1973
DOI: 10.1021/jm00263a019
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N-Hydroxylation of p-acetophenetidide as a factor in nephrotoxicity

Abstract: vious data reported in the literature. [24][25][26][27][28] In this respect, however, further studies are in progress. Experimental SectionIntrinsic viscosities were measured at 30°. Since the yields of all the poly(amide amines) listed were always practically quantitative, elemental analysis determinations were considered to be irrelevant. This polymerization being a polyaddition, in fact, the values obtained for the products could not be expected to be different from that of the monomeric mixtures. That unde… Show more

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Cited by 40 publications
(12 citation statements)
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“…Although phenacetin is metabolized predominantly to paracetamol, a proportion is converted by cytochrome P-450 to N-hydroxyphenacetin, which in turn is capable of forming both cytotoxic [13,14] and carcinogenic [15][16][17][18][19] derivatives. One of these, ^phenetidine, is cap able of being activated by prostaglandin hydroperoxi dase in the renal medulla [20].…”
Section: Discussionmentioning
confidence: 99%
“…Although phenacetin is metabolized predominantly to paracetamol, a proportion is converted by cytochrome P-450 to N-hydroxyphenacetin, which in turn is capable of forming both cytotoxic [13,14] and carcinogenic [15][16][17][18][19] derivatives. One of these, ^phenetidine, is cap able of being activated by prostaglandin hydroperoxi dase in the renal medulla [20].…”
Section: Discussionmentioning
confidence: 99%
“…It is likely that this process involves loss of the sole H atom of the acetamide group as a hydride to form uncharged NAPQI (i.e., CH 3 CO-N C 6 H 4 O) (see (R6)), the intermediate toxic metabolite of acetaminophen formed by CYP-catalyzed oxidation of acetaminophen [1][2][3][4][5][6][7]. The lower the ion-source temperature was, the more NAPQI was formed.…”
Section: Discussionmentioning
confidence: 99%
“…NAPQI is regarded the ultimate toxic metabolite of acetaminophen. Interestingly, chemical and electrochemical oxidation of acetaminophen in the laboratory may also lead to NAPQI formation [4][5][6][7][8], and, in the presence of GSH, in situ generated NAPQI may be converted non-enzymatically to its GSH conjugate [8]. Formally, NAPQI may be produced from acetaminophen by subtracting each of one H atom from the hydroxylic and the amide groups and release of two electrons (R1).…”
Section: Introductionmentioning
confidence: 99%
“…Conjugation depletes glutathione, a natural antioxidant. This in combination with direct cellular injury by NAPQI, leads to cell damage and death 31,32 .…”
Section: Adverse Effectsmentioning
confidence: 99%