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Biotransformasi
Metabolisme Xenobiotik
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Xenobiotic metabolism
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PRINSIP DASAR XENOBIOTIK DIBAGI :
1.Golongan OBAT-OBATAN:
anti biotik, anti piretik/analgetik, suplemen, obat
jantung, dll
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2. KARSINOGEN:
Zat pewarna makanan, penyedap,nitrosamin, alkohol, pemanis (sakarin), dll
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3. BAHAN KIMIA/ POLUTAN LINGKUNGAN :
Jenis pencemaran ini ada > dari 200.000 jenis
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Contoh bahan kimia yang terkandung di dalam rokok
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KANKER
OBATBAHAN KIMIA
DARI MANAMEREKA DATANG?
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Metabolisme Xenobiotik
Metabolisme Xenobiotik adalah satu set jalurmetabolisme yang memodifikasi struktur kimia dari
senyawa asing ( obat2-an & racun) menjadi senyawa
normal
Jalur ini dikenal juga dengan nama bio transformasi(biotransformation)
Proses reaksi ini sering menyebabkan detoksifikasi
senyawa racun, tetapi beberapa kasus hasil senyawaantara (the intermediates in xenobiotic metabolism) dapat
menyebabkan efek toksik.
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Absorpsi senyawa xenobiotik
Xenobiotik Darah
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Absorpsi
xenobiotikXenobiotik
dalam darah
Metabolit
Urina
Ekskresi
lain (cairan)
JaringanDistribusi
jaringan lain
Xenobiotik
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Nasib senyawa xenobiotik
Xenobiotik
Metabolit racun /
toksik
Metabolit aktif
Metabolit inaktif
Metabolik yang
reversibel
Racun/toksik
Aktivitas
berubah
Aktivitas
meningkat
Kehilangan
aktivitas
Aktivitas
memanjang
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Xenobiotic metabolism is divided into three phases.
In phase I, enzymes such as cytochrome P450oxidases introduce reactive or polar groups into
xenobiotics.
These modified compounds are then conjugated topolar compounds in phase II reactions. These
reactions are catalysed by transferase enzymes such
as glutathione S-transferases.
Finally, in phase III, the conjugated xenobiotics maybe further processed, before being recognised by
efflux transporters and pumped out of cells.
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Phase I reactions
OxidationHydroxylation (addition of -OH group)
N- and O- Dealkylation (removal of -CH side chains)
Deamination (removal of -NH side chains)
Epoxidation (formation of epoxides)
Oxygen addition (sulfoxidation, N-oxidation)
Hydrogen removal
Reduction
Hydrogen addition (unsaturated bonds to saturated)
Donor molecules include GSH, FAD, NAD(P)H
Oxygen removal
Hydrolysis
Splitting of C-N-C (amide) and C-O-C (ester) bonds
O
C C
OC
See also Chapter 6 of Casarett and Doulls Toxicology
Table 6.1
epoxide
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Phases of detoxification
The metabolism of xenobiotics is oftendivided into three phases:
modification, conjugation, and
excretion. These reactions act in
concert to detoxify xenobiotics and
remove them from cells.
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Sitokrom P450 mitokondriaflavoprotein NADPH-,
adrenodoxin reduktase,
zat besi nonheme-sulfur protein,
adrenodoxin
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Contoh lain senyawa yang berfungsi induksibel:
Obat-obatan : barbital, etanol, steroid dan nikotin
Kimia industri :alkohol, khlordan, DDT dan khloroform
Hidrokarbon poliaromatik (polyaromatic hydrocarbon)
:benzopyrenes,dibenzanthrazena
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Biotransformation
Potentially toxic xenobiotic
Inactive metabolite
Relatively harmless
Reactive intermediate
DetoxificationMetabolicactivation
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Converting lipophilic to water
soluble compounds
Xenobiotic
Reactive intermediate
Conjugate
Phase I - Activation
Phase II - Conjugation
Excretion
Lipophilic
(non-polar)
Water soluble
(polar)
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Biotransformation
Water soluble xenobiotics are easier toeliminate ( t1/2)
Urine, feces but not exhalation
If within barrier, no out Multiple enzymes (families)
Constitutively expressed
Inducible
Broad specificity Polymorphic (allelic variants)
Stereo-isomer specificity: 6-OH in hormones:
CYP2A1 6-OH
CYP3A 6-OH
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Cytochrome P450 (CYP)
Mixed Function Oxidases (MFO) Located in many tissues but highly in liver ER
Human: 16 gene families
CYP 1,2,3 perform drug metabolism
>48 genes sequenced
Key forms: CYP1A2, CYP2C9, CYP2C19, CYP2D6,CYP2E1, and CYP3A4
Highly inducible
Alcohol CYP2E1 Dioxin/PCBs CYP1A
Barbiturates CYP2B
CYP genes have multiple alleles (2D6 has 53, and 2E1 has13)
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Metabolic enzymes
1. Microsomal:1. CYP450 monooxygenases
2. Flavin monooxygenase
2. Non-microsomal1. Alcohol dehydrogenase
2. Aldehyde dehydrogenase
3. Monoamine and diamine oxidases
3. Both
1. Esterases and Amidases
2. Prostaglandin synthase
3. Peroxidases
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Glucuronidation of phenol
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Sulfation of phenol and toluene
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Glutathione
-glutamyl-cysteinyl-glycine
Active site of a GST:
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GSH conjugation of
acetaminophen
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Cooxidation of
acetaminophenby prostaglandin
endoperoxide
synthetase
Compare to fig. 6-2
Benzene trasformation to
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leukemia-causing metabolite
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Phase III - further modification
and excretionAfter phase II reactions, the xenobiotic conjugates may be further metabolised. A
common example is the processing of glutathione conjugates to acetylcysteine
(mercapturic acid) conjugates.[7] Here, the -glutamate and glycine residues in theglutathione molecule are removed by Gamma-glutamyl transpeptidase and dipeptidases.
In the final step, the cystine residue in the conjugate is acetylated.
Conjugates and their metabolites can be excreted from cells in phase III of their
metabolism, with the anionic groups acting as affinity tags for a variety of membrane
transporters of the multidrug resistance protein (MRP) family.[8] These proteins are
members of the family of ATP-binding cassette transporters and can catalyse the ATP-
dependent transport of a huge variety of hydrophobic anions,[9] and thus act to remove
phase II products to the extracellular medium, where they may be further metabolised
or excreted.[10]
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Toxication and Detoxication: Must consider both
parent and metabolites:
Metabolism may either decrease or increase toxicity.Toxicants can be
formed in a variety of ways:
A) Parent compound toxic. Metabolites non-toxic.
B) Parent compound non-toxic. Metabolites toxic.
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Toxic metabolites formed in situ
Toxic metabolites formed in liver and transported
e.g., Parathion (nerve poison):
ABSORPTION/ELIMINATION
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ABSORPTION/ELIMINATION:
CHARACTERISTICS OF XENOBIOTICS?Lipophilic
Penetrate membranes by diffusion
Transported by lipoproteins in blood
HOW ELIMINATE?
Diffusion (limitations?)
Excrete (limitations?)
MAKE IT WATER SOLUBLE!!!!!!
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Permeability barriers and
detoxification That the exact compounds an organism is exposed to will be largely
unpredictable, and may differ widely over time, is a major
characteristic of xenobiotic toxic stress.[1] The major challenge faced
by xenobiotic detoxification systems is that they must be able to
remove the almost-limitless number of xenobiotic compounds from thecomplex mixture of chemicals involved in normal metabolism. The
solution that has evolved to address this problem is an elegant
combination of physical barriers and low-specificity enzymatic
systems.
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All organisms use cell membranes as hydrophobic permeability
barriers to control access to their internal environment. Polar
compounds cannot diffuse across these cell membranes, and the uptake
of useful molecules is mediated through transport proteins that
specifically select substrates from the extracellular mixture. Thisselective uptake means that most hydrophilic molecules cannot enter
cells, since they are not recognised by any specific transporters.[2] In
contrast, the diffusion of hydrophobic compounds across these barriers
cannot be controlled, and organisms, therefore, cannot exclude lipid-
soluble xenobiotics using membrane barriers.
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However, the existence of a permeability barrier means that organisms were able to
evolve detoxification systems that exploit the hydrophobicity common to membrane-
permeable xenobiotics. These systems therefore solve the specificity problem by
possessing such broad substrate specificities that they metabolise almost any non-polar
compound.[1] Useful metabolites are excluded since they are polar, and in general
contain one or more charged groups.
The detoxification of the reactive by-products of normal metabolism cannot be
achieved by the systems outlined above, because these species are derived from normal
cellular constituents and usually share their polar characteristics. However, since these
compounds are few in number, specific enzymes can recognize and remove them.
Examples of these specific detoxification systems are the glyoxalase system, which
removes the reactive aldehyde methylglyoxal,[3] and the various antioxidant systemsthat eliminate reactive oxygen species.[4]
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Endogenous toxins
The detoxification of endogenous reactive metabolites such as peroxides and reactive
aldehydes often cannot be achieved by the system described above. This is the result
of these species' being derived from normal cellular constituents and usually sharing
their polar characteristics. However, since these compounds are few in number, it is
possible for enzymatic systems to utilize specific molecular recognition to recognizeand remove them. The similarity of these molecules to useful metabolites therefore
means that different detoxification enzymes are usually required for the metabolism
of each group of endogenous toxins. Examples of these specific detoxification
systems are the glyoxalase system, which acts to dispose of the reactive aldehyde
methylglyoxal, and the various antioxidant systems that remove reactive oxygenspecies.
Ph I
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Phase I
introduction of functional group
hydrophilicity increases slightly
may inactivateor
activate original compound major player is CYP or mixed function oxygenase
(MFO) system in conjunction with NAD(P)H
location of reactions is smooth endoplasmic reticulum
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Ph I ti
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Phase I reactions
OxidationHydroxylation (addition of -OH group)
N- and O- Dealkylation (removal of -CH side chains)
Deamination (removal of -NH side chains)
Epoxidation (formation of epoxides)
Oxygen addition (sulfoxidation, N-oxidation)
Hydrogen removal
Reduction
Hydrogen addition (unsaturated bonds to saturated)
Donor molecules include GSH, FAD, NAD(P)H
Oxygen removal
Hydrolysis
Splitting of C-N-C (amide) and C-O-C (ester) bonds
O
C C
OC
See also Chapter 6 of Casarett and Doulls Toxicology
Table 6.1
epoxide
Bi t f ti
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Biotransformation
Activation of xenobiotics is a key element(e.g. benzene, vinyl chloride)
Reactive intermediates include epoxides and freeradical species (unpaired electrons) that are short-lived
and hence highly reactive Protection is provided by
endogenous antioxidant substances, e.g. GSH
vitamins C and E
antioxidant enzymes, SOD, GPX, CAT in coupled reactions
Antioxidant molecules are oxidized in the process buthave the capacity to regenerate the reduced form fromthe oxidized - NAD(P)H is a key player
See also p. 40-44 of Casarett and Doulls Toxicology
Th CYP 450 ti l
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The CYP-450 reaction cycle
A
E
D
C
F
G(B)
O id i f i l hl id
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Oxidation of vinyl chloride to an
epoxide
Hydrolysis of esters and amides
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Hydrolysis of organophosphates
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Hydrolysis of epoxides
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M b li f
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Metabolism of
benzo(a)pyrene to
9,10 epoxide:
Potent mutagen
that binds DNA
Azo- and nitro- reduction
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Intestinal flora as part of biotransformation
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Flora action
Ready for elimination
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Oxidation reactions
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Flavin mono-oxygenases
(FMO) catalyzed reactions
Nitrogen compounds
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Phase II reactions
Glycoside conjugation - glucuronidation
Sulfate - sulfation
Glutathione (GSH)
Methylation
Acylation
Acetylation
Amino acid conjugation Deacetylation
Phosphate conjugation