CYP2D6 Chromosome 22
Cytochrome P450 family 2 subfamily D member 6 (gene/pseudogene)
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What This Gene Does
This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and is known to metabolize as many as 25% of commonly prescribed drugs. Its substrates include antidepressants, antipsychotics, analgesics and antitussives, beta adrenergic blocking agents, antiarrythmics and antiemetics. The gene is highly polymorphic in the human population; certain alleles result in the poor metabolizer phenotype, characterized by a decreased ability to metabolize the enzyme's substrates. Some individuals with the poor metabolizer phenotype have no functional protein since they carry 2 null alleles whereas in other individuals the gene is absent. This gene can vary in copy number and individuals with the ultrarapid metabolizer phenotype can have 3 or more active copies of the gene. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2014]
Gene Info
Gene Group
Cytochrome P450 family 2
Locus Type
gene with protein product
Location
22q13.2
Ensembl
ENSG00000100197
Associated Conditions (13)
Debrisoquine
poor metabolism of
Deutetrabenazine response
Tamoxifen response
Tramadol response
Familial cancer of breast
Uveal melanoma
Malignant lymphoma
large B-cell
diffuse
Melanoma
Uterine carcinosarcoma
Acute myeloid leukemia
Key Variants
RS5030655
Benign/Likely benign; drug response; other
Debrisoquine, poor metabolism of, Deutetrabenazine response
Drug Response
RS1021089207
drug response
Tramadol response, Tramadol response
Drug Response
RS1052450283
drug response
Tramadol response, Tramadol response
Drug Response
RS1058172
drug response
Tramadol response, Tramadol response
Drug Response
RS1080989
drug response
Tramadol response, Tramadol response
Drug Response
RS1081004
drug response
Tramadol response, Tramadol response
Drug Response
RS111564371
drug response
Tramadol response, Tramadol response
Drug Response
RS111606937
drug response
Tramadol response, Tramadol response
Drug Response
RS112568578
drug response
Tramadol response, Tramadol response
Drug Response
RS1135822
drug response
Tramadol response, Tramadol response
Drug Response
RS1135828
drug response
Tramadol response, Tramadol response
Drug Response
RS1135832
drug response
Tramadol response, Tramadol response
Drug Response
Drug Interactions (5)
Codeine metabolism
strong
CYP2D6*4 — poor metaboliser, reduced codeine-to-morphine conversion
Tamoxifen efficacy
strong
CYP2D6*4 — reduced conversion to active metabolite endoxifen
Tramadol metabolism
strong
CYP2D6*4 — reduced efficacy of tramadol
Fluoxetine metabolism
moderate
CYP2D6*4 — may need dose adjustment
Paroxetine metabolism
moderate
CYP2D6*4 — substrate of CYP2D6
All Variants (215)
| RSID | Category | Clinical Significance | Conditions |
|---|---|---|---|
| RS5030655 | Drug Response | Benign/Likely benign; drug response; other | Debrisoquine, poor metabolism of, Deutetrabenazine response |
| RS1021089207 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1052450283 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1058172 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1080989 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1081004 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS111564371 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS111606937 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS112568578 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1135822 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1135828 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1135832 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1135838 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS113889384 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1174898951 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1183013541 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1210044985 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1235579184 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1240215026 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1243391823 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1244624065 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1252450087 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1252557189 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1252997755 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1254795640 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1261231971 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1264108606 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1291448337 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1333908490 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1341003897 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1363310643 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1363367942 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1368936023 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1369432802 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1376020733 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1388132795 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1388913350 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1392038344 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1397696580 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1441462125 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1449226165 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1451137004 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1454767586 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1471668315 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1476223883 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1489026031 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1569019727 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1569020753 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1569032300 | Drug Response | drug response | Tramadol response, Tramadol response |
| RS1602563541 | Drug Response | drug response | Tramadol response, Tramadol response |