代谢
替加氟通过肝脏微粒体细胞色素P450酶,主要是CYP 2A6,生物激活为5-氟尿嘧啶。这种生物激活的特点是存在C-5'氧化和C-2'水解。5-氟尿嘧啶随后转化为其活性代谢物5-氟脱氧尿苷一磷酸和5-氟尿苷三磷酸。超过80%的给药剂量由于二氢吡啶脱氢酶的代谢而被消除。其他一些代谢产物包括3'-羟基替加氟、4'-羟基替加氟和二氢替加氟,它们都比5-氟尿嘧啶的细胞毒性小得多。
Tegafur is bioactivated to 5-fluorouracil by the liver microsomal cytochrome P450 enzymes, mainly the CYP 2A6. This bioactivation is marked by the presence of C-5' oxidation and C-2' hydrolysis. The 5-fluorouracil is later transformed into its active metabolite 5-fluorodeoxyuridine-monophosphate and 5-fluorouridine-triphosphate. More than 80% of the administered dose is eliminated due to the metabolism of dihydropyridine dehydrogenase. Some other metabolic products include 3'-hydroxy tegafur, 4'-hydroxy tegafur and dihydro tegafur which all of them are significantly less cytotoxic than 5-fluorouracil.
来源:DrugBank