15863654960 | Hi you're doing great and everything is going to be fine | 0 | ||
15863654961 | Ether | ![]() | 1 | |
15863735680 | Epoxide | ![]() | 2 | |
15863741509 | Acetal | ![]() | 3 | |
15863751072 | Thioester | ![]() | 4 | |
15863752887 | Sulfoxide | ![]() | 5 | |
15863755051 | Sulfone | ![]() | 6 | |
15863757957 | N-oxide | ![]() | 7 | |
15863759379 | Nitrile | ![]() | 8 | |
15863763163 | Carboxamides | ![]() | 9 | |
15863767077 | Carboxy ester | ![]() | 10 | |
15863771224 | Phase 1 Metabolism Purpose | To introduce functional groups needed for phase 2 processing | 11 | |
15863785742 | Phase 2 Metabolism Purpose | To increase hydrophilicity of drugs / metabolites to promote excretion | 12 | |
15863797750 | When would something be protonated? | pH < pKa | 13 | |
15863800875 | When would something be deprotonated? | pH > pKa | 14 | |
15863810513 | General CYP reaction | 1. NADPH 2. Reductase 3. CYP 4. O2 | ![]() | 15 |
15863858370 | Privileged Positions | 1. Benzylic carbon 2. Allylic carbon 3. Carbon alpha to carbonyl 4. Carbon alpha to heteroatom 5. Aryl carbon 6. Carbon-carbon double bonds 7. Nitrogen-center 8. Sulfur-center | 16 | |
15863872230 | Benzylic carbon | ![]() | 17 | |
15863875621 | Allylic carbon | ![]() | 18 | |
15863891150 | Carbon alpha to carbonyl | ![]() | 19 | |
15863895023 | Carbon alpha to heteroatom | ![]() | 20 | |
15863926205 | Aryl carbon | Carbon ortho/para to EDG | 21 | |
15863941142 | 2 general steps of CYP oxidation reaction | 1. Insertion of an oxygen atom 2. Fragmentation of a drug | 22 | |
15863946435 | Enantiomers | isomers that are mirror images of each other | ![]() | 23 |
15863950608 | Diastereomers | stereoisomers that are not mirror images | ![]() | 24 |
15863957940 | Racemic mixture | A mixture that contains equal amounts of the (+) and (-) enantiomers. Racemic mixtures are not optically active. | 25 | |
15864005890 | What oxidation reactions can CYPs complete? | Hydroxylation of alkanes oxidation of primary alcohols oxidation of secondary alcohols hydroxylation of arenes oxidation of alkanes and alkenes oxidation of nitrogen compounds oxidation of sulfur compounds | 26 | |
15864045427 | CYP hydroxylation of alkanes | Alkane —> alcohol | 27 | |
15864067844 | CYP oxidation of primary alcohols | Primary alcohol —> aldehyde —> carboxylic acid | 28 | |
15864078998 | CYP hydroxylation of arenes | Arenes —> phenol (ortho/para to EDGs) | 29 | |
15864090815 | Common EDGs | NH2 OH OCH3 C6H5 | 30 | |
15864107000 | CYP oxidation of alkanes and alkenes | Alkane —> alkene —> epoxide | 31 | |
15864110103 | CYP oxidation of tertiary amines | Tertiary amines —> N-oxide | 32 | |
15864254390 | CYP oxidation of secondary amines | Secondary amine —> N-hydroxlamines | 33 | |
15864285268 | N-hydroxylamines | ![]() | 34 | |
15864290021 | CYP oxidation of primary amines | Primary amine —> nitroso compounds (toxic) | 35 | |
15864306059 | CYP oxidation of sulfide | Sulfide —> sulfoxide | 36 | |
15864309552 | CYP oxidation of sulfoxide | Sulfoxide —> sulfone | 37 | |
15864316790 | What are the different oxidation-fragmentation reactions? | Dehalogenation Deamination Dealkylation Dehydrogenation | 38 | |
15864343275 | CYP dehalogenation of primary alkyl halide | Primary alkyl halide —> aldehyde | 39 | |
15864347915 | CYP dehalogenation of secondary alkyl halide | Secondary alkyl halide —> ketone | 40 | |
15864355203 | Do tertiary alkyl halides under CYP oxidation? | No | 41 | |
15864357762 | CYP oxidation of dihalides | Dihalide —> acid halide (toxic) | 42 | |
15864379657 | CYP deamination of primary amine | Primary amine —> aldehyde | 43 | |
15864383330 | CYP deamination of secondary amine | Secondary amine —> ketone | 44 | |
15864389751 | CYP dealkylation | Loss of an alkyl group Hemiacetyl intermediate products: alcohol and aldehyde (biproduct) | 45 | |
15864406867 | CYP dehydrogenation | Loss of 2 H+ Products: quinone and pyridines (toxic) | 46 | |
15864423061 | 4 most important CYPs | CYP3A4/5/7 CYP2D6 CYP2C9 CYP1A/1/2 | 47 | |
15864470300 | 4 CYPs most susceptible to SNPs | CYP3A4/5/7 CYP2D6 CYP2C9 CYP1A/1/2 | 48 | |
15864496285 | FMOs reactions | Oxidize drugs with nitrogen, sulfur, and phosphorous groups | 49 | |
15864506346 | FMO N-oxidation | Nitrogen oxidation | 50 | |
15864509120 | FMO S-oxidation | Sulfur oxidation | 51 | |
15864512896 | What do FMOs rely on? | FAD-OOH | 52 | |
15864513621 | FAD-OOH | ![]() | 53 | |
15864548504 | What is the predominant FMO? | FMO3 | 54 | |
15864559093 | FMO Thioether oxidation | Thioether —> sulfoxides and sulfones | 55 | |
15864608903 | Peroxidases | Their job is to catalyze metabolic reactions that release Hydrogen Peroxide (H2O2) which is toxic to cells. | 56 | |
15864637368 | Peroxidase example | Catalase | 57 | |
15864645862 | Alcohol dehydrogenase (ADH) reactions | Oxidize primary alcohols oxidize secondary alcohols reduce carbonyl groups | 58 | |
15864675563 | ADH Primary alcohol oxidation | Primary alcohol —> aldehyde | 59 | |
15864702446 | ADH secondary alcohol oxidation | Secondary alcohol —> ketone | 60 | |
15864716666 | ADH carbonyl reduction | Ketone —> secondary alcohol aldehyde —> primary alcohol | 61 | |
15864722664 | When would ADH need NAD+? | When oxidizing an alcohol | 62 | |
15864724957 | When would ADH need NADH? | When reducing a carbonyl | 63 | |
15864733409 | Is ADH reversible? | Yes - the only one that is | 64 | |
15864737644 | Aldehyde dehydrogenase (ALDH) reaction | Aldehyde —> carboxylic acid | 65 | |
15864776051 | What is ALDH dependent on? | NAD+ | 66 | |
15864819420 | Aldehyde oxidase (AO) reactions | 1. Oxidizes aldehydes 2. Oxidized nitrogen-containing heterocycles | 67 | |
15864824442 | AO aldehyde oxidation | Aldehyde + H2O + O2—> carboxylic acid + H2O2 | 68 | |
15864838168 | AO nitrogen-containing heterocyclic oxidation | Oxidation occurs at alpha carbon to N | 69 | |
15864859004 | What does AO depend on? | O2 and H2O | 70 | |
15864862527 | Xanthine oxidase (XO) reaction | Hypoxanthine + H2O + O2—> xanthine + H2O2—> Uric acid + H2O2 | 71 | |
15864881625 | What does XO depend on? | H2O and O2 | 72 | |
15864885613 | How does AO differ from ALDH? | With AO, electrons are transferred to an oxygen With ALDH, electrons are transferred to NAD+ | 73 | |
15864897091 | MAOs reactions | Oxidation of amines (primary, secondary, and tertiary) | 74 | |
15864907270 | What is MAOs dependent on? | FAD | 75 | |
15864921103 | MAO primary amine oxidation | Primary amine —> imine —(ox. deamination)—> aldehyde | 76 | |
15864958461 | Imine | ![]() | 77 | |
15864969142 | Oxidative deamination | Imine —> aldehyde | 78 | |
15864976565 | Flavin-based reductases (FR) | Reduce drugs and metabolites by handing the electron directly to the drug or molecule | 79 | |
15864984807 | What are FRs dependent on? | NADPH | 80 | |
15864987082 | Carbonyl reductases (CR) reaction | Carbonyl —> alcohol | 81 | |
15864999683 | What is CR dependent on? | NADPH | 82 | |
15865004378 | How do ADH and CR differ? | ADH is reversible and CR is not | 83 | |
15865007068 | Azo reductases (AR) reaction | N=N —> hydrazine —> anilines | 84 | |
15865045101 | Aniline | ![]() | 85 | |
15865048155 | Hydrazine | ![]() | 86 | |
15865056757 | What does AZ require | NADPH or NADH | 87 | |
15865060171 | Nitro reductases (NR) reaction | Nitro group(NO2) —> N=O —> amine (NH2) | 88 | |
15865084203 | What does NR require? | NADPH or NADH | 89 | |
15865088895 | Carboxyesterases (CE) reaction | Carboxylic ester —> alcohol and carboxylate | 90 | |
15865118405 | Phase 2 conjugation reactions | Glucuronidation Sulfination Glutathione Acetylation Amino Acid | 91 | |
15865132403 | Glucuronidation enzyme | UGT | 92 | |
15865134669 | UGT reaction | Attaches a glucuronate to drugs and metabolites | 93 | |
15865136348 | Glucuronate | ![]() | 94 | |
15865146939 | Do UGTs have a broad or narrow specificity? | Broad | 95 | |
15865155421 | What is the most important phase 2 enzyme? | UGT | 96 | |
15865160316 | Functional groups UGTs act on? | Alcohols thiols amines carboxylic acids carboxamides | 97 | |
15865179783 | O-glucuronidation | Adds glucuronate to alcohol or carboxylic acid | 98 | |
15865185988 | N-glucuronidation | Adds glucuronate to amines | 99 | |
15865199516 | S-glucuronidation | Adds glucuronate to thiol | 100 | |
15865201544 | C-glucuronidation | Adds glucuronate to hydrocarbon group | 101 | |
15865220837 | Are UGTs present at birth? | No | 102 | |
15865239466 | Sulfation Enzyme | STs | 103 | |
15865248132 | STs reaction | Adds SO3 onto drugs and metabolites | 104 | |
15865259382 | What functional groups do STs work on? | Aromatic alcohols, primary and secondary alcohols, aryl amines, and N-hydroxyamines | 105 | |
15865265296 | In what people are STs favorable? | Children | 106 | |
15865269990 | Glutathione structure | ![]() | 107 | |
15865281489 | Glutathione (GSH) reaction | Adds glutathione to toxic drugs and metabolites to make them mercapturic acids | 108 | |
15865286770 | Favism | Reduced level of NADPH affects glutathione levels and leaves RBCs vulnerable to oxidizing agents | 109 | |
15865313212 | Acetylation enzyme | NATs | 110 | |
15865313213 | What do NATs require? | Acetyl-CoA | 111 | |
15865318415 | What do STs require? | An activated form of sulfate (PAPs) | 112 | |
15865329129 | What do UGTs require? | UDP-Glucuronate | 113 | |
15865332635 | NATs reaction | Adds an acetyl group to N-H bonds | 114 | |
15865352478 | Acetyl group | ![]() | 115 | |
15865359553 | Amino acid conjugation enzyme | NACTs | 116 | |
15865361326 | NACTs reaction | Couple a CoA-activated drug/metabolite to an amino acid | 117 | |
15865367696 | Which amino acid is typically conjugated to drugs / metabolites by NACTs ? | Gly | 118 | |
15865371411 | Toxic metabolites | Iminoquinones epoxides acid chlorides nitroso compounds | 119 | |
15865378547 | Nitroso compound | ![]() | 120 |
911 Reactions Block 3 Flashcards
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