Carbon-heteroatom coupling epoxide

GSH may also be coupled to electrophilic reaction intermediates nonenzymatically or by GSH transferase (GST)-catalyzed reactions. Many different types of substrates will undergo GSH conjugation, including epoxides, halogenated compounds, aromatic nitro compounds, and many others. In these reactions, GSH can interact with an electrophilic carbon or heteroatom (O, N, and S) [35]. One such substrate is a reactive metabolite of acetaminophen (APAP), N-acetyl-p-benzoquinonimine (NAPQI), which will readily form a GSH conjugate (Scheme 3.2). Other examples of Phase II bioactivation reactions that lead to toxic endpoints are shown in Table 3.1. 

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