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ºÐÀÚ»ý¹°ÇÐ ¹× »ýÈ­ÇÐ Ãø¸é¿¡¼­ ü³» À¯±â¹°ÁúÀÇ µ¶¼ºÀ¯¹ß¿¡ °üÇÑ ±âº»¿ø¸®¸¦ ´ãÀº Ã¥. IARC(±¹Á¦¾Ï¿¬±¸¼Ò)ÀÇ ÀÎü¹ß¾Ï¹°Áú ºÐ·ù¿¡ ÀÇÇϸé 61Á¾ÀÇ ÀÎü¹ß¾Ï¹°Áú Áß 90% ÀÌ»óÀÌ À¯±â¹°ÁúÀÌ´Ù. Ã¥Àº ¼³¸í¹æ¹ýÀ¸·Î °¡Àå ¸¹ÀÌ ÀÌ¿ëµÇ°í ÀÖ´Â Central dogma(Áß½ÉÀÌ·Ð)À» ÅëÇØ À¯±â¹°Áú¿¡ ´ëÇÑ µ¶¼ºÇÐÀÇ ºÐÀÚ£­»ýÈ­ÇÐÀû ¿ø¸®´Â ¡®Central dogma¡¯¿¡ ´ëÇØ À̾߱âÇÏ¸ç µ¶¼ºÇÐÀÇ ºÐÀÚ£­»ýÈ­ÇÐÀû ¿ø¸®¿¡ ´ëÇÑ Á¢±ÙÀº µ¶¼º¹°ÁúÀÇ Ã¼³» µ¿ÅÂ¿Í °ü·ÃµÈ È¿¼ÒÀÇ È°¼º°ú ÀúÇØ¿¡ ´ëÇÑ ³»¿ëµµ ´ã°í ÀÖ´Ù.

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Á¦1Àå µ¶¼ºÇÐÀÇ ºÐÀÚ£­»ýÈ­ÇÐÀû ¿ø¸®¿Í Central dogma
1. µ¶¼ºÇÐÀÇ ºÐÀÚ£­»ýÈ­ÇÐÀû ¿ø¸®¿Í Central dogma
2. µ¶¼º¹ßÇöÀ» À§ÇÑ È­ÇаáÇÕ ¹× È­ÇÐÀû Ư¼º
3. À¯±âÈ­Çй°Áú°ú µ¶¼º¹°ÁúÀÇ °³³ä°ú ºÐ·ù
4. BiotransformationÀÇ °³³ä

Á¦2Àå Á¦1»ó¹ÝÀÀ(Phase I reaction)£­Cytochrome P450£­ÀÇÁ¸¼º »ýüÀüȯ
1. Cytochrome P450ÀÇ ¹ß°ß°ú ºÐ·ù
2. Cytochrome P450ÀÇ ±¸Á¶(topology)¿Í ±âÁúƯÀ̼º
3. P450ÀÇ ºÐÆ÷ÇÏ´Â Á¶Á÷, ¼¼Æ÷ ±×¸®°í ¼¼Æ÷¼Ò±â°ü¿¡ À־ ƯÀ̼º(specificity)
4. Cytochrome P450ÀÇ Ã˸ŹÝÀÀ »çÀÌŬ(catalytic cycle)
5. P450¿¡ ÀÇÇÑ 4°¡Áö ÁÖ¿ä Ã˸ŹÝÀÀ
6. P450 À¯ÀüÀÚ ¹× À¯µµ±âÀü(induction mechanism)
7. P450ÀÇ È°¼ºÀúÇرâÀü
8. Toxicants£­drug metabolism enzyme families: CYP1, 2, 3
9. Extrahepatic tissues¿¡¼­ÀÇ P450 ¹ßÇö£­CYP1, CYP2¿Í CYP3 °è¿­
10. P450ÀÇ À¯µµ°³½Ã¿Í È¿¼ÒºÐÇØ

Á¦3Àå Á¦1»ó¹ÝÀÀ(Phase I reaction)£­Cytochrome P450 ¿ÜÀÇ ÁÖ¿ä È¿¼Ò¿¡ ÀÇÇÑ »ýüÀüȯ
1. Flavin mono£­oxygenase
2. Epoxide hydrolase
3. Monoamine oxidase
4. Alcohol dehydrogenase¿Í acetaldehyde dehydrogenase µîÀ» ºñ·ÔÇÑ ¿¡Åº¿Ã ºÐÇØ È¿¼Ò
5. Quinone reductase
6. Xanthine oxidoreductase

Á¦4Àå Á¦2»ó¹ÝÀÀ(Phase II reaction)¿¡ ÀÇÇÑ »ýüÀüȯ
1. Glucuronic acid conjugation
2. Sulfate conjugation
3. Acetylation conjugation
4. Methylation
5. Amino acid conjugation
6. GSHÆ÷ÇÕ¹ÝÀÀ
7. Á¦1»ó¹ÝÀÀ ¹× Á¦2»ó¹ÝÀÀÀÇ gene£­coordinate regulation

Á¦5Àå »ýüȰ¼ºÈ­(Bioactivation)£­Reactive intermediates
1. Reactive intermediates£­Electrophilic metabolites
2. Carbon£­centered radical°ú Redox£­active species

Á¦6Àå µ¶¹°µ¶·ÂÇÐ(Toxicodynamics)£­Reactive intermediates¿Í DNA, ÁöÁú, ´Ü¹éÁú µî°úÀÇ »óÈ£ÀÛ¿ë
1. È°¼ºÁß°£´ë»çü¿¡ ÀÇÇÑ DNA ¼Õ»ó
2. È°¼ºÁß°£´ë»çü¿¡ ÀÇÇÑ ´Ü¹éÁú ¹× ÁöÁú ¼Õ»ó

Á¦7Àå È­ÇÐÀû ¹ß¾ÏÈ­(Chemical carcinogenesis)
1. ¹ß¾ÏÀÇ multistage theory
2. ¹ß¾ÏÈ­¿¡ ´ëÇÑ ½ÉÃþÀû ÀÌÇØ

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