Target intelligence / Profile preview

Cytochrome P450 family 8 subfamily B member 1 (CYP8B1)

Target
CYP8B1
Molecular classification
Enzyme, Cytochrome P450 monooxygenase, Oxidoreductase
01

Overview

Cytochrome P450 family 8 subfamily B member 1 (CYP8B1) is a membrane-bound monooxygenase enzyme of the cytochrome P450 superfamily. It catalyzes the 12α-hydroxylation of 7α-hydroxy-4-cholesten-3-one—an essential step in the biosynthesis of cholic acid, one of two primary human bile acids. The ratio of cholic acid to chenodeoxycholic acid synthesized helps regulate cholesterol and lipid absorption in the intestine. CYP8B1 has a unique intronless human gene. Its modulation is implicated in several metabolic disorders—and therapeutic targeting is being explored for conditions such as nonalcoholic fatty liver disease, obesity, type 2 diabetes, and cardiovascular disease. Currently, nonselective azole antifungals can inhibit CYP8B1, though selective inhibitors are still needed for clinical use.

Other names
Sterol 12-alpha-hydroxylaseCytochrome P450 8B1CYP12CYPVIII B17-alpha-hydroxy-4-cholesten-3-one 12-alpha-hydroxylaseCP8BCYPVIIIB1Cytochrome P450, family 8, subfamily B, polypeptide 1
02

Mechanism of action

Inhibition of CYP8B1 blocks 12α-hydroxylation of 7α-hydroxy-4-cholesten-3-one, reducing cholic acid synthesis. This alters bile acid composition, affects cholesterol and lipid absorption, and can decrease hepatic fat accumulation. Binding to the heme iron of the CYP8B1 active site (by azole inhibitors). No highly selective inhibitors are currently described.

03

Biological functions

Bile acid biosynthesisCholesterol metabolismLipid absorptionDrug metabolismRegulation of bile acid pool
04

Disease associations

Nonalcoholic fatty liver disease (NAFLD)ObesityHypertriglyceridemiaType 2 diabetesCardiovascular disease, including atherosclerosis and dyslipidemiaHepatocellular carcinoma (tumor suppressor/prognostic biomarker)
05

Safety considerations

Altering CYP8B1 activity or bile acid composition may impact cholesterol solubility and absorption.Potential adverse effects on digestion and lipid absorption.Long-term knockdown could result in deranged lipid and bile acid metabolism.
06

Interacting drugs

Miconazole

2 more in the full profile.

07

Biomarkers

CYP8B1 gene mutations or activity measurements can serve as biomarkers for abnormal lipid or bile acid metabolism, cardiovascular disease risk, and NAFLDPlasma HDL, LDL, triglyceride levels, hepatic fat accumulationCYP8B1 expression in liver tissue (prognostic for HCC)

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