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Cytochrome P450 3A7-CYP3A51P readthrough is a polymorphic protein formed by **readthrough transcription** between the adjacent CYP3A7 (protein-coding) and CYP3A51P (pseudogene) loci on chromosome 7[1][5]. This produces a novel cytochrome P450 isoform with a unique C-terminus, expressed only on specific alleles enabling correct splicing. CYP3A7, the major gene involved, is predominantly expressed in the fetal liver and plays a key role in metabolizing steroids and xenobiotics, including many clinical drugs[3][4]. The readthrough product shares the principal activities of the CYP3A family: hydroxylation of steroids (e.g., testosterone, DHEA) and biotransformation of xenobiotics, contributing to Phase I drug metabolism pathways. Variants may impact drug efficacy and safety, making this target relevant for pharmacogenetics and as a **therapeutic target** in specific contexts such as oncology and maternal-fetal medicine[1][4][5].
Oxidative metabolism (monooxygenase activity as part of Phase I drug metabolism)[3][4].
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