Cytochrome Information and Courses from MediaLab, Inc.
These are the MediaLab courses that cover Cytochrome and links to relevant pages within the course.
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| Which one of the following statements about acetominophen metabolism is false? | View Page |
| Eikenella - catalase & oxidase Eikenella corrodens (E) belongs to the HACEK group of miscellaneous gram-negative bacilli which includes Haemophilus aphrophilus (H), Actinobacillus actinomycetemcometans (A), Cardiobacterium hominis (C) and Kingella kingae (K).Cytochrome oxidase and catalase are two rapid tests that help separate the several members of this group.Eikenella corrodens shows cytochrome oxidase activity, but not catalase activity.
The positive oxidase reaction separates E. corrodens from Haemophilus aphrophilus and Actinobacillus actinomycetemcomitans, which are both negative.A. actinomycetemcomitans is also catalase positive, an additional characteristic separating it from E. corrodens, which is negative.As Kingella kingae is also oxidase positive and catalase negative, other tests are needed for differentiation. K. kingae produces acid from glucose and maltose (E. corrodens is asaccharolytic). | View Page |
| Polymorphism and CYP450 To discuss PGx, we must first define two terms - polymorphism and cytochrome P450 (CYP450).A polymorphism is a variation in a gene (allele) that affects at least 1% of the population. CYP450 refers to a family of enzymes found predominantly in the liver. CYP450 enzymes work on a variety of substrates (drugs), altering their chemical structures to facilitate excretion in the urine and feces. There are many known polymorphisms in CYP450 enzymes. | View Page |
| CYP450 Induction and Inhibition CYP450 Inhibitor Inducer CYP1A2 Amiodarone Cimetidine Ciprofloxacin Tobacco CYP2C9 Amiodarone Fluvastatin Isoniazid Fluconazole Rifampin Secobarbital CYP2C19 Cimetidine Indomethacin Ketokonazole Prednisone CYP2D6 Celecoxib Cimetidine Cocaine Methadone Pentazocine Imipramine Desipramine Amitriptyline CYP2E1 Disulfiram Fluoxetine Ethanol Isoniazid CYP3A Midazolam Erythromycin Methadone Phenobarbital Dexamethasone Note: This is not an exhaustive listing of inducers and inhibitors.Reference: Tanaka E, Terada M, Misawa S. Cytochrome P450 2E1: it's clinical and toxicological role. J Clin Pharm Ther. 2000 Jun;25(3):165-75. | View Page |
| References Clinical Chemistry: Theory, Analysis, Correlation, 4th Edition. Lawrence A. Kaplan, Amadeo Pesce, Steven Kazmierczak. New York: Mosby, 2002.FDA Clears Genetic Lab Test for Warfarin Sensitivity. FDA News. U.S. Food and Drug Administration. Available at http://www.fda.gov/bbs/topics/NEWS/2007/NEW01701.html. Accessed June 3, 2008.Goodman & Gilman's The Pharmacological Basis of Therapeutics, 11th Edition. Laurence Brunton, John Lazo, Keith Parker. McGraw-Hill, 2005.Tanaka E, Terada M, Misawa S. Cytochrome P450 2E1: it's clinical and toxicological role. J Clin Pharm Ther. 2000 Jun;25(3):165-75.The Chemistry of Mind-Altering Drugs: History, Pharmacology, and Cultural Context. Daniel Perrine, American Chemical Society Publication, 1996.Tietz Textbook of Clinical Chemistry and Molecular Diagnostics, 4th Edition. Carl A. Burtis and Edward R. Ashwood, eds. Philadelphia: WB Saunders, 2005. | View Page |