Phase II Drug Metabolism and Conjugation
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Questions and Answers

What is the primary role of Phase II enzymes in detoxification?

  • To transform toxic reactive molecules into less reactive species (correct)
  • To catalyze the oxidation of xenobiotics
  • To synthesize UDP-glucuronic acid
  • To inhibit the activity of Phase I enzymes

What is the function of UDP-glucuronic acid in the glucuronidation reaction?

  • It acts as a cofactor for the UGT enzyme
  • It is the product of the glucuronidation reaction
  • It is the substrate that is transferred to the xenobiotic handle (correct)
  • It provides the energy required for the conjugation reaction

Which of the following is NOT a type of 'handle' that can be conjugated by Phase II enzymes?

  • Ester groups (correct)
  • Hydroxyl groups
  • Thiol groups
  • Carboxylic acid groups

What is the significance of the localization of UGTs in the ER membrane?

<p>It allows for the rapid metabolism of xenobiotics from Phase I to Phase II (B)</p> Signup and view all the answers

What is the consequence of UGT-catalyzed reactive metabolites for drugs containing carboxylic acids?

<p>They can covalently modify proteins (B)</p> Signup and view all the answers

What is the characteristic of the gene expression of UGT1A and UGT2B subfamilies?

<p>They are differentially spliced to produce different isoforms (C)</p> Signup and view all the answers

What is the consequence of UGT substrate IBufenac rearranging to the reactive species faster than its methyl-substituted analog ibuprofen?

<p>Hepatotoxicity is exhibited in humans (C)</p> Signup and view all the answers

What is the role of sulfotransferases in Phase II enzyme conjugation?

<p>They conjugate amino, hydroxy, and carboxyl groups with an activated sulfo donor (D)</p> Signup and view all the answers

What is the result of the high acidity of the sulfate group in sulfation reactions?

<p>The products are completely charged at physiological pH (D)</p> Signup and view all the answers

What is a characteristic of phenols in sulfation reactions?

<p>They are particularly good substrates for sulfation (B)</p> Signup and view all the answers

Why do glucuronidation reactions predominate over sulfation reactions at high doses?

<p>Because the supply of sulfate in the cell is limited (B)</p> Signup and view all the answers

Where are human SULTs organized in the cell?

<p>In the golgi (the outside) (A)</p> Signup and view all the answers

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