Most Important Phase-II Reaction

Question

The most important phase-II biotransformation reaction applicable to most drugs is:

Select an answer

The most important phase-II biotransformation reaction applicable to most drugs is:

  1. Acetylation
  2. Glycine conjugation
  3. Sulfate conjugation
  4. Glucuronidation — Correct Answer
Explanation:
Correct Answer: Glucuronidation

Glucuronidation is the most important phase-II reaction — most drugs including endogenous steroids and bile pigments undergo this reaction. The source of glucuronide is UDPGA (UDP-glucuronic acid) through the enzyme glucuronyl transferase.

Key Facts
  • Glucuronide conjugation takes place in microsomes.
  • Product is highly soluble — excreted by urine (if MW <300–500) or via bile (if MW >500).
  • Beta-glucuronidase in the intestine may liberate the active drug → reabsorbed → enterohepatic recirculation → longer duration of action.
Phase-II Reactions in Order of Importance

Glucuronidation > Sulfate conjugation > Acetylation > Methylation > Glycine conjugation > Glutathione conjugation.

📚 About this Topic — Veterinary Pharmacology and Toxicology

This multiple choice question is from Veterinary Pharmacology and Toxicology, Veterinary Science. It has 4 options with a detailed explanation of the correct answer. Practice more MCQs from Veterinary Pharmacology and Toxicology to strengthen your preparation.

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