rs1799853 — CYP2C9 CYP2C9*2 (Arg144Cys)
Drug response · ~12% Caucasians
rs1799853 defines the CYP2C9*2 allele, which reduces warfarin metabolism by ~30%. Combined with VKORC1 variants, it is part of FDA-recommended pharmacogenomic testing for warfarin dosing.
Molecular Mechanism
The Arg144Cys substitution is near the CYP2C9 active site and reduces catalytic efficiency for S-warfarin hydroxylation. Carriers clear warfarin more slowly, requiring lower doses to avoid bleeding complications.
Peptide Therapeutic Relevance
Peptide anticoagulants could offer more predictable pharmacokinetics than warfarin, independent of CYP2C9 genotype. PepFold generates candidates targeting the coagulation cascade with built-in metabolism resistance.
Gene: CYP2C9 (Cytochrome P450 2C9)
Metabolizes ~15% of clinical drugs including warfarin (S-enantiomer), NSAIDs, sulfonylureas, and losartan. CYP2C9 genotype is part of FDA warfarin dosing guidelines.
Chromosome 10q23.33
Condition: Warfarin Sensitivity
Genetic variation in VKORC1 and CYP2C9 determines warfarin dose requirements. FDA recommends pharmacogenomic testing, and genotype-guided dosing reduces bleeding events by 30%. It is the most established pharmacogenomic application in clinical practice.
Prevalence: ~2 million US patients on warfarin, ~30% experience dosing complications
Related Variants
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