Metabolism of Drugs and Other Xenobiotics

Preface

PART ONE: Biochemistry and Molecular Genetics of Drug Metabolism

DRUG-METABOLIZING ENZYMES - AN OVERVIEW
Introduction: Fate of a Drug in the Human Body
Classification Systems of Drug-Metabolizing Enzymes According to Different Criteria
Overview of the Most Important Drug-Metabolizing Enzyme

CYTOCHROMES P450
Introduction and Historical Perspective
Nomenclature and Gene Organization
Regulation
Polymorphisms
Protein Structure
Catalytic Mechanisms
What Determines P450 Catalytic Selectivity?
Oxidative Stress and P450s
Relevance in Drug Metabolism and Clinical Medicine

UDP-GLUCURONOSYLTRANSFERASES
Introduction
A Simple Phenotype: Unconjugated Nonhemolytic
Hyperbilirubinemia and Glucuronidation
Organization of UGTs and the UGT1A Gene Locus
UGT1A Gene Nomenclature
Human UGT1A Gene Locus and Sequence Variability
Glucuronidation of Bilirubin
UGT1A1 Gene
Is There an Advantage or Risk Associated with UGT1A1 Variability?
UGT1A1 Gene and Pharmacogenetic Protection
UGT1A1 Gene and Pharmacogenetic Risks
UGT1A1 Variability and Cancer Risk
UGT1A3 Gene
UGT1A7 Gene
Transcriptional Regulation of UGT1A Genes
Aryl Hydrocarbon Receptor/Aryl Hydrocarbon Receptor Nuclear Translocator Regulation of UGT1A Genes
Regulation by Hepatic Nuclear Factors
Regulation by the Farnesoid X Receptor
Regulation by Nuclear Factor Erythroid 2-Related Factor 2
Regulation by Splice Variants
Animal Models to Study UGT1A Genes
Outlook

SULFOTRANSFERASES
Introduction
Background
PAPS Synthesis
SULT Enzyme Family
Assays for SULT Activity
Structure and Function of SULT
SULT Pharmacogenetics
Bioactivation and the Role of SULTs in Toxicology
Conclusions and Future Perspectives

GLUTATHIONE S-TRANSFERASES
Introduction and History
Nomenclature, Structure, and Function
Substrates
Regulation, Induction, and Inhibition
Gene Polymorphism of GSTs

HYDROLYTIC ENZYMES
Carboxylesterases
Epoxide Hydrolases
Paraoxonases
Other Hydrolases

TRANSPORTING SYSTEMS
Introduction
Classification of Drug Transporters and Transport Mechanisms
Drug Transporters of the SLC Superfamily
ABC Drug Transporters
Drug Transporters and Disease
Drug Transporters and Pharmacokinetics
Role of Drug Transporters in Chemotherapy Resistance
Pharmacogenomics of Drug Transporters: Implications for Clinical Drug Response

TRANSCRIPTIONAL REGULATION OF HUMAN DRUG-METABOLIZING CYTOCHROME P450 ENZYMES
Factors Affecting Drug-Metabolizing Cytochromes P450
Transcriptional Regulation of CYP
Regulation of Drug-Metabolizing CYPs

IMPORTANCE OF PHARMACOGENOMICS
Introduction
Pharmacogenetic Polymorphisms
Polygenic and Multifactorial Aspects of Drug Metabolism Phenotype
Genomics Technologies and Approaches
Conclusions

PART TWO: Metabolism of Drugs

INTRODUCTION TO DRUG METABOLISM
Introduction
Historical Aspects
Diversity of Drug Metabolic Pathways
Influence of Drug Metabolism on Pharmacological Activity
Biotoxification
Extrahepatic Drug Metabolism
Factors Affecting Drug Metabolism Activity
Conclusions

CENTRAL NERVOUS SYSTEM DRUGS
Introduction
Antidepressants
Antipsychotics
Tranquillizers and Hypnotic Agents
Psychostimulants
Anticonvulsants and Mood Stabilizers
Agents for Dementia and Cognitive Enhancers
Antimigraine Drugs
Other Drugs
Conclusions

CARDIOVASCULAR DRUGS
Introduction
RAAS as a Target for Angiotensin-Converting Enzyme Inhibitors and AT1 Receptor Blockers
Adrenergic Receptor Agonists
Adrenergic Receptor Antagonists
Diuretics
Antiarrhythmics
Anticoagulants
Cholesterol-Lowering Drugs

ANTICANCER DRUGS
Introduction
Alkylating Drugs
Platinum-Containing Agents
Antimetabolites
Endocrine Therapy
Histone Deacetylase Inhibitor (Vorinostat)
Tyrosine Kinase Inhibitors
Proteasome Inhibitor (Bortezomib)

ANTIMICROBIAL AGENTS
Introduction
Pharmacokinetics/Pharmacodynamics of the Main Families of Antimicrobial Agents
Pharmacogenetics
Conclusions

DRUGS AGAINST ACUTE AND CHRONIC PAIN
Introduction
Acute Pain
Chronic Pain

DRUGS OF ABUSE (INCLUDING DESIGNER DRUGS)

Introduction
Classic Drugs of Abuse
Designer Drugs of Abuse

NI