PharmVar GeneFocus: CYP2A6

Clin Pharmacol Ther. 2024 Oct;116(4):948-962. doi: 10.1002/cpt.3387. Epub 2024 Jul 25.

Abstract

The Pharmacogene Variation Consortium (PharmVar) provides nomenclature for the human CYP2A gene locus containing the highly polymorphic CYP2A6 gene. CYP2A6 plays a role in the metabolism of nicotine and various drugs. Thus, genetic variation can substantially contribute to the function of this enzyme and associated efficacy and safety. This GeneFocus provides an overview of the clinical significance of CYP2A6, including its genetic variation and function. We also highlight and discuss caveats in the identification and characterization of allelic variation of this complex pharmacogene, a prerequisite for accurate genotype determination and prediction of phenotype status.

Publication types

  • Review

MeSH terms

  • Alleles
  • Cytochrome P-450 CYP2A6* / genetics
  • Cytochrome P-450 CYP2A6* / metabolism
  • Genetic Variation / genetics
  • Genotype
  • Humans
  • Nicotine / metabolism
  • Pharmacogenetics / methods
  • Pharmacogenomic Variants
  • Phenotype
  • Polymorphism, Genetic

Substances

  • Cytochrome P-450 CYP2A6
  • CYP2A6 protein, human
  • Nicotine