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N-acyltransferases are a diverse family of enzymes that catalyze the transfer of an acyl group (such as acetyl, propionyl, or other acyl chains) from a donor molecule—typically acyl-CoA derivatives—to a nitrogen atom on an acceptor substrate, usually an amine. Prominent subclasses include Arylamine N-acetyltransferase (NAT; involved in the metabolism of drugs and carcinogens in humans), Glycine N-acyltransferase (GLYAT; important in the detoxification of organic acids), and Arylakylamine N-acetyltransferase (AANAT; involved in neurotransmitter metabolism and circadian rhythm). Human NAT enzymes (particularly NAT1 and NAT2) acetylate a wide variety of drugs and environmental chemicals, impacting their pharmacological and toxicological properties. NAT activity is characterized by genetic polymorphisms leading to variations in drug efficacy and toxicity. The N-acyltransferase family is highly conserved and functionally diverse, with relevance spanning pharmacology, toxicology, cancer biology, infectious disease, and metabolism.
Acetylation (or acylation) of primary amine drugs and metabolites, affecting their pharmacokinetics, activity, and toxicity\nInactivation/detoxification of toxic amines and carcinogens (by acetylation rendering them more excretable)\nIn some cases, activation of procarcinogens
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