SULT2A2 activators are primarily indirect agents that facilitate the enzyme's activity by modulating its expression or the biochemical conditions necessary for its function. These compounds interact with various cellular pathways to ensure the enzyme has the requisite cofactors or substrates, or to stimulate the transcription of the gene encoding SULT2A2. ATP, for instance, is crucial for the generation of PAPS, the donor molecule required for the sulfonation reaction catalyzed by SULT2A2. Adequate levels of ATP can, therefore, underpin the enzyme's activity by maintaining a supply of this cofactor.
On a genomic level, compounds like phenobarbital and rifampicin can induce the expression of liver enzymes including SULT2A2 by activating nuclear receptors that enhance the transcription of detoxification-related genes. Similarly, dexamethasone and retinoic acid can also modulate gene expression through their respective receptor-mediated pathways. In contrast, 5-azacytidine can demethylate DNA, potentially leading to the upregulation of SULT2A2 expression.
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