Drug metabolism is the metabolic breakdown of drugs by living organisms , usually through specialized enzymatic systems. Xenobiotic metabolism is the set of metabolic pathways that modify the chemical structure of xenobiotics , which are compounds foreign to an organism's normal biochemistry Significance: The reasons for studying and understanding the various metabolic pathways is 1)They help in determining the duration and intensity of pharmacological action of the drug 2)Help in understanding the hazardous drug interactions 3)These pathways are also important in environmental science w ith the xenobiotic metabolism of microorganism determining whether a pollutant will be broken down during bioremediation (treat contaminated media by altering environmental conditions to stimulate microbe growth and degrade target pollutant) , or persist in the environment 4)Provides opportunity for synthesizing prodrugs . Introduction 25-01-2021 3
Phase-I(Non-synthetic) drug metabolism The metabolism of xenobiotics is often divided into three phases:- modification, conjugation, and excretion. In phase I, a variety of enzymes act to introduce reactive and polar groups into their substrates. One of the most common modifications is hydroxylation catalyzed by the cytochrome P-450-dependent mixed-function oxidase system . These enzyme complexes act to incorporate an atom of oxygen into nonactivated hydrocarbons, which can result in either the introduction of hydroxyl groups or N-, O- and S-dealkylation of substrates The reaction mechanism of the P-450 oxidases proceeds through the reduction of cytochrome-bound oxygen and the generation of a highly-reactive oxyferryl species, according to the following scheme: 25-01-2021 4
Phase I reactions (also termed non-synthetic reactions) may occur by oxidation , reduction , hydrolysis , cyclization , de-cyclization . The addition of oxygen or removal of hydrogen, are carried out by mixed function oxidases, often in the liver. These oxidative reactions typically involve a cytochrome P450 monooxygenase (often abbreviated CYP), NADPH and oxygen. Some of the classes of pharmaceutical drugs that utilize this method for their metabolism include phenothiazines , paracetamol , and steroids. If the metabolites of phase I reactions are sufficiently polar, they may be readily excreted at this point. However, many phase I products are not eliminated rapidly and undergo a subsequent reaction in which an endogenous substrate combines with the newly incorporated functional group to form a highly polar conjugate. A common Phase I oxidation involves conversion of a C-H bond to a C-OH . This reaction sometimes converts a pharmacologically inactive compound (a prodrug ) to a pharmacologically active one. By the same token, Phase I can turn a nontoxic molecule into a poisonous one ( toxification ) 25-01-2021 5
Oxidation Cytochrome P450(CYPs): These are a superfamily of enzymes containing heme as a cofactor that function as monooxygenases . In mammals, these proteins oxidize steroids , fatty acids , and Xenobiotics , and are important for the clearance of various compounds, as well as for hormone synthesis and breakdown. CYPs are, in general, the terminal oxidase enzymes in electron transfer chains, broadly categorized as P-450 containing systems . The term "P450" is derived from the spectrophotometric peak at the wavelength of the absor ption maxima of the enzyme (450 nm ) when it is in the reduced state and complexed with carbon monoxide . Most CYPs require a protein partner to deliver one or more electrons to reduce the iron (and eventually molecular oxygen ) 25-01-2021 6
Based on the nature of the electron transfer proteins, CYPs can be classified into several groups Microsomal P450 systems :In this electrons are transferred from NADPH via cytochrome p450 reductase . Cytochromeb 5 (cyb 5 ) can also contribute reducing power to this system after being reduced by cytochrome b 5 reductase . Mitochondrial P450 systems: Employ adrenodoxin reductase and adrenodoxin to transfer electrons from NADPH to p450 Bacterial P450 systems: Employ Ferridoxin reductase and ferredoxin to transfer electrons to P450. The most common reaction catalyzed by cytochromes P450 is a Monoxygenase reaction, e.g., insertion of one atom of oxygen into the aliphatic position of an organic substrate (RH) while the other oxygen atom is reduced to water as observed in the general catalytic cycle 25-01-2021 7
Possibl e mechanisms for Oxidation of Ethanol and Acetaldehyde by P450 2E1 by FeO 3+ H . ‚ Abstraction 25-01-2021 8
Oxidative N-Dealkylation of N-Ethyl N-methylaniline by P450 2B1 25-01-2021 9
CYP 3A4 and 3A5 hydroxylation and oxidation 25-01-2021 10
Reduction Flavoproteins are majorly involved in reduction of endogenous substances Although P450s do not participate in biological reductions of endogenous substrates to the extent that flavoproteins do, the diversity of reduction reactions catalyzed by P450s is still considerable Nitrogen oxides are reduced by P450s and in many cases, by other enzymes as well. The list of substrates that can be reduced includes N-oxides, nitroxides, hydroxylamines , nitro groups, and C- and N-nitroso compounds Reduction of Nitro Compounds by P450s Reductive Dechlorination of CCl 4 and Reaction of Trichloromethyl Radical with O 2 25-01-2021 11
Reduction of Zonisamide 25-01-2021 12
Hydrolysis Esterases, amidases and epoxide hydrolases are some of the enzymes which catalyze via hydrolytic reactions. These class of enzymes are referred to as hydrolases Esterases: An esterase is a hydrolase enzyme that splits esters into an acid and an alcohol Esterases cleave ester bonds in lipids and phosphatases cleave phosphate groups off molecules. An example of crucial esterase is acetylcholine esterase, which assists in transforming the neuron impulse into acetic acid after the hydrolase breaks the acetylcholine into choline and acetic acid Amidases: This enzyme belongs to the family of hydrolases , those acting on carbon-nitrogen bonds other than peptide bonds, specifically in linear amides This enzyme participates in 6 metabolic pathways : urea cycle and metabolism of amino group , phenylalanine metabolism , tryptophan metabolism , cyanoamino acid metabolism , benzoate degradation, and styrene degradation 25-01-2021 13
Epoxide hydrolases (EH's), also known as epoxide hydratases, are enzymes that metabolize compounds that contain an epoxide residue; they convert this residue to two hydroxyl residues through a dihydroxylation reaction to form diol products The hydrolases are distinguished from each other by their substrate preferences and, directly related to this, their functions General mechanism of amidase action 25-01-2021 14
Epoxide hydrolase metabolism 25-01-2021 15
References Goodman and Gilman, Pharmacological basis of Therapeutics, 12 th edition , Laurence l. Bruton. Essentials of Medical Pharmacology , K.D. Tripathi, 7 th edition JP publishers, New Delhi. Drug metabolism by S.P.Merkey , NIH, accessed on internet on 24-01-2021. 25-01-2021 16