2. Detoxification of Xenobiotics
Xenobiotics – no nutritive value, no use for the
body, Can be harmful, eg. Drugs, Chemicals,
food contaminants, food additives
Mostly lipophilic (hydrophobics) and made
hydrophilic for excretion
Liver is the principal organ
Other organs: SI, Kidney
3. Detoxification: Metabolism of Xenobiotic
Continuous exposure of animal to foreign compounds (drugs,
pollutants, food additives, pesticides etc)
Certain compounds produced in large intestine eg. Indol,
cadaverine, tyramine, phenol, Bilirubin
Detoxification is converting foreign substance in more soluble and
easily excretable form. It is also called biotransformation or
metabolism of xenobiotics.
Knowledge of metabolism of detoxification is necessary for
understanding toxicology and pharmacology
Site of detoxification- Liver , Kidney, intestine
5. Detoxification of Xenobiotics
2. Phase-II
Molecule is made more water soluble
Conjugation
Sulfation
Methylation
Glucuronidation
Secondary metabolite is suitable for
excretion via kidney, intestine, sweat gland
6. Detoxification of Xenobiotics
Most common Phase-I reactions are catalyzed
by Cyp450 enzymes
Different enzymes involved in Biotransformation
1. Cyp450 monooxygenase
2. Glutathione s transferase
3. Sulfotransferase
4. UDP-Glucoronosyl transferase
5. Methyl Transferase
6. Acetyl Transferase
7. Amidase-esterase
7. Detoxification (Phase-I)
1. Oxidation: alcohol, aldehyde, amines, aromatic hydrocarbons, sulfur
compounds detoxified by oxidation.
Introduction of –OH group into an aromatic ring increase water
solubility.
Most of the oxidation reactions are catalyzed by monooxygenase or
cytochrome P450.
1. Alcohol : Methanol formic acid
Ethanol Acetic acid
Benzyl alcohol Benzoic acid
2.Aldehyde: Benzaldehyde Benzoic acid
3.Aliphatic amine Aliphatic acid+ urea
4.Aromatic hydrocarbon: Benzene hydroxy phenol
5.Sulfur compound oxidized to sulfuric acid
9. Detoxification(Phase-II)
Conjugation: It is a process by which foreign compounds combines
with the substances produced in the body and non polar compound
becomes polar
Glucuronic acid, glycine, cysteine, glutamine, methyl group,
sulphate, acetic acid and thiosulphate are most common conjugating
substances.
The active form of glucuronic acid is UDP-glucuronic acid.
The microsomal enzyme UDP- glucuronyle transferase participate in
glucuronide formation.
The compound containing –OH group are converted to glucuronide
by the reaction with UDP-glucuronic acid.
Phenol+ UDP-glucuronic acid Phenyl glucuronide + UDP
10. Detoxification(Phase-II)
Glucuronic acid conjugation:
1. Phenol Phenyl glucuronide
2. Benzoic acid Benzoyl glucuronide
3. Billirubin+ UDP-Glucuronic acid Bilirubin glucuronide
4. Many steroids metabolites are excreted as glucuronides.
Glycine:
Hippuric acid is form when glycine is conjugated with benzylcoA.
Phenylacetic acid+ glycine phenylaceturic acid
Cholic acid+glycine Glycocholic acid.
Glutathione: (Glu-Cys-Gly):
Wide variety of organic compounds get conjugated with cysteine of
glutathione.
13. Cyp450 enzymes
Flavin and heme containing encoded by 57 functional
genes
Spectral absorption 450
Use NADPH+ H as reducing molecule to reduce O2
Cyp450
RH R-OH
H2O
They all causes oxidative, peroxidative, reductive
degradation of exogenous and endogenous chemicals
Found in sER and microsomes
14. Cyp450 enzymes
Cyp3A4 isoform accounts for 30-40% cyp450 enzyme in
liver and 70% in SI
Cyp3A4 metabolizes greatest number of drugs
Drug metabolism by Cyp3A4 is based on the affinity of the
enzyme to the specific drug thereby inducing competition
amongst the drugs for the metabolism
Many substances or drugs can impair the metabolizing
ability of Cyp3A4. e.g. grape fruit juice inhibitory effect on
cyp3A4 for metabolism of HMGCoA inhibitory drug statin
15. Alcohol metaboilism
Ethanol detoxified in liver either by
1. Cyp2E1
2. ADH (Alcohol Dehydrogenase)
3. Catalase
Acetaldehyde
16. Cyp2D6 is important in metabolism of
codeine and it is converted to Morphine
Cyp2D6 polymorphism
It metabolizes the drug slower or ultra-rapid
17. Cyp450 enzymes
Cyp2E1 is alcohol metabolizing Cyp450
enzyme
Microsomal Ethanol oxidizing system(MEO)
Cyp450 enzymes generates free radicals
(ROS) as an intermediate in the reaction
18. Biotransformation of Xenobiotics
Vinyl chloride Chloroethylene oxide
Phase I Phase-II
Cyp2E1
React with G of DNA Chloroacetaldehyde
G-s transferase
Angiosarcoma of liver
Conjugate with Glutathione
Excreted
19.
20. Biotransformation of Xenobiotics
Vinyl chloride is readily and rapidly absorbed via
inhalation, ingestion and through the skin
At room temperature vinyl chloride is a gas, so inhalation
is the major route exposure
Following absorption, it is distributed through the body,
with the highest concentrations found in the liver and
kidneys, followed by the lungs and spleen
Vinyl chloride is mainly metabolized in the liver into
reactive metabolites
Vinyl chloride is mainly excreted in the urine as
thiodiglycolic acid
21. Biotransformation of Xenobiotics
Repeated exposure to vinyl chloride may cause
liver toxicity, neurological and behavioral
symptoms
Vinyl chloride is considered to be carcinogenic
22. Biotransformation of Xenobiotics
Aflatoxin B-1
Produced by fungus Aspergillus flavis
Cyp2A1 bio-transform Aflatoxin B-1 into 8,9
epoxide form which is more toxic form
Toxification of less toxic to more toxic compound
It adduct with Guanine and introduce mutation
leading to carcinogenic effect
It can also hepatotoxic
23. Cyp450 transformation reaction
Acetaminophen or Paracetamol (Tylenol)
Metabolized in liver by sulfation, glucuronidation by
Cyp2E1
Safe Excretion by Kidney in urine
When Acetaminophen is taken in correct therapeutic dose
only < 10% of NAPQI is formed which is handled by GST
by using GSH
When the dosage exceed therapeutic range, sulfation and
glucuronidation overwhelm
More than 10% NAPQI formed via Cyp2E1
24.
25. Biotransformation of Xenobiotics
Limited level of GSH in the liver may not be able to
metabolized it thus leading to hepatocyte death
Cyp2E1 is induced by alcohol, thus alcohol abuse
will have increased sensitivity to acetaminophen /
paracetamol toxicity
N-acetyl cysteine is an antidote for acetaminophen
/ paracetamol toxicity