Biotransformation Reactions

Biotransformation reactions are enzyme-mediated chemical changes that modify drugs, toxins, and other compounds in the body, helping regulate their activity and elimination. In clinical pharmacology, these reactions commonly occur in the liver through Phase I oxidation, reduction, or hydrolysis, followed by Phase II conjugation with molecules such as glucuronic acid or sulfate; these processes often increase water solubility, although they can also produce active or toxic metabolites. Understanding biotransformation supports prediction of drug clearance, therapeutic duration, adverse effects, and interactions caused by enzyme inhibition or induction. It is therefore central to pharmacokinetics, dose selection, toxicology, and individualized treatment.

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JoVE Core - Pharmacology

Drug Biotransformation: Overview

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2023

Pharmaceutical substances known as xenobiotics are predominantly lipophilic and nonionized. This enables them to permeate lipid bilayers, such as cell membranes, and interact with intracellular target receptors. Lipophilic drugs have an advantage in crossing biological barriers and reaching their intended sites of action. However, lipophilic drugs often have a restricted capacity for renal expulsion or elimination from the body. When these drugs enter the kidneys and undergo glomerular...

Drug Biotransformation: Overview

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2025

Biotransformation, also known as drug metabolism, is a vital physiological process that chemically alters drugs, facilitating their elimination from the body and terminating their action. This process involves two main phases: phase I and phase II reactions. Phase I reactions, including oxidation, reduction, and hydrolysis, introduce or unmask polar functional groups on the drug molecule, thereby increasing its water solubility. By enhancing water solubility, the drug becomes more hydrophilic...

Factors Affecting Drug Biotransformation: Biological

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2025

Biological factors significantly impact drug metabolism, influencing drug clearance, efficacy, and potential toxicity. Species differences: Variations in enzyme systems across species can cause disparities in drug metabolism. For instance, humans may metabolize certain drugs faster than rodents, altering therapeutic effects. Strain differences: Genetic variations within a species can result in differing enzyme activity, impacting drug response and toxicity. For example, some mouse strains may...

Factors Affecting Drug Biotransformation: Physicochemical and Chemical Properties of Drugs

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2025

A drug's physicochemical properties fundamentally influence its metabolism. For instance, a drug's molecular size and shape critically determine its interaction with enzymes and transporters — larger drugs may face difficulty reaching enzyme active sites, altering their metabolic pathways. The pKa of a drug, which establishes its ionization state, can impact its solubility and absorption, thereby influencing metabolism. The drug's acidity or basicity is essential in determining the metabolic...

Reaction Mechanisms

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2020

Chemical reactions often occur in a stepwise fashion, involving two or more distinct reactions taking place in a sequence. A balanced equation indicates the reacting species and the product species, but it reveals no details about how the reaction occurs at the molecular level. The reaction mechanism (or reaction path) provides details regarding the precise, step-by-step process by which a reaction occurs. For instance, the decomposition of ozone appears to follow a mechanism with two steps:

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