Substrate-dependent functional alterations of seven CYP2C9 variants found in Japanese subjects

Drug Metab Dispos. 2009 Sep;37(9):1895-903. doi: 10.1124/dmd.109.027003. Epub 2009 Jun 18.

Abstract

CYP2C9 is a polymorphic enzyme that metabolizes a number of clinically important drugs. In this study, catalytic activities of seven alleles found in Japanese individuals, CYP2C9*3 (I359L), *13 (L90P), *26 (T130R), *28 (Q214L), *30 (A477T), *33 (R132Q), and *34 (R335Q), were assessed using three substrates (diclofenac, losartan, and glimepiride). When expressed in a baculovirus-insect cell system, the holo and total (apo and holo) CYP2C9 protein expression levels were similar among the wild type (CYP2C9.1) and six variants except for CYP2C9.13. A large part of CYP2C9.13 was present in the apo form P420. Compared with CYP2C9.1, all variants except for CYP2C9.34 exhibited substrate-dependent changes in K(m), V(max), and intrinsic clearance (V(max)/K(m)). For diclofenac 4'-hydroxylation, the intrinsic clearance was decreased markedly (by >80%) in CYP2C9.13, CYP2C9.30, and CYP2C9.33 and variably (63-76%) in CYP2C9.3, CYP2C9.26, and CYP2C9.28 due to increased K(m) and/or decreased V(max) values. For losartan oxidation, CYP2C9.13 and CYP2C9.28 showed 2.5- and 1.8-fold higher K(m) values, respectively, and all variants except for CYP2C9.34 showed >77% lower V(max) and intrinsic clearance values. For glimepiride hydroxylation, the K(m) of CYP2C9.13 was increased 7-fold, and the V(max) values of all variants significantly decreased, resulting in reductions in the intrinsic clearance by >80% in CYP2C9.3, CYP2C9.13, CYP2C9.26, and CYP2C9.33 and by 56 to 75% in CYP2C9.28 and CYP2C9.30. These findings suggest the necessity for careful administration of losartan and glimepiride to patients bearing these six alleles.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Angiotensin II Type 1 Receptor Blockers / metabolism
  • Animals
  • Blotting, Western
  • Cytochrome P-450 Enzyme System / genetics*
  • Cytochrome P-450 Enzyme System / metabolism*
  • DNA, Complementary / biosynthesis
  • DNA, Complementary / genetics
  • Diclofenac / metabolism
  • Genetic Variation
  • Humans
  • Hypoglycemic Agents / metabolism
  • Insecta
  • Japan
  • Kinetics
  • Losartan / metabolism
  • Microsomes / metabolism
  • Rats
  • Recombinant Proteins / metabolism
  • Substrate Specificity
  • Sulfonylurea Compounds / metabolism

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • DNA, Complementary
  • Hypoglycemic Agents
  • Recombinant Proteins
  • Sulfonylurea Compounds
  • cytochrome P-450 CYP2C subfamily
  • Diclofenac
  • glimepiride
  • Cytochrome P-450 Enzyme System
  • Losartan