**Core Concept**
The primary enzyme system responsible for the metabolism and activation of xenobiotics—foreign substances such as drugs and environmental chemicals—is the cytochrome P-450 (CYP450) family. This system catalyzes phase I oxidation reactions, converting lipophilic compounds into more water-soluble forms for elimination.
**Why the Correct Answer is Right**
Cytochrome P-450 enzymes (particularly CYP3A4 and CYP2D6) are the dominant catalysts in the oxidation of xenobiotics. They utilize oxygen and NADPH to perform hydroxylation, dealkylation, and deamination reactions, which are essential for initiating the biotransformation of drugs and toxins. This process occurs primarily in the liver and is the first step in phase I metabolism.
**Why Each Wrong Option is Incorrect**
Option B: Glucuronyl transferase catalyzes phase II conjugation (glucuronidation), which adds glucuronic acid to metabolites but does not activate xenobiotics—it facilitates detoxification.
Option C: Glutathione S-transferase conjugates glutathione to electrophilic compounds, mainly for detoxification of reactive metabolites, not activation.
Option D: NADPH cytochrome P-450 reductase transfers electrons to cytochrome P-450, acting as a cofactor partner—not the primary enzyme responsible for activation.
**Clinical Pearl / High-Yield Fact**
CYP450 enzymes are highly variable among individuals due to genetic polymorphisms, leading to differences in drug response and toxicity. This is a major reason for drug-drug interactions and personalized medicine considerations.
✓ Correct Answer: A. Cytochrome P-450
Free Medical MCQs · NEET PG · USMLE · AIIMS
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