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Related Concept Videos

Phase II Reactions: Glucuronidation01:24

Phase II Reactions: Glucuronidation

Glucuronidation, a pivotal phase II biotransformation process, involves the coupling of glucuronic acid to a drug or xenobiotic. Given its widespread occurrence and critical role in drug metabolism, it's considered the most crucial phase II reaction. It enhances the water solubility of substances, aiding their expulsion from the body. The driving force behind these reactions is a group of enzymes known as UDP-glucuronosyltransferases (UGTs). UGTs facilitate the transfer of a glucuronic acid...
Drug Metabolism: Phase II Reactions01:14

Drug Metabolism: Phase II Reactions

Phase II reactions are essential for the detoxification and elimination of drugs from the body. These reactions involve the conjugation of parent drugs or their phase I metabolites with endogenous molecules, resulting in more hydrophilic drug conjugates. The primary conjugation reactions in this phase are sulfation and glucuronidation. Both sulfation and glucuronidation typically produce biologically inactive metabolites. However, in some cases involving prodrugs, active metabolites may be...
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors01:19

Oral Hypoglycemic Agents: α-Glucosidase Inhibitors

α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are typically...
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by the...
Glucose Transporters01:27

Glucose Transporters

Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively manages...

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Iso-glucuronides.

Ronald G Dickinson1

  • 1School of Medicine, University of Queensland, Block 6, Level 7, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia. r.dickinson@uq.edu.au

Current Drug Metabolism
|March 15, 2011
PubMed
Summary
This summary is machine-generated.

Acyl glucuronides undergo intramolecular migration and anomerization. Advanced technology has refined understanding of these processes and their structure-activity relationships, though toxic links remain unclear.

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Area of Science:

  • Pharmacology
  • Drug Metabolism
  • Organic Chemistry

Background:

  • Acyl glucuronides are metabolites formed during drug metabolism.
  • Intramolecular acyl migration and anomerization are key reactions of acyl glucuronides.
  • Previous reviews have summarized the chemistry and biological significance of acyl glucuronides.

Purpose of the Study:

  • To provide an updated review on acyl glucuronides (iso-glucuronides).
  • To contextualize advances in understanding acyl glucuronide chemistry and kinetics over the past 15 years.
  • To explore structure-activity relationships and protein modification by acyl glucuronides.

Main Methods:

  • Review of recent scientific literature.
  • Analysis of advances in analytical techniques like LC-NMR and LC-MS/MS.
  • Delineation of structure-activity relationships based on electronic and steric factors.

Main Results:

  • Significant advances in understanding the dynamics and kinetics of acyl glucuronide reactions using modern technology.
  • Refined identification and kinetics of migration isomers and anomers.
  • Exploration of covalent modification of proteins, with no definitive link to toxicity established.
  • Emerging view of acyl glucuronides as xenobiotics, indicating metabolism may continue post-glucuronidation.

Conclusions:

  • Modern analytical techniques have greatly enhanced the understanding of acyl glucuronide chemistry and kinetics.
  • While protein modification occurs, its direct role in toxicity is not yet proven.
  • Acyl glucuronides and their isomers represent a complex area of drug metabolism with ongoing research into their biological implications.