Aspirin ADME

Summary
Organism
Homo sapiens (human)
Reactome
R-HSA-9749641
PubChem
R-HSA-9749641
Description
  • In water aspirin (acetylsalicylic acid, ASA) dissolves, dissociating into the acetylsalicylate ion (ASA-). ASA- is an anti-clotting agent and nonsteroidal anti-inflammatory drug (NSAID); the therapeutic effects are mediated through its interaction with PTGS enzymes. On a molar basis ASA- (a) is more potent as an analgesic/anti-inflammatory agent, (b) has greater gastric ulcerogenic activity, and (c) is much more effective as an inhibitor of prostaglandin biosynthesis and platelet aggregation than salicylate (ST) (Flower 1974; Mills et al, 1974; Rainsford 1975; Rainsford 1977).
    Acetylsalicylic acid is only slightly soluble in conditions being found in the stomach mucosa, mostly because of unavailability of sufficient amount of solvent. The absorption, as well as the absorbing area, increases in the small intestine. Further increased absorption is achieved by dissolving tablets before ingestion or usage of ASA salts (Dressman et al, 2012). Practically 100% of therapeutic aspirin doses are taken up, mostly by intestinal mucosal cells (Artursson & Karlsson, 1991; Yee 1997).
    Only a few percent of ASA- remain unchanged, the rest is hydrolyzed to salicylate (ST). The major route of ST catabolism is conjugation with glycine to form salicyluric acid. This accounts for 20–65% of the products. Conjugation to glucuronides (ester and ether) removes up to 42% of ST. Finally, a minor part also gets hydroxylated by cytochromes (Hutt et al, 1986).
Click on a node on the pathway to see its details. Glycoproteins are marked with a glycoprotein icon in their name.
Displaying entries 1 - 10 of 28 in total
UniProt ID Protein Name Gene Symbol Pathway Viewer
O00748 Cocaine esterase
  • CES2
  • ICE
view
O15438 ATP-binding cassette sub-family C member 3
  • ABCC3
  • CMOAT2
  • MLP2
  • MRP3
view
O60656 UDP-glucuronosyltransferase 1A9
  • GNT1
  • UGT1
  • UGT1A9
view
O75310 UDP-glucuronosyltransferase 2B11
  • UGT2B11
view
O75795 UDP-glucuronosyltransferase 2B17
  • UGT2B17
view
P02768 Albumin
  • ALB
  • GIG20
  • GIG42
  • PRO0903
  • PRO1708
  • PRO2044
  • PRO2619
  • PRO2675
  • UNQ696/PRO1341
view
P06133 UDP-glucuronosyltransferase 2B4
  • UGT2B11
  • UGT2B4
view
P06276 Cholinesterase
  • BCHE
  • CHE1
view
P0C7M7 Acyl-coenzyme A synthetase ACSM4, mitochondrial
  • ACSM4
view
P0DTE4 UDP-glucuronosyltransferase 2A1
  • UGT2A1
view
Displaying 1 entry
GlyCosmos Lectin UniProt ID Lectin Name Pathway Viewer
GL_004606 P35613 Basigin view

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Acknowledgements

Supported by JST NBDC Grant Number JPMJND2204

Partly supported by NIH Common Fund Grant #1U01GM125267-01


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Last updated: April 6, 2026