Target intelligence / Profile preview

Flavin-containing monooxygenase 1 (FMO1)

Target
FMO1
Molecular classification
Enzyme, Oxidoreductase, Monooxygenase
01

Overview

Flavin-containing monooxygenase 1 (FMO1) is a NADPH-dependent enzyme primarily expressed in fetal liver, kidney, and some extrahepatic tissues. It catalyzes the oxidative metabolism (oxygenation) of a wide range of xenobiotics and endogenous substrates containing soft nucleophilic centers, particularly nitrogen and sulfur atoms. This enzyme is important for phase I drug metabolism, facilitating the detoxification and excretion of drugs, pesticides, and dietary compounds. FMO1, along with closely related isoforms FMO2 and FMO3, is involved in the conversion of trimethylamine (TMA) to its N-oxide (TMAO), and polymorphisms in these enzymes are associated with disorders like trimethylaminuria. FMO1 operates through a catalytic mechanism involving FAD and NADPH, and its activity can influence individual drug responses and susceptibility to drug-induced toxicity[1][3][5][6][7].

Other names
Dimethylaniline monooxygenase [N-oxide-forming] 1Dimethylaniline oxidase 1Fetal hepatic flavin-containing monooxygenase 1Trimethylamine monooxygenaseFMO 1
02

Mechanism of action

Catalyzes N- and S-oxygenation, converting lipophilic xenobiotics into more polar metabolites for excretion[1][3][5]. Uses FAD and NADPH as cofactors to insert an oxygen atom onto soft nucleophilic heteroatoms (primarily nitrogen and sulfur) in substrates[2][3][5].

03

Biological functions

Oxidation of xenobiotics (including drugs and pesticides)N- and S-oxygenation of nitrogen- and sulfur-containing compoundsMetabolic biotransformation (Phase I metabolism)DetoxificationProduction of taurine from hypotaurine
04

Disease associations

Trimethylaminuria ("fish odor syndrome")Drug metabolism disordersPotential pharmacogenomic relevance in response variability
05

Safety considerations

Genetic variability can influence drug metabolism, leading to altered efficacy or toxicityOverlap with cytochrome P450 may complicate drug-drug interaction predictionsPolymorphisms linked to metabolic disorders (e.g., trimethylaminuria)[1][5][6]
06

Interacting drugs

Clozapine

4 more in the full profile.

07

Biomarkers

Elevated or deficient N-oxidation of trimethylamine (for assessing trimethylaminuria susceptibility)Genetic polymorphisms in FMO1 (experimental biomarker, mostly in research context)[1][3][6]

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