Target intelligence / Profile preview

Cytochrome P450 family 2 subfamily C isozymes (CYP2C isozymes)

Target
CYP2C isozymes
Molecular classification
Enzyme, Cytochrome P450 monooxygenase, Mixed-function oxidase
01

Overview

CYP2C isozymes are a subfamily of the cytochrome P450 superfamily of membrane-bound enzymes, predominantly expressed in the liver and responsible for the metabolism of approximately 20% of clinically used drugs. Individual isozymes like CYP2C19 and CYP2C9 are highly polymorphic, resulting in significant variability in drug response, efficacy, and risk of adverse effects among patients. Beyond drug metabolism, CYP2C enzymes are involved in the synthesis of cholesterol, steroids, and lipid-derived signaling molecules. Polymorphisms in these genes are major determinants in pharmacogenomics, impacting personalized drug therapy. For structured data, it is advisable to reference specific isozymes (e.g., "Cytochrome P450 2C19") rather than the whole "CYP2C isozymes" cluster, as the individual members have distinct substrate specificities and clinical roles.

Other names
CYP2C enzymesCYP2C familyCytochrome P450 2C subfamily
02

Mechanism of action

Drug metabolism by hydroxylation, oxidation, and epoxygenation. Conversion of prodrugs to active forms (e.g., clopidogrel). Inhibition or induction by concomitantly administered drugs, affecting plasma concentrations.

03

Biological functions

Drug metabolism (most clinically relevant role)Synthesis of cholesterol, steroids, and lipidsEpoxygenation of polyunsaturated fatty acids to signaling molecules (e.g., EETs, EEQs, EDPs)
04

Disease associations

Cardiovascular disease (variation affects response to antiplatelet therapy, e.g., clopidogrel)Cancer (altered metabolism can impact chemotherapy)Inflammation (through arachidonic acid metabolite signaling)Other (adverse drug reactions, pharmacogenomic variability)
05

Safety considerations

Genetic polymorphisms yield variable drug metabolism rates, leading to risk of treatment failure or toxicityDrug-drug interactions through induction or inhibition of CYP2C isozymesPotential for adverse reactions in patients with certain genetic variants
06

Interacting drugs

Proton pump inhibitors

6 more in the full profile.

07

Biomarkers

CYP2C19 genotype/haplotypes for personalized medicineMetabolizer status (poor, intermediate, extensive, ultrarapid—affects drug dosing)

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