Drug Metabolism

Drug metabolism is the enzymatic transformation of pharmaceutical compounds into metabolites, a process that determines how long drugs remain active and how the body eliminates them. In biology, enzymes such as cytochrome P450 proteins commonly carry out Phase I reactions, including oxidation, while Phase II reactions attach polar groups to metabolites, increasing their water solubility for excretion. These changes can deactivate drugs, activate prodrugs, or produce metabolites with distinct effects or toxicity. Studying drug metabolism helps researchers predict pharmacokinetics, optimize dosing, assess drug interactions, and evaluate safety during therapeutic development.

Drug Metabolism - Related Videos

Research

JoVE Journal - Cancer Research

Advancements in the Metabolic Profiling of Three-Dimensional Brain Tumor Spheroids for Drug Screening

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2025

Here, we establish a metabolic profiling platform integrating three-dimensional (3D) glioma spheroids and imaging-based normalization via extracellular flux analysis. This approach enables more accurate assessment of tumor metabolic responses to drug treatments and provides insights into potential mechanisms of resistance.

Education

JoVE Core - Pharmacology

Drug Metabolism: Phase I Reactions

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2023

A phase I reaction is a biochemical process that introduces a functionally reactive polar group to a substance. This transformation predominantly occurs in the liver, facilitated by the cytochrome P450 system of hemoproteins situated in the lipophilic endoplasmic reticulum of cells. The metabolite generated through this process can have varying polarities. If it is sufficiently polar, it can be easily excreted in the urine due to its water compatibility. However, if the metabolite is nonpolar,...

Drug Metabolism: Phase II Reactions

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2023

Phase II reactions are essential for the detoxification and elimination of drugs from the body. These reactions involve the conjugation of parent drugs or their phase I metabolites with endogenous molecules, resulting in more hydrophilic drug conjugates. The primary conjugation reactions in this phase are sulfation and glucuronidation. Both sulfation and glucuronidation typically produce biologically inactive metabolites. However, in some cases involving prodrugs, active metabolites may be...

Pharmacogenetics of Drug Metabolism: Overview

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2026

Genetic polymorphism in drug metabolism is crucial to the inter-individual variability observed in drug responses. Drug metabolism primarily involves the chemical modification of drugs and other xenobiotics to enhance their elimination by increasing their polarity. Two main classes of enzymes mediate this biotransformation process: Phase I enzymes, primarily cytochrome P450s, catalyze oxidation and reduction reactions, while other enzymes, such as esterases, mediate hydrolysis, and Phase II...

Pharmacokinetics in Pediatric Patients: Drug Metabolism

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2025

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...

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