Phase II (Conjugation) Reactions

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Questions and Answers

What is the primary objective of phase II conjugation reactions?

  • Enhance biological activity
  • Convert metabolites to more polar and water-soluble products (correct)
  • Terminate pharmacological activity
  • Increase lipid solubility

Which of the following molecules is NOT typically attached during phase II conjugation reactions?

  • Methyl group
  • Glucuronic acid
  • Ethanol (correct)
  • Sulfate

What is the role of glycine in phase II conjugation reactions?

  • Terminate pharmacological activity
  • Activate coenzymes
  • Enhance lipid solubility
  • Attach to metabolites to increase water solubility (correct)

Which phase II reaction mainly serves to prevent damage to biomacromolecules like DNA and proteins?

<p>Methylation (D)</p> Signup and view all the answers

What is the activated form of the conjugating group before transfer or attachment in most phase II reactions?

<p>Coenzyme (A)</p> Signup and view all the answers

Which of the following statements about sulfate conjugation is true?

<p>Involves attaching sulfate molecules to metabolites (D)</p> Signup and view all the answers

Which conjugation reaction becomes the major route of acetaminophen conjugation in neonates and young children?

<p>Sulfate conjugation (B)</p> Signup and view all the answers

What is responsible for the hepatotoxicity and nephrotoxicity associated with phenacetin metabolism?

<p>N-hydroxyphenacetin conjugated with sulfate (B)</p> Signup and view all the answers

Which of the following conjugation reactions involves the carboxyl group as the functional group?

<p>Glycine conjugation (B)</p> Signup and view all the answers

In amino acids conjugation, how is the carboxylic acid (substrate) activated?

<p>Activated with ATP and CoA to form an acyl-CoA complex (D)</p> Signup and view all the answers

Which metabolic pathway leads to reactive intermediates responsible for drug toxicity?

<p>Arene oxides pathway (A)</p> Signup and view all the answers

Why is sulfate conjugation considered a detoxification reaction?

<p>Because it inactivates drugs (D)</p> Signup and view all the answers

What is the major phase II metabolic pathway for drugs, xenobiotics, and endogenous compounds?

<p>Glucuronic acid (GUA) conjugation (C)</p> Signup and view all the answers

Which amino acids are involved in conjugation reactions like glycine and glutamine conjugation?

<p>Glycine and serine (B)</p> Signup and view all the answers

What is the activation process carried out by enzymes to react with drug molecules in conjugation reactions?

<p>Phosphorylation (B)</p> Signup and view all the answers

Which reaction involves the formation of β-glucuronides?

<p>Glucuronic acid (GUA) conjugation (A)</p> Signup and view all the answers

Which of the following is NOT a part of phase II reactions according to the text?

<p>Hydroxylation (D)</p> Signup and view all the answers

Which enzyme is involved in the reaction process with glutathione in Phase II reactions?

<p>Glutathione S-transferase (D)</p> Signup and view all the answers

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