CYP2C9 Gene: Cytochrome P450 Family 2 Subfamily C Member 9

Key drug-metabolizing enzyme affecting warfarin dosing and drug response

Gene Information Card

Symbol CYP2C9
Full Name Cytochrome P450 family 2 subfamily C member 9
Gene Type protein-coding
Chromosomal Location 10q23.33
NCBI Gene ID 1559 ncbi.nlm.nih.gov/gene/1559
Ensembl ID ENSG00000138109
UniProt ID P11712
OMIM ID 601130
HGNC ID 2623
Aliases CYP2C10, CYPIIC9, P450IIC9

Description

CYP2C9 encodes a member of the cytochrome P450 superfamily of enzymes. These enzymes are involved in the metabolism of many endogenous and exogenous compounds, including drugs and fatty acids. CYP2C9 is primarily expressed in the liver and is responsible for the oxidative metabolism of approximately 15% of clinically used drugs, including warfarin, phenytoin, and nonsteroidal anti-inflammatory drugs (NSAIDs). Genetic variants in CYP2C9 can lead to altered enzyme activity, affecting drug efficacy and toxicity.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Warfarin sensitivity Reduced enzyme activity due to CYP2C9*2 and *3 variants leads to decreased warfarin clearance and increased bleeding risk. ClinVar, CPIC guidelines
Phenytoin toxicity Impaired metabolism of phenytoin in carriers of reduced-function alleles can cause neurotoxicity. ClinVar, literature
Drug-induced liver injury Certain CYP2C9 variants may predispose to toxicity from drugs like diclofenac. Literature, PharmGKB

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High (nTPM ~ 100) High expression
Small intestine Moderate (nTPM ~ 20) Moderate expression
Kidney Low (nTPM ~ 5) Low expression
Lung Low (nTPM ~ 2) Low expression
Cell Line Expression
Cell Line nTPM Notes
HepG2 High Liver cancer cell line
Caco-2 Moderate Colorectal adenocarcinoma
A549 Low Lung carcinoma
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
CYP2C9*2 (rs1799853) SNP (c.430C>T, p.Arg144Cys) ~12% in Caucasians Reduced enzyme activity (~30% of wild-type)
CYP2C9*3 (rs1057910) SNP (c.1075A>C, p.Ile359Leu) ~8% in Caucasians Markedly reduced activity (~5-10% of wild-type)
CYP2C9*5 (rs28371686) SNP (c.1080C>G, p.Asp360Glu) ~1-3% in African populations Reduced activity
CYP2C9*6 (rs9332131) Deletion (c.818delA) Rare Loss of function
Mutation functional classification

Loss of Function (LOF)

CYP2C9*2, *3, *5, *6 variants result in reduced or absent enzyme activity, leading to impaired drug metabolism.

Gain of Function (GOF)

No common gain-of-function variants are well-documented; some rare variants may increase activity but are not clinically significant.

Dominant Negative (DN)

Not applicable; CYP2C9 is a monomeric enzyme, and variants do not exert dominant-negative effects.

Gene Ontology (GO)

• heme binding • iron ion binding
• monooxygenase activity • oxidoreductase activity
• arachidonic acid epoxygenase activity • steroid hydroxylase activity
• membrane • endoplasmic reticulum membrane

Pathways

Arachidonic acid metabolism
Linoleic acid metabolism
Drug metabolism - cytochrome P450
Chemical carcinogenesis

Protein Summary

CYP2C9 is a microsomal cytochrome P450 enzyme that catalyzes the oxidative metabolism of a wide range of drugs and endogenous compounds. The protein is a 55 kDa heme-containing monooxygenase localized to the endoplasmic reticulum. It exhibits substrate specificity for weakly acidic compounds, including S-warfarin, phenytoin, tolbutamide, and many NSAIDs. Genetic polymorphisms significantly affect interindividual variability in drug response and toxicity.

Related Products

Product name Cat.No. Species Gene ID
CYP2C9 Knockout HEK293 Cell Line EDJ-KQ2527 Human 1559 Details Get a Quote
CYP2C9 Knockout HeLa Cell Line EDJ-KQ53048 Human 1559 Details Get a Quote
CYP2C9 Knockout A-549 Cell Line EDJ-KQ61512 Human 1559 Details Get a Quote
CYP2C9 Knockout HCT 116 Cell Line EDJ-KQ70005 Human 1559 Details Get a Quote
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