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Genetic variations of human CYP2D6 in the Chinese Han population

    Jian-Chang Qian

    The Key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, No. 1, Dahua Road, Dongdan, Beijing 100730, PR China and Graduate School, Wenzhou Medical University, University-town, Wenzhou, Zhejiang 325035, PR China

    Authors contributed equally

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    ,
    Xin-Min Xu

    The Key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, No. 1, Dahua Road, Dongdan, Beijing 100730, PR China and Department of Clinical Laboratory, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, PR China

    Authors contributed equally

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    ,
    Guo-Xin Hu

    Department of Pharmacology, Wenzhou Medical University, University-town, Wenzhou, Zhejiang 325035, PR China

    Authors contributed equally

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    ,
    Da-Peng Dai

    The Key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, No. 1, Dahua Road, Dongdan, Beijing 100730, PR China

    Authors contributed equally

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    ,
    Ren-Ai Xu

    Graduate School, Wenzhou Medical University, University-town, Wenzhou, Zhejiang 325035, PR China and Department of Pharmacology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325035, PR China

    ,
    Li-Ming Hu

    Graduate School, Wenzhou Medical University, University-town, Wenzhou, Zhejiang 325035, PR China

    ,
    Fang-Hong Li

    Center of Healthcare, Wenzhou Medical University, University-town, Wenzhou, Zhejiang 325035, PR China

    ,
    Xiu-Hua Zhang

    Department of Pharmacology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325035, PR China

    ,
    Jie-Fu Yang§

    Department of Cardiology, Beijing Hospital, Ministry of Health, No. 1, Dahua Road, Dongdan, Beijing, 100730, PR China

    §Authors contributed equally

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    &
    Jian-Ping Cai§

    * Author for correspondence

    The Key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, No. 1, Dahua Road, Dongdan, Beijing 100730, PR China.

    Published Online:https://doi.org/10.2217/pgs.13.160

    Aim: The purpose of this study was to determine the genetic polymorphisms of the CYP2D6 gene and to elucidate the allele distribution pattern in the Chinese Han population. Materials & methods: We used PCR and bidirectional sequencing methods to analyze all nine exons of the CYP2D6 gene in 2129 unrelated, healthy Chinese Han subjects from two geographical locations in China: the northern and southern regions. Results: In total, 165 mutated sites were detected in 2129 participants, of which 67 sites were reported for the first time. Among these novel mutation sites, 22 were nonsynonymous and 12 were named as novel alleles (*87–*93, *94A, *94B and *95–*98) by the Human CYP Allele Nomenclature Committee. In addition, 29 previously reported alleles and 84 genotypes were also detected in 1954 volunteers. Functional prediction of novel variants revealed that eight variants might have a deleterious effect on CYP2D6. Linkage disequilibrium analysis and tagSNP selection were performed separately. By using these methods, distinct differences were found between the two regions. Conclusion: This study provides the most comprehensive data concerning CYP2D6 polymorphisms in the Chinese Han population to date and increases the number of known alleles; these findings may greatly contribute to the development of personalized medicine for the Chinese Han population.

    Original submitted 1 January 2013; Revision submitted 14 August 2013

    Papers of special note have been highlighted as: ▪ of interest ▪▪ of considerable interest

    References

    • Johansson I, Ingelman-Sundberg M. Genetic polymorphism and toxicology – with emphasis on cytochrome P450. Toxicol. Sci.120(1),1–13 (2011).
    • Nebert DW, Russell DW. Clinical importance of the cytochromes P450. Lancet360(9340),1155–1162 (2002).
    • Nelson DR. The cytochrome P450 homepage. Hum. Genomics4(1),59–65 (2009).
    • Nelson DR, Zeldin DC, Hoffman SM, Maltais LJ, Wain HM, Nebert DW. Comparison of cytochrome P450 (CYP) genes from the mouse and human genomes, including nomenclature recommendations for genes, pseudogenes and alternative-splice variants. Pharmacogenetics14(1),1–18 (2004).
    • O’Reilly E, Kohler V, Flitsch SL, Turner NJ. Cytochromes P450 as useful biocatalysts: addressing the limitations. Chem. Commun. (Camb.)47(9),2490–2501 (2011).
    • Zanger UM, Raimundo S, Eichelbaum M. Cytochrome P450 2D6: overview and update on pharmacology, genetics, biochemistry. Naunyn Schmiedebergs Arch. Pharmacol.369(1),23–37 (2004).▪▪ Discusses CYP2D6 genotypes, phenotypes and clinical applications in detail.
    • Shimada T, Yamazaki H, Mimura M, Inui Y, Guengerich FP. Inter individual variations in human liver cytochrome P-450 enzymes involved in the oxidation of drugs, carcinogens and toxic chemicals: studies with liver microsomes of 30 Japanese and 30 Caucasians. J. Pharmacol. Exp. Ther.270(1),414–423 (1994).
    • Ingelman-Sundberg M. Pharmacogenetics of cytochrome P450 and its applications in drug therapy: the past, present and future. Trends Pharmacol. Sci.25,193–200 (2004).
    • Rendic S. Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab. Rev.34(1–2),83–448 (2002).
    • 10  Eichelbaum M, Spannbrucker N, Steincke B, Dengler HJ. Defective N-oxidation of sparteine in man: a new pharmacogenetic defect. Eur. J. Clin. Pharmacol.16(3),183–187 (1979).
    • 11  Mahgoub A, Idle JR, Dring LG, Lancaster R, Smith RL. Polymorphic hydroxylation of debrisoquine in man. Lancet2(8038),584–586 (1977).
    • 12  Aklillu E, Persson I, Bertilsson L, Johansson I, Rodrigues F, Ingelman-Sundberg M. Frequent distribution of ultrarapid metabolizers of debrisoquine in an Ethiopian population carrying duplicated and multiduplicated functional CYP2D6 alleles. J. Pharmacol. Exp. Ther.278(1),441–446 (1996).
    • 13  Gaedigk A, Eklund JD, Pearce RE et al. Identification and characterization of CYP2D6*56B, an allele associated with the poor metabolizer phenotype. Clin. Pharmacol. Ther.81(6),817–820 (2007).
    • 14  Kagimoto M, Heim M, Kagimoto K, Zeugin T, Meyer UA. Multiple mutations of the human cytochrome P450IID6 gene (CYP2D6) in poor metabolizers of debrisoquine. Study of the functional significance of individual mutations by expression of chimeric genes. J. Biol. Chem.265(28),17209–17214 (1990).
    • 15  Marez D, Legrand M, Sabbagh N et al. Polymorphism of the cytochrome P450 CYP2D6 gene in a European population: characterization of 48 mutations and 53 alleles, their frequencies and evolution. Pharmacogenetics7(3),193–202 (1997).
    • 16  Raimundo S, Fischer J, Eichelbaum M, Griese EU, Schwab M, Zanger UM. Elucidation of the genetic basis of the common ‘intermediate metabolizer’ phenotype for drug oxidation by CYP2D6. Pharmacogenetics10(7),577–581 (2000).
    • 17  Gough AC, Smith CA, Howell SM, Wolf CR, Bryant SP, Spurr NK. Localization of the CYP2D gene locus to human chromosome 22q13.1 by polymerase chain reaction, in situ hybridization, and linkage analysis. Genomics15(2),430–432 (1993).
    • 18  Kimura S, Umeno M, Skoda RC, Meyer UA, Gonzalez FJ. The human debrisoquine 4-hydroxylase (CYP2D) locus: sequence and identification of the polymorphic CYP2D6 gene, a related gene, and a pseudogene. Am. J. Hum. Genet.45(6),889–904 (1989).
    • 19  Ingelman-Sundberg M, Sim SC, Gomez A, Rodriguez-Antona C. Influence of cytochrome P450 polymorphisms on drug therapies: pharmacogenetic, pharmacoepigenetic and clinical aspects. Pharmacol. Ther.116(3),496–526 (2007).
    • 20  Bradford LD. CYP2D6 allele frequency in European Caucasians, Asians, Africans and their descendants. Pharmacogenomics3(2),229–243 (2002).▪ Discusses the frequencies of CYP2D6 alleles in different races.
    • 21  Sistonen J, Sajantila A, Lao O, Corander J, Barbujani G, Fuselli S. CYP2D6 worldwide genetic variation shows high frequency of altered activity variants and no continental structure. Pharmacogenet. Genomics17(2),93–101 (2007).
    • 22  Yin SJ, Ni YB, Wang SM, Wang X, Lou YQ, Zhang GL. Differences in genotype and allele frequency distributions of polymorphic drug metabolizing enzymes CYP2C19 and CYP2D6 in mainland Chinese Mongolian, Hui and Han populations. J. Clin. Pharm. Ther.37(3),364–369 (2012).
    • 23  Zuo LJ, Guo T, Xia DY, Jia LH. Allele and genotype frequencies of CYP3A4, CYP2C19, and CYP2D6 in Han, Uighur, Hui, and Mongolian Chinese populations. Genet. Test. Mol. Biomarkers16(2),102–108 (2012).
    • 24  Ji L, Pan S, Wu J, Marti-Jaun J, Hersberger M. Genetic polymorphisms of CYP2D6 in Chinese mainland. Chin. Med. J. (Engl.)115(12),1780–1784 (2002).
    • 25  Li Q, Wang R, Guo Y, Wen S, Xu L, Wang S. Relationship of CYP2D6 genetic polymorphisms and the pharmacokinetics of tramadol in Chinese volunteers. J. Clin. Pharm. Ther.35(2),239–247 (2010).
    • 26  Qin S, Shen L, Zhang A et al. Systematic polymorphism analysis of the CYP2D6 gene in four different geographical Han populations in mainland China. Genomics92(3),152–158 (2008).▪ First large-scale investigation of the CYP2D6 gene in Han populations.
    • 27  Zhou SF. Polymorphism of human cytochrome P450 2D6 and its clinical significance: part I. Clin. Pharmacokinet.48(11),689–723 (2009).
    • 28  Zhou SF. Polymorphism of human cytochrome P450 2D6 and its clinical significance: part II. Clin. Pharmacokinet.48(11),761–804 (2009).
    • 29  Mizutani T. PM frequencies of major CYPs in Asians and Caucasians. Drug Metab. Rev.35(2–3),99–106 (2003).
    • 30  Neafsey P, Ginsberg G, Hattis D, Sonawane B. Genetic polymorphism in cytochrome P450 2D6 (CYP2D6), population distribution of CYP2D6 activity. J. Toxicol. Environ. Health B Crit. Rev.12(5–6),334–361 (2009).
    • 31  Hersberger M, Marti-Jaun J, Rentsch K, Hanseler E. Rapid detection of the CYP2D6*3, CYP2D6*4, and CYP2D6*6 alleles by tetra-primer PCR and of the CYP2D6*5 allele by multiplex long PCR. Clin. Chem.46(8 Pt 1),1072–1077 (2000).▪ Introduced the method of rapid detection for the CYP2D6*5 allele by PCR.
    • 32  Lovlie R, Daly AK, Molven A, Idle JR, Steen VM. Ultrarapid metabolizers of debrisoquine: characterization and PCR-based detection of alleles with duplication of the CYP2D6 gene. FEBS Lett.392(1),30–34 (1996).▪ Introduced a reliable method of detecting alleles with duplicated CYP2D6 genes.
    • 33  Adzhubei IA, Schmidt S, Peshkin L et al. A method and server for predicting damaging missense mutations. Nat. Methods7(4),248–249 (2010).
    • 34  Chen J, Zheng H, Bei JX et al. Genetic structure of the Han Chinese population revealed by genome-wide SNP variation. Am. J. Hum. Genet.85(6),775–785 (2009).
    • 35  Wang B, Yang LP, Zhang XZ, Huang SQ, Bartlam M, Zhou SF. New insights into the structural characteristics and functional relevance of the human cytochrome P450 2D6 enzyme. Drug Metab. Rev.41(4),573–643 (2009).
    • 36  Garcia-Barcelo M, Chow LY, Chiu HF et al. Genetic analysis of the CYP2D6 locus in a Hong Kong Chinese population. Clin. Chem.46(1),18–23 (2000).
    • 37  Lee SJ, Lee SS, Jung HJ et al. Discovery of novel functional variants and extensive evaluation of CYP2D6 genetic polymorphisms in Koreans. Drug Metab. Dispos.37(7),1464–1470 (2009).
    • 38  Yue QY, Svensson JO, Sawe J, Bertilsson L. Codeine metabolism in three oriental populations: a pilot study in Chinese, Japanese and Koreans. Pharmacogenetics5(3),173–177 (1995).
    • 39  Sachse C, Brockmoller J, Bauer S, Roots I. Cytochrome P450 2D6 variants in a Caucasian population: allele frequencies and phenotypic consequences. Am. J. Hum. Genet.60(2),284–295 (1997).
    • 40  Scordo MG, Caputi AP, D’Arrigo C, Fava G, Spina E. Allele and genotype frequencies of CYP2C9, CYP2C19 and CYP2D6 in an Italian population. Pharmacol. Res.50(2),195–200 (2004).
    • 41  Gaedigk A, Gotschall RR, Forbes NS, Simon SD, Kearns GL, Leeder JS. Optimization of cytochrome P4502D6 (CYP2D6) phenotype assignment using a genotyping algorithm based on allele frequency data. Pharmacogenetics9(6),669–682 (1999).
    • 42  Llerena A, Dorado P, Calzadilla LR et al.CYP2D6 genotype and debrisoquine hydroxylation phenotype in Cubans and Nicaraguans. Pharmacogenomics J.12(2),176–183 (2012).
    • 43  Isaza CA, Henao J, López AM, Cacabelos R. Isolation, sequence and genotyping of the drug metabolizer CYP2D6 gene in the Colombian population. Methods Find. Exp. Clin. Pharmacol.22(9),695–705 (2000).
    • 44  Dorado P, Heras N, Machín E, Hernández F, Teran E, Llerena A. CYP2D6 genotype and dextromethorphan hydroxylation phenotype in an Ecuadorian population. Eur. J. Clin. Pharmacol.68(5),637–644 (2012).
    • 45  Wennerholm A, Johansson I, Massele AY et al. Decreased capacity for debrisoquine metabolism among black Tanzanians: analyses of the CYP2D6 genotype and phenotype. Pharmacogenetics9(6),707–714 (1999).
    • 46  Kleywegt GJ, Jones TA. Detection, delineation, measurement and display of cavities in macromolecular structures. Acta Crystallogr. D Biol. Crystallogr.50(Pt 2),178–185 (1994).
    • 47  Rowland P, Blaney FE, Smyth MG et al. Crystal structure of human cytochrome P450 2D6. J. Biol. Chem.281(11),7614–7622 (2006).▪ Investigated the crystal structure of CYP2D6 and defined its active site cavity.
    • 101  CYP2D6 allele nomenclature. www.cypalleles.ki.se/cyp2d6.htm
    • 102  Protein data bank-2F9Q. www.rcsb.org/pdb/explore/explore.do?structureId=2F9Q
    • 103  RNA splicing. www.fruitfly.org/seq_tools/splice.html
    • 104  PolyPhen-2. http://genetics.bwh.harvard.edu/pph2
    • 105  Arlequin 3.5 program. http://cmpg.unibe.ch/software/arlequin3
    • 106  Haploview. www.broadinstitute.org/scientific-community/software