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
RS1602563653 Drug Response drug response Tramadol response, Tramadol response
RS1602563686 Drug Response drug response Tramadol response, Tramadol response
RS1602563722 Drug Response drug response Tramadol response, Tramadol response
RS1602563763 Drug Response drug response Tramadol response, Tramadol response
RS1602563935 Drug Response drug response Tramadol response, Tramadol response
RS1602564163 Drug Response drug response Tramadol response, Tramadol response
RS1602564412 Drug Response drug response Tramadol response, Tramadol response
RS1602564450 Drug Response drug response Tramadol response, Tramadol response
RS1602565522 Drug Response drug response Tramadol response, Tramadol response
RS1602565749 Drug Response drug response Tramadol response, Tramadol response
RS1602565818 Drug Response drug response Tramadol response, Tramadol response
RS1602566009 Drug Response drug response Tramadol response, Tramadol response
RS1602566050 Drug Response drug response Tramadol response, Tramadol response
RS1602566282 Drug Response drug response Tramadol response, Tramadol response
RS1602566813 Drug Response drug response Tramadol response, Tramadol response
RS1602567334 Drug Response drug response Tramadol response, Tramadol response
RS1602567530 Drug Response drug response Tramadol response, Tramadol response
RS1602568040 Drug Response drug response Tramadol response, Tramadol response
RS1602568220 Drug Response drug response Tramadol response, Tramadol response
RS1602568885 Drug Response drug response Tramadol response, Tramadol response
RS1602570163 Drug Response drug response Tramadol response, Tramadol response
RS1602570291 Drug Response drug response Tramadol response, Tramadol response
RS1602570404 Drug Response drug response Tramadol response, Tramadol response
RS1602570688 Drug Response drug response Tramadol response, Tramadol response
RS1602570721 Drug Response drug response Tramadol response, Tramadol response
RS1602571142 Drug Response drug response Tramadol response, Tramadol response
RS1602572018 Drug Response drug response Tramadol response, Tramadol response
RS1602572160 Drug Response drug response Tramadol response, Tramadol response
RS1602573074 Drug Response drug response Tramadol response, Tramadol response
RS1602573439 Drug Response drug response Tramadol response, Tramadol response
RS1602573633 Drug Response drug response Tramadol response, Tramadol response
RS1602573718 Drug Response drug response Tramadol response, Tramadol response
RS1602573795 Drug Response drug response Tramadol response, Tramadol response
RS1602573997 Drug Response drug response Tramadol response, Tramadol response
RS1602575336 Drug Response drug response Tramadol response, Tramadol response
RS1602575668 Drug Response drug response Tramadol response, Tramadol response
RS1602575863 Drug Response drug response Tramadol response, Tramadol response
RS1602575891 Drug Response drug response Tramadol response, Tramadol response
RS1602575928 Drug Response drug response Tramadol response, Tramadol response
RS1602576136 Drug Response drug response Tramadol response, Tramadol response
RS1602576341 Drug Response drug response Tramadol response, Tramadol response
RS1602576489 Drug Response drug response Tramadol response, Tramadol response
RS1602578192 Drug Response drug response Tramadol response, Tramadol response
RS1602578555 Drug Response drug response Tramadol response, Tramadol response
RS1602580278 Drug Response drug response Tramadol response, Tramadol response
RS1602580928 Drug Response drug response Tramadol response, Tramadol response
RS1602581300 Drug Response drug response Tramadol response, Tramadol response
RS1602581328 Drug Response drug response Tramadol response, Tramadol response
RS1602581671 Drug Response drug response Tramadol response, Tramadol response
RS1602581702 Drug Response drug response Tramadol response, Tramadol response
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