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PRINCIPLES OF TOXICOLOGY

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oth of which are suitable for conjugation, if the metabolites are not first excreted as the phase I products<br />

(Figure 3.10).<br />

Epoxide hydrolase activity is predominantly microsomal, but an enzyme is also present in the<br />

cytosol.<br />

Most hydrolyses occur to a significant extent in tissues other than liver. Their quantitative<br />

importance is variable, depending on the chemical challenge. One significant extrahepatic location of<br />

esterases is in the blood (plasma and erythrocytes), and of great concern is the enzyme normally<br />

responsible for the hydrolysis of acetylcholine. Blockade of this enzyme is the mode of action of many<br />

insecticides and “ nerve gases.”<br />

Figure 3.10 Hydrolytic and reductive phase I reactions.<br />

3.2 BIOTRANSFORMATION REACTIONS 71

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