meRfi®-GM
The Digital Textbook on Gut Microbiota and Beyond
Irinotecan
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Contents
Irinotecan is a prodrug, which is activated to SN-38 by cleavage of the side chain by the enzyme carboxylesterase (CE) in plasma, intestinal mucosa, liver and tumor cells
Uridine-diphosphate-glucuronosyltransferases catalyze the inactivation of SN-38 to the glucuronide form (SN-38G). The inactive form (SN-38G) is excreted with the bile into the intestinal lumen, where its conversion back to the active form (SN-38) is catalyzed by enteric bacterial beta-glucuronidase
see also:
Beta-glucuronidases & Irinotecan
[Gut microbiota & Irinotec…