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Updated: Feb 21, 2026

A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
Structural Basis of Single-Nucleotide Polymorphisms in Cytochrome P450 2C9.
Keiko Maekawa1,2, Motoyasu Adachi3, Yumiko Matsuzawa2
1Department of Analytical Chemistry, Faculty of Pharmaceutical Sciences, Doshisha Women's College of Liberal Arts , Kodo, Kyotanabe, Kyoto 610-0395, Japan.
Genetic variations in cytochrome P450 (CYP) enzymes impact drug metabolism and safety. This study reveals the structural basis of CYP2C9 polymorphisms, explaining altered drug interactions and metabolism.
Area of Science:
- Biochemistry
- Pharmacology
- Structural Biology
Background:
- Single-nucleotide polymorphisms (SNPs) in drug-metabolizing cytochrome P450 (CYP) enzymes cause significant interindividual variability in drug response.
- Understanding the structural basis of these polymorphisms is crucial for predicting and mitigating adverse drug reactions.
Purpose of the Study:
- To elucidate the structural mechanisms underlying the altered drug metabolism associated with common CYP2C9 variants.
- To investigate the interaction of losartan with wild-type CYP2C9 and its polymorphic variants *3 (I359L) and *30 (A477T).
Main Methods:
- X-ray crystallography was employed to determine the high-resolution structures of human CYP2C9, CYP2C9*3, and CYP2C9*30.
- Complex structures with the antihypertensive drug losartan were analyzed to understand drug-enzyme interactions.
Main Results:
- Distinct binding modes and occupations of losartan were observed in the active site, access channel, and peripheral site of CYP2C9 and its variants.
- The I359L substitution significantly altered the enzyme's active site and access channel residues, despite its distant location.
- The A477T substitution formed hydrogen bonds with a reoriented glutamine residue (Q214).
Conclusions:
- The observed structural changes provide a molecular basis for the reduced catalytic activity of CYP2C9*3 and CYP2C9*30 variants.
- These findings enhance our understanding of genetic polymorphisms in CYP-mediated drug metabolism and have implications for personalized medicine.
Related Concept Videos
Pharmacogenetics of Phase I Enzymes: Cytochrome P450 Isozymes
Principles of Pharmacogenetics: Types of Genetic Variants
Pharmacogenetics of Drug Metabolism: Overview
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

