Lumiracoxib has been associated with bioactivation resulting in the formation of a toxic intermediate leading to drug associated liver damage. Lumiracoxib--an NSAID CH3 Show a structural formula to indicate how lumiracoxib could be metabolized and bioactivated into a reactive NAPQI-like reactive intermediate that will account for its liver toxicity. Remember that in CYP450 catalyzed phase 1 drug metabolism the para- hydroxylation of an aromatic amine (an aniline derivative) is a very common metabolic reaction. If lumiracoxib was first p-hydroxylated the the p-hydroxylated product again oxidized by CYP 450what might result? Use the production of NAPQI that I presented as a model for the 2nd step.

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Lumiracoxib has been associated with bioactivation resulting in
the formation of a toxic intermediate leading to drug associated liver damage.
Lumiracoxib--an NSAID
CH3
Show a structural formula to indicate how lumiracoxib could be metabolized and
bioactivated into a reactive NAPQI-like reactive intermediate that will account for its liver
toxicity. Remember that in CYP450 catalyzed phase 1 drug metabolism the para-
hydroxylation of an aromatic amine (an aniline derivative) is a very common metabolic
reaction. If lumiracoxib was first p-hydroxylated the the p-hydroxylated product again
oxidized by CYP 450what might result? Use the production of NAPQI that I presented
as a model for the 2nd step.
Transcribed Image Text:Lumiracoxib has been associated with bioactivation resulting in the formation of a toxic intermediate leading to drug associated liver damage. Lumiracoxib--an NSAID CH3 Show a structural formula to indicate how lumiracoxib could be metabolized and bioactivated into a reactive NAPQI-like reactive intermediate that will account for its liver toxicity. Remember that in CYP450 catalyzed phase 1 drug metabolism the para- hydroxylation of an aromatic amine (an aniline derivative) is a very common metabolic reaction. If lumiracoxib was first p-hydroxylated the the p-hydroxylated product again oxidized by CYP 450what might result? Use the production of NAPQI that I presented as a model for the 2nd step.
Would a structural alert have been appropriate for this structure? Justify your answer.
Transcribed Image Text:Would a structural alert have been appropriate for this structure? Justify your answer.
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