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Cytochrome P450 2A6 Cytochrome P450 2C9 Cytochrome P450 2B6 Cytochrome P450 2A6 Cytochrome P450 2A6 Cytochrome P450 2B6 Cytochrome P450 2C9 Cytochrome P450 2A6 Cytochrome P450 2B6 Cytochrome P450 2C9 UDP- glucuronosyltransferase 1-3 Acyl-coenzyme A synthetase ACSM1, mitochondrial Short/branched chain specific acyl-CoA dehydrogenase, mitochondrial Isovaleryl-CoA dehydrogenase, mitochondrial Short/branched chain specific acyl-CoA dehydrogenase, mitochondrial Peroxisomal bifunctional enzyme 3- hydroxyacyl- CoA dehydrogenase type-2 Trifunctional enzyme, mitochondrial Trifunctional enzyme, mitochondrial 2,4-diene-Valproic acid-CoA 3-oxo-Valproic acid CoA 3-Oxovalproic acid 2-ene-Valproic acid 3-ene-valproic acid 2-Propylglutaric acid 2-Propyl-2,4-pentadienoic acid 2-n-Propyl-4-oxopentanoic acid 2-Propylsuccinic acid Valproic acid O2 NADPH H+ 4-Hydroxyvalproic acid H2O NADP O2 H+ NADPH 3-Hydroxyvalproic acid H2O NADP O2 H+ NADPH 5-Hydroxyvalproic acid H2O NADP NAD 4-ene-Valproic acid NADH Uridine diphosphate glucuronic acid Valproic acid glucuronide Uridine 5'-diphosphate ATP CoA Valproic acid CoA AMP PPi CoA 4-ene-Valproic acid CoA NAD 2-ene-Valproic acid CoA NADH H2O 3-Hydroxyvalproic acid CoA NADH NAD Valproyl-dephospho-CoA 3-ene-Valproic acid CoA 2,3-diene-Valproic acid-CoA Propionyl-CoA Pentanoyl-CoA Heme Heme Heme Heme Heme Heme Heme Heme Heme Heme Magnesium FAD FAD FAD Hepatotoxicity
Endoplasmic Reticulum Mitochondria CYP2A6 CYP2C9 CYP2B6 CYP2A6 CYP2A6 CYP2B6 CYP2C9 CYP2A6 CYP2B6 CYP2C9 UGT1A3 ACSM1 ACADSB IVD ACADSB EHHADH HSD17B10 HADHA HADHB HADHA HADHB 2,4-diene- Valproic acid-CoA 3-oxo-Valproic acid CoA 3-Oxovalproic acid 2-ene-Valproic acid 3-ene-valproic acid 2- Propylglutaric acid 2-Propyl-2,4- pentadienoic acid 2-n-Propyl-4- oxopentanoic acid 2- Propylsuccinic acid Valproic acid Oxygen NADPH Hydrogen Ion 4- Hydroxyvalproic acid Water NADP Oxygen Hydrogen Ion NADPH 3- Hydroxyvalproic acid Water NADP Oxygen Hydrogen Ion NADPH 5- Hydroxyvalproic acid Water NADP NAD 4-ene-Valproic acid NADH Uridine diphosphate glucuronic acid Valproic acid glucuronide Uridine 5'-diphosphate Adenosine triphosphate Coenzyme A Valproic acid CoA Adenosine monophosphate Pyrophosphate Coenzyme A 4-ene-Valproic acid CoA NAD 2-ene-Valproic acid CoA NADH Water 3- Hydroxyvalproic acid CoA NADH NAD Valproyl- dephospho-CoA 3-ene-Valproic acid CoA 2,3-diene- Valproic acid-CoA Propionyl-CoA Pentanoyl-CoA Hepatotoxicity
CYP2A6 CYP2C9 CYP2B6 CYP2A6 CYP2A6 CYP2B6 CYP2C9 CYP2A6 CYP2B6 CYP2C9 UGT1A3 ACSM1 ACADSB IVD ACADSB EHHADH HSD17B10 HADHA HADHB HADHA HADHB 24DVAC 3OVAC 3OvalPa 2eVA 3EV 2-Pga 24DV 4KV PpsA ValpA O2 NADPH H+ 4OHVPA H2O NADP O2 H+ NADPH 3OHVPA H2O NADP O2 H+ NADPH 5HoVPA H2O NADP NAD 4EValpA NADH UDPGlcA ValGluA UDP ATP CoA ValACoA AMP PPi CoA 4EVpCoA NAD 2eVACoA NADH H2O 3HACoA NADH NAD VD-CoA 3EVACoA 23DVAC PropCoA COA15:0 Heme Heme Heme Heme Heme Heme Heme Heme Heme Heme Mg2+ FAD FAD FAD Hepat
Endoplasmic Reticulum Mitochondria CYP2A6 CYP2C9 CYP2B6 CYP2A6 CYP2A6 CYP2B6 CYP2C9 CYP2A6 CYP2B6 CYP2C9 UGT1A3 ACSM1 ACADSB IVD ACADSB EHHADH HSD17B10 HADHA HADHB HADHA HADHB 24DVAC 3OVAC 3OvalPa 2eVA 3EV 2-Pga 24DV 4KV PpsA ValpA O2 NADPH H+ 4OHVPA H2O NADP O2 H+ NADPH 3OHVPA H2O NADP O2 H+ NADPH 5HoVPA H2O NADP NAD 4EValpA NADH UDPGlcA ValGluA UDP ATP CoA ValACoA AMP Ppi CoA 4EVpCoA NAD 2eVACoA NADH H2O 3HACoA NADH NAD VD-CoA 3EVACoA 23DVAC PropCoA COA15:0 Hepat