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
RS1602597924 Drug Response drug response Tramadol response, Tramadol response
RS1602598277 Drug Response drug response Tramadol response, Tramadol response
RS1602600410 Drug Response drug response Tramadol response, Tramadol response
RS1602601083 Drug Response drug response Tramadol response, Tramadol response
RS1602601524 Drug Response drug response Tramadol response, Tramadol response
RS1602601661 Drug Response drug response Tramadol response, Tramadol response
RS1602602339 Drug Response drug response Tramadol response, Tramadol response
RS1602602412 Drug Response drug response Tramadol response, Tramadol response
RS1602602668 Drug Response drug response Tramadol response, Tramadol response
RS1602602902 Drug Response drug response Tramadol response, Tramadol response
RS1602602990 Drug Response drug response Tramadol response, Tramadol response
RS1602603171 Drug Response drug response Tramadol response, Tramadol response
RS17002852 Drug Response drug response Tramadol response, Tramadol response
RS17002853 Drug Response drug response Tramadol response, Tramadol response
RS2004511 Drug Response drug response Tramadol response, Tramadol response
RS2267447 Drug Response drug response Tramadol response, Tramadol response
RS267608275 Drug Response drug response
RS267608300 Drug Response drug response Tramadol response, Tramadol response
RS267608319 Drug Response drug response
RS28371703 Drug Response drug response Tramadol response, Tramadol response
RS28371704 Drug Response drug response Tramadol response, Tramadol response
RS28371718 Drug Response drug response Tramadol response, Tramadol response
RS28371722 Drug Response drug response Tramadol response, Tramadol response
RS28371729 Drug Response drug response Tramadol response, Tramadol response
RS28371737 Drug Response drug response Tramadol response, Tramadol response
RS28371738 Drug Response drug response Tramadol response, Tramadol response
RS28588594 Drug Response drug response Tramadol response, Tramadol response
RS370484811 Drug Response drug response Tramadol response, Tramadol response
RS372708040 Drug Response drug response Tramadol response, Tramadol response
RS373000587 Drug Response drug response
RS375135093 Drug Response drug response Tramadol response, Tramadol response
RS375413467 Drug Response drug response Tramadol response, Tramadol response
RS527753359 Drug Response drug response Tramadol response, Tramadol response
RS530422334 Drug Response drug response Tramadol response, Tramadol response
RS538707090 Drug Response drug response Tramadol response, Tramadol response
RS540076362 Drug Response drug response Tramadol response, Tramadol response
RS545334485 Drug Response drug response Tramadol response, Tramadol response
RS561496509 Drug Response drug response Tramadol response, Tramadol response
RS562436480 Drug Response drug response Tramadol response, Tramadol response
RS573146761 Drug Response drug response Tramadol response, Tramadol response
RS61737946 Drug Response drug response Tramadol response, Tramadol response
RS730882170 Drug Response drug response
RS730882251 Drug Response drug response
RS750439337 Drug Response drug response Tramadol response, Tramadol response
RS759070183 Drug Response drug response Tramadol response, Tramadol response
RS762326029 Drug Response drug response Tramadol response, Tramadol response
RS763046818 Drug Response drug response Tramadol response, Tramadol response
RS764004312 Drug Response drug response Tramadol response, Tramadol response
RS764477422 Drug Response drug response Tramadol response, Tramadol response
RS768552222 Drug Response drug response Tramadol response, Tramadol response
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