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LIVER DETOXIFICATION
• PHASE ONE: OXYGENATION
• PHASE TWO: CONJUGATION
PHASE I: Cytochrome P450 Enzymes (50-100) • Phase I enzymes directly neutralize some chemicals, but most are converted to intermediate forms that are then processed by phase II enzymes. These intermediate forms are much more chemically active and therefore more toxic. • Activity of the various cytochrome P450 enzymes varies significantly from one individual to another, based on • Genetics, • Individual's level of exposure to chemical toxins, • Nutritional status. • Since the activity of cytochrome P450 varies so much, so does an individual's risk for various diseases. This helps to explain why some people can smoke with only modest damage to their lungs, while others develop lung cancer after only a few decades of smoking. • The enzymes initiate reactions that generally involve in exposing or adding a “functional group” to the toxic molecule. • This process of making the molecule more reactive is required as the first step in increasing its water solubility for excretion. • Some chemicals are already highly reactive and they have functional groups, so they can bypass phase 1 and go right to phase 2. The majority, however, first need phase 1 activation.
Foundation for Integrated Medicine
• One way of objectively determining the activity of phase I is to measure how efficiently a person detoxifies caffeine • Transforming a toxin to a more chemically reactive form makes it more easily metabolized by the phase II enzymes. • A significant side-effect of phase I detoxification is the production of free radicals • For each molecule of toxin metabolized by phase I, one molecule of free radical is generated. Without adequate free radical defenses, every time the liver neutralizes a toxin exposure, it is damaged by the free radicals produced.
Foundation for Integrated Medicine
Phase 1 • Most important antioxidant for neutralizing the free radicals produced in phase I is glutathione. • In the process of neutralizing free radicals, however, glutathione (GSH) is oxidized to glutathione disulfide (GSSG). • Glutathione is required for one of the key phase II detoxification processes.
Foundation for Integrated Medicine
• Use oxygen to alter molecules • By-products include free oxygen radicals • End products may be more dangerous than the initial chemicals
Foundation for Integrated Medicine
PHASE I: Cytochrome P450 Enzymes used • Toxin is transformed into a “intermediate metabolite” – Oxidation – Reduction – Hydration – Hydrolysis – Dehalogenation • Essentially- making the toxic compound “sticky” so that something can be added to it PHASE I • Increased in tobacco smokers • Increased or decreased by medications • Increased by char-broiled meats and high intake of alcohol, BHT or vegetable oils • Variably influenced by phytochemicals, especially flavonoids • Decreased in vegetarian PHASE I INDUCERS • Cabbage, broccoli, brussel sprouts (indole-3-carbinol) • Oranges and tangerines (limonene) • Caraway and dill seeds (limonene) PHASE I INHIBITORS • Grapefruit (naringenin) • Turmeric (curcumin) • Capsicum (capsaicin) • Cloves (eugenol) • Onions (quercetin) We need nutrients as co-factors • Riboflavin • Niacin • Pyridoxine • B12 • Glutathione • Neutralizes free radicals • Glutathione S Transferase enzyme • BCAA’s – Leucine, valine, isoleucine • Folate • Flavanoids • Phospholipids