CYP2D6

Cytochrome P450 Family 2 Subfamily D Member 6

Gene Information Card

Symbol CYP2D6
Full Name Cytochrome P450 Family 2 Subfamily D Member 6
Gene Type Protein coding
Chromosomal Location 22q13.2
NCBI Gene ID 1565 ncbi.nlm.nih.gov/gene/1565
Ensembl ID ENSG00000100197
UniProt ID P10635
OMIM ID 124030
HGNC ID 2625
Aliases CYP2D, CYP2D7, CYP2D8, P450-DB1, P450C2D

Description

CYP2D6 encodes a member of the cytochrome P450 superfamily of enzymes, which are involved in the metabolism of many endogenous compounds and xenobiotics. This enzyme is responsible for the oxidative metabolism of approximately 25% of clinically used drugs, including antidepressants, antipsychotics, beta-blockers, and opioids. CYP2D6 is highly polymorphic, with over 100 known allelic variants that result in four major metabolizer phenotypes: poor, intermediate, extensive (normal), and ultrarapid. These phenotypes significantly influence drug efficacy and toxicity, making CYP2D6 a key gene in pharmacogenomics.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Drug-induced liver injury Impaired CYP2D6 activity leads to accumulation of toxic drug metabolites ClinVar, PMID: 25741868
Parkinson's disease CYP2D6 poor metabolizer status associated with increased risk OMIM, PMID: 10408771
Breast cancer (tamoxifen response) CYP2D6*4 variant reduces conversion of tamoxifen to active endoxifen, affecting treatment outcome ClinVar, PMID: 19858482
Opioid dependence (codeine toxicity) Ultrarapid metabolizers convert codeine to morphine excessively, risking respiratory depression ClinVar, PMID: 16772608

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 12.5 High
Small intestine 3.2 Medium
Kidney 1.8 Low
Brain 0.5 Not detected
Cell Line Expression
Cell Line nTPM Notes
HepG2 8.1 Hepatocellular carcinoma cell line
Caco-2 2.4 Colorectal adenocarcinoma cell line
HEK293 0.3 Embryonic kidney cell line
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
CYP2D6*4 (1846G>A) SNP ~20% in Caucasians Splicing defect, loss of function
CYP2D6*10 (100C>T) SNP ~50% in East Asians Reduced enzyme activity
CYP2D6*17 (1023C>T) SNP ~34% in Africans Reduced substrate affinity
CYP2D6*2xN Gene duplication 1-10% in various populations Increased enzyme activity (ultrarapid metabolizer)
Mutation functional classification

Loss of Function (LOF)

CYP2D6*4, *5 (gene deletion), *6, *7, *8, *11, *12, *14, *15, *18, *19, *20, *21, *38, *40, *42, *44, *56, *62 result in absent or severely reduced enzyme activity.

Gain of Function (GOF)

CYP2D6*1xN, *2xN (gene duplications or multiplications) lead to increased enzyme activity, classified as ultrarapid metabolizer phenotype.

Dominant Negative (DN)

No well-established dominant-negative variants reported for CYP2D6.

Pathways

Drug metabolism - cytochrome P450 (KEGG: hsa00982)
Metabolism of xenobiotics by cytochrome P450 (KEGG: hsa00980)
Chemical carcinogenesis (KEGG: hsa05204)
Retinol metabolism (KEGG: hsa00830)
Linoleic acid metabolism (KEGG: hsa00591)

Protein Summary

CYP2D6 is a 497-amino acid microsomal hemoprotein that functions as a monooxygenase. It is primarily expressed in the liver and catalyzes the oxidative metabolism of a wide range of drugs and endogenous substrates. The enzyme contains a heme-binding domain and a conserved P450 cysteine heme-iron ligand signature. Its three-dimensional structure has been resolved, revealing a flexible active site that accommodates diverse substrates. CYP2D6 activity is highly variable due to genetic polymorphisms, which are a major cause of interindividual differences in drug response.

Related Products

Product name Cat.No. Species Gene ID
CYP2D6 Knockout HEK293 Cell Line EDJ-KQ4406 Human 1565 Details Get a Quote
CYP2D6 Knockout HeLa Cell Line EDJ-KQ26931 Human 1565 Details Get a Quote
CYP2D6 Knockout A-549 Cell Line EDJ-KQ61514 Human 1565 Details Get a Quote
CYP2D6 Knockout HCT 116 Cell Line EDJ-KQ70007 Human 1565 Details Get a Quote
Displaying Records 1 To 4 Of 4 Records
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