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Updated: Jun 15, 2026

Human Liver Spheroids from Peripheral Blood for Liver Disease Studies
Published on: January 27, 2023
Human liver expression of CYP2C8: gender, age, and genotype effects
Suresh Babu Naraharisetti1, Yvonne S Lin, Mark J Rieder
1Departments of Medicinal Chemistry, University of Washington, Seattle, WA 98195-7610, USA.
Abstract:
Research investigating CYP2C8 as a drug-metabolizing enzyme has gained momentum over the past few years. CYP2C8 is estimated to oxidatively metabolize approximately 5% of therapeutically prescribed drugs. It is polymorphically expressed, and several single nucleotide polymorphisms have been identified with varying effects on the clearance of CYP2C8 substrates. However, the human liver expression of CYP2C8 and effects of genetic variation, age, and gender on mRNA and protein levels have not been fully explored. In this report, interindividual variation in CYP2C8 mRNA and protein expression in 60 livers from white individuals was examined. The livers were genotyped for CYP2C8*3 and CYP2C8*4 polymorphisms. The effects of genotype, age, and gender on hepatic CYP2C8 expression and the correlation of CYP2C8 mRNA expression with CYP3A4 and other CYP2C members were evaluated. The mean +/- S.D. protein levels in CYP2C8*1/*1 livers was 30.8 +/- 17.5 pmol/mg protein, and a trend for decreased protein levels was observed for CYP2C8*1/*4 livers (15.8 +/- 9.7 pmol/mg, p = 0.07). The mean expression levels of CYP2C8 was comparable in males and females (p = 0.18). The mRNA expression of CYP2C8, CYP2C9, CYP2C19, and CYP3A4, but not CYP2C18, was highly correlated (p < 0.0001). Moreover, the hepatic CYP2C8 and CYP3A4 protein levels were strongly correlated (r = 0.76, p < 0.0001). This correlation is most likely due to common regulation factors for both genes. CYP2C8 mRNA or protein expression levels were not significantly affected by CYP2C8*3 or *4 genotype, gender, or age, and variation observed clinically in CYP2C8 activity warrants further investigation.
Insights
This study found that variations in CYP2C8 genotype, age, or gender did not significantly affect CYP2C8 drug metabolism enzyme expression levels in human livers. Hepatic CYP2C8 and CYP3A4 protein levels were strongly correlated, suggesting common regulatory factors.
Area of Science:
- Pharmacogenomics
- Drug Metabolism
- Enzyme Kinetics
Background:
- CYP2C8 is a key drug-metabolizing enzyme, processing about 5% of prescribed drugs.
- Genetic variations (polymorphisms) in CYP2C8 can alter drug clearance.
- Limited data exists on CYP2C8 expression in human livers concerning genetic, age, and gender influences.
Purpose of the Study:
- To investigate interindividual variability in CYP2C8 mRNA and protein expression in human livers.
- To evaluate the impact of CYP2C8 genotype (*3, *4), age, and gender on hepatic CYP2C8 expression.
- To assess correlations between CYP2C8 mRNA and protein levels with other CYP enzymes (CYP3A4, CYP2C members).
Main Methods:
- Analysis of CYP2C8 mRNA and protein expression in 60 human livers from white individuals.
- Genotyping for CYP2C8*3 and CYP2C8*4 polymorphisms.
- Statistical evaluation of genotype, age, and gender effects on CYP2C8 expression and correlations with other CYP enzymes.
Main Results:
- No significant effect of CYP2C8*3 or *4 genotype, age, or gender on CYP2C8 mRNA or protein levels was observed.
- A trend towards decreased CYP2C8 protein in CYP2C8*1/*4 livers was noted (p=0.07).
- Strong positive correlation between hepatic CYP2C8 and CYP3A4 protein levels (r=0.76, p<0.0001), suggesting shared regulation.
Conclusions:
- Hepatic CYP2C8 expression is not significantly influenced by common genetic variations, age, or gender in the studied population.
- The strong correlation between CYP2C8 and CYP3A4 suggests co-regulation mechanisms.
- Further research is needed to understand the clinical implications of observed variations in CYP2C8 activity.
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