Target intelligence / Profile preview

Cytochrome P450 26A1 and Cytochrome P450 26B1 (CYP26A1 and CYP26B1)

Target
CYP26A1 and CYP26B1
Molecular classification
Enzyme, Cytochrome P450 enzyme, Monooxygenase
01

Overview

Cytochrome P450 26A1 and Cytochrome P450 26B1 are members of the CYP26 subfamily of cytochrome P450 monooxygenases that play essential roles in the oxidative metabolism of all-trans-retinoic acid (atRA), the active metabolite of vitamin A. Both enzymes convert atRA to hydroxylated metabolites (such as 4-hydroxy-RA, 18-hydroxy-RA, and 4-oxo-RA), thus regulating intracellular and tissue gradients of retinoic acid required for embryonic development, tissue morphogenesis, cell differentiation, and homeostasis. CYP26A1 is highly expressed in the liver and is the primary enzyme responsible for hepatic clearance of atRA, while CYP26B1 is more prominent in the placenta, ovary, cerebellum, and tissues with specialized regulatory requirements. Mutations or altered expression of these genes can result in developmental abnormalities and disease. Inhibition of CYP26A1 or CYP26B1 is therapeutically investigated to boost endogenous retinoic acid concentrations for clinical benefit, but safety challenges exist due to the requirement for precise retinoic acid homeostasis.

Other names
Cytochrome P450 family 26 subfamily A member 1Cytochrome P450 family 26 subfamily B member 1CYP26 familyatRA hydroxylase
02

Mechanism of action

Inhibitors prevent retinoic acid (atRA) metabolism, leading to increased tissue retinoic acid concentration. Agonists are not applicable; mechanism focuses on blocking enzyme activity rather than stimulating it.

03

Biological functions

All-trans-retinoic acid (atRA) metabolismRetinoid homeostasisRegulation of cell differentiation and proliferationEmbryonic developmentGerm cell developmentTissue morphogenesisFeedback regulation of retinoic acid gradients
04

Disease associations

Developmental disordersCancerOther: Some genetic variants are associated with pathological consequences related to abnormal retinoic acid metabolism
05

Safety considerations

Tissue toxicity or malformations (excess retinoic acid due to CYP26 inhibition may cause teratogenicity)Potential for off-target effects due to P450 inhibition (e.g., with ketoconazole)Drug-drug interactions when co-administered with other CYP-metabolized agents
06

Interacting drugs

Retinoic acid metabolism blocking agents (RAMBAs)

4 more in the full profile.

07

Biomarkers

Retinoic acid metabolite levels (e.g., 4-OH-RA, 4-oxo-RA) in plasma or tissues may indicate CYP26 activityGenetic variants of CYP26A1 or CYP26B1Changes in retinoic acid-responsive gene expression

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