CYP2D6 Chromosome 22

Cytochrome P450 family 2 subfamily D member 6 (gene/pseudogene)
215 variants 215 Drug Response

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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
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
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