Cytochrome P450 Enzymes and Drug Metabolism Quiz
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Questions and Answers

What is the role of cytochrome P450 enzymes in drug metabolism?

They enzymatically oxidise compounds to make them more polar and soluble.

Give an example of a drug that undergoes glucuronidation in the liver.

Zidovudine

What happens when acetaminophen is metabolized in excess in the liver?

It is oxidised to N-acetyl benzoquinoneimine (NABQI) by cytochrome P450.

How does N-acetyl-L-cysteine (NAC) act in cases of acetaminophen poisoning?

<p>It replenishes glutathione by metabolizing to L-cysteine.</p> Signup and view all the answers

Why is NABQI toxic to cells in cases of acetaminophen overdose?

<p>Due to its oxidant properties.</p> Signup and view all the answers

In drug metabolism, how are polar drug metabolites excreted from the body?

<p>By the kidneys.</p> Signup and view all the answers

What are the key pathways of carbohydrate metabolism in the liver?

<p>Gluconeogenesis, glycogenolysis, and glycogenesis</p> Signup and view all the answers

Describe the process by which the liver generates fat from carbohydrates.

<p>Fatty acid synthesis</p> Signup and view all the answers

What is the primary storage medium of glucose in the liver?

<p>Glycogen</p> Signup and view all the answers

What is the role of the liver in the synthesis of very low density lipoproteins (VLDLs) and low density lipoproteins (LDLs)?

<p>Synthesis of VLDLs and LDLs</p> Signup and view all the answers

How does the liver contribute to protein and amino acid metabolism?

<p>Gluconeogenesis from amino acids, transamination reactions, synthesis of serum proteins</p> Signup and view all the answers

What is the liver's involvement in the synthesis of heme?

<p>Synthesis of heme</p> Signup and view all the answers

What is the name of the cycle in which alanine is transported to the liver, converted to pyruvate, and then can participate in oxidative phosphorylation or be converted to glucose?

<p>Inter-organ glucose alanine cycle</p> Signup and view all the answers

Which amino acid acts as a central molecule in transamination reactions and is an intermediary in the urea cycle?

<p>Glutamate</p> Signup and view all the answers

What is the fate of the NH3 group released from glutamate in transamination reactions?

<p>Enters the urea cycle and is excreted by the kidneys</p> Signup and view all the answers

What are glucogenic amino acids and how are they metabolized?

<p>Amino acids that can be catabolized to form a citric acid cycle intermediate</p> Signup and view all the answers

Define ketogenic amino acids and explain their catabolic pathway.

<p>Amino acids that are catabolized to form acetoacetate or a precursor</p> Signup and view all the answers

How are the intermediates of the citric acid cycle continuously replenished?

<p>Through anaplerotic reactions</p> Signup and view all the answers

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