Target intelligence / Profile preview

Cytochrome P450 2R1 (CYP2R1)

Target
CYP2R1
Molecular classification
Enzyme, Cytochrome P450 superfamily, Mixed-function oxidase, Monooxygenase
01

Overview

Cytochrome P450 2R1 (CYP2R1) is a microsomal enzyme in the cytochrome P450 superfamily responsible for the 25-hydroxylation of vitamin D in the liver, the essential first activation step in vitamin D metabolism. It converts both dietary and cutaneously synthesized vitamin D (vitamin D₃ and vitamin D₂) to 25-hydroxyvitamin D, the principal circulating form, which is used to assess vitamin D status clinically. Mutations in the CYP2R1 gene cause rare forms of vitamin D-deficiency rickets. CYP2R1 is highly selective for vitamin D as a substrate, localizes on chromosome 11p15.2, and has a typical P450 structure with specific substrate channel dynamics. CYP2R1 activity is essential for proper bone health, calcium/phosphate homeostasis, and prevention of bone softening diseases. No specific drugs target CYP2R1 for therapeutic purposes, but its function is critical for the efficacy of vitamin D supplementation and in rare cases of genetic deficiency may require specific medical intervention.

Other names
CYP2R1Cytochrome P450 2R1Vitamin D 25-hydroxylaseCytochrome P450, family 2, subfamily R, polypeptide 1Cytochrome P450, family 2, R1
02

Mechanism of action

Substrate hydroxylation: CYP2R1 catalyzes the conversion of vitamin D (D₃ or D₂) to 25-hydroxyvitamin D, enabling vitamin D activation cascade.

03

Biological functions

Vitamin D metabolismHydroxylation (specifically 25-hydroxylation) of vitamin DSynthesis of circulating 25-hydroxyvitamin D (calcifediol/calcidiol)Drug metabolism (part of the cytochrome P450 superfamily)Maintenance of calcium and phosphate homeostasis (indirect, via vitamin D)
04

Disease associations

Vitamin D-dependent rickets type 1B (VDDR1B)Selective 25-hydroxyvitamin D deficiencyDisorders of bone and mineral metabolismVitamin D deficiency (contributes to hypocalcemia, hypophosphatemia, osteomalacia, muscle weakness)
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Safety considerations

Deficiency or mutations in CYP2R1 can lead to impaired vitamin D metabolism, manifesting as rickets, osteomalacia, muscle weakness, and hypocalcemia.There are no documented adverse safety concerns related to pharmacological inhibition due to lack of specific inhibitors; deficiency states are clinical concern.
06

Interacting drugs

No direct drug inhibitors or activators in standard clinical use have been identified for CYP2R1.

2 more in the full profile.

07

Biomarkers

Circulating 25-hydroxyvitamin D (calcifediol/calcidiol) levels in plasma/serum are biomarkers for vitamin D status, as CYP2R1 is the principal hepatic 25-hydroxylase.CYP2R1 genetic variants (e.g., Leu99Pro mutation) can serve as rare genetic biomarkers for specific vitamin D deficiency syndromes.

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