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Journal: Toxins
Article Title: Exploring the Impact of Efavirenz on Aflatoxin B1 Metabolism: Insights from a Physiologically Based Pharmacokinetic Model and a Human Liver Microsome Study
doi: 10.3390/toxins16060259
Figure Lengend Snippet: Human metabolic pathways of aflatoxin B1 (AFB1). Aflatoxin M1 (AFM1) is formed by CYP1A2, aflatoxin P1 (AFP1) by CYP2A13, CYP2A3, and CYP321A1. Aflatoxin-8,9-endo/exo-epoxides (AFBO) are formed by both CYP1A2 and CYP3A4. More downstream metabolites of AFBO are depicted without a frame (aflatoxin B-N 7 -guanine (AFB-N 7 -gua), aflatoxin B-formamidopyridine (AFB-FAPyr), aflatoxin B-diol (AFB-diol), aflatoxin B-dialdehyde (AFB-dialdehyde), aflatoxin B-S-glutathion (AFB-GSH), aflatoxin B-mercapturic acid (AFB-NAC), aflatoxin B1-lysine (AFB-lysine), aflatoxin B-monoalcohols (AFB-monoalcohols), and aflatoxin B dialcohol (AFB-dialcohol)). Aflatoxin B2a (AFB2a) is formed by the involvement of CYP450 enzymes, not further specified. Aflatoxin Q1 (AFQ1) is formed by CYP3A4 and CYP3A5. Aflatoxicol (AFL) is produced by nicotinamide-adenine-dinucleotide phosphate reductase (NADPH reductase). Both AFL and AFQ1 can form aflatoxicol H1 (AFH1). Efavirenz (EFV), a non-nucleoside reverse transcriptase inhibitor drug and CYP3A4 inducer, is also presented, indicating its inducing effect on CYP3A4, expected to increase the formation of both AFQ1 and AFBO (green frames) . The toxic metabolites of AFB1 are presented in thick grey frames (AFM1 and AFBO).
Article Snippet:
Techniques: Produced, Reverse Transcription