Epoxygenases are a set of membrane-bound,
heme
Heme, or haem (pronounced / hi:m/ ), is a precursor to hemoglobin, which is necessary to bind oxygen in the bloodstream. Heme is biosynthesized in both the bone marrow and the liver.
In biochemical terms, heme is a coordination complex "consis ...
-containing
cytochrome P450
Cytochromes P450 (CYPs) are a superfamily of enzymes containing heme as a cofactor that functions as monooxygenases. In mammals, these proteins oxidize steroids, fatty acids, and xenobiotics, and are important for the clearance of various compo ...
(CYP P450 or just CYP) enzymes that metabolize
polyunsaturated fatty acids to
epoxide
In organic chemistry, an epoxide is a cyclic ether () with a three-atom ring. This ring approximates an equilateral triangle, which makes it strained, and hence highly reactive, more so than other ethers. They are produced on a large scale ...
products that have a range of biological activities.
The most thoroughly studied substrate of the CYP epoxylgenases is
arachidonic acid. This
polyunsaturated fatty acid is metabolized by
cyclooxygenases to various
prostaglandin
The prostaglandins (PG) are a group of physiologically active lipid compounds called eicosanoids having diverse hormone-like effects in animals. Prostaglandins have been found in almost every tissue in humans and other animals. They are der ...
,
thromboxane
Thromboxane is a member of the family of lipids known as eicosanoids. The two major thromboxanes are thromboxane A2 and thromboxane B2. The distinguishing feature of thromboxanes is a 6-membered ether-containing ring.
Thromboxane is named for ...
, and
prostacyclin metabolites in what has been termed the first pathway of
eicosanoid production; it is also metabolized by various
lipoxygenases
Lipoxygenases () are a family of (non-heme) iron-containing enzymes most of which catalyze the dioxygenation of polyunsaturated fatty acids in lipids containing a cis,cis-1,4- pentadiene into cell signaling agents that serve diverse roles as aut ...
to hydroxyeicosatetraenoic acids (e.g.
5-Hydroxyeicosatetraenoic acid,
12-Hydroxyeicosatetraenoic acid,
15-hydroxyicosatetraenoic acid
15-Hydroxyeicosatetraenoic acid (also termed 15-HETE, 15(''S'')-HETE, and 15''S''-HETE) is an eicosanoid, i.e. a metabolite of arachidonic acid. Various cell types metabolize arachidonic acid to 15(''S'')-hydroperoxyeicosatetraenoic acid (15(''S' ...
) and
leukotrienes (e.g.
leukotriene B4,
leukotriene C4) in what has been termed the second pathway of eicosanoid production. The metabolism of arachidonic acid to
epoxyeicosatrienoic acids by the CYP epoxygenases has been termed the third pathway of eicosanoid metabolism.
Like the first two pathways of eicosanoid production, this third pathway acts as a signaling pathway wherein a set of enzymes (the epoxygenases) metabolize arachidonic acid to a set of products (the eicosatrienoic acid
epoxide
In organic chemistry, an epoxide is a cyclic ether () with a three-atom ring. This ring approximates an equilateral triangle, which makes it strained, and hence highly reactive, more so than other ethers. They are produced on a large scale ...
s, abbreviated as EETs, which are classified as
nonclassic eicosanoids) that act as secondary signals to work in activating their parent or nearby cells and thereby orchestrate functional responses. However, none of these three pathways is limited to metabolizing arachidonic acid to eicosanoids. Rather, they also metabolize other polyunsaturated fatty acids to products that are structurally analogous to the eicosanoids but often have different bioactivity profiles. This is particularly true for the CYP epoxygenases which in general act on a broader range of polyunsaturated fatty acids to form a broader range of metabolites than the first and second pathways of eicosanoid production. Furthermore, the latter pathways form metabolites many of which act on cells by binding with and thereby activating specific and well-characterized
receptor proteins; no such receptors have been fully characterized for the epoxide metabolites. Finally, there are relatively few metabolite-forming lipoxygenases and cyclooxygenases in the first and second pathways and these oxygenase enzymes share similarity between humans and other mammalian animal models. The third pathway consists of a large number of metabolite-forming CYP epoxygenases and the human epoxygenases have important differences from those of animal models. Partly because of these differences, it has been difficult to define clear roles for the epoxygenase-epoxide pathways in human physiology and pathology.
CYP epoxygenases
The cytochrome P450 (CYP) superfamily of membrane-bound (typically
endoplasmic reticulum
The endoplasmic reticulum (ER) is, in essence, the transportation system of the eukaryotic cell, and has many other important functions such as protein folding. It is a type of organelle made up of two subunits – rough endoplasmic reticulum ( ...
-bound) enzymes contain a
heme
Heme, or haem (pronounced / hi:m/ ), is a precursor to hemoglobin, which is necessary to bind oxygen in the bloodstream. Heme is biosynthesized in both the bone marrow and the liver.
In biochemical terms, heme is a coordination complex "consis ...
cofactor and therefore are
hemoproteins. The superfamily comprises more than 11,000 genes categorized into 1,000 families that are distributed broadly throughout bacteria,
archaea, fungi, plants, animals, and even viruses (see
Cytochrome P450
Cytochromes P450 (CYPs) are a superfamily of enzymes containing heme as a cofactor that functions as monooxygenases. In mammals, these proteins oxidize steroids, fatty acids, and xenobiotics, and are important for the clearance of various compo ...
). The CYP enzymes metabolize an enormously large variety of small and large molecules including foreign chemical substances, i.e.
xenobiotics and pharmaceuticals, as well as a diversity of endogenously formed substances such as various
steroids,
vitamin D
Vitamin D is a group of fat-soluble secosteroids responsible for increasing intestinal absorption of calcium, magnesium, and phosphate, and many other biological effects. In humans, the most important compounds in this group are vitamin D3 ...
,
bilirubin,
cholesterol
Cholesterol is any of a class of certain organic molecules called lipids. It is a sterol (or modified steroid), a type of lipid. Cholesterol is biosynthesized by all animal cells and is an essential structural component of animal cell membr ...
, and fatty acids.
Humans have 57 putatively active CYP genes and 58 CYP
pseudogenes of which only a few are
polyunsaturated fatty acid (PUFA) epoxygenases, i.e. enzymes with the capacity to attach atomic oxygen (see
Allotropes of oxygen#Atomic oxygen) to the carbon-carbon double bonds of long chain PUFA to form their corresponding epoxides.
These CYP epoxygenases represent a family of enzymes that consists of several members of the CYP1 and CYP2 subfamilies. The metabolism of the straight chain 20-carbon polyunsaturated fatty
eicosatetraenoic acid,
arachidonic acid, by certain CYP epoxygenases is a good example of their action. Arachidonic acid has 4 cis-configured double bonds (see
Cis–trans isomerism) located between carbons 5-6, 8-9, 11-12, and 14-15
Double bond
In chemistry, a double bond is a covalent bond between two atoms involving four bonding electrons as opposed to two in a single bond. Double bonds occur most commonly between two carbon atoms, for example in alkenes. Many double bonds exist betw ...
s. (The cis configuration is termed ''Z'' in the IUPAC
Chemical nomenclature used here.). It is therefore 5''Z'',8''Z'',11''Z'',14''Z''-eicosatetraenoic acid. Certain CYP epoxygenases attack these double bounds to form their respective eicosatrienoic acid epoxide regioisomers (see
Structural isomer, section on position isomerism
egioisomerism. The products are therefore 5,6-EET (i.e. 5,6-epoxy-8''Z'',11''Z'',14''Z''-eicosatetrienoic acid), 8,9-EET (i.e. 5,6-epoxy-8''Z'',11''Z'',14''Z''-eicosatetrienoic acid), 11,12-EET (i.e. 11,12-epoxy-5''Z'',8''Z'',14''Z''-eicosatetrienoic acid), and/or 14,15-EET (i.e. 14,15-epoxy-5''Z'',8''Z'',11''Z''-eicosatetrainoic acid, the structure of which is illustrated in the attached figure). Note that the eicosatetraenoate substrate loses one double bound to become an eicosatrienoic acid with three double bonds and that the epoxygenases typically form a mixture of ''R''/''S''
enantiomers at the attacked double bound position. Thus, the CYP epoxygenases which attack arachidonic acid's double bound between carbon 14 and 15 form a mixture of 14''R'',15''S''-ETE and 14''S'',15''R''-ETE.
However, each CYP epoxygenase often shows preferences in the position of the double bound on which they act, partial selectivity in the ''R''/''S'' enantiomer ratios that they make at each double bound position, and different double bond position preferences and ''R''/''S'' selectivity ratios with different PUFA substrates.
Finally, the product epoxides are short-lived in cells, generally existing for only several seconds before being converted by a
Soluble epoxide hydrolase (also termed epoxide hydrolase 2 or sEH) to their corresponding dihydroxy-eicosatetraenoic acid (diHETE) products, e.g. 14,15-HETE rapidly becomes a mixture of 14(''S''),15(''R'')-diHETE and 14(''R''),15(''S'')-diHETE.
Although there are exceptions, the diHETE products are generally far less active than their epoxide precursors; the sEH pathway is therefore regarded as an inactivating pathway which functions to limit epoxide activity.
The catalytic activity of endoplasmic reticulum-bound cytochrome P450 enzymes, including the epoxygenases, depends upon
Cytochrome P450 reductase (POR); it transfers
electron
The electron (, or in nuclear reactions) is a subatomic particle with a negative one elementary electric charge. Electrons belong to the first generation of the lepton particle family,
and are generally thought to be elementary partic ...
s to, and thereby regenerates the activity of, the CYPs.
The human gene that expresses POR is highly polymorphic (see
Gene polymorphism); many of the polymorphic variant PORs cause significantly decreases or increases in the activity of the CYPs, including the epoxygenases.
Scores of drugs have been shown to either inhibit or induce one or more of the CYP epoxygenases;
CYP epoxygenase substrates and products
The most studied substrate of the CYP epoxygenases is the
omega-6 fatty acid, arachidonic acid. However, the CYP epoxygenases also metabolize other omega-6 fatty acids such as
linoleic acid
Linoleic acid (LA) is an organic compound with the formula COOH(CH2)7CH=CHCH2CH=CH(CH2)4CH3. Both alkene groups are ''cis''. It is a fatty acid sometimes denoted 18:2 (n-6) or 18:2 ''cis''-9,12. A linoleate is a salt or ester of this acid.
L ...
and the
omega-3 fatty acids,
eicosapentaenoic acid
Eicosapentaenoic acid (EPA; also icosapentaenoic acid) is an omega-3 fatty acid. In physiological literature, it is given the name 20:5(n-3). It also has the trivial name timnodonic acid. In chemical structure, EPA is a carboxylic acid with a 20- ...
and
docosahexaenoic acid
Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is a primary structural component of the human brain, cerebral cortex, skin, and retina. In physiological literature, it is given the name 22:6(n-3). It can be synthesized from alpha-li ...
. The distinction between the omega-6 and omega-3 fatty acid substrates is important because omega-3 fatty acids metabolites can have lesser or different activities than omega-6 fatty acid metabolites; furthermore, they compete with the omega-6 fatty acids for the CYP epoxygenases thereby reducing the production of omega-6 fatty acid metabolites.
The human CYP P450 enzymes identified to have epoxygenase activity on one or more PUFA include
CYP1A1,
CYP1A2,
CYP2C8,
CYP2C9,
CYP2C18,
CYP2C19,
CYP2E1,
CYP2J2,
CYP2S1,
CYP3A4,
CYP4F2,
CYP4F3A,
CYP4F3B,
CYP4A11,
CYP4F8, and
CYP4F12
Cytochrome P450 4F12 is a protein that in humans is encoded by the ''CYP4F12'' gene.
This gene encodes a member of the cytochrome P450 superfamily of enzymes and is part of a cluster of cytochrome P450 genes on chromosome 19. The cytochrome P450 ...
.
CYP2C8 and CYP2C9 form particularly large amounts of
superoxide anion (chemical formula ) during their metabolism of polyunsaturated fatty acids; this
reactive oxygen species
In chemistry, reactive oxygen species (ROS) are highly reactive chemicals formed from diatomic oxygen (). Examples of ROS include peroxides, superoxide, hydroxyl radical, singlet oxygen, and alpha-oxygen.
The reduction of molecular oxygen ...
is toxic to cells and may be responsible for some of the activities ascribed to the epoxides made by the two CYPs.
Omega-6 fatty acids
Arachidonic acid
In humans, CYP1A1, CYP1A2,
CYP2C8,
CYP2C9, CYP2C18, CYP2C19, CYP2E1,
CYP2J2, and CYP2S1
isoforms
A protein isoform, or "protein variant", is a member of a set of highly similar proteins that originate from a single gene or gene family and are the result of genetic differences. While many perform the same or similar biological roles, some iso ...
metabolize arachidonic acid to
Epoxyeicosatrienoic acids (i.e., EETs) as defined using recombinant CYPs in an ''
In vitro
''In vitro'' (meaning in glass, or ''in the glass'') studies are performed with microorganisms, cells, or biological molecules outside their normal biological context. Colloquially called "test-tube experiments", these studies in biology and ...
''
microsome assay.
CYP2C9, and CYP2J2 appear to be the main producers of the EETs in humans with CYPP2C9 being the main unsaturated fatty acid epoxide producer in vascular endothelial cells and CYP2J2 being highly expressed (although less catalytically active than CYP2C9) particularly in heart muscle but also in kidneys, pancreas, lung, and brain; CYP2C8, CYP2C19, CYP2J2 are also implicated in converting arachidonic acid to epoxides in humans.
Most of these CYPs preferentially form 14,15-ETE, somewhat lower levels of 11,12-EET, and far lower, trace, or undetectable levels of 8,9-ETE and 4,5-ETE. There are exceptions to this rule with, for example, CYPE1 forming 14,15-EET almost exclusively, CYP2C19 forming 8,9-EET at slightly higher levels than 14,15-EET, and CYP3A4 forming 11,12-EET at slightly higher levels than 14,15-ETE.
14,15-EET and 11,12-EET are the major EETs produced by mammalian, including human, tissues.
CYP2C9, CYP2JP, and possibly the more recently characterized CYP2S1 appear to be the main produces of the EETs in humans with CYPP2C9 being the main EET producer in vascular endothelial cells and CYP2JP being highly expressed (although less catalytically active than CYP2C) in heart muscle, kidneys, pancreas, lung, and brain.
CYP2S1 is expressed in
macrophages, liver, lung, intestine, and spleen and is abundant in human and mouse
atherosclerosis
Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions. These lesions may lead to narrowing due to the buildup of atheromatous plaque. At onset there are usually ...
(i.e.
Atheroma) plaques as well as inflamed tonsils.
CYP2S1 is expressed in
macrophages, liver, lung, intestine, and spleen; is abundant in human and mouse
atherosclerosis
Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions. These lesions may lead to narrowing due to the buildup of atheromatous plaque. At onset there are usually ...
(i.e.
Atheroma) plaques as well as inflamed tonsils; and, in addition to forming epoxides of arachidonic acid (and other polyunsaturated fatty acids), CYP2S1 metabolizes
prostaglandin G2 and
Prostaglandin H2 to
12-Hydroxyheptadecatrienoic acid
1 (one, unit, unity) is a number representing a single or the only entity. 1 is also a numerical digit and represents a single unit of counting or measurement. For example, a line segment of ''unit length'' is a line segment of length 1 ...
. Possibly because of metabolizing and thereby inactivating the prostaglandins and/or because forming the bioactive metabolite, 12-hyddroxyheptadecatrienoic acid, rather than EETs, CYP2S1 may act to inhibit the function of
monocytes and thereby limit
inflammation
Inflammation (from la, wikt:en:inflammatio#Latin, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or Irritation, irritants, and is a protective response involving im ...
as well as other
immune responses.
The activities and clinical significance of the EETs are given on the
epoxyeicosatrienoic acid page.
Linoleic acid
CYP2C9 and CYP2S1 are known to, and many or all of the other CYPs that act on arachidonic acid are thought to, metabolize the 18 carbon
essential fatty acid
Essential fatty acids, or EFAs, are fatty acids that humans and other animals must ingest because the body requires them for good health but cannot synthesize them.
Only two fatty acids are known to be essential for humans: alpha-linolenic a ...
, 9(''Z''),12(''Z'')-octadecadienoic acid, i.e.
linoleic acid
Linoleic acid (LA) is an organic compound with the formula COOH(CH2)7CH=CHCH2CH=CH(CH2)4CH3. Both alkene groups are ''cis''. It is a fatty acid sometimes denoted 18:2 (n-6) or 18:2 ''cis''-9,12. A linoleate is a salt or ester of this acid.
L ...
, at is 12,13 carbon-carbon double bout to form (+) and (-) epoxy
optical isomers viz., the 12''S'',13''R''-epoxy-9(''Z'')-octadecaenoic and 12''R'',13''S''-epoxy-9(''Z'')-octadecaenoic acids; this set of optical isomers is also termed
vernolic acid
Vernolic acid (leukotoxin) is a long chain fatty acid that is monounsaturated and contains an epoxide. It is the R,R-''cis'' epoxide derived from the C12–C13 alkene of linoleic acid. Vernolic acid was first definitively characterized in 1954. I ...
, linoleic acid 12:13-oxide, and leukotoxin. CYPC2C9 is known and the other arachidonic acid-metabolizing CYPs are thought to likewise attack linoleic acid at its 9,10 carbon-carbon double bound to form 9''S'',10''R''-epoxy-12(''Z'')-octadecaenoic and 9''R'',10''S''-epoxy-12(''Z'')-octadecaenoic acid optical isomers; this set of optical isomers is also termed
coronaric acid
Coronaric acid (isoleukotoxin) is a mono-unsaturated, epoxide derivative of the di-saturated fatty acid, linoleic acid (i.e. 9(''Z''),12(''Z'') octadecadienoic acid. It is a mixture of the two optically active isomers of 12(''Z'') 9,10-epoxy-o ...
, linoleic acid 9,10-oxide, and isoleukotoxin
These linoleic acid-derived leukotoxin and isoleukotoxin sets of optical isomers possess activities similar to that of other leukotoxins such as the pore-forming leukotoxin family of
RTX toxin virulence factor proteins secreted by
gram-negative bacteria
Gram-negative bacteria are bacteria that do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. They are characterized by their cell envelopes, which are composed of a thin peptidoglycan cell wa ...
, e.g.
Aggregatibacter actinomycetemcomitans
''Aggregatibacter actinomycetemcomitans'' is a Gram-negative, facultative anaerobe, nonmotile bacterium that is often found in association with localized aggressive periodontitis, a severe infection of the periodontium. It is also suspected to b ...
and
E. coli. That is, they are toxic to leukocytes as well as many other cell types and when injected into rodents produce multiple organ failure and respiratory distress.
These effects appear due to the conversion of leukotoxin to its dihydroxy counterparts, 9''S'',10''R''- and 9''R'',10''S''-dihydroxy-12(''Z'')-octadecaenoic acids, and isoleukotoxin to its 12''R'',13''S''- and 12''S'',13''R''-dihydroxy-9(''Z'')-octadecenoic acid counterparts by
soluble epoxide hydrolase. Some studies suggest but have not proven that leukotoxin and isoleukotoxin, acting primarily if not exclusively through their respective dihydroxy counterparts, are responsible for or contribute to multiple organ failure, respiratory distress, and certain other cataclysmic diseases in humans.
Adrenic acid
Adrenic acid
Docosatetraenoic acid designates any straight chain 22:4 fatty acid. (''See'' essential fatty acid for nomenclature.)
One isomer is of particular interest:
* all-''cis''-7,10,13,16-docosatetraenoic acid is an ω-6 fatty acid with the common nam ...
or 7(''Z''),10(''Z''),13(''Z''),16(''Z'')-docosatetraenoic acid, an abundant fatty acid in the adrenal gland, kidney, vasculature, and early human brain, is metabolized primarily to 7(''Z''),10(''Z''),13(''Z'')-16,17-epoxy-docosatrienoic acid and smaller amounts of its 7,8-, 10,11-, and 13,14-epoxide-docosatrienoic acids by bovine coronary arteries and adrenal zona glomerulosa cells through the apparent action of an unidentified CYP epoxygenase(s); the eSH-dependent metabolism of these eoxide, 7,8-, 10,11-, and 13,14-dihydroxy-docosatrienoic acids relaxes pre-contracted coronary and adrenal gland arteries suggesting that the dihydroxy metabolites may act as vascular endothelium-derived
Endothelium-derived relaxing factors.
Omega-3 fatty acids
Eicosapentaenoic acid
5(''Z''),8(''Z''),11(''Z''),14(''Z''),17(''Z'')-
eicosapentaenoic acid
Eicosapentaenoic acid (EPA; also icosapentaenoic acid) is an omega-3 fatty acid. In physiological literature, it is given the name 20:5(n-3). It also has the trivial name timnodonic acid. In chemical structure, EPA is a carboxylic acid with a 20- ...
(EPA) is metabolized by the same CYP epoxygenases that metabolize arachidonic acid primarily to 17,18-epoxy-5(''Z''),8(''Z''),11(''Z''),14(''Z'')-eicosatetranoic acid and usually far smaller or undetectable amounts of EPA's 5,6-, 8,9-, 11,12-, or 14,15-epoxides; however, CYP2C9 metabolizes EPA primarily to 14,15-epoxy-5(''Z''),8(''Z''),11(''Z''),17(''Z'')-eicosatetranoic acid, CYP2C11 forms appreciable amounts of this 14,15-epoxide in addition to the 17,18-epoxide, and CYP2C18 forms appreciable amounts of the 11,12 epoxide (11,12-epoxy-5(''Z''),8(''Z''),14(''Z''),17(''Z'')-eicosatetranoic acid) in addition to the 17,18-epoxide. Furthermore, CYP4A11, CYP4F8, and CYP4F12, which are CYP monooxygenase rather than CYP epoxygeanse in that they metabolize arachidonic acid to monohydroxy eicosatetraenoic acid products (see
20-Hydroxyeicosatetraenoic acid), i.e. 19-hydroxy- and/or 18-hydroxy-eicosatetranoic acids, takes on epoxygenase activity in converting EPA primarily to its 17,18-epoxy metabolite (see
epoxyeicosatetraenoic acid).
Docosahexaenoic acid
4(''Z''),7(''Z''),10(''Z''),13(''Z''),16(''Z''),19(''Z'')-
docosahexaenoic acid
Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is a primary structural component of the human brain, cerebral cortex, skin, and retina. In physiological literature, it is given the name 22:6(n-3). It can be synthesized from alpha-li ...
(DHA) is metabolized by the same CYP epoxygenases that metabolize arachidonic acid to form epoxide-containing
docosapentaenoic acid products, particularly 19,20-epoxy-4(''Z''),7(''Z''),10(''Z''),13(''Z''),16(''Z'')-docosapentenoic acid. These docosapentaenoic acid epoxides or
Epoxydocosapentaenoic acids (EDPs) have a somewhat different set of activities than, and thereby may serve in part as counterpoises to, the EET's; EDPs may also be responsible for some the beneficial effects attributed to
omega-6 fatty acid-rich foods such as
fish oil (see
Epoxydocosapentaenoic acid).
α-Linolenic acid
The 18 carbon
essential fatty acid
Essential fatty acids, or EFAs, are fatty acids that humans and other animals must ingest because the body requires them for good health but cannot synthesize them.
Only two fatty acids are known to be essential for humans: alpha-linolenic a ...
, 9
α-Linolenic acid or 9(''Z''),12(''Z''),15(''Z'')-octadecatrienoic acid, is metabolized primarily to 9(''Z''),12(''Z'')-15,16-epoxy-octadecadienoic acid but also to smaller amounts of its 8,10- and 12,13-epoxides in the serum, liver, lung, and spleen of mice treated with a drug that increases the expression of CYP1A1, CYP1A2 and/or CYP1B1.
These epoxides are also found in the plasma of humans and their levels greatly increase in subjects given an α-linolenic acid-rich diet.
Genetic polymorphism in CYP epoxygenases
Human CYP epoxygenase genes come in many
single nucleotide polymorphism (SNP) variants some of which code for epoxygenase products with altered activity. Investigation into the impact of these variants on the bearers' health (i.e.
phenotype
In genetics, the phenotype () is the set of observable characteristics or traits of an organism. The term covers the organism's morphology or physical form and structure, its developmental processes, its biochemical and physiological prop ...
) is an invaluable area of research which offers the opportunity to define the function of the epoxygenases and their polyunsaturated fatty acid metabolites in humans. However, SNP variants that cause altered polyunsaturated fatty acid metabolism may also cause altered metabolism of their other substrates, i.e. diverse
xenobiotic (e.g.
NSAID) and endotiotic (e.g. the primary female sex hormone,
estradiol) compounds: the latter effects may lead to clinical manifestations that overshadow any manifestations resulting from changes in polyunsaturated fatty acid metabolism.
The most common SNP epoxygenase variants are as follows. 1) CYP2C8*3 (30411A>G, rs10509681, Lys399Arg) converts arachidonic acid to 11,12-EET and 14,15-EET with a turnover rate less than half that of wild type CYP2C8; in a single recent report, male but not female carriers of the CYP2C8*3 allele had an increased risk of essential hypertension. Bearers of this SNP may or may not
show increased risk of developing acute gastrointestinal bleeding during the use of
non-steroidal anti-inflammatory drugs (NSAIDs) that are its substrates such as
aceclofenac,
celecoxib
Celecoxib, sold under the brand name Celebrex among others, is a COX-2 inhibitor and nonsteroidal anti-inflammatory drug (NSAID). It is used to treat the pain and inflammation in osteoarthritis, acute pain in adults, rheumatoid arthritis, ...
,
diclofenac,
ibuprofen
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used for treating pain, fever, and inflammation. This includes painful menstrual periods, migraines, and rheumatoid arthritis. It may also be used to close a patent ductus ...
,
indomethacin
Indometacin, also known as indomethacin, is a nonsteroidal anti-inflammatory drug (NSAID) commonly used as a prescription medication to reduce fever, pain, stiffness, and swelling from inflammation. It works by inhibiting the production of pros ...
,
lornoxicam
Lornoxicam, also known as chlortenoxicam, is a nonsteroidal anti-inflammatory drug (NSAID) of the oxicam class with analgesic (pain relieving), anti-inflammatory and antipyretic (fever reducing) properties. It is available in oral and parent ...
,
meloxicam
Meloxicam, sold under the brand name Mobic among others, is a nonsteroidal anti-inflammatory medication (NSAID) used to treat pain and inflammation in rheumatic diseases and osteoarthritis. It is used by mouth or by injection into a vein. It ...
,
naproxen,
piroxicam
Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) of the oxicam class used to relieve the symptoms of painful inflammatory conditions like arthritis. Piroxicam works by preventing the production of endogenous prostaglandins which are i ...
,
tenoxicam
Tenoxicam, sold under the brand name Mobiflex among others, is a nonsteroidal anti-inflammatory drug (NSAID). It is used to relieve inflammation, swelling, stiffness, and pain associated with rheumatoid arthritis, osteoarthritis, ankylosing spo ...
, and
valdecoxib. 2) CYP2J2*7 (−76G>T, rs890293,
upstream
Promoter (genetics) site) has decreased binding of the
Sp1 transcription factor
Transcription factor Sp1, also known as specificity protein 1* is a protein that in humans is encoded by the SP1 gene.
Function
The protein encoded by this gene is a zinc finger transcription factor that binds to GC-rich motifs of many promot ...
resulting in its lowered expressionas and lowered levels of EETs in plasma. Carriers of this SNP among a
Uyghur population in China had a higher risk of
coronary artery disease
Coronary artery disease (CAD), also called coronary heart disease (CHD), ischemic heart disease (IHD), myocardial ischemia, or simply heart disease, involves Ischemia, the reduction of blood flow to the myocardium, heart muscle due to build-up o ...
.
However, CYP2J2*7 carriers showed no association with hypertension, heart attack, or stroke in a study of 5,740 participants of the cardiovascular cohort of the Malmö Diet and Cancer study; since other studies have afforded contradictory results, this allele is currently regarded as not associated with cardiovascular diseases (see
Epoxyeicosatrienoic acid#Clinical significance). Bearers of this SNP in a Chinese Population had a higher risk of younger onset of
type 2 diabetes
Type 2 diabetes, formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent urinati ...
and among a
Chinese Han
The Han Chinese () or Han people (), are an East Asian ethnic group native to China. They constitute the world's largest ethnic group, making up about 18% of the global population and consisting of various subgroups speaking distinctive ...
population had a higher risk of
Alzheimer's disease.
3) CYP2C8*2 (11054A>T, rs11572103, Ile269Phe) and CYP2C8*4 (11041C>, rs1058930,
variants have reduced arachidonic acid-metabolizing activity but have not been clearly associated with cardiovascular or other diseases.
4) CYPC28*4 (3608C>T, rs1058930,
Ile264Met) has reduced arachidonic acid metabolizing activity. It has not been associated with cardiovascular diseases but has a higher incidence in subjects with
type II diabetes in a small sample of Caucasians in Germany. 5) The CYP2C9*2 (3608C>T, rs1799853,
Arg144Cys) variant has a 50% reduction in polyunsaturated fatty acid metabolizing activity compared to CYP2C9 wild type; carriers of it show no association with cardiovascular disease but exhibit poor metabolism of the anti-coagulating, ''blood-thinning'' agent,
warfarin. These carriers are susceptible to the gastrointestinal bleeding side effects of warfarin and the NSAID cited above.
6 ) CYP2C9*3 (42624A>C, rs1057910,
Iso359Leu) encodes an expoxygenase with reduced arachidonic acid metabolizing activity. This allele has not been directly associated with cardiovascular diseases but may be associated with the poor metabolism and therefore adverse reactions to warfarin, NSAID, sulfonylurea-containing oral
hypoglycemic agents, and the anti-(epilepsy) drug, phenytoin.
7) CYP2C19*2 (19154G>A, rs4244285, Il264Met) and CYP2C19*3 (17948G>A, rs4986893, His212X) are
loss-of-function
In biology, a mutation is an alteration in the nucleic acid sequence of the genome of an organism, virus, or extrachromosomal DNA. Viral genomes contain either DNA or RNA. Mutations result from errors during DNA or viral replication, mi ...
null alleles; carriers of the CYP2C19*3 but not the CYP2C19*2 allele showed a ''reduced'' risk of developing essential hypertension in a large Korean population study. Bearers of null alleles would be expected to be poor metabolizers of several drugs which are CYP2C19*2 or CYP2C19*3 substrates. This is particularly the case with
Clopidogrel, a drug used to block platelet activation, blood clotting, and thereby heart attack, stroke, and peripheral artery occlusion in people at high risk of these events; CYP2C19 metabolizes clopidogrel to it active form. Consequently, patients with severe deficiencies in this CYP, i.e. bearers of CYP2C19*3 or CYP2C19*2 alleles, fail to gain protection from clopidogrel and have a higher risk of the cited cardiovascular events than clopidogrel-treated patients bearing wild type CYP2C19 alleles. 8) CYPC19*17 (-800C>T, rs12248560, site
upstream
gene promoter site) causes overproduction of its epoxygenase and thereby the ultra fast metabolism of arachidonic acid. Bearers of this allele have not been associated with cardiovascular diseases but clearly show a decreased risk of developing breast cancer and
endometriosis
Endometriosis is a disease of the female reproductive system in which cells similar to those in the endometrium, the layer of tissue that normally covers the inside of the uterus, grow outside the uterus. Most often this is on the ovaries, ...
possible because their rapid metabolism of estrogen leads to lower estrogen levels and thereby a lower risk of these estrogen-fueled diseases.
These bearers also a higher rate of metabolism of, and therefore reduced responsiveness to, certain
proton pump inhibitor and
antidepressant
Antidepressants are a class of medication used to treat major depressive disorder, anxiety disorders, chronic pain conditions, and to help manage addictions. Common side-effects of antidepressants include dry mouth, weight gain, dizziness ...
drugs.
Genetic polymorphism in Cytochrome P450 reductase
As indicated above, Cytochrome P450 reductase (POR) is responsible for regenerating the activity of CYPs including the epoxygenases. Several genetic variants of the human POR gene impact epoxygenase activity. For example, POR
Missense mutations A287P and R457H lead to reductions in the activity of CYP2C19 and CYP2C9, respectively, whereas A503V and Q153R
missense mutations lead to small increases in the activity of CYP2C9.
While these and other POR genetic variants have not yet been associated with epoxygenase-related disease, they contribute to the marked variability in the activity of the epoxygenases between individuals.
References
{{reflist, 2
Enzymes
Inflammations