**Core Concept**
The metabolism of drugs in the liver involves the action of various cytochrome enzymes, specifically the cytochrome P450 (CYP) family. These enzymes are responsible for the oxidative metabolism of a wide range of substances, including drugs, steroids, and toxins.
**Why the Correct Answer is Right**
The most common cytochrome associated with the metabolism of drugs is CYP3A4. This enzyme is expressed in the liver and intestines and is responsible for the metabolism of approximately 50% of all drugs, including many statins, antihistamines, and immunosuppressants. CYP3A4 metabolizes drugs through the process of oxidation, using molecular oxygen to introduce a functional group into the substrate molecule. This process is catalyzed by the heme group in the CYP3A4 enzyme.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not specify a particular cytochrome enzyme associated with drug metabolism.
**Option B:** This option is incorrect because CYP2D6 is another important cytochrome enzyme, but it is not the most common one associated with drug metabolism.
**Option C:** This option is incorrect because it is not a specific cytochrome enzyme.
**Clinical Pearl / High-Yield Fact**
CYP3A4 is a polymorphic enzyme, meaning that its activity can vary significantly between individuals due to genetic differences. This can lead to significant variations in drug response and toxicity.
**Correct Answer: C. CYP3A4**
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