Target intelligence / Profile preview

Acetaminophen Metabolism (APAP Metabolism)

Target
APAP Metabolism
Molecular classification
Metabolic Pathway
01

Overview

Acetaminophen metabolism involves three principal pathways: glucuronidation, sulfation, and cytochrome P450 oxidation. The cytochrome P450 pathway produces NAPQI, a toxic metabolite detoxified by glutathione. In overdose, glutathione depletion leads to NAPQI accumulation and hepatotoxicity.

Other names
Paracetamol Metabolism
02

Mechanism of action

N/A

03

Biological functions

Drug metabolismDetoxificationXenobiotic metabolism
04

Disease associations

HepatotoxicityAcute liver failure
05

Safety considerations

Hepatotoxicity (overdose)Drug interactions altering metabolismGlutathione depletionRisk increased by alcohol use or pre-existing liver disease
06

Interacting drugs

Acetaminophen

4 more in the full profile.

07

Biomarkers

Acetaminophen plasma concentrationNAPQI levels (research)Glutathione levelsLiver function tests (ALT, AST)

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