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Received for publication January 10, 2005.
Revised March 9, 2005.
Accepted for publication March 9, 2005.
CYP2C9 is an important member of the cytochrome P450 enzyme superfamily with some twelve CYP2C9 alleles (*1-*12) being previously reported. Recently we identified a new CYP2C9 allele with a Leu90Pro mutation in a Chinese poor metabolizer of lornoxicam (Si et al., 2004). The new allele, designated CYP2C9*13, was found to occur in approximately 2% of the Chinese population. To examine enzymatic activity of the CYP2C9*13 allele, kinetic parameters for lornoxicam 5'-hydroxylation were determined in COS-7 cells transiently transfected with pcDNA3.1 plasmids carrying wild-type CYP2C9*1, variant CYP2C9*3 and CYP2C9*13 cDNA. The protein levels of cDNA-expressed CYP2C9*3 and *13 in postmitochondrial supernatant (S9) from transfected cells were lower than from wild-type CYP2C9*1. Mean values of Km and Vmax for CYP2C9*1, *3 and *13 were 1.24, 1.61 and 2.79 µg and 0.83, 0.28 and 0.22 pmol/min/pmol, respectively. Intrinsic clearance values (Vmax/Km) for variant CYP2C9*3 and CYP2C9*13 on the basis of CYP2C9 protein levels were separately decreased to 28% and 12% compared with wild type. In a subsequent clinical study, the AUC of lornoxicam was increased by 1.9-fold and its CL/F decreased by 44% in three CYP2C9*1/*13 subjects, compared with CYP2C9*1/*1 individuals. This suggests that the CYP2C9*13 allele is associated with decreased enzymatic activity both in vitro and in vivo.
Key words:
CYP expression, cytochrome P450 isoforms, enzyme kinetics, HPLC, human CYP enzymes, mutagenesis, non-steroidal anti-inflammatory drugs, pharmacogenetics, recombinant proteins, site-directed mutagenesis
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