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Cytochrome P450 2C8 (CYP2C8) and Cytochrome P450 3A4 (CYP3A4) are members of the cytochrome P450 enzyme superfamily, responsible for the oxidative metabolism of a wide variety of endogenous and exogenous compounds, including many clinically important drugs[3][5]. CYP2C8 is a key hepatic phase I enzyme participating in the biotransformation of xenobiotics and polyunsaturated fatty acids, while CYP3A4 is one of the most abundant P450 enzymes in the liver and intestines, playing a central role in the metabolism of more than half of all marketed drugs[3][5][6]. Both enzymes are critical determinants of drug clearance, efficacy, and drug-drug interactions, and are clinically relevant therapeutic targets in the context of predicting metabolism, safety, and efficacy of substrate drugs[1][4].
Metabolic clearance via oxidation (phase I metabolism); Conversion of drugs to metabolites with variable activity or toxicity
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