CYP2D6
Cytochrome P450 2D6
Also known as: CP2D6_HUMAN, CPD6, CYP2D, CYP2D7AP, CYP2D7BP, CYP2D7P2, CYP2D8P2, CYP2DL1, P450-DB1, P450C2D
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P10635
- Gene
- CYP2D6
- Ensembl
- ENSG00000100197
- Chromosome
- 22
- Canonical length
- 497 aa
- Protein class
- Human disease related genes, Metabolic proteins, Predicted membrane proteins
- Subcellular location
- Golgi apparatus
OverviewNCBI Gene
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]
Canonical amino-acid sequenceUniProt
497 residues, UniProt reviewed canonical sequence.
>P10635|CYP2D6
1 MGLEALVPLA VIVAIFLLLV DLMHRRQRWA ARYPPGPLPL PGLGNLLHVD FQNTPYCFDQ
61 LRRRFGDVFS LQLAWTPVVV LNGLAAVREA LVTHGEDTAD RPPVPITQIL GFGPRSQGVF
121 LARYGPAWRE QRRFSVSTLR NLGLGKKSLE QWVTEEAACL CAAFANHSGR PFRPNGLLDK
181 AVSNVIASLT CGRRFEYDDP RFLRLLDLAQ EGLKEESGFL REVLNAVPVL LHIPALAGKV
241 LRFQKAFLTQ LDELLTEHRM TWDPAQPPRD LTEAFLAEME KAKGNPESSF NDENLRIVVA
301 DLFSAGMVTT STTLAWGLLL MILHPDVQRR VQQEIDDVIG QVRRPEMGDQ AHMPYTTAVI
361 HEVQRFGDIV PLGVTHMTSR DIEVQGFRIP KGTTLITNLS SVLKDEAVWE KPFRFHPEHF
421 LDAQGHFVKP EAFLPFSAGR RACLGEPLAR MELFLFFTSL LQHFSFSVPT GQPRPSHHGV
481 FAFLVSPSPY ELCAVPRLocalizationUniProt · AlphaFold · HPA
Whether an antibody against CYP2D6 can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Other membrane
- Secreted
- No
- Transmembrane segments
- 0
- Mean surface accessibility (rSASA)
- 0.24
- Highest tissue expression
- 386 nTPM
Expression across tissuesHPA
Tissue
- liver: 386 nTPM
- small intestine: 15 nTPM
- duodenum: 3.5 nTPM
- pancreas: 0.8 nTPM
- cerebellum: 0.5 nTPM
- colon: 0.5 nTPM
Single-cell type
- enterocytes: 213 nCPM
- hepatocytes: 109 nCPM
- paneth cells: 12 nCPM
- epicardial cells: 2.3 nCPM
- brain inhibitory neurons: 1.9 nCPM
- other brain neurons: 1.9 nCPM
Immune cell
- basophil: 0 nTPM
- classical monocyte: 0 nTPM
- eosinophil: 0 nTPM
- gdT-cell: 0 nTPM
- intermediate monocyte: 0 nTPM
- MAIT T-cell: 0 nTPM
Brain region
- cerebellum: 1.9 nTPM
- choroid plexus: 1 nTPM
- medulla oblongata: 1 nTPM
- white matter: 1 nTPM
- basal ganglia: 0.9 nTPM
- cerebral cortex: 0.9 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about CYP2D6.
Disease | ImmuneIEDB
Conditions an epitope on CYP2D6 was assayed in.
- autoimmune hepatitis B and T cell
- hepatitis C B and T cell
- primary biliary cholangitis T cell
- hepatitis B T cell
Disease | AutoantibodyPubMed
Conditions in which antibodies against CYP2D6 are reported. Each links to that disease's full target list.
ReferencesPubMed · IEDB
Publications for CYP2D6 from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
24 publications
- Antibodies against human cytochrome P-450db1 in autoimmune hepatitis type II.
1988 · Proc Natl Acad Sci U S A · RCR 7.3 · 228 citations - Cytochrome P4502D6(193-212): a new immunodominant epitope and target of virus/self cross-reactivity in liver kidney microsomal autoantibody type 1-positive liver disease.
2003 · J Immunol · RCR 3.4 · 156 citations - Hepatic autoantigens in patients with autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy.
2001 · Gastroenterology · RCR 1.9 · 77 citations - Target proteins in human autoimmunity: cytochromes P450 and UDP- glucuronosyltransferases.
2000 · Can J Gastroenterol · RCR 1.4 · 44 citations - Epitope spreading of the anti-CYP2D6 antibody response in patients with autoimmune hepatitis and in the CYP2D6 mouse model.
2011 · J Autoimmun · RCR 1.3 · 51 citations
Show 19 more
- LKM1 autoantibodies in chronic hepatitis C infection: a case of molecular mimicry?
2005 · Hepatology · RCR 1.1 · 50 citations - Increased incidence of anti-LKM autoantibodies in a consecutive cohort of hepatitis C patients from central Greece.
2002 · Eur J Gastroenterol Hepatol · RCR 1.1 · 40 citations - Development of cytochrome P450 2D6-specific LKM-autoantibodies following liver transplantation for Wilson's disease -- possible association with a steroid-resistant transplant rejection episode.
1999 · J Hepatol · RCR 0.9 · 32 citations - Autoantibodies against CYP2D6 and other drug-metabolizing enzymes in autoimmune hepatitis type 2.
2005 · Drug Metab Rev · RCR 0.8 · 32 citations - Autoantibodies associated with acute rejection after liver transplantation for type-2 autoimmune hepatitis.
2000 · J Hepatol · RCR 0.7 · 21 citations - Autoantibody detection in type 2 autoimmune hepatitis using a chimera recombinant protein.
2002 · J Immunol Methods · RCR 0.6 · 23 citations - Cytochrome P450 2D6 as a model antigen.
2010 · Dig Dis · RCR 0.6 · 20 citations - Development of liver dysfunction after delivery is possibly due to postpartum autoimmune hepatitis. A report of three cases.
2002 · J Intern Med · RCR 0.5 · 22 citations - Interferon therapy in LKM-1 positive patients with chronic hepatitis C: follow-up by a quantitative radioligand assay for CYP2D6 antibody detection.
1998 · J Hepatol · RCR 0.5 · 17 citations - In vivo administration of H2 blockers, cimetidine and ranitidine, reduced the contents of the cytochrome P450IID (CYP2D) subfamily and their activities in rat liver microsomes.
1994 · Int J Biochem · RCR 0.5 · 9 citations - A novel assay for detecting antibodies to cytochrome P4502D6, the molecular target of liver kidney microsomal antibody type 1.
1999 · J Immunol Methods · RCR 0.4 · 12 citations - Anti-CYP2D6 antibodies detected by quantitative radioligand assay and relation to antibodies to liver-specific arginase in patients with autoimmune hepatitis.
2002 · Clin Chim Acta · RCR 0.3 · 13 citations - Sera of children with hepatitis C infection and anti-liver-kidney microsome-1 antibodies recognize different CYP2D6 epitopes than adults with LKM+/HCV+ sera.
1999 · J Pediatr Gastroenterol Nutr · RCR 0.3 · 9 citations - Relation between post-partum liver dysfunction and anti-cytochrome 2D6 antibodies.
2003 · Am J Reprod Immunol · RCR 0.2 · 7 citations - [Expression and identification of specific autoantigens in autoimmune hepatitis].
2002 · Zhonghua Gan Zang Bing Za Zhi - [Differential diagnosis of hepatitis: development of new laboratory tests for autoimmune hepatitis and progress in pathophysiology].
2004 · Rinsho Byori - [Immunological tests: Anti-cytochrome P 450 2D6 antibody (CYP2D6 antibody)].
2005 · Nihon Rinsho - [Anti-cytochrome P 450 2D6 antibody(CYP2D6 antibody)].
2010 · Nihon Rinsho - [Establishment of a mouse model of autoimmune hepatitis induced by human CYP2D6].
2018 · Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi
Reference: B cellIEDB
12 publications
- LKM-1 autoantibodies recognize a short linear sequence in P450IID6, a cytochrome P-450 monooxygenase.
1991 · J Clin Invest · RCR 12 · 394 citations - Polyclonal T-cell responses to cytochrome P450IID6 are associated with disease activity in autoimmune hepatitis type 2.
2006 · Gastroenterology · RCR 3.7 · 158 citations - Breaking tolerance to the natural human liver autoantigen cytochrome P450 2D6 by virus infection.
2008 · J Exp Med · RCR 3.5 · 155 citations - Cytochrome P4502D6(193-212): a new immunodominant epitope and target of virus/self cross-reactivity in liver kidney microsomal autoantibody type 1-positive liver disease.
2003 · J Immunol · RCR 3.4 · 156 citations - Identification and analysis of cytochrome P450IID6 antigenic sites recognized by anti-liver-kidney microsome type-1 antibodies (LKM1).
1993 · Eur J Immunol · RCR 2.7 · 97 citations
Show 7 more
- Heterogeneity of liver/kidney microsomal antibody type 1 in autoimmune hepatitis and hepatitis C virus related liver disease.
1995 · Gut · RCR 2.4 · 72 citations - Epitope mapping of cytochrome P4502D6 autoantigen in patients with chronic hepatitis C during alpha-interferon treatment.
1999 · J Hepatol · RCR 2.2 · 84 citations - Identification of the main epitope on human cytochrome P450 IID6 recognized by anti-liver kidney microsome antibody.
1991 · J Autoimmun · RCR 2.1 · 66 citations - Overlapping but distinct specificities of anti-liver-kidney microsome antibodies in autoimmune hepatitis type II and hepatitis C revealed by recombinant native CYP2D6 and novel peptide epitopes.
1999 · Clin Exp Immunol · RCR 1 · 38 citations - Study of the B cell response to cytochrome P450IID6 in sera from chronic hepatitis C patients.
1996 · Clin Exp Immunol · RCR 0.4 · 14 citations - Sera of children with hepatitis C infection and anti-liver-kidney microsome-1 antibodies recognize different CYP2D6 epitopes than adults with LKM+/HCV+ sera.
1999 · J Pediatr Gastroenterol Nutr · RCR 0.3 · 9 citations - A new epitope of CYP2D6 recognized by liver kidney microsomal autoantibody from japanese patients with autoimmune hepatitis.
2005 · Biol Pharm Bull · RCR 0.2 · 10 citations
Reference: T cellIEDB
3 publications
- Cytochrome P450IID6-specific CD8 T cell immune responses mirror disease activity in autoimmune hepatitis type 2.
2007 · Hepatology · RCR 2.5 · 112 citations - Autoantigen-specific regulatory T cells, a potential tool for immune-tolerance reconstitution in type-2 autoimmune hepatitis.
2011 · Hepatology · RCR 2.4 · 89 citations - Autoreactive CD4+ LKM-specific and anticlonotypic T-cell responses in LKM-1 antibody-positive autoimmune hepatitis.
1996 · Hepatology · RCR 1.8 · 84 citations
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. IEDB — curated epitope assays from the Immune Epitope Database (Vita et al., Nucleic Acids Research 2019). Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 1.94
- gnomAD pLI
- 0
- gnomAD missense Z
- -2
- DepMap mean gene effect
- 0
- DepMap dependency class
- selective
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 4% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- alkaloid catabolic process
- alkaloid metabolic process
- arachidonate metabolic process
- cholesterol metabolic process
- coumarin metabolic process
- estrogen metabolic process
- long-chain fatty acid biosynthetic process
- monoterpenoid metabolic process
- oxidative demethylation
- retinol metabolic process
- steroid metabolic process
- xenobiotic catabolic process
- xenobiotic metabolic process
- isoquinoline alkaloid metabolic process
- negative regulation of organofluorine metabolic process
Molecular functions
- anandamide 11,12 epoxidase activity
- anandamide 14,15 epoxidase activity
- anandamide 8,9 epoxidase activity
- heme binding
- iron ion binding
- monooxygenase activity
- oxidoreductase activity
- oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygen
Cellular components
Protein domainsUniProt · Pfam · InterPro
KeywordsUniProt
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads CYP2D6 as an antibody target. Whether an autoantibody or antibody against CYP2D6 could matter depends on whether native CYP2D6 is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
CYP2D6 is annotated as predominantly intracellular. Intracellular proteins are common autoantibody markers, becoming visible to the immune system after cell injury or altered processing, but are usually markers of disease rather than direct drivers.
Annotation status
The present source text does not explicitly label CYP2D6 as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
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