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Biochemistry · Biotransformation: cytochrome P450
Sample itemWhat is the main role of phase I cytochrome P450 reactions in drug metabolism?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Introduce or expose functional groups through oxidation, reduction, or hydrolysis
Phase I metabolism often uses cytochrome P450 enzymes to create or reveal functional groups, sometimes generating reactive intermediates. Phase II reactions conjugate compounds to increase water solubility.
Option by option
A. Eliminate all drugs unchanged through bile
Many drugs require metabolic transformation before excretion.
B. Conjugate drugs directly with glucuronic acid only
Glucuronidation is a phase II conjugation reaction.
C. Introduce or expose functional groups through oxidation, reduction, or hydrolysis (correct)
Correct. Functionalization reactions define phase I metabolism.
D. Synthesize plasma albumin
Albumin is synthesized by hepatocytes but not by drug-metabolism enzymes.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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