Reaction: FMO1:FAD N-oxidises TAM

- in pathway: FMO oxidises nucleophiles
Tamoxifen (TAM) is an antiestrogen and currently used extensively for breast cancer therapy. FMOs, especially FMO1 can N-oxidze TAM to tamoxifen N-oxide (TNO). TNO can be reduced back to TAM by the P450 system. TNO appears to be just as potent as TAM but with fewer side-effects so this metabolic cycling could play a part in the use of TNO in the treatment of breast cancer.
Reaction - small molecule participants:
H2O [endoplasmic reticulum lumen]
NADP+ [endoplasmic reticulum lumen]
TAMO [endoplasmic reticulum lumen]
O2 [endoplasmic reticulum lumen]
H+ [endoplasmic reticulum lumen]
NADPH [endoplasmic reticulum lumen]
Reactome.org reaction link: R-HSA-217255

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Reaction input - small molecules:
dioxygen
ChEBI:15379
hydron
ChEBI:15378
NADPH
ChEBI:16474
Reaction output - small molecules:
water
ChEBI:15377
NADP(+)
ChEBI:18009
tamoxifen N-oxide
ChEBI:63825
Reactome.org link: R-HSA-217255