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Drug Disposition Overview - Pharmacology and at UCSD

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BIOM/PHAR 255 Winter 2013 Halpert - Jan. 17, 2013<br />

Properties of UGTs<br />

• Normally detoxifying, but can be involved in bioactiv<strong>at</strong>ion<br />

• Glucuronides excreted in bile or urine<br />

– Smaller glucuronides excreted in urine<br />

– Larger glucuronides excreted in bile (undergo enterohep<strong>at</strong>ic<br />

circul<strong>at</strong>ion)<br />

• Genetic defect in UGT1A1 leads to hyperbilirubinemia<br />

diseases<br />

• Glucuronid<strong>at</strong>ion can be impaired when cofactor is<br />

depleted (e.g fasting)<br />

18 of 22<br />

OH<br />

OCH 2 CHCH 2 NHCH(CH 3 ) 2<br />

Propanolol<br />

(Alkylhydroxy-glucuronide)<br />

N<br />

CH 2 CH 2 CH 2 N<br />

Imipramine<br />

(Qu<strong>at</strong>ernary-glucuronide)<br />

Examples: UGT Substr<strong>at</strong>es<br />

(CH 3 ) 2<br />

HO<br />

O<br />

Morphine<br />

OH<br />

H 2 N<br />

N<br />

N<br />

CH3 N-Hydroxy-PhIP<br />

(N-glucuronide)<br />

N<br />

Benzidine<br />

(Arylamine-glucuronide)<br />

A single gene encodes multiple UGTs with differing<br />

substr<strong>at</strong>e preferences<br />

(Ritter et al, 1992)<br />

Each isoform of UGT1 results from differential splicing of<br />

exon1s (N-terminal 287 AA) to common exons 2-5 (245 AA).<br />

1A12<br />

1A10 1A8 1A6 1A4 1A2 2 3 4 5<br />

1A11 1A9 1A7 1A5 1A3 1A1<br />

pseudogene<br />

H<br />

OH<br />

NH 2<br />

UGT1A

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