滥用药物体内代谢的研究进展

Research Progress on Abused Drugs Metabolic in vivo

毒品在体内尿苷二磷酸葡醛酸转移酶、细胞色素P450、羧酸酯酶、磺基转移酶、丁酰胆碱酯酶、儿茶酚-O-甲基转移酶和吗啡6-脱氢酶等代谢酶催化下,发生葡萄糖醛酸化、水解、氧化、磺酸化等多种反应,生成有活性或者无活性的代谢产物,然后经尿液、胆汁或者其他途径排出体外。不同毒品的代谢途径不同。本文介绍了近年来吗啡类、苯丙胺类、氯胺酮、大麻类和可卡因等毒品在人和动物体内的代谢研究,综述了这些毒品体内代谢的代谢部位、代谢酶、代谢产物及其生理活性的研究进展。

Under the catalysis of a variety of metabolic enzymes in vivo, such as UDP-glucuronyl trans- ferases, cytochrome P450, carboxylesterase, sulfotransferase, butyrylcholinesterase, catechol-0-methyl transferase and 6-morphine dehydrogenase, the drugs perform glucuronidation, hydrolysis, oxidation, sul- fonation and other reactions, then translate into active or inactive metabolites, which are excreted through urination, bile or the other pathways at last. Different drugs own their different metabolic pathways. This paper introduces the studies about the metabolism of drugs in human and animal in recent years, such as morphine-like drugs, amphetamine, ketamine, cannabis and cocaine, and reviews the research progress about the sites of metabolism, metabolic enzymes, metabolites and physiological activity of those drugs metabolic in vivo.