CYP2D6
HGNC ↗25 article(s) in the watch · Pharmacogenomics
CYP2D6 is one of the major drug-metabolising enzymes, involved in roughly a quarter of prescribed drugs (antidepressants, antipsychotics, opioids such as codeine, tamoxifen). Its genetic polymorphism defines metaboliser phenotypes (poor, intermediate, normal, ultrarapid) with major pharmacogenetic implications (CPIC guidelines).
Drugs involved: codeine and tramadol (opioids), tamoxifen, tricyclic antidepressants, SSRIs (paroxetine, fluvoxamine), atomoxetine, ondansetron
Recommendation: CPIC level A · RNPGx advised (antidepressants)
Curated publications
Resolving CYP2D6 Structural Complexity with Long-Read Sequencing: Implications for Tamoxifen Precision Dosing in Thai Breast Cancer Patients.
CYP2D6 pharmacogenetics (tamoxifen)
Association between CYP2D6 and CYP2C19 genotypes and venlafaxine treatment failure: a retrospective study on two cohorts from Norway and the UK.
Major depression treated with venlafaxine
Tramadol Co-Administration with Oxycodone or Hydrocodone Increases Opioid Burden without Improving Postoperative Pain Control.
Postoperative pain - tramadol-opioid combination
Haplo2D6: a web-based tool for automated CYP2D6 haplotype and phenotype inference
CYP2D6 — Haplo2D6 web tool for automated metabolizer haplotype and phenotype inference from genotyping data
Effect of Individual and Combined Cytochrome P450 Activity Scores on Symptom Improvement and Side Effects in Youth Treated With Sertraline.
Pediatric mental health conditions treated with sertraline — side effects and symptom improvement by CYP450 genotype
Frequency of Key Pharmacogenes CYP2C9, CYP2C19, CYP2D6, and SLCO1B1 in the Yogyakarta Population: Implications for Precision Prescribing in Indonesia
PGx allele frequencies (CYP2C9, CYP2C19, CYP2D6, SLCO1B1) in the Yogyakarta population (Indonesia)
Economic effectiveness of pharmacogenomics-guided prescribing for psychiatric disorders: a systematic review and meta-analysis
Psychiatric disorders — economic efficiency of PGx genotyping
CYP2D6 Metabolizer Status and Mortality in Metoprolol Users
Cardiovascular disease — metoprolol therapy
Predicting Social Cognitive Outcomes in Adolescent-Onset Schizophrenia: A Hierarchical Analysis of Pharmacogenetic, Clinical, and Environmental Factors
Adolescent-onset schizophrenia — social cognition and CYP2D6 metabolism
Pharmacogenomics for stratified antidepressant treatment in major depressive disorder: evidence, limits and a roadmap for clinical use
Major depressive disorder — pharmacogenetics-guided antidepressant prescribing
Identification and drug metabolic activity evaluation of 12 CYP2D6 allelic variants newly detected in the Chinese population.
Pharmacogenetics — drug metabolism
A pilot study of pharmacogenomic testing as a tool to enhance depression care in Veterans
Depression in military veterans — implementation of multigene PGx genotyping
Analytical Validation of an Annotation Tool for WGS-Based Pharmacogenomics: Preparing for Clinical Implementation
Clinical implementation of WGS for pharmacogenetics — analytical validation
Pharmacogenetic Variability and Quality of Life in Adolescent Patients with Schizophrenia: The Impact of Metabolizer Status, Symptom Severity, and Adverse Reactions to Antipsychotic Treatment
CYP2D6 PGx variability and antipsychotic tolerability in adolescent schizophrenia patients
Association between CYP2D6 genotype and treatment effectiveness and safety in 99 hospitalized patients with major depressive disorder: a retrospective cohort study.
Major depressive disorder treated with antidepressants
CYP2D6 Metabolizer Phenotype Is Associated with Early Antidepressant Discontinuation in the UK Biobank
Early antidepressant discontinuation
Hydrocodone vs Oxycodone and Postoperative Pain and Opioid Use in Joint Arthroplasty.
Postoperative analgesia (joint arthroplasty)
Association of Atomoxetine Discontinuation Patterns with CYP2D6 Phenotype in Children and Adolescents with Attention Deficit Hyperactivity Disorder.
Attention-deficit/hyperactivity disorder (atomoxetine)
Does Next Generation Sequencing (NGS)-Based CYP2D6 Sequencing Improve Genotype-Phenotype Concordance in Tamoxifen-Treated Patients?
Breast cancer — tamoxifen and CYP2D6 phenotyping by NGS
Aripiprazole and CYP2D6: A retrospective cohort study evaluating the impact of phenotype on metabolic abnormalities.
Aripiprazole — metabolic abnormalities by CYP2D6 phenotype and phenoconversion
Amplicon-based long-read sequencing for accurate CYP2D6 gene deletion and duplication detection using CYP2D7 as a reference gene.
CYP2D6 pharmacogenetics
Current evidence supporting solanidine and its metabolites as biomarkers of CYP2D6 activity.
CYP2D6 functional phenotyping
Metoprolol Population Pharmacokinetics in Older Chinese Patients With CKM Syndrome: Joint Effects of rs1065852 and CKM2S2-BAG Score on Clearance.
Cardiovascular-kidney-metabolic syndrome in older adults — metoprolol exposure
Application of Physiologically Based Pharmacokinetic Modeling to Optimize Assessment of Age-Related Fluoxetine Accumulation in the Elderly.
Fluoxetine exposure in elderly patients
Pharmacogenomics in Dentistry: From CYP-Mediated Drug Response to Precision Prescribing in Oral Healthcare.
Drug prescribing in oral healthcare
Frequently asked questions
Which drugs are affected by CYP2D6 in pharmacogenomics?+
codeine and tramadol (opioids), tamoxifen, tricyclic antidepressants, SSRIs (paroxetine, fluvoxamine), atomoxetine, ondansetron — CPIC level A · RNPGx advised (antidepressants)
How many Geno'X publications cover the CYP2D6 gene?+
25 publication(s) on CYP2D6 have been selected, summarised and scored by Geno'X on a public grading grid (domains: Pharmacogenomics).