COPY: Drug Metabolism Lecture Quiz

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Phase I reactions convert the parent drug to a more polar (water-soluble) or more reactive product by unmasking or inserting a polar functional group such as ´OH, ´SH, or ´NH2. Occurs mostly in the ______

liver

Most drugs are lipid soluble rather than water soluble so they need to be made more ______ to be excreted directly by the kidneys

water soluble

Cytochrome P450 (CYP450) is a superfamily of heme-containing enzymes, functioning as ______

monooxygenases

CYP 1-3 families are involved in drug metabolism. There are many isoforms of CYP enzymes differing from each other in amino acid sequence and specificity of the reactions they catalyse. CYP3A4 accounts for ~55% of drug metabolism. CYP2D6 accounts for ~25% of drug metabolism. There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects

variation in CYP450 Activity

Drug is a chemical substance which produces a biological effect following its administration to the body. Medication or medicine is a drug administered to the body to cure or improve a medical condition. Pharmacokinetics is the study of the movement of drugs and their metabolites through the body. Pharmacokinetic stages: Absorption, Distribution, Metabolism, ______

Elimination (ADME)

Oxidation reaction requires oxygen, ______ (Nicotinamide adenine dinucleotide phosphate) and ______ P450 reductase. The overall cytochrome P450-dependent oxidation reaction can be represented as: $Drug + O2 + ______ + H+ ightarrow Drug-OH + NADP+ + H2O$. There are around 60 CYP enzymes. There are many isoforms of CYP enzymes differing from each other in amino acid sequence and specificity of the reactions they catalyse. CYP3A4 accounts for ~55% of drug metabolism. CYP2D6 accounts for ~25% of drug metabolism. There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects

NADPH

There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects. CYP3A4 accounts for ~55% of drug metabolism. CYP2D6 accounts for ~25% of drug metabolism. There are around 60 CYP enzymes. There are many isoforms of CYP enzymes differing from each other in amino acid sequence and specificity of the reactions they catalyse. CYP 1-3 families are involved in drug metabolism

NADP+ + H2O

Reactions that convert the parent drug to a more polar (water-soluble) or more reactive product by unmasking or inserting a polar functional group such as ´OH, ´SH, or ´NH2. Occurs mostly in liver (most enzymes in the ER of cells). May also occur in the GI tract, kidney, lung and plasma. Converts lipophilic drugs into more polar molecules. Involves oxidation (most common), reduction and hydrolysis reactions

Phase I

Pharmacodynamics is what the drug does to the body. Pharmacokinetics is the study of the movement of drugs and their metabolites through the body. Pharmacokinetic stages: Absorption, Distribution, Metabolism, ______

Elimination (ADME)

Pharmacology is the study of drug interaction with the body. Drug is a chemical substance which produces a biological effect following its administration to the body. Medication or medicine is a drug administered to the body to cure or improve a medical condition. Pharmacokinetics is what the body does to the drug. Pharmacokinetic stages: Absorption, Distribution, ______, Elimination (ADME)

Metabolism

Phase I reactions convert the parent drug to a more polar (water-soluble) or more reactive product by unmasking or inserting a polar functional group such as ´OH, ´SH, or ´NH2. Occurs mostly in the ______

liver

Most drugs are lipid soluble rather than water soluble so they need to be made more ______ to be excreted directly by the kidneys

water soluble

Pharmacokinetic stages: Absorption, Distribution, Metabolism, ______, Elimination (ADME)

Elimination

CYP450 Enzymes require oxygen, NADPH (Nicotinamide adenine dinucleotide phosphate) and NADPHP450 reductase. The overall cytochrome P450-dependent oxidation reaction can be represented as: $Drug + O2 + ______ + H+ \rightarrow Drug-OH + NADP+ + H2O$

NADPH

Pharmacodynamics is what the drug does to the body. Pharmacokinetics is the study of the movement of drugs and their metabolites through the body. Pharmacokinetic stages: Absorption, Distribution, ______, Elimination (ADME)

Metabolism

Cytochrome P450 (CYP450) is a superfamily of heme-containing enzymes, functioning as ______

monooxygenases

Oxidation reaction requires oxygen, ______ (Nicotinamide adenine dinucleotide phosphate) and NADPHP450 reductase. The overall cytochrome P450-dependent oxidation reaction can be represented as: $Drug + O2 + NADPH + H+ \rightarrow Drug-OH + NADP+ + H2O$

NADPH

There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects. CYP3A4 accounts for ~55% of drug metabolism. CYP2D6 accounts for ~25% of drug metabolism. There are around 60 CYP enzymes. There are many isoforms of CYP enzymes differing from each other in amino acid sequence and specificity of the reactions they catalyse. CYP 1-3 families are involved in drug ______

metabolism

Pharmacology is the study of drug interaction with the body. Drug is a chemical substance which produces a biological effect following its administration to the body. Medication or medicine is a drug administered to the body to cure or improve a medical condition. Pharmacokinetics is what the body does to the drug. Pharmacokinetic stages: Absorption, Distribution, ______, Elimination (ADME)

Metabolism

There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects. CYP3A4 accounts for ~55% of drug metabolism. CYP2D6 accounts for ~25% of drug metabolism. There are around 60 CYP enzymes. There are many isoforms of CYP enzymes differing from each other in amino acid sequence and specificity of the reactions they catalyse. CYP 1-3 families are involved in drug ______

metabolism

Study Notes

Phase I Reactions

  • Convert the parent drug to a more polar (water-soluble) or more reactive product by unmasking or inserting a polar functional group such as ´OH, ´SH, or ´NH2.
  • Occurs mostly in the liver (most enzymes in the ER of cells).
  • May also occur in the GI tract, kidney, lung, and plasma.
  • Converts lipophilic drugs into more polar molecules.
  • Involves oxidation (most common), reduction, and hydrolysis reactions.

Cytochrome P450 (CYP450)

  • A superfamily of heme-containing enzymes.
  • Functions as a catalyst in Phase I reactions.
  • CYP 1-3 families are involved in drug metabolism.
  • There are around 60 CYP enzymes.
  • Many isoforms of CYP enzymes differ from each other in amino acid sequence and specificity of the reactions they catalyse.
  • CYP3A4 accounts for ~55% of drug metabolism.
  • CYP2D6 accounts for ~25% of drug metabolism.

Pharmacokinetics and Pharmacodynamics

  • Pharmacokinetics: the study of the movement of drugs and their metabolites through the body.
  • Pharmacokinetic stages: Absorption, Distribution, Metabolism, Elimination (ADME).
  • Pharmacodynamics: what the drug does to the body.

Pharmacology

  • The study of drug interaction with the body.
  • Drug: a chemical substance that produces a biological effect following its administration to the body.
  • Medication or medicine: a drug administered to the body to cure or improve a medical condition.
  • Pharmacokinetics: what the body does to the drug.

Key Facts

  • Most drugs are lipid soluble rather than water soluble, so they need to be made more polar to be excreted directly by the kidneys.
  • Oxidation reactions require oxygen, NADPH (Nicotinamide adenine dinucleotide phosphate), and NADPH P450 reductase.
  • The overall cytochrome P450-dependent oxidation reaction can be represented as: $Drug + O2 + NADPH + H+ \rightarrow Drug-OH + NADP+ + H2O$.
  • There is a huge genetic variability in P450 enzymes amongst individuals and races, which can affect drug efficacy and the risk of side effects.

Test your knowledge of drug metabolism with this quiz covering topics such as phase I and phase II metabolism, the cytochrome P450 system, variation in drug metabolism, and specific examples of alcohol and paracetamol metabolism.

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