Target intelligence / Profile preview

Cytochrome P450 family 2 subfamily C member 18 (CYP2C18)

Target
CYP2C18
Molecular classification
Enzyme, Cytochrome P450 monooxygenase, Oxidoreductase
01

Overview

Cytochrome P450 family 2 subfamily C member 18 (CYP2C18) is an enzyme belonging to the cytochrome P450 superfamily of heme-containing monooxygenases. It catalyzes the oxidation of diverse substrates, including drugs such as tolbutamide, warfarin, and mephenytoin, some fatty acids, retinoids, and environmental chemicals. CYP2C18 is expressed at low levels in human liver but higher in extrahepatic tissues like skin and lung. Its primary role includes drug metabolism and endogenous lipid modification, such as the formation of epoxides with signaling functions. Genetic variants of CYP2C18 exist, but functional impact is less characterized than for other CYP2C family enzymes. The enzyme contributes to individual variability in drug response and is investigationally relevant in cancer gene therapy as a prodrug-activating enzyme[1][2][5].

Other names
Cytochrome P450 2C18P450IIC17CPCICYP2CCYPIIC18Cytochrome P450-6b/29cCYP2C17 (obsolete/artefact)Mephenytoin 4-hydroxylase associated cytochrome P450EC 1.14.14.1
02

Mechanism of action

Monooxygenation: insertion of one atom of molecular oxygen into substrate (with electrons provided by NADPH via cytochrome P450 reductase); Drug hydroxylation (drug activation, deactivation, or detoxification); Fatty acid epoxygenation (modulating lipid signaling pathways); Prodrug activation (in cancer therapy, e.g., cyclophosphamide)

03

Biological functions

Drug metabolism (monooxygenation of various drugs)Synthesis and metabolism of cholesterol, steroids, and other lipidsFatty acid epoxygenase: formation of signaling lipid epoxides (e.g., EETs, EDPs, EEQs)Retinoid metabolism (hydroxylation of all-trans-retinoic acid)
04

Disease associations

Implicated in variability in drug response and pharmacogenomicsPotential roles in cerebrovascular disease and astereognosia (rare, poorly characterized)Reported relevance in cancer gene therapy as a prodrug-activating enzyme (e.g., cyclophosphamide-based approaches)Other roles are likely but not well characterized
05

Safety considerations

Interindividual variability due to genetic polymorphisms may impact drug metabolism, efficacy, and toxicity of interacting drugsLow hepatic expression means drug interactions and pharmacogenomic impact are apparently limited compared to other CYP2C family membersPossible off-target effects if used for gene therapy-based prodrug activation (e.g., in cancer)Not induced by common CYP inducers (rifampicin, phenobarbital)
06

Interacting drugs

Tolbutamide (sulfonylurea antidiabetic)

9 more in the full profile.

07

Biomarkers

CYP2C18 mRNA or protein expression levels (rarely used; other CYPs more commonly monitored in clinical practice)Functional alleles/polymorphisms (potentially relevant in pharmacogenomics, though less well characterized for CYP2C18 compared to CYP2C9, CYP2C19)

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