Page 325 - Color Atlas of Biochemistry
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316       Tissues and organs



             Biotransformations                                 Most oxidation reactions are catalyzed by
                                                                cytochrome P450 systems (see p. 318).
             Thebodyisconstantlytaking up foreign sub-          These monooxygenases are induced by
             stances (= xenobiotics)from foodorthrough          their substrates and show wide specificity.
             contact with the environment, via the skin         The substrate-specific enzymes of the ste-
             and lungs. These substances can be natural         roid metabolism (see p. 376) are exceptions
             in origin, or may have been synthetically pro-     to this.
             duced by humans. Many of these substances        Phase II reactions (conjugate formation). Type
             are toxic, particularly at high concentrations.
             However, thebodyhas effectivemechanisms          II reactions couple their substrates (bilirubin,
             for inactivating and then excreting foreign      steroid hormones, drugs, and products of
                                                              phase I reactions) via ester or amide bonds
             substances through biotransformations. The
             mechanisms of biotransformation are similar      to highly polar negatively charged molecules.
                                                              Theenzymes involved aretransferases, and
             to those with which endogenous substances
             such as bile pigments and steroid hormones       their products are known as conjugates.
                                                                 The most common type of conjugate for-
             are enzymatically converted. Biotransforma-      mation is coupling with glucuronate (GlcUA)
             tions mainly take place in the liver.
                                                              as an O-or N-glucuronide. The coenzyme for
                                                              the reaction is uridine diphosphate glucuro-
             A. Biotransformations
                                                              nate, the “active glucuronate” (see p. 110).
             Phase I reactions (interconversion reactions).   Coupling with the polar glucuronate makes
             Type I reactions introduce functional groups     an apolar (hydrophobic) molecule more
             into inert, apolar molecules or alter functional  strongly polar, and it becomes suf ciently
             groups that are already present. In many         water-soluble and capable of being excreted.
             cases, this is what first makes it possible for  Example (3) shows the glucuronidation of
             foreign substances to conjugate with polar       tetrahydrocortisol, a metabolite of the gluco-
             molecules via phase II reactions (see below).    corticoid cortisol (see p. 374).
             Phase I reactions usually reduce the biological     The biosynthesis of sulfate esters with the
             activity or toxicity of a substance (“detoxifica-  help  of  phosphoadenosine  phosphosulfate
             tion”). However, some substances only be-        (PAPS), the “active sulfate”, (see p. 110) and
             come biologically active as a result of the      amide formation with glycine and glutamine
             interconversion reaction (see, for example,      also play a role in conjugation. For example,
             benzo[a]pyrene, p. 256) or become more toxic     benzoic acid is conjugated with glycine to
             after interconversion than the initial sub-      form themoresoluble and less toxic hippuric
             stance (“toxification”).                         acid (N-benzoylglycine; see p. 324).
                Important phase I biotransformation reac-        In contrast with unconjugated compounds,
             tions include:                                   theconjugates aremuch morewater-soluble
                                                              and capable of being excreted. The conjugates
             • Hydrolytic cleavages of ether,ester,and
                peptide bonds. Example (1)shows hydrol-       are eliminated from the liver either by the
                ysis of the painkiller acetylsalicylic acid.  biliary route—i. e., by receptor-mediated ex-
             • Oxidations. Hydroxylations, epoxide for-       cretion into the bile—or by the renal route,
                mation, sulfoxide formation, dealkylation,    via the blood and kidneys by filtration.
                deamination. For example, benzene is oxi-
                dized into phenol, and toluene (methylben-    Further information
                zene) is oxidized into benzoic acid.
             • Reductions. Reduction of carbonyl, azo-, or    To detoxify heavy metals,the livercontains
                nitro- compounds, dehalogenation.             metallothioneins, a group of cysteine-rich pro-
             • Methylations. Example (2) illustrates the      teins with a high af nity for divalent metal
                                                                             2+
                                                                                        2+
                                                                                                  2+
                                                                                   2+
                inactivation of the catecholamine norepi-     ions such as Cd ,Cu ,Hg ,and Zn .These
                nephrine by methylation of a phenolic OH      metal ions also induce the formation of metal-
                group (see p. 334).                           lothioneins via a special metal-regulating el-
             • Desulfurations. Thereactions take placein      ement (MRE) in the gene's promoter (see
                the hepatocytes on the smooth endoplas-       p. 244).
                mic reticulum.


           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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