Target intelligence / Profile preview

Cytochrome P450 family 2 subfamily C member 8 (CYP2C8)

Target
CYP2C8
Molecular classification
Enzyme, Oxidoreductase, Cytochrome P450 enzyme
01

Overview

Cytochrome P450 family 2 subfamily C member 8 (CYP2C8) is a member of the cytochrome P450 superfamily of enzymes, primarily functioning as a phase I monooxygenase involved in the metabolic biotransformation of a broad range of clinically important drugs and endogenous compounds. It is highly expressed in liver and also present in extrahepatic tissues such as kidney, adrenal gland, brain, ovary, and mammary gland. CYP2C8 plays a major role in the metabolism of xenobiotics, including anticancer agents (e.g., paclitaxel), antidiabetics (e.g., repaglinide, rosiglitazone), cardiovascular drugs, and more. It exhibits epoxygenase activity toward polyunsaturated fatty acids, generating signaling epoxides relevant to inflammation and vascular tone. Polymorphisms in the CYP2C8 gene significantly affect drug response and toxicity, making it both a prominent pharmacogenomic biomarker and a target for adverse drug interactions. Its activity can be modulated by inhibitors, inducers, and genetic variation, posing important safety considerations in clinical pharmacology[1][2][3][4][5][6][7][8][9][10].

Other names
CPC8CYPIIC8CYP2C8DMMP-12/MP-20
02

Mechanism of action

Substrate oxidation (monooxygenase activity: hydroxylation, epoxidation); Metabolism inhibition (by competitive or irreversible inhibitors, e.g. gemfibrozil acyl-β-glucuronide, myricetin); Induction or alteration of metabolic capacity via genetic polymorphisms and transcriptional regulation.

03

Biological functions

Drug metabolism (phase I biotransformation of xenobiotics, detoxification)Epoxygenase activity (metabolism of polyunsaturated fatty acids)Synthesis of cholesterol, steroids, lipidsRegulation of cellular oxidative stress
04

Disease associations

Cancer (prognostic and pharmacogenomic significance, e.g. hepatocellular carcinoma, breast cancer)Cardiovascular disease (through metabolism of fatty acids affecting vascular tone)Other (impact on drug response, adverse drug reactions)
05

Safety considerations

Clinically significant drug–drug interactions (e.g. with gemfibrozil, clopidogrel)Genetic polymorphisms causing interindividual differences in drug metabolism leading to toxicity or therapeutic failureIrreversible inhibition by some drug metabolites causing adverse effectsLimited availability of highly selective probe substrates and inhibitors for CYP2C8 complicating assessment
06

Interacting drugs

Paclitaxel

10 more in the full profile.

07

Biomarkers

Single nucleotide polymorphisms (SNPs): CYP2C8*2, CYP2C8*3 allelesEnzyme expression (liver and tumors, especially breast and liver cancer)Drug concentrations metabolized by CYP2C8 as indicators of metabolic function

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