CYP2D6 Allelic Variants *34, *17-2, *17-3, and *53 and a Thr309Ala Mutant Display Altered Kinetics and NADPH Coupling in Metabolism of Bufuralol and Dextromethorphan and Altered Susceptibility to Inactivation by SCH 66712
作者:Sarah M. Glass、Cydney M. Martell、Alexandria K. Oswalt、Victoria Osorio-Vasquez、Christi Cho、Michael J. Hicks、Jacqueline M. Mills、Rina Fujiwara、Michael J. Glista、Sharat S. Kamath、Laura Lowe Furge
DOI:10.1124/dmd.117.079871
日期:2018.8
Metabolic phenotype can be affected by multiple factors, including allelic variation and interactions with inhibitors. Human CYP2D6 is responsible for approximately 20% of cytochrome P450–mediated drug metabolism but consists of more than 100 known variants; several variants are commonly found in the population, whereas others are quite rare. Four CYP2D6 allelic variants—three with a series of mutations distal to the active site (*34, *17-2, *17-3) and one ultra-metabolizer with mutations near the active site (*53), along with reference *1 and an active site mutant of *1 (Thr309Ala)—were expressed, purified, and studied for interactions with the typical substrates dextromethorphan and bufuralol and the inactivator SCH 66712. We found that *34, *17-2, and *17-3 displayed reduced enzyme activity and NADPH coupling while producing the same metabolites as *1, suggesting a possible role for Arg296 in NADPH coupling. A higher-activity variant, *53, displayed similar NADPH coupling to *1 but was less susceptible to inactivation by SCH 66712. The Thr309Ala mutant showed similar activity to that of *1 but with greatly reduced NADPH coupling. Overall, these results suggest that kinetic and metabolic analysis of individual CYP2D6 variants is required to understand their possible contributions to variable drug response and the complexity of personalized medicine.
代谢表型可能受到多种因素的影响,包括等位基因变异和与抑制剂的相互作用。人类 CYP2D6 负责约 20% 的细胞色素 P450 介导的药物代谢,但由 100 多种已知变体组成;几种变体在人群中很常见,而其他变体则相当罕见。四种 CYP2D6 等位基因变体 - 三种在活性位点远端具有一系列突变(*34、*17-2、*17-3),一种超代谢型在活性位点附近具有突变(*53),以及参考* 1 和 *1 的活性位点突变体 (Thr309Ala) 被表达、纯化,并研究了与典型底物右美沙芬和布呋洛尔以及灭活剂 SCH 66712 的相互作用。我们发现 *34、*17-2 和 *17- 3 显示酶活性和 NADPH 偶联降低,同时产生与 *1 相同的代谢物,表明 Arg296 在 NADPH 偶联中可能发挥作用。较高活性的变体 *53 表现出与 *1 相似的 NADPH 偶联,但不太容易被 SCH 66712 失活。Thr309Ala 突变体表现出与 *1 相似的活性,但 NADPH 偶联大大降低。总体而言,这些结果表明需要对单个 CYP2D6 变体进行动力学和代谢分析,以了解它们对可变药物反应和个性化医疗的复杂性的可能贡献。