•BIOTRANSFORMATION •DETOXIFICATION •METABOLISM OF XENOBIOTICS INTRODUCTION • Man is continuously exposed to several foreign compounds such as drugs, pollutants, food additives, cosmetics, pesticides etc. • Certain unwanted compounds are produced in the large intestine by the bacteria which enter the circulation. • These include indole from tryptophan, cadaverine from lysine, tyramine from tyrosine, phenol from phenylalanine etc. • In the normal metabolism of the body, certain waste compounds (e.g bilirubin) are formed. • A vast majority of the foreign compounds or the unwanted substances, produced in the body, are toxic and, therefore, they should be quickly eliminated from the body. • BIOTRANSFORMATION • Biotransformation is the process whereby a substance is changed from one chemical to another (transformed) by a chemical reaction within the body. • Detoxification is a biotransformation process in which: Metabolites of lower toxicity are produced. • Bioactivation/Entoxication is a biotransformation process in which Metabolites of higher toxicity are produced • Detoxification • Refers to the series of biochemical reactions occurring in the body to convert the foreign (often toxic) compounds to non-toxic or less toxic, and more easily excretable forms. • • Bioactivation (Entoxication) • Refers to the series of biochemical reactions occurring in the body to convert the foreign compounds into metabolites that are more toxic than the parent substance • Biotransformation can produce an unusually reactive metabolite that may interact with cellular macromolecules like DNA. This can lead to very serious health effects such as cancer or birth defects. • An example is the biotransformation of vinyl chloride into vinyl chloride epoxide, which covalently binds to DNA and RNA, a step leading to cancer of the liver. Theories to explain detoxication • Theory of Sherwin: Detoxication mechanisms render so called toxic compounds less toxic by transforming them into more soluble derivatives, which are then more easily excreted. • Theory of Berczeller: Proposed that toxic compounds are made less toxic by transformation into compounds having a surface tension nearly like water than the parent compound. In this way toxic compounds are prevented from accumulating at the surface of cells, since the non-toxic forms are swept into body fluids and excreted. • Theory of Quick: Proposed that the important factor is conversion of a weakly acidic substance to a strongly acidic one. Kidney can excrete stronger acids and their salts more readily than weaker acids. XENOBIOTICS • Xenobiotics are a wide variety of foreign chemicals , both naturally occurring compounds in plant foods, and synthetic compounds in medicines, food additives, and environmental pollutants. • Additives, Adulterants, • Bilirubin • Cosmetics • Drugs, environmental pollutants • pesticides • bacterial action (histamine, putrescine, cadaverine, tyramine and tryptamine) Mechanisms of Detoxication • They are mainly of four types: • Oxidation • Reduction • Hydrolysis and • Conjugation • Sometimes they may occur independently and in others there may be combination of these processes. • • In many cases, in humans, oxidation and other reactions may be followed by conjugation. • In man, detoxication is principally carried out in liver, but to some extent it can be carried out in kidneys also. Reactions of xenobiotics • Present concept is that the reactions of xenobiotics occur in two phases: • Phase 1: This phase involves the hydroxylation, the major reaction, catalysed by mono-oxygenases or cytochrome P450 species. • Other types of reactions in Phase 1 include: reduction and hydrolysis. • Phase 2: The hydroxylated or other compounds produced in phase 1 are converted by specific enzymes to various water soluble polar metabolites by conjugation with various conjugating agents, viz. Glucuronic acid, “active” sulfate, methylation, acetylation, etc. • The overall purpose of these two phases is to increase their water solubility and thus facilitate their excretion from the body. PHASES OF BIOTRANSFORMATION • Phase I Reactions • - Oxidation • - Reduction • - Hydrolysis • Phase II Reactions • - Glucuronic acid conjugation • - Sulphate conjugation • - Cysteine and glutathione conjugation • - Glycine conjugation • - Conjugation with other amino acids • - Acetylation reaction • - Methylation reaction PHASE I REACTIONS • 1. Oxidative reactions • A large number of foreign substances are destroyed in the body by oxidation. • Aliphatic as well as aromatic alcohols may be oxidized to corresponding acids, probably via aldehyde formation. • In addition certain amines, anilids and drugs also can undergo oxidation. • The reaction also include sulfoxidation, N oxidation and epoxidation • Examples • 1. Methyl groups: These groups can be oxidised to form – COOH group through formation of aldehyde. • • 2 Primary aliphatic and aromatic alcohols: They are oxidized to corresponding acids, e.g. • 3. Aromatic hydrocarbons: Aromatic hydrocarbons are oxidized to Phenol and other phenolic compounds. • Again they are conjugated with glucuronic acid or sulphuric acid and excreted as corresponding glucuronides and sulphates. • 4. Aldehydes: Aldehydes are oxidised to form the corresponding acids. • Anilides: Anilides are oxidised to the corresponding Phenols, e.g. Acetanilide is present as a constituent of analgesic drugs, which relieves pain. It is oxidised in the body to form p-acetyl amino phenol. • • 7. Sulphur compounds: The sulphur present in organic sulphur compounds is oxidised to SO4 – which in turn may be excreted in inorganic or organic form or as neutral (unoxidised) sulphur. 8. Drugs: Certain drugs can be oxidised in the body and are excreted as hydroxy derivative or salts. Examples • Meprobamate: A tranquilizer used in psychiatric disorders is excreted largely as the oxidation product hydroxy meprobamate. • • Chloral: Used as a hypnotic. Most of the chloral undergoes reduction and conjugation; but partly it can be oxidised to form trichloroacetic acid which is excreted as its salt. Role of cytochrome P450 species (Monooxygenases) Most of the oxidation reactions of detoxification are catalyzed by monooxygenases or cytochrome P450. This enzyme, also called mixed function oxidase, is associated with the microsomes. The usage P450 refers to the absorption peak (at 450 nm), exhibited by the enzyme when exposed to carbon monoxide. Most of the reactions of cytochrome P450 involve the addition of a hydroxyl group to aliphatic or aromatic compounds which may be represented as; RH + O2 + NADPH ROH+ H2O+ NADP+ Features of cytochrome P450 1. Multiple forms of cytochromeP450 are believed to exist, ranging from 20 to 200. At least 6 species have been isolated and worked in detail. 2. They are all hemoproteins, containing heme as the prosthetic group. 3. Cytochrome P450 species are found in the highest concentration in the microsomes of liver. In the adrenal gland, they occur in mitochondria. 4. The mechanism of action of cytochrome P450 is complex and is dependent on NADPH. • 5. The phospholipid phosphatidylcholine is a constituent of cytochrome P450 system which is necessary for the action of this enzyme. • 6. Cytochrome P450 is an inducible enzyme. Its synthesis is increased by the • administration of drugs such as phenobarbitol. • 7. A distinct species namely cytochrome P448 (with absorption peak at 448 nm) has been studied. lt is specific for the metabolism of polycyclic aromatic hydrocarbons, hence it is also known as aromatic hydrocarbon hydroxylase. Alcohol Metabolism 2. REDUCTION • Reduction usually does not occur extensively in man. Examples • Certain aldehydes, e.g. chloral, a hypnotic, principally undergoes reduction in the body to form corresponding alcohol, which is then conjugated with D-glucuronic acid and excreted as corresponding glucuronides. • 2. Aromatic nitrocompounds, e.g. p-nitrobenzaldehyde is reduced to corresponding amines and excreted after conjugation. • Note: Certain of the reduced metabolites, instead of being less toxic, may be more toxic. • There are quite a number of therapeutic compounds, used as drugs, which undergo hydrolysis, usually in liver. • 3. HYDROLYSIS