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SREE DATTHA INSTITUTE OF PHARMACY
Sheriguda, Ibrahimpatnam, Telangana 5010510
Presented by:
Khaja Majeed Uddin 16U21R0016
Under the guidance of:
Asst. Professor: Mrs. Naga Chandrika
SREE DATTHA INSTITUTE OF PHARMACY
SREE DATTHA INSTITUTE OF PHARMACY 1
CONTENT:
Introduction
Conjugation reactions:
I. Glucuronidation
II. Sulphation
III. Amino acid conjugation
IV. Glutathione
V. Acetylation
VI. Methylation
SREE DATTHA INSTITUTE OF PHARMACY 2
Introduction
Biotransformation:
Metabolism or biotransformation is the process of transformation of chemical entity
(xenobiotics ) into entirely different chemically active or inactive metabolite inside the living
body by a series of enzyme catalyzed reaction and results in their elimination.
The pathways of drug metabolisms are categorized into phase I and phase II reactions.
1. Phase I (Functionalization)Reaction:
In these phase the drug undergoes oxidative, reductive and
hydrolysis reactions. The purpose of these reactions is to produce a more polar and easily
excretable water soluble metabolite.
Example: Reduction of ketones and aldehydes to alcohol, oxidation of alcohols to acids.
SREE DATTHA INSTITUTE OF PHARMACY 3
2.Phase II(Conjugation)Reactions:
These are the enzymatic synthesis reactions which attaches small
polar and ionizable endogenous compounds such as sulphate, methyl ,glucuronic acid, glycine
and other amino acids to the functional group of the intermediates obtained in phase I
reactions or to the parent drug to form water soluble and easily excretable conjugated
product.
 Most of the drugs undergo phase I and phase II reactions subsequentially and thus
complement each other in detoxification and elimination of the drugs
SREE DATTHA INSTITUTE OF PHARMACY 4
SREE DATTHA INSTITUTE OF PHARMACY 5
SREE DATTHA INSTITUTE OF PHARMACY 6
Conjugation Reaction:
The term conjugation refers to combination or attachment of two substances. Conjugation
reaction are important xenobiotic biotransformation reactions as they result in metabolites that are
more water soluble, readily excretable, pharmacologically inactive and non toxic.
Glucuronidation Reactions
i. O-glucuronidation : Ex : Morphine, benzoic acid
ii. N-glucuronidation : Ex : Desipramine
iii. S-glucuronidation : Ex : Thiopental
iv. C-glucuronidation : Ex : Phenylbutazone
SREE DATTHA INSTITUTE OF PHARMACY 7
.
Sulphation Reaction
Amino Acid Conjugation Ex: Phenylacetic acid
Glutathione conjugation Ex : Ethacrynic acid, azathioprine
Acetylation Ex : p-amino salicylic acid (PAS)
Methylation
i. O-methylation : Ex : Morphine
ii. N-methylation : Ex : Norephedrine
iii. S-methylation : Ex : 6-Mercaptopurine
SREE DATTHA INSTITUTE OF PHARMACY 8
SREE DATTHA INSTITUTE OF PHARMACY 9
Conjugation
reaction
Conjugating
agent
Functional
group involved
(X)
Catalytic
enzyme
involved
High energy
intermediate
formed
Glucuronidatio
n
(occurs in
microsomes)
glucuronic acid -NH2, -OH,
-NR2, -SH,
--COOH
UDP-glucuronyl
transferase
(liver).
Uridine
diphosphate
glucuronic acid.
(UDPGA)
Glucuronidation is a process of addition of glucuronic acid moiety to a
compound. Glucuronidations reaction is the most common among phase II
reactions. Large amount of conjugates found in urine and bile are the
products of glucuronidation.
Different forms of glucuronidation conjugation reactions are as follows :
SREE DATTHA INSTITUTE OF PHARMACY 10
Conjugation reaction Functional group involved
(X)
Mechanism
1. O-glucuronidation
 Involving hydroxyl compounds
Ex: Morphine, Acetaminophem.
 Involving carboxyl compounds
Ex: Benzoic acid, salicylic acid
-OH (phenolic, alcoholic, enols
etc)
-COOH
(aryl and aryl alkyl acids)
UDP glucuronyl
UDPGA +ROH
transferase
R--O-glucoronic acid + UDP.
UDP-glucuronyl
UDPGA +R-COOH
transferase
R-CO O –glucuronic acid+UDP
2. N-Glucuronidation
Ex: Benzoic acid, salicylic acid,
Naproxen
-NH2, -NR2
( aryl, alkyl amines, amides,
sulfonamides).
UDPG transferase
UDPGA + R-COOH
R-N-H-glucuronic acid + UDP
3. S- glucuronidation
Ex : Thiophenol, Methimazole.
4. C-glucuronidation
Ex : Phenylbutazone, sulfinpyrazone.
-SH (Thiols)
C H
UDGP transferase
UDPGA + R – SH
R-S- glucuronic acid +UDP
UDPG transferase
UDPGA + R C H
R – C - glucuronic acid + UDP
( C- glucuronide )
SREE DATTHA INSTITUTE OF PHARMACY 11
• Sulphation is the process of addition of a sulphate group to a compound. IT
occurs rarely when compared to glucuronidation due to limited availability of
sulphate ion in the body. Addition of sulphate group enhances the solubility of
the conjugate making it inactive and readily excretable. This is due to the
ionizable property of sulphate conjugate ( pKa of sulphonate is 1-2 ).
SREE DATTHA INSTITUTE OF PHARMACY 12
Conjugation
reaction.
Sulphation
Conjugating agent
Suphate
Function groups
involved (X)
-OH, -NH2
Catalytic enzyme
involved
Sulphatransferase
High energy
metabolite formed
3- Phospho-
Adenosine- 5
phopsphate
SREE DATTHA INSTITUTE OF PHARMACY 13
Conjugation
reaction
Conjugating
agents
Functional group
involved (X)
Catalytic enzyme
involved
High energy
intermediate
formed
ᾳ- amino acid
conjugation Glycine, glutamine -COOH N- acyl transferase Acyl CoA
Amino acid like glycine and glutamine are used by humans and other mammals
to conjugate carboxylic acids, particularly aromatic acids and aryl alkyl acids. The
process takes place in the mitochondria of liver and kidney cells.
• Glutathione conjugation is an important pathway in the detoxification of
chemically reactive electrophilic moieties. Glutathione is a tripeptide found in
most of the tissues. It is highly reactive nucleophile due to the presence of thiol
( -SH ) group in its structure.
SREE DATTHA INSTITUTE OF PHARMACY 14
Conjugation reaction Conjugating agent Functionals groups
involved (X)
Catalytic enzyme
involved
Glutathione
Conjugation
Glutathione Aryl, alkyl halides,
arene oxides, aliphalic
epoxides, sulphates,
etc..
Glutathione -5-
transferase ( GST )
Conjugation by glutathione
SREE DATTHA INSTITUTE OF PHARMACY 15
Acetylation is the process of addition of an acetyl ( CH3CO ) group to
substrate, to form amides. Its is an important route of metabolic
biotransformation for drugs containing primary aromatic amines,
sulphonamides, hydrazines, hydrazides and primary aliphatic amines
SREE DATTHA INSTITUTE OF PHARMACY 16
Conjugation
reaction
Conjugating
agent
Functional
group
involved (X)
Catalytic
enzyme
involved
High energy
intermediate formed
Acetylation reaction Acetyl CoA -OH, _NH2 N – acetyl
transferases
Acetyl CoA
 Methylation is the process of addition of methyl group to a compound and is
catalyzed by the enzyme methyl transferase
 Methylation constitutes a minor pathway in the conjugation of drugs and
xenobiotics but plays a major role in the biosynthesis of endogenous compound
like epinephrine and melatonin and in the activation of endogenous amines such
as dopamine, norepinephrine, serotonin, N-acetyl serotonin, histamine etc..
SREE DATTHA INSTITUTE OF PHARMACY 17
Conjugation
reaction
Conjugating
agent
Functional
groups involved
(X)
Catalytic
enzyme
involved
High energy
intermediate
formed
Methylation
( Occurs in
cytosol )
Methyl group
from 5-methyl
tetrahydro folic
acid and S-
adenosyl
methionine
-OH, -NH2,
-SH,
Heterocyclic N.
Methyl
transferase
(non-
microsomal
enzyme)
S-adenosyl
methionine
(SAM)
SREE DATTHA INSTITUTE OF PHARMACY 18
SREE DATTHA INSTITUTE OF PHARMACY 19
Conjugation reaction Functional groups
involved (X)
Formation of conjugate /
Mechanism
1. O- methylation
Ex: Morphine -OH ( phenolic ,alcoholic)
SAM + R-OH
methyl transferase
R – O – CH3 + S- -adenosyl
homocysteine
2 . N – methylation
Ex: Norepinephrine,
normorphine, nicotine..
-NH2,
Heterocyclic N
SAM + R- NH2
methyl transferase
R – N – CH3+ S-adenosyl
homocysteine
3. S –methylation
Ex: 6-mercaptopurine -SH (Thiols)
SAM + R – SH
methyl transferase
R- S – CH3 + S- adenosyl
homocysteine
SREE DATTHA INSTITUTE OF PHARMACY 20
Reference:
Author Name: D.M. BRAHMAKAR, SUNIL B.
JAISWAL
Book Name: Biopharmaceutics and
Pharmacokinetics A Treatise
SREE DATTHA INSTITUTE OF PHARMACY 21

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Majeed(phase ii metabolism)

  • 1. SREE DATTHA INSTITUTE OF PHARMACY Sheriguda, Ibrahimpatnam, Telangana 5010510 Presented by: Khaja Majeed Uddin 16U21R0016 Under the guidance of: Asst. Professor: Mrs. Naga Chandrika SREE DATTHA INSTITUTE OF PHARMACY SREE DATTHA INSTITUTE OF PHARMACY 1
  • 2. CONTENT: Introduction Conjugation reactions: I. Glucuronidation II. Sulphation III. Amino acid conjugation IV. Glutathione V. Acetylation VI. Methylation SREE DATTHA INSTITUTE OF PHARMACY 2
  • 3. Introduction Biotransformation: Metabolism or biotransformation is the process of transformation of chemical entity (xenobiotics ) into entirely different chemically active or inactive metabolite inside the living body by a series of enzyme catalyzed reaction and results in their elimination. The pathways of drug metabolisms are categorized into phase I and phase II reactions. 1. Phase I (Functionalization)Reaction: In these phase the drug undergoes oxidative, reductive and hydrolysis reactions. The purpose of these reactions is to produce a more polar and easily excretable water soluble metabolite. Example: Reduction of ketones and aldehydes to alcohol, oxidation of alcohols to acids. SREE DATTHA INSTITUTE OF PHARMACY 3
  • 4. 2.Phase II(Conjugation)Reactions: These are the enzymatic synthesis reactions which attaches small polar and ionizable endogenous compounds such as sulphate, methyl ,glucuronic acid, glycine and other amino acids to the functional group of the intermediates obtained in phase I reactions or to the parent drug to form water soluble and easily excretable conjugated product.  Most of the drugs undergo phase I and phase II reactions subsequentially and thus complement each other in detoxification and elimination of the drugs SREE DATTHA INSTITUTE OF PHARMACY 4
  • 5. SREE DATTHA INSTITUTE OF PHARMACY 5
  • 6. SREE DATTHA INSTITUTE OF PHARMACY 6
  • 7. Conjugation Reaction: The term conjugation refers to combination or attachment of two substances. Conjugation reaction are important xenobiotic biotransformation reactions as they result in metabolites that are more water soluble, readily excretable, pharmacologically inactive and non toxic. Glucuronidation Reactions i. O-glucuronidation : Ex : Morphine, benzoic acid ii. N-glucuronidation : Ex : Desipramine iii. S-glucuronidation : Ex : Thiopental iv. C-glucuronidation : Ex : Phenylbutazone SREE DATTHA INSTITUTE OF PHARMACY 7 .
  • 8. Sulphation Reaction Amino Acid Conjugation Ex: Phenylacetic acid Glutathione conjugation Ex : Ethacrynic acid, azathioprine Acetylation Ex : p-amino salicylic acid (PAS) Methylation i. O-methylation : Ex : Morphine ii. N-methylation : Ex : Norephedrine iii. S-methylation : Ex : 6-Mercaptopurine SREE DATTHA INSTITUTE OF PHARMACY 8
  • 9. SREE DATTHA INSTITUTE OF PHARMACY 9 Conjugation reaction Conjugating agent Functional group involved (X) Catalytic enzyme involved High energy intermediate formed Glucuronidatio n (occurs in microsomes) glucuronic acid -NH2, -OH, -NR2, -SH, --COOH UDP-glucuronyl transferase (liver). Uridine diphosphate glucuronic acid. (UDPGA) Glucuronidation is a process of addition of glucuronic acid moiety to a compound. Glucuronidations reaction is the most common among phase II reactions. Large amount of conjugates found in urine and bile are the products of glucuronidation.
  • 10. Different forms of glucuronidation conjugation reactions are as follows : SREE DATTHA INSTITUTE OF PHARMACY 10 Conjugation reaction Functional group involved (X) Mechanism 1. O-glucuronidation  Involving hydroxyl compounds Ex: Morphine, Acetaminophem.  Involving carboxyl compounds Ex: Benzoic acid, salicylic acid -OH (phenolic, alcoholic, enols etc) -COOH (aryl and aryl alkyl acids) UDP glucuronyl UDPGA +ROH transferase R--O-glucoronic acid + UDP. UDP-glucuronyl UDPGA +R-COOH transferase R-CO O –glucuronic acid+UDP 2. N-Glucuronidation Ex: Benzoic acid, salicylic acid, Naproxen -NH2, -NR2 ( aryl, alkyl amines, amides, sulfonamides). UDPG transferase UDPGA + R-COOH R-N-H-glucuronic acid + UDP
  • 11. 3. S- glucuronidation Ex : Thiophenol, Methimazole. 4. C-glucuronidation Ex : Phenylbutazone, sulfinpyrazone. -SH (Thiols) C H UDGP transferase UDPGA + R – SH R-S- glucuronic acid +UDP UDPG transferase UDPGA + R C H R – C - glucuronic acid + UDP ( C- glucuronide ) SREE DATTHA INSTITUTE OF PHARMACY 11
  • 12. • Sulphation is the process of addition of a sulphate group to a compound. IT occurs rarely when compared to glucuronidation due to limited availability of sulphate ion in the body. Addition of sulphate group enhances the solubility of the conjugate making it inactive and readily excretable. This is due to the ionizable property of sulphate conjugate ( pKa of sulphonate is 1-2 ). SREE DATTHA INSTITUTE OF PHARMACY 12 Conjugation reaction. Sulphation Conjugating agent Suphate Function groups involved (X) -OH, -NH2 Catalytic enzyme involved Sulphatransferase High energy metabolite formed 3- Phospho- Adenosine- 5 phopsphate
  • 13. SREE DATTHA INSTITUTE OF PHARMACY 13 Conjugation reaction Conjugating agents Functional group involved (X) Catalytic enzyme involved High energy intermediate formed ᾳ- amino acid conjugation Glycine, glutamine -COOH N- acyl transferase Acyl CoA Amino acid like glycine and glutamine are used by humans and other mammals to conjugate carboxylic acids, particularly aromatic acids and aryl alkyl acids. The process takes place in the mitochondria of liver and kidney cells.
  • 14. • Glutathione conjugation is an important pathway in the detoxification of chemically reactive electrophilic moieties. Glutathione is a tripeptide found in most of the tissues. It is highly reactive nucleophile due to the presence of thiol ( -SH ) group in its structure. SREE DATTHA INSTITUTE OF PHARMACY 14 Conjugation reaction Conjugating agent Functionals groups involved (X) Catalytic enzyme involved Glutathione Conjugation Glutathione Aryl, alkyl halides, arene oxides, aliphalic epoxides, sulphates, etc.. Glutathione -5- transferase ( GST )
  • 15. Conjugation by glutathione SREE DATTHA INSTITUTE OF PHARMACY 15
  • 16. Acetylation is the process of addition of an acetyl ( CH3CO ) group to substrate, to form amides. Its is an important route of metabolic biotransformation for drugs containing primary aromatic amines, sulphonamides, hydrazines, hydrazides and primary aliphatic amines SREE DATTHA INSTITUTE OF PHARMACY 16 Conjugation reaction Conjugating agent Functional group involved (X) Catalytic enzyme involved High energy intermediate formed Acetylation reaction Acetyl CoA -OH, _NH2 N – acetyl transferases Acetyl CoA
  • 17.  Methylation is the process of addition of methyl group to a compound and is catalyzed by the enzyme methyl transferase  Methylation constitutes a minor pathway in the conjugation of drugs and xenobiotics but plays a major role in the biosynthesis of endogenous compound like epinephrine and melatonin and in the activation of endogenous amines such as dopamine, norepinephrine, serotonin, N-acetyl serotonin, histamine etc.. SREE DATTHA INSTITUTE OF PHARMACY 17
  • 18. Conjugation reaction Conjugating agent Functional groups involved (X) Catalytic enzyme involved High energy intermediate formed Methylation ( Occurs in cytosol ) Methyl group from 5-methyl tetrahydro folic acid and S- adenosyl methionine -OH, -NH2, -SH, Heterocyclic N. Methyl transferase (non- microsomal enzyme) S-adenosyl methionine (SAM) SREE DATTHA INSTITUTE OF PHARMACY 18
  • 19. SREE DATTHA INSTITUTE OF PHARMACY 19 Conjugation reaction Functional groups involved (X) Formation of conjugate / Mechanism 1. O- methylation Ex: Morphine -OH ( phenolic ,alcoholic) SAM + R-OH methyl transferase R – O – CH3 + S- -adenosyl homocysteine 2 . N – methylation Ex: Norepinephrine, normorphine, nicotine.. -NH2, Heterocyclic N SAM + R- NH2 methyl transferase R – N – CH3+ S-adenosyl homocysteine 3. S –methylation Ex: 6-mercaptopurine -SH (Thiols) SAM + R – SH methyl transferase R- S – CH3 + S- adenosyl homocysteine
  • 20. SREE DATTHA INSTITUTE OF PHARMACY 20 Reference: Author Name: D.M. BRAHMAKAR, SUNIL B. JAISWAL Book Name: Biopharmaceutics and Pharmacokinetics A Treatise
  • 21. SREE DATTHA INSTITUTE OF PHARMACY 21