Metabolism enzyme inhibition

Irreversible metabolic inhibition caused by covalent binding of the inhibitor to the enzyme after being metabolized by the same enzyme. The inhibitory effect remains after elimination of the inhibitor from the body. 

Reversible metabolic inhibition caused by an inhibitor binding to an enzyme site different from the substrate. The degree of inhibition is independent of the substrate concentration. 

Folate metabolism Sulphonamides (also ) Trimethoprim Pyrimethamine Trimetrexate / Inhibit folate synthesis Inhibits dihydrofolate reductase Inhibits dihydrofolate reductase Inhibits dihydrofolate reductase Not present in mammalian cells Mammalian enzyme not inhibited Mammalian enzyme not inhibited Toxicity overcome with leucovorin... 

The reported (14) mechanisms of action of allelochemlcals Include effects on root ultrastructure and subsequent Inhibition of Ion absorption and water uptake, effects on hormone-induced growth, alteration of membrane permeability, changes In lipid and organic acid metabolism, inhibition of protein synthesis and alteration of enzyme activity, and effects on stomatal opening and on photosynthesis. Reduced leaf water potential Is one result of treatment with ferulic and p-coumaric acids (15). Colton and Einhellig (16) found that aqueous extracts of velvetleaf (Abutllon theophrastl Medic.) Increased diffusive resistance In soybean fGlycine max. (L.) Merr.] leaves, probably as a result of stomatal closure. In addition, there was evidence of water stress and reduced quantities of chlorophyll In Inhibited plants. 

Cross-tolerance between disulfoton and another organophosphate, chlorpyrifos, was observed in mice (Costa and Murphy 1983b). Because of this cross-tolerance, a benefit is derived as a result of this interaction. In the same study, propoxur-tolerant mice were tolerant to disulfoton but not vice versa. Propoxur (a carbamate) is metabolized by carboxylesterases, and these enzymes are inhibited in disulfoton-tolerant animals disulfoton-tolerant animals are more susceptible to propoxur and/or carbamate insecticides than are nonpretreated animals. In another study, disulfoton-tolerant rats were tolerant to the cholinergic effects of octamethyl pyrophosphoramide (OMPA) but not parathion (McPhillips 1969a, 1969b). The authors were unable to explain why the insecticides OMPA and parathion caused different effects. 

The MAO enzymes, which come in two types known as MAO-A and MAO-B, perform a scavenger function by metabolizing and thereby eliminating certain molecules from nerve cells. This prevents the accumulation of toxic levels of these substances. In the brain, the MAO-A enzyme metabolizes a variety of substances including norepinephrine and serotonin, and the MAO-B enzyme metabolizes dopamine and several other substances. The effectiveness of MAOIs primarily comes from their ability to inhibit the MAO-A enzyme and thereby boost the availability of norepinephrine and serotonin. 

Disulfiram (Antabuse). Disnlfiram is the only medication specifically approved by the FDA as an aversion therapy for snbstance abnse, specifically alcohol abnse or dependence. Disnlfiram s mechanism of action is qnite simple it is an inhibitor of alcohol dehydrogenase, the major enzyme responsible for the metabolism. Inhibiting this enzyme resnlts in the accnmnlation of acetylaldehyde. Acetylaldehyde is primarily responsible for many of the nnmistakable symptoms of a hangover, and when it accnmnlates in the presence of disnlfiram, it produces a constellation of very nncomfortable physical symptoms. 

First-pass clearance can be tracked to gut-stability or metabolism by phase I and then either direct clearance or clearance of the metabolite by phase It enzymes or biliary, renal or plasma clearance. Metabolite stability by phase I enzymes include inhibition, induction, regiospecificity, lability or affinity toward several cytochrome... 

Methods based on the inhibitory effect of the analyte and the use of an enzyme thermistor have primarily been applied to environmental samples and typically involve measuring the inhibitory effect of a pollutant on an enzyme or on the metabolism of appropriate cells [162]. The inhibiting effect of urease was used to develop methods for the determination of heavy metals such as Hg(II), Cu(II) and Ag(I) by use of the enzyme immobilized on CPG. For this purpose, the response obtained for a 0.5-mL standard pulse of urea in phosphate buffer at a flow-rate of 1 mL/min was recorded, after which 0.5 mL of sample was injected. A new 0.5-mL pulse of urea was injected 30 s after the sample pulse (accurate timing was essential) and the response compared with that of the non-inhibited peak. After a sample was run, the initial response could be restored by washing the column with 0.1-0.3 M Nal plus 50 mM EDTA for 3 min. Under these conditions, 50% inhibition (half the initial response) was obtained for a 0.5-mL pulse of 0.04-0.05 mM Hg(II) or Ag(I), or 0.3 mM Cu(II). In some cases, the enzyme was inhibited irreversibly. In this situation, a reversible enzyme immobilization technique... 

If one of these enzymes is inhibited by another drug, then the plasma levels of the concurrently administered drugs that rely on the enzyme for metabolism increase. For example, 2D6 is essential for the usual metabolism of tricyclic antidepressants (TCAs), which are substrates for this enzyme. Paroxetine inhibits 2D6. If a patient is taking a TCA and paroxetine is added, or vice versa, plasma TCA levels increase, which may result in increased TCA-related side... 

In contrast to anticonvulsants and alcohol, drugs such as bupropion, fluoxetine, fluvoxamine, nefazodone, quinidine, paroxetine, and some antipsychotics can inhibit specific CYP enzymes (7, 11, 36, 37, 41, 42, 43 and 44). Thus, TCAs, certain BZDs, bupropion, some steroids, and antipsychotics can all have their metabolism inhibited by drugs such as fluoxetine. For example, fluoxetine at 20 mg/day produces on average a 500% increase in the levels of coprescribed drugs which are principally dependent on CYP 2D6 for their clearance. That can lead to serious or even life-threatening toxicity if the drug has a narrow therapeutic index and the dose is not adjusted for the change in clearance caused by the coadministration of fluoxetine. 

Verapamil, diltiazem, and perhaps nicardipine (but not nifedipine) inhibit hepatic drug-metabolizing enzymes. Metabolism of diltiazem, nifedipine, verapamil, and probably other calcium channel blockers subject to induction and inhibition. 

The oxidation of acetaldehyde to acetic acid has been studied with NAD-linked ALDH purified from human, rat and Syrian hamster liver (Klyosov et al., 1996). The mitochondrial enzymes from these species have very similar kinetic properties, whereas human cytosolic ALDHl has a value of about 180 pM, compared with 15 pM and 12 pM for rats and hamsters, respectively. Apparently, in human liver, only mitochondrial ALDH oxidizes acetaldehyde at physiological concentrations, whereas both mitochondrial and cytosolic ALDHs of rodents can participate in acetaldehyde metabolism. The rodent cytosolic ALDHs are at least 10 times more sensitive that the human enzyme to inhibition by disulfiram. 

Hinokitiol is a tropolone type natural compound isolated from the wood of Chymacyparis taiwanesis. The compound has been utilized as a natural antimicrobial agent in hair tonics, toothpastes, cosmetics and food supplements. Hinokitiol was evaluated on five different arachidonic acid metabolic pathways for the mechanism of action of anti-inflammatory effects. It has been found to be a potent inhibitor with IC50 values of 0.1 pM against platelet-type 12-LOX and 50 pM against leukocyte-type 12-LOX. It also inhibited soybean 5-LOX enzyme (IC50 = 17 pM). However, hinokitiol had almost no effects on COX-1 and COX-2 enzymes. Similar inhibition profiles were also observed on synthetic tropolone derivatives [168]. 

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