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This article explores the intricate mechanisms of detoxification within biological systems, focusing on key transport proteins like P-glycoprotein and Multidrug Resistance-associated Protein (MDR). It delves into the enzymatic breakdown of reactive intermediates, including electrophiles and reactive oxygen species (ROS), highlighting the roles of epoxide hydrolases and cytochrome P450 in detoxification pathways. The impact of various factors such as genetics, health status, and dietary influences on xenobiotic metabolism is examined, offering insights into individual variability in detoxification capabilities.
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“Other” detoxication mechanisms • P-glycoprotein: ATP-dependent carrier that removes molecules from cells • Multidrug resistance associated protein MDR • Multispecific organic anion transporter MOAT
Major reactive species Electrophiles Epoxides Carbonium ions Arylnitrenium ions Reactive Oxygen Species
Epoxide hydrolase • Several isoforms • Inducible • Mainly in endoplasmic reticulum, also in cytosol and in nuclear envelope • Catalyse trans addition of water to epoxides
trans-dihydrodiols • Detoxication products from epoxides (PAH) • Targets for Phase II metabolism (glucuronidation, sulfation) • Oxidized by dihydrodiol dehydrogenases to quinones • On terminal rings, oxidized to diol-epoxides
Dioxygenases Microbial enzymes Form cis-dihydrodiols
Complete mineralization • cis-dihydrodiol to catechol • ring-cleavage, b-oxidation, formation of CO2
Reactive Oxygen Species (ROS) • Peroxides • Hydrogen peroxide HOOH • Peroxynitrite OONO- • Lipid hydroperoxide LOOH • Free radicals • Superoxide anion O2•- • Hydroxyl radical HO• • Nitric oxide NO•
NADH NADPH Catalytic cycle of cytochrome P450 ROH H+ Fe3+ + RH HO22- Fe3+-RH H2O Fe3+-RH + e- from NADPH-cytC reductase H2O2 H+ HO2- [Fe2+-RH] Fe2+-RH O2 [Fe2+-RH] +O2 O2-. H+ + e-
Non-enzymic reaction with anti-oxidants • Ascorbic acid (Vitamin C) • alpha-Tocopherol (Vitamin E) • Glutathione
Superoxide dismutase Converts superoxide radicals to hydrogen peroxide O2•- +O2•- + 2H+ O2 + H2O2
Peroxidases Couple reduction of hydrogen peroxide (or other peroxide) to oxidation of another substrate (co-oxidation) ROOH + R’H ROH + R’OH
Peroxidases • Catalase • Prostaglandin synthetase • Myeloperoxidase • Lactoperoxidase • Glutathione peroxidase
Glutathione peroxidase GSH + GSH GSSG HOOH HOH + HOH
Gut flora • Reductions • nitro to amine • Hydrolyses • Cleavage of glucuronides
Reaction Glucuronidation
C O O H O H o o H O O H O H Reaction De-glucuronidation b-glucuronidase Aglycone Conjugate
Enterohepatic recirculation(EHC) Liver Intestine
Metabolic Activation/Metabolic Detoxication • “Metabolism is a double-edged sword” • Generation of (re)active intermediates • Detoxication of (re)active intermediates Pharmacologically active Chemically reactive
Major reactive species Electrophiles Epoxides (Epoxide hydrolase Glutathione S-transferase) Carbonium ions Arylnitrenium ions Reactive Oxygen Species
Factors affecting xenobiotic metabolism • Intrinsic • Species, strain, gender, age, genotype • Physiological status • Temperature, time of day, season, • Health status, disease, stress • Diet, nutritional status • Related to exposure • Route of administration, frequency and size of dose, co-exposures (induction, inhibition
Changes in P450 levels with ageRats M: 2C6, 2C11, 3A2 F: 2A1, 2C6, 2C12 2A1 2C6 3A2
Data determined in experimental animals (often rodents) Information needed about target species (usually humans)
Cross-species extrapolation The basic problem: data determined in experimental animals Information needed about target species (usually humans) • What factors are similar ? • What factors are different ? Differences between individuals (interindividual variation)
Genetic polymorphisms • CYP2D6 Debrisoquine hydroxylation (poor and extensive metabolizers) • Acetylation (fast and slow acetylators) • GSTM null genotype
Effect is the outcome of interaction between susceptibility and exposure
Genetic Toxicology Reading material: Casarett and Doull Chapter 9, Timbrell, Chapter 6, pp. 259-279