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Contents Chapter 1: General introduction Chapter 2: Genetic polymorphism of glutathione S-transferases associated with idiosyncratic adverse drug events 49 Chapter 3: Role of human glutathione S-transferases in the inactivation of reactive metabolites of clozapine 97 Chapter 4: The effect of glutathione S-transferases on the formation of glutathione conjugates of diclofenac 119 Chapter 5: Effect of human glutathione S-transferase hGSTP1-1 polymorphism in the detoxification of reactive metabolites of drugs 141 Chapter 6: Role of residue 87 in the activity and regioselectivity of clozapine metabolism by drug-metabolizing CYP102A1 M11H: application for structural characterization of clozapine GSH conjugates. 161 Chapter 7: Characterization of human cytochrome P450s involved in the bioactivation of clozapine. 185 Chapter 8: Interindividual variability in clozapine metabolites in patient urine and precision-cut human liver slices: Identification of GSH-related metabolites and role of genetic polymorphism of human glutathione S-transferase 207 Chapter 9: Summary, conclusions and perspectives 231 Appendices: Nederlandse samenvatting List of abbreviations List of publications Curriculum Vitae Dankwoord 9 244 249 251 253 254