A series of biochemical reactions occurring in the body to convert foreign (often toxic) compounds to nontoxic or less toxic (more easily excretable) forms.

p.6
Biotransformation vs. Detoxification

What is another term for detoxification?

Detoxification is also called drug metabolism or biotransformation.

p.4
Detoxification Process Overview

What is detoxification?

Detoxification is the process of converting toxic xenobiotics or metabolites into less harmful and excretable, water-soluble substances.

p.17
Conjugation Reactions in Detoxification

Which methyl group is involved in the detoxification process?

S-Adenosyl Methionine

p.23
Mechanisms of Detoxification by Oxidation

What type of oxidation does non-microsomal oxidation refer to?

Non-microsomal oxidation refers to oxidation processes that occur outside the microsomal system.

p.10
Excretion Pathways for Detoxified Substances

What is the toxic form excreted from Tyrosine?

Tyramine

p.2
Detoxification Process Overview

What is the process of detoxification and where does it occur in the cell?

Detoxification occurs primarily in the liver and involves various cell organelles, enzymes, and coenzymes/cofactors.

p.32
Factors Influencing Drug Metabolism

What co-substrates are necessary for metabolic mechanisms?

Oxygen and glutathione are examples of co-substrates needed for metabolic mechanisms.

p.27
Conjugation Reactions in Detoxification

What happens to the product of conjugation reactions?

The product is more polar, less lipid soluble, which facilitates excretion and reduces toxicity.

p.3
Detoxification Process Overview

What is the purpose of detoxification in the body?

Detoxification refers to the biochemical processes that render noxious substances less harmful and more water soluble.

p.26
Mechanisms of Detoxification by Oxidation

What type of reactions are included in microsomal oxidation?

Hydroxylation reactions.

p.30
Mechanisms of Detoxification by Oxidation

What role does glutathione play in detoxification?

Glutathione acts as a sulfur donor and provides electrons to neutralize hazards.

p.8
Role of the Liver in Detoxification

What happens to hormones like thyroid hormone and steroid hormones in the liver?

Hormones such as thyroid hormone and steroid hormones like estrogen, testosterone, and aldosterone are inactivated in the liver, preparing them for removal from the blood through the kidney.

p.12
Mechanisms of Detoxification by Oxidation

What type of reactions do Cytochrome P450 enzymes catalyze?

They catalyze oxidation reactions, converting xenobiotics into hydroxylated xenobiotics.

p.26
Role of the Liver in Detoxification

Where is the microsomal enzyme system located?

In the smooth endoplasmic reticulum membranes of the liver, kidney, lung, and intestine.

p.15
Conjugation Reactions in Detoxification

Name some drugs that are detoxified by conjugation with glucuronic acid.

Morphine, Dapsone, Chloramphenicol, and Indomethacin.

p.29
Conjugation Reactions in Detoxification

What is a characteristic of sulphate esters in terms of solubility?

Sulphate esters are much more soluble.

p.31
Phase 1 and Phase 2 Reactions

What are the two main phases of drug metabolism?

Phase I and Phase II drug metabolism.

p.2
Cytochrome P450 Enzyme System

What role does the cytochrome P450 enzyme system play in detoxification?

The cytochrome P450 enzyme system is crucial for the detoxification process in the human body, facilitating the metabolism of various substances.

p.2
Phase 1 and Phase 2 Reactions

What are phase 1 and phase 2 reactions in detoxification?

Phase 1 reactions involve the modification of substances, while phase 2 reactions involve conjugation to make them more water-soluble for excretion.

p.21
Phase 1 and Phase 2 Reactions

What are Phase I reactions in liver detoxification?

Phase I reactions involve the modification of toxic substances through oxidation, reduction, or hydrolysis, primarily facilitated by cytochrome P450 enzymes.

p.23
Phase 1 and Phase 2 Reactions

Which enzyme is linked to alcohol oxidation?

NAD-linked alcohol dehydrogenase is the enzyme linked to alcohol oxidation.

p.24
Cytochrome P450 Enzyme System

What type of enzymes are monoamine oxidases?

Flavoprotein enzymes

p.12
Cytochrome P450 Enzyme System

What is the role of Cytochrome P450 in detoxification?

Cytochrome P450 catalyzes oxidation reactions that detoxify substances, specifically in the microsomal ER of the liver.

p.26
Mechanisms of Detoxification by Oxidation

What is the function of the mixed function oxidase/monooxygenase in microsomal oxidation?

It introduces one atom of oxygen into xenobiotics while reducing the other atom to water.

p.24
Mechanisms of Detoxification by Oxidation

What type of oxidation does monoamine oxidase perform?

Non-microsomal oxidation, specifically amine oxidation.

p.18
Phase 1 and Phase 2 Reactions

What is Isoniazide used for?

Isoniazide is used for the treatment of Tuberculosis and can be acetylated to form Acetyl Sulphnilamide.

p.12
Phase 1 and Phase 2 Reactions

What is the chemical reaction involved in the detoxification process by Cytochrome P450?

The reaction is X-H + O2 + NADPH + H+ + Cytochrome P450 → X-OH + H2O + NADP+.

p.13
Cytochrome P450 Enzyme System

Where is Cytochrome P450 present?

It is present in microsomes from the liver, adrenal gland, and mitochondria.

p.11
Phase 1 and Phase 2 Reactions

What is the role of PAPS in detoxification?

PAPS acts as a sulfur donor in the detoxification process.

p.14
Cytochrome P450 Enzyme System

What are Cytochrome P450 enzymes also referred to as?

Mixed function oxidases.

p.31
Biotransformation vs. Detoxification

What is the focus of the article by Chillistone and Hardman?

Modes of drug elimination and bioactive metabolites.

p.33
Excretion Pathways for Detoxified Substances

What cycle is formed when some substances secreted into bile are reabsorbed in the intestines?

Enterohepatic cycle.

p.32
Factors Influencing Drug Metabolism

How do enzyme levels affect metabolism control?

The levels of particular enzymes are crucial for the control of metabolism mechanisms.

p.4
Detoxification Process Overview

What are non-polar metabolites?

Non-polar metabolites are substances that are not soluble in water and may be less easily excreted from the body.

p.8
Role of the Liver in Detoxification

How does the liver process drugs like penicillin and erythromycin?

The liver breaks down drugs such as penicillin and erythromycin into harmless wastes, which are then excreted.

p.18
Conjugation Reactions in Detoxification

Which enzyme catalyzes the formation of Phenol Phenyl Sulphate?

The formation of Phenol Phenyl Sulphate is catalyzed by Sulpho transferase.

p.15
Phase 1 and Phase 2 Reactions

What occurs during Phase II of detoxification?

Conjugation of xenobiotics and their excretion.

p.15
Conjugation Reactions in Detoxification

What is the role of UDP-Glucuronic acid in detoxification?

It acts as an active substance that conjugates with xenobiotics to form glucuronides for excretion.

p.11
Biotransformation vs. Detoxification

What are xenobiotics?

Xenobiotics are foreign or strange compounds that undergo metabolism in the body.

p.12
Cytochrome P450 Enzyme System

What is the absorption peak for Cytochrome P450?

The absorption peak is at 450 nm.

p.11
Phase 1 and Phase 2 Reactions

What processes are involved in Phase I reactions of detoxification?

Phase I reactions include oxidation, reduction, hydroxylation, and hydrolysis.

p.16
Conjugation Reactions in Detoxification

What is formed when benzoic acid reacts with glucuronic acid?

Benzoyl Glucuronide + UDP

p.14
Phase 1 and Phase 2 Reactions

What kind of reactions are Cytochrome P450 enzymes involved in?

Hydroxylation reactions, which are part of Phase 1 detoxification.

p.20
Detoxification Process Overview

What is the result of the detoxification mechanism?

The detoxification mechanism results in elimination (excretion) of substances.

p.25
Mechanisms of Detoxification by Oxidation

What is non-microsomal oxidation?

Non-microsomal oxidation refers to metabolic processes that occur outside of the microsomal enzyme system, often involving enzymes like alcohol and aldehyde dehydrogenase.

p.23
Cytochrome P450 Enzyme System

What are the cytoplasmic and mitochondrial enzymes involved in monoamine oxidation?

Monoamine oxidases are the enzymes involved in monoamine oxidation.

p.5
Biotransformation vs. Detoxification

What is the general outcome of biotransformation reactions?

Biotransformation reactions generally generate more polar metabolites that are readily excreted from the body.

p.17
Conjugation Reactions in Detoxification

What is produced when Phenyl Acetic acid reacts with Glutamine?

Phenyl Glutamine

p.10
Excretion Pathways for Detoxified Substances

What is the toxic form excreted from Tryptophan?

Indol

p.7
Biotransformation vs. Detoxification

Can detoxified products be more toxic than their original forms?

Yes, detoxified products may be more toxic but are more water soluble and easily excretable.

p.17
Conjugation Reactions in Detoxification

What are methylated xenobiotics associated with in the detoxification process?

S-Adenosyl Homocysteine

p.15
Mechanisms of Detoxification by Oxidation

Which enzyme is induced by barbiturates to increase glucuronide formation?

Glucoronyl transferase.

p.17
Conjugation Reactions in Detoxification

Which hormone does not have a methyl group in its detoxification process?

Norepinephrine

p.13
Cytochrome P450 Enzyme System

What type of protein is Cytochrome P450?

It is a hemoprotein with a heme prosthetic group.

p.14
Cytochrome P450 Enzyme System

What is the Cytochrome P450 system associated with?

It is associated with the smooth endoplasmic reticulum of liver cells and the small intestine.

p.13
Cytochrome P450 Enzyme System

What induces the Cytochrome P450 enzyme?

Phenobarbitone induces the Cytochrome P450 enzyme.

p.19
Biotransformation vs. Detoxification

What is the reaction of cyanide with sodium thiosulphate?

Cyanide (toxic) reacts with sodium thiosulphate to produce thiocynates (less toxic) and sodium sulfate.

p.32
Factors Influencing Drug Metabolism

What are some cofactors that influence the control of metabolism?

Cofactors such as NADPH are important for controlling metabolism.

p.5
Biotransformation vs. Detoxification

What is an example of a toxic metabolite formed through biotransformation?

An example is the biotransformation of vinyl chloride to vinyl chloride epoxide, which can covalently bind to DNA and RNA, potentially leading to liver cancer.

p.25
Phase 1 and Phase 2 Reactions

Which enzymes are involved in the oxidation of alcohol and aldehyde?

Alcohol and aldehyde dehydrogenase are the key enzymes involved in the oxidation of alcohol and aldehyde.

p.27
Conjugation Reactions in Detoxification

How are endogenous groups added during conjugation?

Endogenous groups are added to a suitable functional group present on the foreign molecule or introduced by phase 1 metabolism.

p.21
Phase 1 and Phase 2 Reactions

What are Phase II reactions in liver detoxification?

Phase II reactions involve conjugation processes where modified substances from Phase I are linked to another substance to increase water solubility for excretion.

p.6
Detoxification Process Overview

Does detoxification completely eliminate toxicity?

No, toxicity may not be eliminated but can be reduced through detoxification.

p.4
Biotransformation vs. Detoxification

What is bioactivation?

Bioactivation refers to the metabolic activation of xenobiotics or drugs into reactive, toxic compounds.

p.7
Classification of Toxic Substances

What are examples of substances involved in detoxification?

Methanol and formaldehyde.

p.12
Role of the Liver in Detoxification

Where does the oxidation by Cytochrome P450 primarily occur?

In the microsomal endoplasmic reticulum (ER) of the liver.

p.29
Conjugation Reactions in Detoxification

Which enzyme catalyzes sulphate conjugation and where is it located?

Sulphate conjugation is catalyzed by the sulphotransferase enzyme, located in the cytosol and found in the liver, GI mucosa, and kidney.

p.28
Conjugation Reactions in Detoxification

Which enzyme catalyzes the conjugation of glucuronic acid?

UDP-glucuronosyl transferase (glucuronyl transferase) catalyzes the conjugation.

p.13
Cytochrome P450 Enzyme System

What cofactor is needed for Cytochrome P450 activity?

NADPH is needed for the addition of an OH group.

p.14
Cytochrome P450 Enzyme System

What is a characteristic of the substrate specificity of Cytochrome P450 enzymes?

They possess broad substrate specificity.

p.16
Conjugation Reactions in Detoxification

What is formed when phenyl acetic acid reacts with glycine?

Phenyl Aceturic acid

p.19
Classification of Toxic Substances

What is the formula for thiocynates produced from cyanide and sodium thiosulphate?

The formula for thiocynates is SCN.

p.9
Classification of Toxic Substances

What are endogenous toxic substances?

Substances produced in the large intestine from bacterial enzymatic action and end products of metabolism.

p.30
Conjugation Reactions in Detoxification

What is glutathione composed of?

Glutathione is a tripeptide composed of glutamic acid, cysteine, and glycine.

p.4
Biotransformation vs. Detoxification

What is biotransformation?

Biotransformation is the process where a substance is changed from one chemical to another by a chemical reaction within the body.

p.33
Excretion Pathways for Detoxified Substances

What are the primary pathways of excretion for detoxified substances?

Biliary excretion, renal excretion, respiration (exhalation), and sweat.

p.30
Excretion Pathways for Detoxified Substances

What happens to the glutathione conjugate after formation?

The glutathione conjugate may be excreted or undergo further metabolization.

p.7
Biotransformation vs. Detoxification

Why is the term 'detoxification' considered misleading?

Detoxified products may be more toxic than the original form but are more water soluble (polar) and easily excretable.

p.23
Phase 1 and Phase 2 Reactions

What enzyme is responsible for aldehyde oxidation?

NAD-linked aldehyde dehydrogenase is responsible for aldehyde oxidation.

p.10
Excretion Pathways for Detoxified Substances

What is the toxic form excreted from Lysine?

Cadaverine

p.29
Conjugation Reactions in Detoxification

What types of substrates are involved in sulphate conjugation?

Substrates include aliphatic alcohols, phenols, aromatic amines, steroids, and carbohydrates.

p.29
Conjugation Reactions in Detoxification

What is the sulphate donor used in sulphate conjugation?

The sulphate donor is 3'-phosphoadenosyl-5'-phosphosulphate (PAPS), formed from inorganic sulphate and ATP.

p.11
Excretion Pathways for Detoxified Substances

What are the main excretion pathways for detoxified substances?

The main excretion pathways include the kidneys, feces, and expired air.

p.11
Mechanisms of Detoxification by Oxidation

What is the primary mechanism of detoxification?

The most common mechanism of detoxification is oxidation followed by conjugation.

p.16
Conjugation Reactions in Detoxification

What is the product of bilirubin and glucuronic acid reaction?

Bilirubin Di-glucuronide

p.19
Phase 1 and Phase 2 Reactions

What is meth-hemoglobin's role in cyanide treatment?

Meth-hemoglobin is formed during the treatment of cyanide poisoning with sodium nitrite, facilitating the removal of cyanide.

p.9
Classification of Toxic Substances

What are examples of exogenous toxic substances?

Drugs (prescription), agricultural chemicals, cosmetics, food additives, household chemicals, pollutants/contaminants, and microbial substances.

p.5
Biotransformation vs. Detoxification

What is biotransformation in relation to detoxification?

Biotransformation is not exactly synonymous with detoxification, as metabolites can sometimes be more toxic than the parent substance, a process known as bioactivation or toxication.

p.30
Conjugation Reactions in Detoxification

How does glutathione bind to the substrate?

Glutathione binds to the substrate through the nucleophilic cysteine group.

p.8
Role of the Liver in Detoxification

What substances does the liver detoxify?

The liver detoxifies harmful substances such as alcohol, drugs, and toxins that have entered the bloodstream.

p.18
Conjugation Reactions in Detoxification

What is the role of V PAPS in detoxification?

V PAPS (Phospho Adenosyl Phosphate) is involved in the sulfation of aliphatic and aromatic compounds.

p.3
Role of the Liver in Detoxification

Which organ plays the most important role in biotransformation reactions?

The liver plays the most important role in the biotransformation reactions.

p.21
Phase 1 and Phase 2 Reactions

How do Phase I and Phase II reactions work together in detoxification?

Phase I reactions prepare toxins for Phase II reactions by making them more polar, while Phase II reactions further modify these substances for easier excretion.

p.24
Biotransformation vs. Detoxification

What is the primary function of monoamine oxidase?

It is primarily important in the metabolism of endogenous compounds such as 5-hydroxytryptamine.

p.18
Phase 1 and Phase 2 Reactions

What is Sulphanamide and its significance?

Sulphanamide (₂HNC₆H₅SO₂NH₂) is an antibiotic that can be acetylated to form Acetyl Sulphanamide.

p.10
Excretion Pathways for Detoxified Substances

What is the toxic form excreted from Phenylalanine?

Phenol

p.10
Excretion Pathways for Detoxified Substances

What is the toxic form excreted from Hemoglobin?

Bilirubin

p.16
Conjugation Reactions in Detoxification

What is the product of the reaction between phenol and glucuronic acid?

Phenyl Glucuronide + UDP

p.14
Cytochrome P450 Enzyme System

What type of enzymes are included in the Cytochrome P450 system?

Heme-containing enzymes.

p.26
Cytochrome P450 Enzyme System

What enzyme system is involved in microsomal oxidation?

Cytochrome P450 containing microsomal enzyme system.

p.18
Conjugation Reactions in Detoxification

What is the process of Acetylation in detoxification?

Acetylation involves the reaction of a compound (X) with Acetyl CoA to form Acetyl-X and release CoA-SH.

p.4
Classification of Toxic Substances

How are xenobiotics related to toxicity?

Xenobiotics can be converted to more toxic metabolites, which can pose additional risks to the body.

p.17
Conjugation Reactions in Detoxification

Which hormones utilize methylation for detoxification in the human body?

Thyroxine, Estrogen, Epinephrine

p.13
Cytochrome P450 Enzyme System

What is a key characteristic of Cytochrome P450?

It exists in multiple forms.

p.29
Conjugation Reactions in Detoxification

Are sulphate conjugates usually pharmacologically active or inactive?

They are usually pharmacologically inactive.

p.28
Phase 1 and Phase 2 Reactions

In which part of the cell is UDPGA formed during glucuronidation?

UDPGA formation occurs in the cytosol.

p.16
Conjugation Reactions in Detoxification

What is produced from cholic acid and glycine?

Glycocholic acid

p.19
Mechanisms of Detoxification by Oxidation

What is the role of thio transferase in cyanide detoxification?

Thio transferase catalyzes the reaction where HCN and Na₂S₂O₃ produce NaSCN and NaHSO₃.

p.11
Role of the Liver in Detoxification

Where does the detoxification of xenobiotics primarily occur?

The detoxification of xenobiotics primarily occurs in the liver.

p.28
Conjugation Reactions in Detoxification

What is transferred in an activated form during glucuronidation?

Glucuronic acid is transferred in an activated form as uridine diphosphate glucuronic acid (UDPGA).

p.28
Role of the Liver in Detoxification

Where is UDP-glucuronosyl transferase located?

It is located in the endoplasmic reticulum (ER) and in many tissues, including the liver.

p.13
Cytochrome P450 Enzyme System

What is a constituent of Cytochrome P450 essential for its action?

Phospholipid, specifically Phosphatidyl Choline.

p.16
Conjugation Reactions in Detoxification

What is the result of the reaction between deoxy cholic acid and glycine?

Deoxy glycocholic acid

p.19
Role of the Liver in Detoxification

How is cyanide poisoning treated?

Cyanide poisoning is treated with sodium nitrite, which pulls cyanide from cytochrome oxidase.

p.11
Conjugation Reactions in Detoxification

What substances are used in Phase II conjugation reactions?

Phase II conjugation reactions use glucuronic acid, glycine, glutathione, sulfation, acetylation, and methylation.

p.16
Conjugation Reactions in Detoxification

What is the end product when benzoyl reacts with glycine?

Hippuric acid (excreted in urine)

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