Lecture 23 Nutrition Immunology

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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

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