CYP2D6 is responsible for the oxidative metabolism of 20–25 % of clinical drugs and its genetic polymorphisms can significantly influence the drug metabolism. In this study, we analyzed the functional activities of four nonsynonymous single nucleotide polymorphisms from CYP2D6*52 allele, which were recently found, and one found frequently in CYP2D6 alleles. Recombinant variant enzymes of E418K, S486T, and R296C were successfully expressed in Escherichia coli and purified. However, a CYP holoenzyme spectrum of P34S variant was not detected in E. coli whole cell level. Structural analysis indicated that P34S mutation seemed to perturb a highly conserved proline-rich N-terminus of CYP2D6. Steady state kinetic analyses showed the significant reductions of enzymatic activities in E418K and R296C variants. In the case of bufuralol 1’-hydroxylation, a novel mutant, E418K, showed 32 % decrease in catalytic efficiency (k cat/K m) mainly due to the decrease of k cat value. R296C showed much greater reduction in the catalytic efficiency (9 % of wild-type) due to both of a decrease of k cat value and an increase of K m value. In the case of dextromethorphan O-demethylation, E418K showed both of a decrease of k cat value and an increase K m value to result in ~43 % reduction of catalytic efficiency. A highly decreased catalytic efficiency (~6 % of wild-type) in the mutant of R296C also was observed mainly due to the dramatic change of k cat value of dextromethorphan O-demethylation. These results suggested that individuals carrying these allelic variants are likely to have the altered metabolic abilities of many clinical drugs therefore, these polymorphisms of CYP2D6 should be much concerned for reliable drug treatment.
CYP2D6负责20-25%临床药物的氧化代谢,其
基因多态性可显着影响药物代谢。在本研究中,我们分析了最近发现的 CYP2D6*52 等位
基因的 4 个非同义单核苷酸多态性的功能活性,以及 CYP2D6 等位
基因中常见的一个。 E418K、S486T、R296C的
重组变体酶在大肠杆菌中成功表达并纯化。然而,在大肠杆菌全细胞
水平中未检测到 P34S 变体的 CYP 全酶谱。结构分析表明,P34S 突变似乎扰乱了 CYP2D6 高度保守的富含脯
氨酸的 N 末端。稳态动力学分析显示 E418K 和 R296C 变体的酶活性显着降低。就
丁呋洛尔 1'-羟基化而言,一种新型突变体 E418K 的催化效率 (k cat/K m) 降低了 32%,这主要是由于 k cat 值的降低。由于 k cat 值的降低和 K m 值的增加,R296C 显示催化效率大幅降低(野生型的 9%)。在
右美沙芬 O-去甲基化的情况下,E418K 显示 k cat 值降低和 K m 值增加,导致催化效率降低约 43%。在 R296C 突变体中也观察到催化效率大幅下降(约野生型的 6%),这主要是由于
右美沙芬 O-去甲基化的 k cat 值的急剧变化。这些结果表明,携带这些等位
基因变异的个体可能具有许多临床药物的代谢能力改变,因此,CYP2D6的这些多态性应该受到可靠药物治疗的高度关注。