Drug Metabolism · Pharmacology

Phase II reactions are also known as 'Synthetic Reactions' because they involve:

  1. The synthesis of new drug-metabolizing enzymes by the cell
  2. The breakdown of the drug molecule into its constituent atoms
  3. The laboratory synthesis of the drug molecule before it is supplied to patients
  4. The coupling of a drug or its Phase I metabolite with an endogenous substrate
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Correct answer: The coupling of a drug or its Phase I metabolite with an endogenous substrate

Unlike Phase I reactions which break molecules down or expose groups, Phase II reactions 'synthesize' a new, larger, polar molecule by attaching an endogenous group (like acetate, sulfate, or glucuronic acid).

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