1980
DOI: 10.1042/cs0580379
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Renal Metabolism of Paracetamol: Studies in the Isolated Perfused Rat Kidney

Abstract: 1. The metabolism of [3H]paracetamol has been studied in the perfused rat kidney. Seventy-four per cent of filtered paracetamol was reabsorbed. Paracetamol appeared in the urine; 90% was unaltered but 10% appeared as metabolites: the glucuronide, sulphate, mercapturic acid and cysteine conjugates. 2. At concentrations of paracetamol of 1--3 mmol/l no impairment of renal physiological function was observed. 3. The presence of the mercapturic acid and cysteine conjugates in the urine demonstrates the capacity of… Show more

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Cited by 16 publications
(5 citation statements)
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“…Then, cleavage to thymol could be achieved by the activity of aryl sulfatases according to Munroe and Chang (). On the other hand, other way could be the cleavage to thymol by brush border enzymes (Hart, Calder, Ross, & Tange, ), before being reabsorbed. Moreover, a recent study in vitro on phenolic compounds suggests that glucuronidation, sulfation, and methylation may also occur in enterocytes (Contreras, Borrás‐Linares, Herranz‐López, Micol, & Segura‐Carretero, ).…”
Section: Resultsmentioning
confidence: 99%
“…Then, cleavage to thymol could be achieved by the activity of aryl sulfatases according to Munroe and Chang (). On the other hand, other way could be the cleavage to thymol by brush border enzymes (Hart, Calder, Ross, & Tange, ), before being reabsorbed. Moreover, a recent study in vitro on phenolic compounds suggests that glucuronidation, sulfation, and methylation may also occur in enterocytes (Contreras, Borrás‐Linares, Herranz‐López, Micol, & Segura‐Carretero, ).…”
Section: Resultsmentioning
confidence: 99%
“…32 On the other hand, it is conceivable that the cleavage to thymol is achieved by enzymes located at the luminal brush border. 33,34 Thus, thymol could be subsequently reabsorbed.…”
Section: Discussionmentioning
confidence: 99%
“…35,36 Extrahepatic glucuronidation was also proven for morphine 37 and for propofol, 35 which is structurally similar to thymol. In addition, renal glucuronidation of paracetamol, 34 1-naphtol, 38 and 4-dimethylaminophenol 39 was demonstrated by means of the isolated perfused rat kidney. Furthermore, variable activities of UDP-glucuronyltransferases were demonstrated for different tissues.…”
Section: Availability and Pharmacokinetics Of Thymolmentioning
confidence: 99%
“…Pang and Gillette (32) found no evidence for extrahepatic metabolism of acetaminophen in rats whose livers were excluded from the circulation. Acetaminophen is converted by rat kidney to the glucuronide (33), but studies indicate this conversion is quantitatively small and that this is also so in man (34,35). Two findings of ours support the view that the glucuronidation of the diflunisal took place primarily, if not completely, in liver and that the glucuronic acid moiety and glucose units of glycogen derived from the same pool of glucose-6-P.…”
Section: Discussionmentioning
confidence: 99%