Metabolism by the cytochrome P450s is the principal means whereby lipid-soluble drugs and compounds foreign to the body are converted to water-soluble derivatives that can be readily excreted. This is a beneficial effect of the enzyme system. However, it is also well recognized that P450-mediated bioactivation of drugs and other xenobiotics is an important mechanism of chemical toxicity. Moreover, unexpected interruptions in P450 activity, due to genetic variation or administration of agents that inhibit P450 activity, can cause serious adverse drug reactions and contribute to disease states.

Research in our laboratory focuses primarily on the biochemistry and pharmacogenetics of the human CYP2 and CYP4 families of P450s. Human CYP2C9, for example, is the primary catalyst of (S)-warfarin metabolism. This anticoagulant drug is very difficult to dose correctly, and there are many drug-drug and drug-gene interactions associated with its use. An important goal for the laboratory is to define sources of inter-individual variability in warfarin dosing which can span a 100-fold range. Recently, we found that CYP4F2 is a vitamin K oxidase and polymorphisms in this gene affect warfarin dose likely by modulating hepatic vitamin K concentrations. Drug-drug interactions that involve CYP2C9 are pharmacokinetic in origin. Currently, we are focusing attention on new pharmacodynamic target genes in the blood clotting pathway, such as VKORC1, which encodes the warfarin receptor.

CYP4B1 metabolizes a host of pro-toxins, including furans, aromatic amines and certain fatty acids to reactive intermediates that can damage the cell. In this regard, 4B1 is a curious member of the CYP4 family because generally these enzymes have a restricted substrate specificity that does not extend much beyond endogenous fatty acids, such as arachidonate. CYP4V2 is a novel ‘orphan P450’ whose substrate specificity is unknown. Intriguingly, polymorphisms in CYP4V2 are found in patients suffering from the eye disease, Bietti’s Crystalline Dystrophy (BCD). We are attempting to ‘de-orphanize’ CYP4V2 and, in the process, discover which homeostatic mechanisms have been disrupted in BCD patients.

In this work we use protein engineering coupled with conventional protein biochemistry methods for the expression and isolation of proteins and mutants of interest from heterologous hosts such as E.coli and insect cells. We also make extensive use of mass spectrometry (MS) for analyte quantification, including evaluation of structural changes in mutant proteins and lipidomic analysis to probe changes in endogenous metabolism due to CYP4V2 polymorphisms. We are also developing CYP4 knockout mouse models to study mechanisms of CYP4V2 and CYP4B1 toxicity in vivo. Synthetic chemistry comes into play in the preparation of new substrates, inhibitors and metabolites for P450s of interest. Our long-term goals are to understand how structure and function are related for these important P450 enzymes.


Recent Selected Publications:

  • Mosher CM, Hummel MA, Tracy TS and Rettie AE. "Functional analysis of phenylalanine residues in the active site of CYP2C9." Biochemistry 47:11725-34 (2008).

  • Cooper GM, Johnson JA, Langaee TY, Feng H, Stanaway IB, Schwartz U Ritchie MD, Stein M, Roden DM, Smith JD, Veenstra DL, Rettie AE, and Rieder MJ. "A Whole-Genome Scan for Common Genetic Variants with a Large Influence on Warfarin Maintenance Dose." Blood 112:1022-1027 (2008).

  • McDonald MG and Rettie AE. "Sequential metabolism and bioactivation of the hepatotoxin benzbromarone: formation of glutathione adducts from a catechol intermediate." Chem Res Toxicol. 20:1833-1842 (2007).

  • Baer BR, Kunze KL and Rettie AE. "Mechanism of formation of the ester linkage between heme and Glu310 of CYP4B1: 18O protein labeling studies." Biochemistry. 46:11598-11605 (2007).

  • Rieder MJ, Reiner AP and Rettie AE. "Gamma-glutamyl carboxylase (GGCX) tagSNPs have limited utility for predicting warfarin maintenance dose." J Thromb Haemost. 5:2227-2234 (2007).

  • Yeung CK, Adman ET and Rettie AE. "Functional characterization of genetic variants of human FMO3 associated with trimethylaminuria." Arch Biochem Biophys. 464:251-259 (2007).

  • Rettie AE and Tai G. "The pharmocogenomics of warfarin: closing in on personalized medicine." Mol Interv. 6:223-227 (2006).

  • Baer BR and Rettie AE. "CYP4B1: an enigmatic P450 at the interface between xenobiotic and endobiotic metabolism." Drug Metab Rev. 38:451-476 (2006).

  • Rettie AE and Jones JP. "CYP2C9: Clinical and toxicological relevance." Ann Rev Pharmacol Toxicol. 45:477-494 (2005).

  • Rieder MJ, Reiner AP, Gage B, Nickerson DA, Eby M, McLeod H, Thummel KT, Glough DK, Veenstra DL, and Rettie AE. "Effect of VKORC1 haplotypes on transcriptional regulation and warfarin dose." New Engl J Med. 353:2285-2293 (2005).

  • Baer BR, Schuman JT, Campbell AP, Cheesman MJ, Nakano M, Moguilevsky N, Kunze KL and Rettie AE. "Sites of covalent attachment of CYP4B1 to heme:Microheterogeneity of P450 heme orientation." Biochemistry 44:13914-13920 (2005).

  • Veenstra DL, Blough DK, Farin F, Srinouapranach S, Reider MP, and Rettie AE. "CYP2C9 haplotypes and anticoagulation-related outcomes with warfarin." Clin Pharm Ther. 77:353-64 (2005).

  • Baer BR, Rettie AE, and Henne K.R. "Bioactivation of 4-ipomeanol by CYP4B1:Adduct characterization and evidence for an enedial intermediate." Chem Res Toxicol. 18:855-64 (2005).
 


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