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Section 3  General Self Assessment Answers







                                                                            2.7 Drug Metabolism




                 2.7

                 Drug Metabolism
            1.  Heroin is a synthetic derivative of the naturally occurring opioid analgesic morphine. Given its illicit
                nature, heroin is not subject to Food and Drug Administration (FDA) regulation; therefore, the actual
                 1.  Heroin  is  a  synthetic  derivative  of  the  naturally  occurring  opioid  analgesic morphine. Given  its  illicit
                composition of a given heroin batch varies significantly. The three molecules drawn below represent the
                three major components found within a batch of heroin. The users’ intense rush has been attributed to
                 morphine. Which phase I transformation is responsible for the conversion of heroin to morphine?
                the conversion of heroin into morphine. Which phase I transformation is responsible for the conversion of
                heroin to morphine?













                           Heroin                                                           Morphine




                 2. Estradiol, the estrogen component of many oral contraceptives, undergoes a phase II conjugation then
                Answer
                Heroin is the diacetyl ester of morphine. Two successive phase I ester hydrolysis reactions are responsible
                 reabsorbed (at least in part). Consider the structure of estradiol drawn below and do the following:
                for the conversion of heroin to morphine.
                        a. Modify the structure drawn below to show the product of a sulfate conjugation (phase II

                        transformation).
            2.  Estradiol, the estrogen component of many oral contraceptives, undergoes a phase II conjugation reaction
                to produce a metabolite that is eliminated via a fecal route (at least in part). The conjugated hormone
                        b. Which enzyme is required to make this sulfate conjugate?
                undergoes a process called enterohepatic recycling. In this process the sulfate conjugate is cleaved by gut
                        Answer:  Sulfotransferase (SULT)
                bacteria to regenerate the active drug, which is then reabsorbed (at least in part). Consider the structure
                of estradiol drawn below and do the following:
                        c.  Which  deconjugating  enzyme  catalyzes  removal  of  the  sulfate  group  thus  allowing  for
                a.  Modify the structure drawn below to show the product of a sulfate conjugation (phase II
                        enterohepatic recycling?
                    transformation).
                b.  Which enzyme is required to make this sulfate conjugate?
                        Answer:  Sulfatase
                   Answer
                   Sulfotransferase (SULT)






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