Cytochromes P450 2E1 (CYP2E1) and 3A4 (CYP3A4) convert paracetamol to a highly-reactive intermediary metabolite, N-acetyl-p-benzo-quinone imine (NAPQI).[31][32][33] Under normal conditions, NAPQI is detoxified by conjugation with glutathione
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GPX4 can also be turned off directly by squalene synthase, HMG CoA reductase, and other enzymes, which can change reduction reactions (75)
(PubMed) Stampfer MJ, Hennekens CH, Manson JE, Colditz GA, Rosner B, Willett WC
Acta Pharmacol Sin
doi: 10.1016/j.ajog.2014.05.009 134 ZhangCFanLFanSWangJLuoTTangYet al