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ENZYMES
Phase 1 reaction. (Non synthetic phase). Oxidation, reduction or hydrolysis. OxidationMICROSOMAL ENZYMES- located in the Smooth endoplasmic reticulum in Liver and kidney, intestinal mucosa, lung Eg:Monooxygenases, Cyp450. Glucoronyl transferases Inducible by drugs, diet and other factors Lesser polymorphism Phase II reaction. (Synthetic phase) NON MICROSOMAL Enzymes- in cytoplasm and mitochondria of hepatic cells and other tissues ( plasma) Eg: flavoprotein oxidases, esterases, amidases, conjugases, all conjugations ( except glucoronidation)(some ,reduction enzymes) Not inducible Genetic polymorphism (acetyltransferase,pseidocholi nesterase)
(a) Phase I: alcohol dehydrogenase, aldehyde reductase, aldehyde dehydrogenase, epoxide hydrolase, esterase.
(b) Phase II: sulfotransferase, glutathione Stransferase, N-acetyl transferase, catechol 0methyl transferase, amino acid conjugating enzymes.
MITOCHONDRIA. (a) Phase I: monoamine oxidase, aldehyde dehydrogenase, cytochrome P450. (b) Phase II: N-acetyl transferase, amino acid conjugating enzymes.
ESTERASES
Esters, Amides, Hydrazides, and carbamates are hydrolyzed Hydrolysis in plasma mainly by cholinesterase (nonspecific acetylcholine esterases, pseudocholine esterases, and other esterases) In the liver by specific esterases for particular groups of compounds. Rate of Enzymatic hydrolysis of esters and amide: Role in the onset of pharmacological activity and its duration SUBCELLULAR LOCALIZATION. Endoplasmic reticulum and cytosol. TISSUE DISTRIBUTION. Ubiquitous, liver (centrilobular region), kidney (proximal tubules), testis, intestine, lung, plasma, and red blood cells.
ESTERASES
SUBSTRATES. Esters and amides. REACTIONTYPE. Hydrolysis: (a) Hydrolysis of esters: R1COOR2 R1COOH + R2OH (b) Hydrolysis of amides: R1CONH-R2 R1COOH + R2NH2 Hydrolysis of amides can occur by amidases in the liver and in general, enzymatic hydrolysis of amides is slower than that of esters. Amides , also hydrolyzed by esterases with a much slower rate than the corresponding esters.
CARBOXYLESTERASES
60 kDa glycoproteins Wide variety of tissues, including serum. ( in liver is associated with the endoplasmic reticulum, also in lysosomes and cytosol. ) The hydrolysis of xenobiotic esters and amides : largely catalyzed by just two carboxylesterases called hCE1 and hCE2. Human plasma does not contain carboxylesterases Butyrylcholinesterases and Paraoxonases : responsible for the hydrolysis of amide and ester-containing compounds in the plasma Also hydrolyze Endogenous compounds : palmitoyl-CoA, monoacylglycerol, diacylglycerol, retinyl ester, platelet- activating factor, and the synthesis of fatty acid ethyl ester ther esterified lipids. Mechanism : analogous serine-proteases. A charge relay among : a.a. residue : glutamate ,histidine, nucleophilic residue :serine
Aldridge: Basis of their interaction with OP compounds, A-esterases : hydrolyze OP compounds B-esterases: inhibited by OP compounds C-esterases : do not interact with OP compounds as. A Confusing : because it divides the paraoxonases into the A- and C esterase class The human paraoxonase hPNO1 hydrolyzes OP compounds and so can be classified as an A-esterase hPON2 and hPON3 can be classified as C-esterases because they do not hydrolyze OP compounds, nor are they inhibited by them) Furthermore, carboxylesterases and cholinesterases, two distinct classes of hydrolytic enzymes, are both B-esterases according to Aldridge because both are inhibited by OP compounds
ESTERASES
CHOLINESTERASES (AChE and BChE) Acetylcholinesterase (AChE) : High activity toward acetylcholine Butyrylcholinesterase (BChE, /Pseudocholinesterase): High activity toward acetylcholine and butyrylcholine (and propionylcholine) BChE can also hydrolyze: bambuterol, chlorpropaine, cocaine, methylprednisolone acetate, heroin, isosorbide diaspirinate, mivacurium, procaine, succinylcholine, tetracaine Eserine is an inhibitor of both enzymes BW84C51 is a selective inhibitor of AChE Iso-OMPA is a selective inhibitor of BChE
states: soluble (hydrophilic), immobilized (asymmetric), and amphiphilic globular (membrane-bound through attachment to the phospholipid bilayer) Six forms : monomer (G1), dimer (G2), tetramer (G4), tailed tetramers (A4), double tetramers (A8), and triple tetramers (A12).
All forms are expressed in muscle. AChE, major form in brain: tetramer G4 (anchored with a 20kDa side chain containing fatty acids)
The major form in erythrocytes : the dimer G2 (anchored with a glycolipid-phosphatidylinositol side chain).
BChE: major form in serum is the tetramer G4 (a glycoprotein with Mr 342 kDa). In both AChE and BChE, the esteratic site (containing the active site serine residue) is adjacent to an anionic (negatively charged) site that interacts with the positively charged nitrogen on acetylcholine and butyrylcholine.
Carboxylesterases and cholinesterases In blood and tissues play an important role in limiting the amount of OP compounds that reaches AChE in the brain ChE inhibition : is the mechanism of toxicity of OP and carbamate insecticide 70-90% loss of AChE activity is lethal to mammals, insects, and nematodes
An inverse relationship between serine esterase activity and susceptibility to the toxic effect of OP compounds Factors that decrease serine esterase activity potentiate the toxic effects of OP compounds Eg-susceptibility of animals to the toxicity of parathion, malathion, and diisopropylfluorophosphate (DFP) is inversely related to the level of serum esterase activity (which reflects both carboxylesterase and BChE activity).
Esterases are not the only enzymes involved in the detoxication of OP pesticides. Certain OP compounds are detoxified by cytochrome P450, flavin monooxygenases,and glutathione transferases.
Paraoxonases, enzymes that catalyze the hydrolysis of certain OP compounds, appear to play only a minor role in determining susceptibility to OP
ESTERASES
POLYMORPHISM. Approximately 2% of Caucasians have defective serum cholinesterase activity SPECIES DIFFERENCES Activity is higher in small laboratory animals such as the rat and mouse than in humans.
PARAOXONASES (LACTONASES) .Calcium-dependent enzymes containing a critical sulfhydryl (-SH) group; as such they are inhibited by EDTA, metal ions (Cu andBa), and various mercurials such as phenylmercuric acetate (PMA) Catalyze the hydrolysis of a broad range of organophosphates, organophosphinites, aromatic carboxylic acid esters, cyclic carbonates, and lactones
Three paraoxonases : hPON1, hPON2, hPON3. hPON1 : Liver microsomes and plasma, where it is associated exclusively with high-density lipoprotein (HDL) protects against atherosclerosis by hydrolyzing specific derivatives of oxidized cholesterol and/or phospholipids in atherosclerotic lesions Appreciable arylesterase activity and the ability to hydrolyze the toxic oxon metabolites of OPC insecticides hPON2 : several tissues, not in plasma
ALKALINE PHOSPHATASE
Luminal surface of the enterocytes lining the wall of the small intestine. Hydrolysis of the prodrugs releasing the active drug at the surface of the enterocytes, where it can be readily absorbed. Clinical applications in the treatment of certain cancers. Eg: to activate prodrugs in vivo and thereby generate potent anticancer agents in highly selected target sites (e.g., at the surface of tumor cells, or inside the tumor cells themselves) Eg: prodrugs, such as fosphenytoin and fosamprenavir
The hydrolysis of valacyclovir to the antiviral drug acyclovir is catalyzed by a human enzyme named valacyclovirase (genesymbol: BPHL)
PEPTIDASE
Recombinant peptide hormones, growth factors, cytokines, soluble receptors, and humanized monoclonal antibodies : administered parenterally are hydrolyzed in the blood, Lysosomes and tissues by a variety of peptidases: Aminopeptidases and Carboxypeptidases Hydrolyze amino acids at the N- and C-terminus, respectively Endopeptidases, which cleave peptides at specific internal sites (trypsin, for example, cleaves peptides on the C-terminal side of arginine or lysine residues) Peptidases cleave the amide linkage between adjacent amino acids, function as amidases. ,The active site of peptidases : serine or cysteine residue, which initiates a nucleophilic attack on the carbonyl moiety of the amide bond.( like carboxylesterases)
NAD(P)H-dependent reductases
Aldoketo reductases (AKRs): Cytosolic enzymes that reduce both xenobiotic and endobiotic compounds, Function as dihydrodiol dehydrogenases and oxidize the trans-dihydrodiols of various polycyclic aromatic hydrocarbon oxiranes (formed by epoxide hydrolase)
Medium chain dehydrogenases/reductases (MDRs) : convert alcohols to aldehydes Eg: alcohol dehydrogenases
Erythrocytic.cytosolic and microsomal carbonyl reductase, reduction of a wide variety of carbonylcontaining xenobiotics (other species express more than two carbonyl reductases).
DISULFIDE REDUCTASE
Cytosol reduction
SULFOXIDE REDUCTASE
Thioredoxin-dependent enzymes in liver and kidney cytosol Sulfoxide and N-Oxide Reduction: Reduce sulfoxides, which themselves may be formed by cytochrome P450 or flavin monooxygenases Eg: Sulindac is a sulfoxide that undergoes reduction to a sulfide, which is excreted in bile and reabsorbed from the intestine. Reduction may also occur nonenzymatically at an appreciable rate, as in the case of the proton pump inhibitor rabeprazole
DIHYDROPYRIMIDINE DEHYDROGENASE
1953-Japan: The mechanism of lethal interaction b/w Sorivudine & 5-fluorouracil- involved inhibition of DPD 15 deaths An NADPH-requiring, homodimeric protein (Mr 210 kDa) containing FMN/FAD an liver cytosold an ironsulfur cluster in each subunit. Location:, where it catalyzes the reduction of 5-fluorouracil and related pyrimidines. Sorivudine is converted in part by gut flora to (E)-5-(2-bromovinyl) uracil (BVU), which lacks antiviral activity but which is converted by DPD to a metabolite that binds covalently to the enzyme. Resulting in irreversible inactivation(suicidal inactivation) of DPD Marked inhibition of 5-fluorouracil metabolism, which increases blood levels of 5- fluorouracil to toxic lethal levels (\ Genetic polymorphisms that result in a partial or complete loss of DPD activity
ALDEHYDE DEHYDROGENASE
SUBSTRATES. Aliphatic or aromatic aldehydes. COFACTORS : NAD+ or NADP+. POLYMORPHISM. 50% of Asians have a defective ALDH2 gene causing impaired ALDH2 activitY
ALDEHYDE DEHYDROGENASE
XOR Ischemia/Hypoxia: XO levels increase- XOR gene transcription, XD XO. XO contributes to oxidative stress and lipid peroxidation because the oxidase activity of XO involves the reduction of molecular oxygen, which can lead to the formation of reactive oxygen species LPS, a bacterial endotoxin that triggers an acute inflammatory response, increases XO activity both by inducing XOR transcription and by converting XD to XO.
XOR First-pass elimination of purine derivatives (e.g., 6mercaptopurine and 2,6-dithiopurine), limits the therapeutic effects of Certain prodrugs are activated by xanthine oxidase. Eg: antiviral prodrugs 6-deoxyacyclovir and 2_-fluoroarabinodideoxypurine, which are relatively well absorbed after oral dosing, are oxidized by xanthine oxidase to their respective active forms, acyclovir and 2--fluoroarabino-dideoxyinosine, which are otherwise poorly absorbed Bioactivation of mitomycin C and related antineoplastic drugs, although this bioactivation Catalyzes, the sequential oxidation of hypoxanthine to xanthine and uric acid
Allopurinol: Hydroxylated coumarin derivatives, such as umbelliferone (7hydroxycoumarin) and esculetin (7,8dihydroxycoumarin By competing with hypoxanthine and xanthine for oxidation by XD/XO, inhibits the formation of uric acid,. Monomethylated xanthines ( except theophylline and caffeine) oxidized to the corresponding uric acid derivatives by XD/XO.
ALDEHYDE OXIDASE
Exists only in the oxidase form as it lacks an NAD+ binding site High levels: in cytosol of liver, with considerably less activity in other tissues Preference for oxidizing aromatic aldehydes ( benzaldehyde) over aliphatic aldehydes. (acetaldehyde) Transfers electrons to molecular oxygen, which can generate reactive oxygen species and lead to oxidative stress and lipid peroxidation. Oxidize a number of substituted pyrroles, pyridines, pyrimidines, purines, pteridines, and iminium ions plays an important role in the catabolism of biogenic amines and catecholamines: physiologically important aldehydes- substrates: homovanillyl aldehyde (formed from dopamine), 5-hydroxy-3indoleacetaldehyde (formed from serotonin), and retinal, which is converted to retinoic acid In general, xenobiotics that are good substrates for aldehyd e oxidase are poor substrates for cytochrome P450, and vice versa
ALDEHYDE OXIDASE
Species difference : Dogs possess little or no aldehyde oxidase activity. 6-oxidation of antiviral deoxyguanine prodrugs is catalyzed exclusively in rats by XD/XO, but by aldehyde oxidase in humans Drugs metabolized: Nicotine, citalopram, proprionaldehyde, 6-mercaptopurine, metyrapone, quinine, methotrexate, famciclovir ( to penciclovir) Raloxifene and perphenazine : potent inhibitors Under certain conditions, aldehyde oxidase and XOR can also catalyze the reduction of xenobiotics, including azo-reduction (e.g., 4-dimethylaminoazobenzene), nitro-reduction (e.g., 1nitropyrene), N-oxide reduction (e.g., S-(-)-nicotine-1-N-oxide), nitrosamine eduction (e.g., N-nitrosodiphenylamine),sulfite reduction
MAO Substrates ; drugs- milacemide (dealkylated metabolite of propranolol ) , , primaquine, haloperidol, doxylamine, -phenylethylamine, tryptophan analogs known as triptans: sumatriptan, zolmitriptan, and rizatriptan. Endogenous: tyramine, catecholamines (dopamine, norepinephrine, epinephrine), tryptophan derivatives (tryptamine, serotonin), Isoforms : MAO-A and MAO-B. OXIDIZE INHIBITED BY MAO-A serotonin (5-hydroxytryptamine) clorgyline norepinephrine phenelzine , metabolite of propranolol, MAO-B -phenylethylamine l-deprenyl (selegiline). benzylamine phenelzine Species differences in the substrate specificity of MAO -dopamine is oxidized by MAO-B in humans, but by MAO-A in rats, and by both enzymes in several other mammalian species. Most tissues contain both forms of the enzyme, each encoded by a distinct gene, although some tissues express only one MAO.
MAO
The activation of MPTP (1-methyl-4-phenyl1,2,5,6-tetrahydropyridine)to its neurotoxic metabolite is catalyzed predominantly by MAO B: haloperidol- to toxic pyridinium Parkinsons disease in humans: elevated levels of MAO-B( dopamine destruction)
DIAMINE OXIDASE
Cytosolic, copper-containing, pyridoxal phosphatedependent enzyme present in liver, kidney, intestine, and placenta. Substrates: Histamine and simple alkyl diamines with a chain length of 4 (putrescine) or 5 (cadaverine) carbon atoms. Diamines with carbon chains longer than 9 are not substrates for DAO, although they can be oxidized by MAO. DAO/ similar enzyme is present in cardiovascular tissue cardiotoxic effects of allylamine, which is converted by oxidative deamination to acrolein. No DAO in brain : The major pathway of histamine metabolism in the brain is by methylation
SEMICARBAZIDE-SENSITIVE AMINE OXIDASE (SSAO) Copper-containing enzyme that catalyzes fundamentally the same reaction catalyzed by monoamine oxidase: Distinguished from MAO: By its sensitivity to inhibitors (it is inhibited by semicarbazide but not by clorgyline, deprenyl, or pargyline, whereas the opposite is true for MAO), and it is found on various cell surfaces and in plasma, (MAO- found in mitochondria).
SULFOTRANSFERASE (ST)
TISSUE DISTRIBUTION. Liver, kidney, adrenals, lung, brain, jejunum, and blood platelets, and, to a lesser extent, skin and muscle. SUBCELLULAR LOCATION. Cytosol.
Homodimers in vivo with a molecular weight 32-34 kDa. Mediates conjugation reaction of a compound at a low concentration In General a high-affinity and low-capacity reaction . REACTION TYPE. Sulfation: (a) O-sulfation: R-OH R-SO3H (b) N-sulfation: R-NHCOR R-NCOR SUBSTRATES. SO3H Nucleophilic moieties of such molecules as phenol, alcohol, and arylamine. COFACTOR. 3-Phosphoadenosine-5-phosphosulfate (PAPS).
SULFOTRANSFERASE (ST)
ISOZYMES. Six different phenol sulfotransferases (PST Seven different steroid/ bile acid sulfotransferases have been characterized in rats. In human Four subfamilies: TS ST (thermostable ST or PST), TL ST (thermolabile ST, or monoamine ST), EST (estrogen ST),DHEA ST (dehydroepiandrosterone ST). POLYMORPHISM. Bimodal frequency distribution of DHEA ST activity suggests that approximately 75 % of the population are poor metabolizers SPECIES DIFFERENCES. The pig and opossum are defective in their capability regarding sulfate conjugation of phenolic compounds.
RELATIONSHIPS BETWEEN UDPGT AND ST Often, UDPGT and ST are considered to be complementary to each other for conjugation of the same substrates, except in connection with acyl glucuronidation, which cannot be replaced by sulfation. In general, glucuronidation is considered a low-affinity (Km) and high-capacity (Vmax) reaction, whereas sulfation is known as a high-affinity and low-capacity conjugation. Thus, at low substrate concentrations sulfation may be more predominant, but as concentration increases, glucuronidation becomes quantitatively more important.
N-ACETYL TRANSFERASE (NAT) ISOZYMES. NAT1 and NAT2 enzymes POLYMORPHISM. 4060% of Caucasians and 1030% of Asians are slow acetylators. SPECIES DIFFERENCES. Dogs and guinea pigs are deficient
METHYL TRANSFERASE
Methylation of endogenous substrates such as histamine, catecholamines, and norepinephrine. And some drugs COFACTOR.: S-adenosylmethionine(SAM). TISSUE DISTRIBUTION: Liver, brain, lung, kidney, adrenals, skin, and erythrocytes. SUBCELLULAR LOCATION.: Cytosol. ISOZYMES.: Four different enzymes can perform S-, N-, or 0methylation POLYMORPHISM. 0.3% of the European population have a deficiency in thiopurine S-methyltransferase activity. In general, methylation of a compound produces a less polar metabolite than the parent compound, and thus, unlike other conjugation reactions, tends to decrease the rate of its excretion.
0, N, S-methylation
COFACTORS. Coenzyme A (CoA-SH) for acyl-CoA synthetase Amino acids: glycine, glutamine, ornithine, arginine, and taurine, for acylCoA:amino acid Nacyltransferase. TISSUE DISTRIBUTION. Liver and kidney. SUBCELLULAR LOCATION. : Mitochondria and endoplasmic reticulum for acyl-CoA synthetase, and cytosol and mitochondria for acyl-CoA:amino acid N-acyltransferase. SPECIES DIFFERENCES: The amino acid used for conjugation Eg: conjugation of bile acids occurs with both glycine and taurine in most species, whereas in cats and dogs, conjugation of bile acids occurs only with taurine
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