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
RS1602581822 Drug Response drug response Tramadol response, Tramadol response
RS1602582413 Drug Response drug response Tramadol response, Tramadol response
RS1602582561 Drug Response drug response Tramadol response, Tramadol response
RS1602583232 Drug Response drug response Tramadol response, Tramadol response
RS1602583603 Drug Response drug response Tramadol response, Tramadol response
RS1602583762 Drug Response drug response Tramadol response, Tramadol response
RS1602584065 Drug Response drug response Tramadol response, Tramadol response
RS1602584280 Drug Response drug response Tramadol response, Tramadol response
RS1602585699 Drug Response drug response Tramadol response, Tramadol response
RS1602586269 Drug Response drug response Tramadol response, Tramadol response
RS1602586374 Drug Response drug response Tramadol response, Tramadol response
RS1602586680 Drug Response drug response Tramadol response, Tramadol response
RS1602586771 Drug Response drug response Tramadol response, Tramadol response
RS1602586788 Drug Response drug response Tramadol response, Tramadol response
RS1602586818 Drug Response drug response Tramadol response, Tramadol response
RS1602586941 Drug Response drug response Tramadol response, Tramadol response
RS1602587073 Drug Response drug response Tramadol response, Tramadol response
RS1602587200 Drug Response drug response Tramadol response, Tramadol response
RS1602587214 Drug Response drug response Tramadol response, Tramadol response
RS1602587229 Drug Response drug response Tramadol response, Tramadol response
RS1602587272 Drug Response drug response Tramadol response, Tramadol response
RS1602588001 Drug Response drug response Tramadol response, Tramadol response
RS1602588151 Drug Response drug response Tramadol response, Tramadol response
RS1602589675 Drug Response drug response Tramadol response, Tramadol response
RS1602590731 Drug Response drug response Tramadol response, Tramadol response
RS1602591357 Drug Response drug response Tramadol response, Tramadol response
RS1602592194 Drug Response drug response Tramadol response, Tramadol response
RS1602592459 Drug Response drug response Tramadol response, Tramadol response
RS1602592512 Drug Response drug response Tramadol response, Tramadol response
RS1602593301 Drug Response drug response Tramadol response, Tramadol response
RS1602593445 Drug Response drug response Tramadol response, Tramadol response
RS1602594207 Drug Response drug response Tramadol response, Tramadol response
RS1602594264 Drug Response drug response Tramadol response, Tramadol response
RS1602594491 Drug Response drug response Tramadol response, Tramadol response
RS1602594516 Drug Response drug response Tramadol response, Tramadol response
RS1602594895 Drug Response drug response Tramadol response, Tramadol response
RS1602594997 Drug Response drug response Tramadol response, Tramadol response
RS1602595071 Drug Response drug response Tramadol response, Tramadol response
RS1602595162 Drug Response drug response Tramadol response, Tramadol response
RS1602595193 Drug Response drug response Tramadol response, Tramadol response
RS1602595514 Drug Response drug response Tramadol response, Tramadol response
RS1602595686 Drug Response drug response Tramadol response, Tramadol response
RS1602595724 Drug Response drug response Tramadol response, Tramadol response
RS1602595756 Drug Response drug response Tramadol response, Tramadol response
RS1602595905 Drug Response drug response Tramadol response, Tramadol response
RS1602596119 Drug Response drug response Tramadol response, Tramadol response
RS1602596916 Drug Response drug response Tramadol response, Tramadol response
RS1602596953 Drug Response drug response Tramadol response, Tramadol response
RS1602597574 Drug Response drug response Tramadol response, Tramadol response
RS1602597868 Drug Response drug response Tramadol response, Tramadol response
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