Testa B, Mayer J
Institut de Chimie Thérapeutique, Ecole de Pharmacie, Université de Lausanne, Switzerland.
Farmaco. 1998 Apr;53(4):287-91. doi: 10.1016/s0014-827x(98)00012-3.
Drug metabolism has a number of pharmacodynamic and pharmacokinetic consequences which cannot be ignored even at the early stages of drug research. A number of aspects of drug metabolism are thus of interest to medicinal chemists, e.g. prodrug and soft drug design. This mini-review focuses mainly on toxication resulting from reactions of functionalization and conjugation. In the former case, oxidoreductases can reduce xenobiotics to nucleophilic radicals, or oxidize them to electrophilic and oxidizable metabolites. Conjugation reactions also play a role in toxication by generating lipophilic residues (e.g. hybrid triglycerides) or adduct-forming metabolites (e.g. some acylglucuronides), or by interfering with physiological pathways (e.g. Coenzyme A conjugates). Functional moieties undergoing such reactions are known as toxophoric groups. Because they are the biochemical endpoint of several toxication reactions, macromolecular adducts are now of special significance in molecular toxicology. But, as discussed in the conclusion, the substrate specificity of drug-metabolizing enzymes, the many biological factors that influence metabolism, and various repair and removal mechanisms all contribute to decrease toxicological risks and to protect organisms.
药物代谢具有许多药效学和药代动力学后果,即使在药物研究的早期阶段也不能忽视。因此,药物代谢的许多方面都引起了药物化学家的兴趣,例如前药和软药设计。本综述主要关注功能化反应和结合反应导致的中毒。在前一种情况下,氧化还原酶可将外源性物质还原为亲核自由基,或将其氧化为亲电和可氧化代谢物。结合反应在中毒过程中也起作用,通过生成亲脂性残基(如混合甘油三酯)或形成加合物的代谢物(如一些酰基葡萄糖醛酸),或通过干扰生理途径(如辅酶A结合物)。发生此类反应的功能基团称为毒基团。由于它们是几种中毒反应的生化终点,大分子加合物现在在分子毒理学中具有特殊意义。但是,正如结论中所讨论的,药物代谢酶的底物特异性、影响代谢的许多生物学因素以及各种修复和清除机制都有助于降低毒理学风险并保护生物体。