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DMD#26047; "A bioinformatics approach for the phenotype prediction of non-synonymous single nucleotide polymorphisms in human cytochrome P450s", by Wang LL, Li Y, and Zhou SF. Supplementary Table 2. nsSNPs of human CYP genes and corresponding phenotypical effect based on in vitro and in vivo experiments. Gene Symbol CYP1A2 Residue Residue Position 1 2 SNP ID Phenotypical effect Pro 41 Arg swiss:var_025182 Decreased enzyme activity Phe 185 Leu Dramastic reduction in swiss:var_020850 O-deethylation of phenacetin and 7-ethoxyresorufin Asp 347 Asn swiss:var_020793 Decreased expression Arg 376 Gln swiss:var_025188 Dcreased enzyme activity Ile 385 Phe swiss:var_020794 Arg 430 Trp swiss:var_020796 Arg 455 His swiss:var_025189 Decreased activity Met 1 Thr Trp 57 Cys Gly 61 Glu rs28936700 GLC3A Tyr 81 Asn rs9282671 Glaucoma, primary open angle, adult-onset Gly 232 Arg OMIM0013 Gly 365 Trp Arg 368 His rs28936414 GLC3A Asp 374 Asn rs28936413 GLC3A OMIM0009 Site-Directed Mutagenesis in vitro yes in vitro yes in vivo yes in vitro yes in vivo yes in vivo yes in vitro yes in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no Decreased expression Peters anomaly GLC3A swiss:var_001245 GLC3A 1 Reference (Saito et al., 2005) (Murayama et al., 2004) Decreased expression swiss:var_008350 Peters anomaly CYP1B1 Experiment (Zhou et al., 2004) (Saito et al., 2005) (Zhou et al., 2004) (Chevalier et al., 2001; Zhou et al., 2004) (Saito et al., 2005) (Vincent et al., 2001) (Vincent et al., 2001) (Bejjani et al., 1998) (Melki et al., 2004) (Melki et al., 2004) (Stoilov et al., 1998) (Vincent et al., 2002) (Bejjani et al., 1998) CYP2A6 CYP2B6 Glu 387 Lys swiss:var_008352 GLC3A Asn 423 Tyr OMIM0016 Glaucoma, primary open angle, juvenile-onset Arg 469 Trp rs28936701 GLC3A Val 110 Leu Phe 118 Leu Arg 128 Leu Arg 128 Gln Ser 131 Ala Leu 160 His Arg 203 Ser Ser 224 Pro rs28399447 Poor tegafur metabolism Val 365 Met rs28399454 Decreased activity Phe 392 Tyr rs1809810 Decreased activity Ile 471 Thr rs5031016 Decreased activity Lys 476 Arg rs6413474 Decreased activity. Gly 479 Val rs5031017 Loss of activity Arg 485 Leu rs28399468 Decreased activity Met 46 Val swiss:var_023564 Decreased expression. Gly 99 Glu swiss:var_023565 Decreased expression. Lys 139 Glu Arg 140 Gln swiss:var_023566 Decreased activity Pro 166 Ala dbsnp:rs3826711 Decreased activity Decrease of enzyme function rs28399440 Decrease of enzyme function Decrease of enzyme function rs4986891 Loss of activity Decrease of enzyme function rs1801272 Poor nicotine metabolism swiss:var_018333 Decreased activity rs12721655 Decreased expression. 2 in vivo no in vivo no in vivo no in vivo In vivo/in vitro In vivo/in vitro no in vitro In vivo/in vitro yes in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro no no no no no yes yes yes yes in vivo in vivo/in vitro no yes in vivo no in vitro yes in vitro yes in vitro yes in vitro yes in vivo no (Stoilov et al., 1998) (Melki et al., 2004) (Bejjani et al., 1998) (Mwenifumbo et al., 2008) (Mwenifumbo et al., 2008) (Mwenifumbo et al., 2008) (Kitagawa et al., 2001) (Mwenifumbo et al., 2008) (Hadidi et al., 1997) (Ho et al., 2008) (Daigo et al., 2002) (Fukami et al., 2004) (Fukami et al., 2005) (Ariyoshi et al., 2001) (Yoshida et al., 2002) (Haberl et al., 2005) (Oscarson et al., 1999) (Yoshida et al., 2002) (Lang et al., 2004) (Lang et al., 2004) (Lang et al., 2004) (Lang et al., 2004) (Gatanaga et al., 2007) Thr 168 Ile Decreased expression. Gln 172 His Met 198 Thr Lys 262 Arg Arg 336 Cys Ile 328 Thr Ile 391 Asn swiss:var_023567 Decreased expression. Pro 428 Thr Decreased expression. Arg 139 Lys Arg 186 Gly Ile 269 Phe rs11572103 Increased Km for paclitaxel 6-hydroxylation Lys 399 Arg rs10509681 Decreased paclitaxel turnover Leu 90 Pro Decreased activity Arg 125 His Decreased activity Thr 130 Arg Decreased activity Arg 144 Cys rs1799853 Altered warfarin sensitivity Arg 150 His rs7900194 Decreased activity Leu 208 Val OMIM0003 warfarin sensitivity Gln 214 Leu Decreased activity Thr 299 Ala Decreased activity Arg 335 Trp rs3745274 Decreased activity rs2279343 Decreased /increased activity Decreased expression. rs28399499 rs11572080 Decreased expression. Decreased paclitaxel turnover Decreased activity CYP2C8 CYP2C9 Decreased activity rs28371685 Decreased activity 3 in vitro in vivo/in vitro yes in vitro in vivo/in vitro no yes yes in vitro In vivo/in vitro yes in vitro yes in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro yes in vitro in vivo/in vitro yes in vitro in vivo/in vitro no in vivo in vivo/in vitro in vitro in vivo/in vitro yes yes yes yes yes yes yes yes no yes yes yes (Klein et al., 2005) (Tsuchiya et al., 2004; Hofmann et al., 2008) (Rotger et al., 2007) (Kirchheiner et al., 2003; Klein et al., 2005) (Klein et al., 2005) (Wang et al., 2006) (Lang et al., 2004) (Klein et al., 2005) (Dai et al., 2001b) (Hichiya et al., 2005) (Dai et al., 2001b) (Dai et al., 2001b) (Guo et al., 2005) (DeLozier et al., 2005) (Maekawa et al., 2006) (King et al., 2004) (Blaisdell et al., 2004) (Leung et al., 2001) (Maekawa et al., 2006) (DeLozier et al., 2005) (Higashi et al., 2002; Blaisdell et al., 2004) Ile 359 Leu rs1057910 Tolbutamide poor metabolizer Asp 360 Glu rs28371686 Decreased activity Asp 397 Ala Decreased activity Ala 477 Thr Decreased activity Pro 489 Ser rs9332239 Decreased activity Met 1 Val rs28399504 Poor mephenytoin metabolism Trp 120 Arg swiss:var_008357 2C19*8; loss of activity Arg 132 Gln swiss:var_008358 2C19*6; loss of activity Trp 212 Ter OMIM0003 Pro 227 Leu rs6413438 Ile 331 Val Arg 433 Trp Arg 442 Cys Pro 34 Ser Gly 42 Arg Thr 107 Ile Poor mephenytoin metabolism CYP2C19 CYP2D6 Val 136 Decreased activity Decreased activity 2C19*5A & 2C19*5B; loss of activity 2C19*16; lowered catalytic swiss:var_021275 activity 2D6*10 & 2D6*14; poor rs1065852 debrisquone metabolism 2D6*12; impaired metabolism rs5030862 of sparteine swiss:var_008359 rs28371706 2D6*17; poor debrisquone metabolism Met Decreased activity 2D6*14; poor debrisquone metabolism Gly 169 Arg rs5030865 Gly 169 Ter OMIM0004 Arg 296 Cys rs16947 Val 338 Met poor debrisquine metabolism Decreased activity Decreased activity 4 in vivo/in vitro in vivo/in vitro yes yes in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro yes In vivo in vivo/in vitro in vivo/in vitro no yes in vivo no in vivo in vivo/in vitro no yes in vivo no in vivo/in vitro in vivo in vivo/in vitro yes yes yes yes yes yes yes no yes In vivo in vivo/in vitro no yes in vivo no (Shintani et al., 2001) (Dickmann et al., 2001; Allabi et al., 2004) (DeLozier et al., 2005) (Maekawa et al., 2006) (Blaisdell et al., 2004) (Ferguson et al., 1998) (Ibeanu et al., 1999) (Ibeanu et al., 1998b) (De Morais et al., 1994) (Blaisdell et al., 2002) (Blaisdell et al., 2002) (Ibeanu et al., 1998a) (Morita et al., 2004) (Yokota et al., 1993; Johansson et al., 1994) (Marez et al., 1996) (Masimirembwa et al., 1996; Oscarson et al., 1997) (Wennerholm et al., 2002) (Wang et al., 1999) (Broly et al., 1995) (Johansson et al., 1993; Oscarson et al., 1997) (Wennerholm et al., 2002) CYP2E1 Ser 486 Thr swiss:var_008341 Decreased activity Arg 76 His swiss:var_008360 2E1*2; reduced activity Thr Arg 143 158 Ala Cys swiss:var_014317 swiss:var_014318 CYP2J2 Ile Asn CYP2R1 Leu 192 404 99 Asn Tyr Pro Arg 129 Gln Thr 185 Ser Phe 189 Ser Ser 221 Pro Leu 293 Pro CYP3A4 CYP3A5 swiss:var_014319 swiss:var_014321 swiss:var_021534 2J2*2; significantly reduced metabolism of both arachidonic acid and linoleic acid 2J2*3; significantly reduced metabolism of both arachidonic acid and linoleic acid 2J2*4; significantly reduced metabolism of arachidonic acid only 2J2*6; significantly reduced metabolism of both arachidonic acid and linoleic acid 25-hydroxyvitamin D3 deficiency; complete loss of activity swiss:var_011600 Decreased activity rs12721627 Decreased activity 3A4*17; lowered turnover for testosterone and chlorpyrifos 3A4*2; lowered intrinsic swiss:var_008363 clearance towards nifedipine 3A4*18; increased turnover for testosterone, chlorpyrifos and rs28371759 estrone (in vitro); low metabolic turnover for midazolam (in vivo) rs4987161 Thr 362 Met swiss:var_011606 Decreased activity Leu 373 Phe rs12721629 3A4*12; altered testosterone hydroxylase activity Pro 416 Leu rs4986909 Decreased activity Arg 28 Cys swiss:var_024731 Decreased activity. 5 in vivo/in vitro in vivo/in vitro in vivo/in vitro yes yes (Johansson et al., 1993; Johansson et al., 1994) (Hu et al., 1997) (King et al., 2002) yes (King et al., 2002) in vivo/in vitro yes in vivo/in vitro yes (King et al., 2002) (King et al., 2002) in vivo/in vitro yes in vivo/in vitro yes in vitro yes in vitro in vivo/in vitro in vivo/in vitro yes (Cheng et al., 2004) yes yes (Eiselt et al., 2001) (Murayama et al., 2002) (Dai et al., 2001a) (Sata et al., 2000) (Dai et al., 2001a; Kang et al., 2008) in vivo/in vitro yes in vitro yes in vitro yes in vitro in vivo/in vitro yes yes (Murayama et al., 2002) (Eiselt et al., 2001) (Eiselt et al., 2001) (Lee et al., 2003) CYP3A7 CYP4A11 CYP4F2 His 30 Tyr Tyr 53 Cys Decreased activity. Leu 82 Arg Decreased activity. Ala 337 Thr Phe 446 Ser Ile 456 Val Ile 488 Thr Thr 409 Arg Phe 434 Ser rs28383468 rs28383479 Severely decreased activity. Decreased activity. swiss:var_024733 Decreased activity. Severely decreased activity. rs28365085 Severely decreased activity. Increased activity. rs4233507 rs2108622 essential, susceptibility to hypertension, reduced by more than half the 20-HETE synthase activity of CYP4A11 Association with increased warfarin dosage Val 433 Met Trp 44 Arg swiss:var_023084 BCD Gly 61 Ser swiss:var_023085 BCD Glu 79 Asp swiss:var_023086 BCD Ile 111 Thr swiss:var_023087 BCD Met 123 Val swiss:var_023088 BCD His 331 Pro swiss:var_023089 BCD Ser 341 Pro swiss:var_023090 BCD Arg 508 His swiss:var_023091 BCD Ala 189 Val CYP4V2 OMIM0003 CYP11A1 Ala 359 Val OMIM0005 Congenital adrenal insufficiency, decreased activity Congenital adrenal insufficiency, with 46,XY sex reversal, decreased activity 6 in vivo no in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro yes in vivo no in vivo no in vitro yes yes yes yes (Hustert et al., 2001) (Lee et al., 2007b) (Lee et al., 2003) (Lee et al., 2003) (Lee et al., 2003) (Saeki et al., 2003) (Saeki et al., 2003) (Rodriguez-Antona et al., 2005) (Gainer et al., 2005) in vivo in vivo/in vitro no yes in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no in vivo no in vivo/in vitro yes in vivo/in vitro yes (Stec et al., 2007; Caldwell et al., 2008) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Li et al., 2004) (Katsumata et al., 2002) (al Kandari et al., 2006) Arg 353 Trp swiss:var_016951 Pro 42 Ser swiss:var_001260 Pro 94 Leu OMIM0016 Trp 116 Ter OMIM0006 Asn 133 His swiss:var_001261 Thr 318 Met swiss:var_001262 Thr 319 Met swiss:var_001263 Ala 368 Asp OMIM0017 Arg 374 Gln swiss:var_001264 Tyr 423 Ter OMIM0015 Arg 448 His swiss:var_001265 Arg 181 Trp rs28931609 CYP11B1 Congenital adrenal insufficiency, loss of activity Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency, reduced activity Steroid 11--hydroxylase deficiency, decreased activity Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency, reduced activity Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency Steroid 11--hydroxylase deficiency CMO-II; reduces 18hydroxylase and abolishes 18-oxidase activities; leaves 11 -hydroxylase activity intact Thr 185 Ile swiss:var_018471 CMO-II Glu 198 Asp swiss:var_001268 CMO-I, reduced activity Glu 225 Ter OMIM0006 CMO-I Glu 272 Ter OMIM0013 CMO-II Val 385 Ala rs28930074 CMO-I;CMO-II; reduced activity CYP11B2 Leu 461 Pro CMO-I; abolishes the 18-hydroxylase activity swiss:var_018472 required for conversion of 11-deoxycorticosterone to aldosterone 7 in vivo/in vitro yes in vivo in vivo/in vitro in vivo/in vitro yes in vivo no in vivo no in vivo in vivo/in vitro no yes in vivo no in vivo no in vivo no in vivo/in vitro no yes (Joehrer et al., 1997) (Krone et al., 2006) (Naiki et al., 1993) (Joehrer et al., 1997) (Pascoe et al., 1992a) (Joehrer et al., 1997) (Krone et al., 2006) (Pascoe et al., 1992a) (Joehrer et al., 1997) (White et al., 1991) (Pascoe et al., 1992b) yes in vivo in vivo/in vitro yes in vivo no in vivo no in vivo/in vitro (Katsumata et al., 2002) no yes (Peter et al., 1998) (Portrat-Doyen et al., 1998) (Peter et al., 1997) (Williams et al., 2004) (Pascoe et al., 1992b) (Portrat-Doyen et al., 1998) (Nomoto et al., 1997) in vivo/in vitro yes Thr 498 Ala swiss:var_018473 CMO-II Trp 17 Ter OMIM0016 AH5 Tyr 27 Ter OMIM0028 AH5 Pro 35 Leu AH5; 38% 17-hydroxylase swiss:var_022745 activity and 33% 17,20-lyase activity Tyr 64 Ser swiss:var_001271 AH5 Phe 93 Cys swiss:var_013147 AH5 Arg 96 Trp AH5; 25% of both 17swiss:var_022746 hydroxylase and 17,20-lyase activities Arg 96 Gln OMIM0029 AH5 Ser 106 Pro swiss:var_001272 AH5 Phe 114 Val swiss:var_022747 AH5 Asp 116 Val swiss:var_022748 AH5 Arg 125 Gln AH5 AH5; 10% 17-hydroxylase swiss:var_022749 and 17,20-lyase activities Asn 177 Asp Tyr 201 Asn OMIM0027 AH5 Arg 239 Ter OMIM0006 AH5 Tyr 329 Asp swiss:var_022750 AH5 Pro 342 Thr swiss:var_001274 AH5; reduced activity Arg 347 Cys swiss:var_022752 AH5 His AH5; selectively ablates 17,20-lyase activity, while swiss:var_001275 preserving most 17-hydroxylase activity Arg 347 yes In vivo no In vivo no in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro In vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro CYP17A1 OMIM0030 in vivo/in vitro 8 yes yes yes (Suzuki et al., 1998) (Mussig et al., 2005) (Biason-Lauber et al., 2000) (Imai et al., 1993) (Di Cerbo et al., 2002) (Laflamme et al., 1996) yes no yes yes yes in vivo in vivo/in vitro in vivo/in vitro yes in vivo no in vivo in vivo/in vitro in vivo/in vitro no in vivo/in vitro (Dunlop et al., 2003) no yes yes yes (Brooke et al., 2006) (Lin et al., 1991) (Van Den Akker et al., 2002) (Van Den Akker et al., 2002) (Ergun-Longmire et al., 2006) (Biason-Lauber et al., 2000) (Taniyama et al., 2005) (Ahlgren et al., 1992) (Martin et al., 2003) (Ahlgren et al., 1992) (Van Den Akker et al., 2002) (Gupta et al., 2001; Van Den Akker et al., 2002) yes Arg Gln Arg 362 Cys swiss:var_022753 AH5 His 373 Leu swiss:var_001277 AH5 Trp 406 Arg swiss:var_022754 AH5 Arg 416 His Phe CYP19A1 358 AH5; selectively ablates 17,20-lyase activity, while swiss:var_001276 preserving most 17-hydroxylase activity 417 Cys OMIM0031 AH5 AH5; ablates both 17,20-lyase activity and 17-hydroxylase swiss:var_022755 activity; loss of heme-binding and loss of phosphorylation Pro 428 Leu swiss:var_022756 AH5 Arg 440 His swiss:var_001278 AH5 Phe 453 Ser Arg 496 Cys swiss:var_001280 AH5 Arg 496 His AH5; 30% 17-hydroxylase swiss:var_022757 activity and 29% 17,20-lyase activity OMIM0033 in vivo/in vitro yes in vivo no in vivo no in vivo/in vitro In vivo in vivo/in vitro Glu 210 Lys OMIM0012 Aromatase deficiency Arg 264 Cys rs700519 Met 364 Thr Arg 365 Gln swiss:var_016962 Arg 375 Cys swiss:var_016963 Aromatase deficiency Arg 435 Cys swiss:var_016964 Cys 437 Tyr Decreased activity Decreased activity Aromatase deficiency (0.4% of wild-type activity) Aromatase deficiency (1.1% of wild-type activity) Aromatase deficiency swiss:var_016965 (complete loss of activity) 9 yes in vivo in vivo/in vitro in vivo in vivo/in vitro AH5 (Geller et al., 1997; Gupta et al., 2001) in vivo/in vitro In vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro no (Martin et al., 2003) (Monno et al., 1993) (Martin et al., 2003) (Ergun-Longmire et al., 2006) (Biason-Lauber et al., 2000; Gupta et al., 2001) yes no yes no yes yes no yes yes yes yes yes yes (Martin et al., 2003) (Fardella et al., 1994) (Yang et al., 2006) (Yanase et al., 1992) (Biason-Lauber et al., 2000) (Maffei et al., 2004) (Ma et al., 2005) (Ma et al., 2005) (Carani et al., 1997) (Morishima et al., 1995) (Ito et al., 1993) (Ito et al., 1993) Pro Pro CYP21A2 30 30 Gln Leu CAH; does not affect swiss:var_026060 membrane binding; enzyme function abolished CAH; non-classic form; 50% swiss:var_001281 activity; 10% of non-classic CAH Texan patients His 62 Leu swiss:var_018364 CAH Gly 64 Glu swiss:var_007923 CAH; no activity Ile 77 Thr CAH Gly 90 Val swiss:var_026061 CAH Tyr 102 Arg Pro 105 Leu swiss:var_001284 CAH Arg 124 His swiss:var_026062 CAH Leu 166 Pro CAH Cys 169 Tyr swiss:var_001285 CAH Cys 169 Arg CAH Ile 171 Asn CAH Ile 173 Asn Gly 178 Ala swiss:var_026063 CAH Gly 178 Arg CAH Val 211 Leu swiss:var_026064 Ile 236 Asn swiss:var_001288 CAH; salt wasting form Val 238 Glu Met 239 Lys OMIM0014 rs6475 rs12530380 CAH; hydroxylase polymorphism CAH; simple virilizing form; 1-2% activity CAH; non-classic form; pathogenicity uncertain CAH; salt wasting form swiss:var_001290 CAH; salt wasting form 10 in vivo/in vitro yes in vivo/in vitro yes in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro (White et al., 1994; Lajic et al., 1999) (Tusie-Luna et al., 1991) no yes yes yes no yes no yes yes yes yes yes yes yes no yes yes yes (Pinto et al., 2003) (Ohlsson et al., 1999) (Krone et al., 2005) (Nunez et al., 1999) (Rodrigues et al., 1987) (White et al., 1994; Nikoshkov et al., 1997) (White et al., 1994; Usui et al., 2004) (Robins et al., 2007) (Grischuk et al., 2006) (Grischuk et al., 2006) (Barbaro et al., 2006) (Tusie-Luna et al., 1990) (Grischuk et al., 2006) (Grischuk et al., 2006) (Speiser et al., 1988) (Kapelari et al., 1999; Robins et al., 2005) (Tusie-Luna et al., 1990) (Kapelari et al., 1999; Robins et al., 2005) Leu 261 Pro Ser 268 Thr OMIM0005 CAH; hydroxylase polymorphism Val 281 Leu OMIM0002 CAH Val 281 Gly Met 283 Leu swiss:var_026067 CAH Gly 291 Ser swiss:var_001293 Gly 291 Cys swiss:var_026068 CAH Gly 291 Arg swiss:var_018365 CAH Leu 300 Phe swiss:var_026069 CAH; salt wasting form Ser 301 Tyr swiss:var_018366 CAH Trp 302 Arg CAH Val 304 Met swiss:var_026065 CAH CAH; salt wasting form CAH; salt wasting form; less then 1% activity in vivo no in vivo no in vivo in vivo/in vitro no in vivo in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro in vivo in vivo/in vitro Hyperandrogenism (due to 21hydroxylase deficiency; non-classic type; residual activity of 46% for conversion swiss:var_026070 of 17-hydroxyprogesterone and 26% for conversion of progesterone compared with the normal enzyme) Leu 317 Met swiss:var_026071 CAH Gln 319 Ter Arg 339 His Arg 341 Pro swiss:var_018367 CAH Arg 341 Trp swiss:var_001295 CAH (non-classic form; mild) Glu 351 Lys CAH (due to 21-hydroxylase deficiency, salt-wasting type) CAH (non-classic form; 50% swiss:var_001294 activity) rs7755898 CAH 11 yes no yes yes no yes no yes (Loke et al., 2001) (Wu and Chung, 1991) (Speiser et al., 1988) (Lajic et al., 2001) (Ezquieta et al., 2002) (Nikoshkov et al., 1998; Ohlsson et al., 1999) (Nunez et al., 1999) (Stikkelbroeck et al., 2003) (Lajic et al., 2001) (Stikkelbroeck et al., 2003) (Grischuk et al., 2006) (Lajic et al., 2002) in vivo/in vitro in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro yes no yes yes no no yes (Deneux et al., 2001) (Globerman et al., 1988) (Helmberg et al., 1992) (Barbaro et al., 2006) (White et al., 1994) (Krone et al., 2005) in vivo/in vitro Arg 354 His swiss:var_026073 CAH Arg 354 Cys swiss:var_026072 CAH (salt wasting form) Arg 356 Pro swiss:var_001296 Arg 356 Gln Arg 357 Trp Ala 362 Val swiss:var_007924 CAH (no activity) Leu 363 Trp swiss:var_026074 CAH His 365 Tyr swiss:var_026075 CAH Ser Hyperandrogenism (due to 21hydroxylase deficiency; almost swiss:var_026076 completely abolished enzyme activity) Gly 375 CAH (salt wasting form; 0.15% activity) CAH (simple virilizing form; swiss:var_001297 mild; 0.65% activity) CAH (due to 21-hydroxylase rs7769409 deficiency) Glu 380 Asp swiss:var_001299 in CAH; salt wasting form Ala 391 Thr CAH Trp 406 Ter Arg 408 Cys OMIM0022 in CAH; salt wasting form in CAH; should lead to swiss:var_026077 complete impairment of enzymatic activity Gly 424 Ser swiss:var_026078 CAH Arg 426 Cys in CAH; exhibit only low swiss:var_026079 enzyme activity toward 17-hydroxyprogesterone Ala 434 Val CAH Arg 435 Cys swiss:var_026080 CAH Leu 446 Pro CAH Pro 454 Ser rs6445 CAH, due to 21-hydroxylase deficiency, nonclassic type 12 in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro yes no yes yes yes yes in vivo no in vivo no in vivo/in vitro (Nunez et al., 1999) (Krone et al., 2000) (Lajic et al., 1997) (Lajic et al., 1997) (Chiou et al., 1990) (Ohlsson et al., 1999) (Levo and Partanen, 2001) (Zeng et al., 2004) (Lajic et al., 2002) yes in vivo in vivo/in vitro no yes in vivo no in vivo no in vivo no (Kirby-Keyser et al., 1997) (Robins et al., 2007) (Wedell and Luthman, 1993) (Billerbeck et al., 2002) in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro in vivo/in vitro (Billerbeck et al., 1999) (Grischuk et al., 2006) yes yes no yes yes (Krone et al., 2005) (Deneux et al., 2001) (Barbaro et al., 2006) (Nikoshkov et al., 1997) Arg 479 Leu swiss:var_026081 CAH Pro 482 Ser swiss:var_026082 Arg 483 Pro Arg 483 Trp swiss:var_026083 CAH (salt wasting form) Arg 483 Gln swiss:var_018368 CAH Phe 186 Leu CAH Cys 358 Arg CAH Gly 112 Glu Gly 145 Glu Thr 339 Met OMIM0013 CTX Arg 362 Cys OMIM0002 CTX Arg 362 Ser OMIM0008 CTX Arg 372 Gln OMIM0007 CTX Arg 395 Cys swiss:var_001303 CTX Arg 395 Ser swiss:var_012285 CTX Arg 405 Gln swiss:var_012286 CTX Arg 441 Gln OMIM0005 CTX Arg 441 Trp OMIM0006 CTX Arg 446 Cys OMIM0001 CTX Arg 474 Gln swiss:var_012287 CTX Arg 474 Trp swiss:var_012288 CTX in CAH; rediced enzyme activity to 70% of normal in CAH; moderate; 1-2% of swiss:var_001301 activity CYP26A1 OMIM0011 CTX swiss:var_016966 CTX CYP27A1 13 in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro yes yes yes no yes yes yes in vivo no in vivo no in vivo in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro in vivo/in vitro no yes yes yes yes yes yes no no yes no no (Robins et al., 2007) (Barbaro et al., 2004) (Nikoshkov et al., 1998) (Kharrat et al., 2004) (Robins et al., 2007) (Lee et al., 2007a) (Lee et al., 2007a) (Lamon-Fava et al., 2002) (Lamon-Fava et al., 2002) (Guyant-Marechal et al., 2005) (Cali et al., 1991) (Chen et al., 1998) (Chen et al., 1997) (Cali et al., 1991) (Chen et al., 1998) (Chen et al., 1997) (Kim et al., 1994) (Kim et al., 1994) (Cali et al., 1991) (Kim et al., 1994) (Kim et al., 1994) Arg 479 Cys in vivo/in vitro swiss:var_001304 CTX yes (Cali et al., 1991) (Guyant-Marechal et al., in vivo no 2005) in vivo/in Gln 65 His swiss:var_016969 VDDR-I (Wang et al., 1998) vitro yes VDDR I (complete loss of in vivo/in Arg 107 His swiss:var_016952 (Kitanaka et al., 1998) activity) vitro yes VDDR I (complete loss of in vivo/in Gly 125 Glu rs28934605 (Kitanaka et al., 1998) activity) vitro yes VDDR I (11% of wild-type in vivo/in Glu 189 Lys swiss:var_016967 (Wang et al., 1998) activity) vitro yes VDDR I (22% of wild-type in vivo/in Glu 189 Gly swiss:var_016954 (Wang et al., 2002) activity) vitro yes VDDR I (complete loss of in vivo/in Thr 321 Arg swiss:var_016955 (Kitanaka et al., 1999) activity) vitro yes in vivo/in Ser 323 Tyr swiss:var_016970 VDDR-I (Smith et al., 1999) vitro no VDDR I (complete loss of in vivo/in (Kitanaka et al., 1998) Arg 335 Pro rs28934606 activity) vitro yes VDDR I (2.3% of wild-type in vivo/in Leu 343 Phe swiss:var_016957 (Wang et al., 2002) activity) vitro yes CYP27B1 VDDR I (complete loss of in vivo/in (Kitanaka et al., 1998) Pro 382 Ser rs28934607 activity) vitro yes VDDR I (complete loss of in vivo/in (Wang et al., 1998) Arg 389 His swiss:var_016959 activity) vitro yes (Wang et al., 2002) VDDR I (complete loss of in vivo/in Arg 389 Gly swiss:var_016960 (Wang et al., 2002) activity) vitro yes VDDR I (complete loss of in vivo/in Arg 389 Cys swiss:var_016968 (Kitanaka et al., 1999) activity) vitro yes in vivo/in (Wang et al., 1998) Thr 409 Ile swiss:var_016961 VDDR I vitro yes (Wang et al., 2002) in vivo/in (Wang et al., 1998) Arg 429 Pro swiss:var_016971 VDDR I vitro yes in vivo/in (Wang et al., 1998) Arg 453 Cys swiss:var_016972 VDDR I vitro yes in vivo/in Val 478 Gly swiss:var_016973 VDDR I (Smith et al., 1999) vitro no in vivo/in Pro 497 Arg swiss:var_016974 VDDR I (Wang et al., 1998) vitro yes AH5 = Adrenal hyperplasia type 5; BCD = Bietti crystalline corneoretinal dystrophy; CTX = Cerebrotendinous xanthomatosis; CAH = Congenital adrenal hyperplasia; CMO-II = Corticosterone methyloxidase type II deficiency; CMO-I = Corticosterone methyloxidase type I deficiency; GLC3A = Primary congenital glaucoma type 3A; HETE = eicosatetraenoic acid; VDDR-1 = Vitamin D-dependent rickets type I. Arg 479 Gly OMIM0014 CTX 14 15 References Ahlgren R, Yanase T, Simpson ER, Winter JS and Waterman MR (1992) Compound heterozygous mutations (Arg 239----stop, Pro 342----Thr) in the CYP17 (P45017 alpha) gene lead to ambiguous external genitalia in a male patient with partial combined 17 alpha-hydroxylase/17,20-lyase deficiency. J Clin Endocrinol Metab 74:667-672. al Kandari H, Katsumata N, Alexander S and Rasoul MA (2006) Homozygous mutation of P450 side-chain cleavage enzyme gene (CYP11A1) in 46, XY patient with adrenal insufficiency, complete sex reversal, and agenesis of corpus callosum. J Clin Endocrinol Metab 91:2821-2826. Allabi AC, Gala JL, Horsmans Y, Babaoglu MO, Bozkurt A, Heusterspreute M and Yasar U (2004) Functional impact of CYP2C95, CYP2C96, CYP2C98, and CYP2C911 in vivo among black Africans. Clin Pharmacol Ther 76:113-118. Ariyoshi N, Sawamura Y and Kamataki T (2001) A novel single nucleotide polymorphism altering stability and activity of CYP2a6. Biochem Biophys Res Commun 281:810-814. Barbaro M, Baldazzi L, Balsamo A, Lajic S, Robins T, Barp L, Pirazzoli P, Cacciari E, Cicognani A and Wedell A (2006) Functional studies of two novel and two rare mutations in the 21-hydroxylase gene. J Mol Med 84:521-528. Barbaro M, Lajic S, Baldazzi L, Balsamo A, Pirazzoli P, Cicognani A, Wedell A and Cacciari E (2004) Functional analysis of two recurrent amino acid substitutions in the CYP21 gene from Italian patients with congenital adrenal hyperplasia. J Clin Endocrinol Metab 89:2402-2407. Bejjani BA, Lewis RA, Tomey KF, Anderson KL, Dueker DK, Jabak M, Astle WF, Otterud B, Leppert M and Lupski JR (1998) Mutations in CYP1B1, the gene for cytochrome P4501B1, are the predominant cause of primary congenital glaucoma in Saudi Arabia. Am J Hum Genet 62:325-333. Biason-Lauber A, Kempken B, Werder E, Forest MG, Einaudi S, Ranke MB, Matsuo N, Brunelli V, Schonle EJ and Zachmann M (2000) 17alpha-hydroxylase/17,20-lyase deficiency as a model to study enzymatic activity regulation: role of phosphorylation. J Clin Endocrinol Metab 85:1226-1231. Billerbeck AE, Bachega TA, Frazatto ET, Nishi MY, Goldberg AC, Marin ML, Madureira G, Monte O, Arnhold IJ and Mendonca BB (1999) A novel missense mutation, GLY424SER, in Brazilian patients with 21-hydroxylase deficiency. J Clin Endocrinol Metab 84:2870-2872. Billerbeck AE, Mendonca BB, Pinto EM, Madureira G, Arnhold IJ and Bachega TA (2002) Three novel mutations in CYP21 gene in Brazilian patients with the classical form of 21-hydroxylase deficiency due to a founder effect. J Clin Endocrinol Metab 87:4314-4317. Blaisdell J, Jorge-Nebert LF, Coulter S, Ferguson SS, Lee SJ, Chanas B, Xi T, Mohrenweiser H, Ghanayem B and Goldstein JA (2004) Discovery of new potentially defective alleles of human CYP2C9. Pharmacogenetics 14:527-537. 16 Blaisdell J, Mohrenweiser H, Jackson J, Ferguson S, Coulter S, Chanas B, Xi T, Ghanayem B and Goldstein JA (2002) Identification and functional characterization of new potentially defective alleles of human CYP2C19. Pharmacogenetics 12:703-711. Broly F, Marez D, Lo Guidice JM, Sabbagh N, Legrand M, Boone P and Meyer UA (1995) A nonsense mutation in the cytochrome P450 CYP2D6 gene identified in a Caucasian with an enzyme deficiency. Hum Genet 96:601-603. Brooke AM, Taylor NF, Shepherd JH, Gore ME, Ahmad T, Lin L, Rumsby G, Papari-Zareei M, Auchus RJ, Achermann JC and Monson JP (2006) A novel point mutation in P450c17 (CYP17) causing combined 17alpha-hydroxylase/17,20-lyase deficiency. J Clin Endocrinol Metab 91:2428-2431. Caldwell MD, Awad T, Johnson JA, Gage BF, Falkowski M, Gardina P, Hubbard J, Turpaz Y, Langaee TY, Eby C, King CR, Brower A, Schmelzer JR, Glurich I, Vidaillet HJ, Yale SH, Qi Zhang K, Berg RL and Burmester JK (2008) CYP4F2 genetic variant alters required warfarin dose. Blood 111:4106-4112. Cali JJ, Hsieh CL, Francke U and Russell DW (1991) Mutations in the bile acid biosynthetic enzyme sterol 27-hydroxylase underlie cerebrotendinous xanthomatosis. J Biol Chem 266:7779-7783. Carani C, Qin K, Simoni M, Faustini-Fustini M, Serpente S, Boyd J, Korach KS and Simpson ER (1997) Effect of testosterone and estradiol in a man with aromatase deficiency. N Engl J Med 337:91-95. Chen W, Kubota S, Kim KS, Cheng J, Kuriyama M, Eggertsen G, Bjorkhem I and Seyama Y (1997) Novel homozygous and compound heterozygous mutations of sterol 27-hydroxylase gene (CYP27) cause cerebrotendinous xanthomatosis in three Japanese patients from two unrelated families. J Lipid Res 38:870-879. Chen W, Kubota S, Ujike H, Ishihara T and Seyama Y (1998) A novel Arg362Ser mutation in the sterol 27-hydroxylase gene (CYP27): its effects on pre-mRNA splicing and enzyme activity. Biochemistry 37:15050-15056. Cheng JB, Levine MA, Bell NH, Mangelsdorf DJ and Russell DW (2004) Genetic evidence that the human CYP2R1 enzyme is a key vitamin D 25-hydroxylase. Proc Natl Acad Sci U S A 101:7711-7715. Chevalier D, Cauffiez C, Allorge D, Lo-Guidice JM, Lhermitte M, Lafitte JJ and Broly F (2001) Five novel natural allelic variants-951A>C, 1042G>A (D348N), 1156A>T (I386F), 1217G>A (C406Y) and 1291C>T (C431Y)-of the human CYP1A2 gene in a French Caucasian population. Hum Mutat 17:355-356. Chiou SH, Hu MC and Chung BC (1990) A missense mutation at Ile172----Asn or Arg356----Trp causes steroid 21-hydroxylase deficiency. J Biol Chem 265:3549-3552. Dai D, Tang J, Rose R, Hodgson E, Bienstock RJ, Mohrenweiser HW and Goldstein JA (2001a) Identification of variants of CYP3A4 and characterization of their abilities to metabolize testosterone and chlorpyrifos. J Pharmacol Exp Ther 299:825-831. 17 Dai D, Zeldin DC, Blaisdell JA, Chanas B, Coulter SJ, Ghanayem BI and Goldstein JA (2001b) Polymorphisms in human CYP2C8 decrease metabolism of the anticancer drug paclitaxel and arachidonic acid. Pharmacogenetics 11:597-607. Daigo S, Takahashi Y, Fujieda M, Ariyoshi N, Yamazaki H, Koizumi W, Tanabe S, Saigenji K, Nagayama S, Ikeda K, Nishioka Y and Kamataki T (2002) A novel mutant allele of the CYP2A6 gene (CYP2A6*11 ) found in a cancer patient who showed poor metabolic phenotype towards tegafur. Pharmacogenetics 12:299-306. De Morais SM, Wilkinson GR, Blaisdell J, Meyer UA, Nakamura K and Goldstein JA (1994) Identification of a new genetic defect responsible for the polymorphism of (S)-mephenytoin metabolism in Japanese. Mol Pharmacol 46:594-598. DeLozier TC, Lee SC, Coulter SJ, Goh BC and Goldstein JA (2005) Functional characterization of novel allelic variants of CYP2C9 recently discovered in southeast Asians. J Pharmacol Exp Ther 315:1085-1090. Deneux C, Tardy V, Dib A, Mornet E, Billaud L, Charron D, Morel Y and Kuttenn F (2001) Phenotype-genotype correlation in 56 women with nonclassical congenital adrenal hyperplasia due to 21-hydroxylase deficiency. J Clin Endocrinol Metab 86:207-213. Di Cerbo A, Biason-Lauber A, Savino M, Piemontese MR, Di Giorgio A, Perona M and Savoia A (2002) Combined 17alpha-Hydroxylase/17,20-lyase deficiency caused by Phe93Cys mutation in the CYP17 gene. J Clin Endocrinol Metab 87:898-905. Dickmann LJ, Rettie AE, Kneller MB, Kim RB, Wood AJ, Stein CM, Wilkinson GR and Schwarz UI (2001) Identification and functional characterization of a new CYP2C9 variant (CYP2C9*5) expressed among African Americans. Mol Pharmacol 60:382-387. Dunlop FM, Crock PA, Montalto J, Funder JW and Curnow KM (2003) A compound heterozygote case of type II aldosterone synthase deficiency. J Clin Endocrinol Metab 88:2518-2526. Eiselt R, Domanski TL, Zibat A, Mueller R, Presecan-Siedel E, Hustert E, Zanger UM, Brockmoller J, Klenk HP, Meyer UA, Khan KK, He YA, Halpert JR and Wojnowski L (2001) Identification and functional characterization of eight CYP3A4 protein variants. Pharmacogenetics 11:447-458. Ergun-Longmire B, Auchus R, Papari-Zareei M, Tansil S, Wilson RC and New MI (2006) Two novel mutations found in a patient with 17alpha-hydroxylase enzyme deficiency. J Clin Endocrinol Metab 91:4179-4182. Ezquieta B, Cueva E, Varela J, Oliver A, Fernandez J and Jariego C (2002) Non-classical 21-hydroxylase deficiency in children: association of adrenocorticotropic hormone-stimulated 17-hydroxyprogesterone with the risk of compound heterozygosity with severe mutations. Acta Paediatr 91:892-898. Fardella CE, Hum DW, Homoki J and Miller WL (1994) Point mutation of Arg440 to His in cytochrome P450c17 causes severe 17 alpha-hydroxylase deficiency. J Clin Endocrinol Metab 79:160-164. Ferguson RJ, De Morais SM, Benhamou S, Bouchardy C, Blaisdell J, Ibeanu G, Wilkinson GR, Sarich TC, Wright JM, Dayer P and Goldstein JA (1998) A new genetic defect in human CYP2C19: 18 mutation of the initiation codon is responsible for poor metabolism of S-mephenytoin. J Pharmacol Exp Ther 284:356-361. Fukami T, Nakajima M, Higashi E, Yamanaka H, Sakai H, McLeod HL and Yokoi T (2005) Characterization of novel CYP2A6 polymorphic alleles (CYP2A6*18 and CYP2A6*19) that affect enzymatic activity. Drug Metab Dispos 33:1202-1210. Fukami T, Nakajima M, Yoshida R, Tsuchiya Y, Fujiki Y, Katoh M, McLeod HL and Yokoi T (2004) A novel polymorphism of human CYP2A6 gene CYP2A6*17 has an amino acid substitution (V365M) that decreases enzymatic activity in vitro and in vivo. Clin Pharmacol Ther 76:519-527. Gainer JV, Bellamine A, Dawson EP, Womble KE, Grant SW, Wang Y, Cupples LA, Guo CY, Demissie S, O'Donnell CJ, Brown NJ, Waterman MR and Capdevila JH (2005) Functional variant of CYP4A11 20-hydroxyeicosatetraenoic acid synthase is associated with essential hypertension. Circulation 111:63-69. Gatanaga H, Hayashida T, Tsuchiya K, Yoshino M, Kuwahara T, Tsukada H, Fujimoto K, Sato I, Ueda M, Horiba M, Hamaguchi M, Yamamoto M, Takata N, Kimura A, Koike T, Gejyo F, Matsushita S, Shirasaka T, Kimura S and Oka S (2007) Successful efavirenz dose reduction in HIV type 1-infected individuals with cytochrome P450 2B6 *6 and *26. Clin Infect Dis 45:1230-1237. Geller DH, Auchus RJ, Mendonca BB and Miller WL (1997) The genetic and functional basis of isolated 17,20-lyase deficiency. Nat Genet 17:201-205. Globerman H, Amor M, Parker KL, New MI and White PC (1988) Nonsense mutation causing steroid 21-hydroxylase deficiency. J Clin Invest 82:139-144. Grischuk Y, Rubtsov P, Riepe FG, Grotzinger J, Beljelarskaia S, Prassolov V, Kalintchenko N, Semitcheva T, Peterkova V, Tiulpakov A, Sippell WG and Krone N (2006) Four novel missense mutations in the CYP21A2 gene detected in Russian patients suffering from the classical form of congenital adrenal hyperplasia: identification, functional characterization, and structural analysis. J Clin Endocrinol Metab 91:4976-4980. Guo Y, Zhang Y, Wang Y, Chen X, Si D, Zhong D, Fawcett JP and Zhou H (2005) Role of CYP2C9 and its variants (CYP2C9*3 and CYP2C9*13) in the metabolism of lornoxicam in humans. Drug Metab Dispos 33:749-753. Gupta MK, Geller DH and Auchus RJ (2001) Pitfalls in characterizing P450c17 mutations associated with isolated 17,20-lyase deficiency. J Clin Endocrinol Metab 86:4416-4423. Guyant-Marechal L, Verrips A, Girard C, Wevers RA, Zijlstra F, Sistermans E, Vera P, Campion D and Hannequin D (2005) Unusual cerebrotendinous xanthomatosis with fronto-temporal dementia phenotype. Am J Med Genet A 139A:114-117. Haberl M, Anwald B, Klein K, Weil R, Fuss C, Gepdiremen A, Zanger UM, Meyer UA and Wojnowski L (2005) Three haplotypes associated with CYP2A6 phenotypes in Caucasians. Pharmacogenet Genomics 15:609-624. 19 Hadidi H, Zahlsen K, Idle JR and Cholerton S (1997) A single amino acid substitution (Leu160His) in cytochrome P450 CYP2A6 causes switching from 7-hydroxylation to 3-hydroxylation of coumarin. Food Chem Toxicol 35:903-907. Helmberg A, Tusie-Luna MT, Tabarelli M, Kofler R and White PC (1992) R339H and P453S: CYP21 mutations associated with nonclassic steroid 21-hydroxylase deficiency that are not apparent gene conversions. Mol Endocrinol 6:1318-1322. Hichiya H, Tanaka-Kagawa T, Soyama A, Jinno H, Koyano S, Katori N, Matsushima E, Uchiyama S, Tokunaga H, Kimura H, Minami N, Katoh M, Sugai K, Goto Y, Tamura T, Yamamoto N, Ohe Y, Kunitoh H, Nokihara H, Yoshida T, Minami H, Saijo N, Ando M, Ozawa S, Saito Y and Sawada J (2005) Functional characterization of five novel CYP2C8 variants, G171S, R186X, R186G, K247R, and K383N, found in a Japanese population. Drug Metab Dispos 33:630-636. Higashi MK, Veenstra DL, Kondo LM, Wittkowsky AK, Srinouanprachanh SL, Farin FM and Rettie AE (2002) Association between CYP2C9 genetic variants and anticoagulation-related outcomes during warfarin therapy. Jama 287:1690-1698. Ho MK, Mwenifumbo JC, Zhao B, Gillam EM and Tyndale RF (2008) A novel CYP2A6 allele, CYP2A6*23, impairs enzyme function in vitro and in vivo and decreases smoking in a population of Black-African descent. Pharmacogenet Genomics 18:67-75. Hofmann MH, Blievernicht JK, Klein K, Saussele T, Schaeffeler E, Schwab M and Zanger UM (2008) Aberrant splicing caused by single nucleotide polymorphism c.516G>T [Q172H], a marker of CYP2B6*6, is responsible for decreased expression and activity of CYP2B6 in liver. J Pharmacol Exp Ther 325:284-292. Hu Y, Oscarson M, Johansson I, Yue QY, Dahl ML, Tabone M, Arinco S, Albano E and Ingelman-Sundberg M (1997) Genetic polymorphism of human CYP2E1: characterization of two variant alleles. Mol Pharmacol 51:370-376. Hustert E, Haberl M, Burk O, Wolbold R, He YQ, Klein K, Nuessler AC, Neuhaus P, Klattig J, Eiselt R, Koch I, Zibat A, Brockmoller J, Halpert JR, Zanger UM and Wojnowski L (2001) The genetic determinants of the CYP3A5 polymorphism. Pharmacogenetics 11:773-779. Ibeanu GC, Blaisdell J, Ferguson RJ, Ghanayem BI, Brosen K, Benhamou S, Bouchardy C, Wilkinson GR, Dayer P and Goldstein JA (1999) A novel transversion in the intron 5 donor splice junction of CYP2C19 and a sequence polymorphism in exon 3 contribute to the poor metabolizer phenotype for the anticonvulsant drug S-mephenytoin. J Pharmacol Exp Ther 290:635-640. Ibeanu GC, Blaisdell J, Ghanayem BI, Beyeler C, Benhamou S, Bouchardy C, Wilkinson GR, Dayer P, Daly AK and Goldstein JA (1998a) An additional defective allele, CYP2C19*5, contributes to the S-mephenytoin poor metabolizer phenotype in Caucasians. Pharmacogenetics 8:129-135. Ibeanu GC, Goldstein JA, Meyer U, Benhamou S, Bouchardy C, Dayer P, Ghanayem BI and Blaisdell J (1998b) Identification of new human CYP2C19 alleles (CYP2C19*6 and CYP2C19*2B) in a Caucasian poor metabolizer of mephenytoin. J Pharmacol Exp Ther 286:1490-1495. Imai T, Globerman H, Gertner JM, Kagawa N and Waterman MR (1993) Expression and purification of functional human 17 alpha-hydroxylase/17,20-lyase (P450c17) in Escherichia coli. Use of this 20 system for study of a novel form of combined 17 alpha-hydroxylase/17,20-lyase deficiency. J Biol Chem 268:19681-19689. Ito Y, Fisher CR, Conte FA, Grumbach MM and Simpson ER (1993) Molecular basis of aromatase deficiency in an adult female with sexual infantilism and polycystic ovaries. Proc Natl Acad Sci U S A 90:11673-11677. Joehrer K, Geley S, Strasser-Wozak EM, Azziz R, Wollmann HA, Schmitt K, Kofler R and White PC (1997) CYP11B1 mutations causing non-classic adrenal hyperplasia due to 11 beta-hydroxylase deficiency. Hum Mol Genet 6:1829-1834. Johansson I, Lundqvist E, Bertilsson L, Dahl ML, Sjoqvist F and Ingelman-Sundberg M (1993) Inherited amplification of an active gene in the cytochrome P450 CYP2D locus as a cause of ultrarapid metabolism of debrisoquine. Proc Natl Acad Sci U S A 90:11825-11829. Johansson I, Oscarson M, Yue QY, Bertilsson L, Sjoqvist F and Ingelman-Sundberg M (1994) Genetic analysis of the Chinese cytochrome P4502D locus: characterization of variant CYP2D6 genes present in subjects with diminished capacity for debrisoquine hydroxylation. Mol Pharmacol 46:452-459. Kang Y, Park S, Yim C, Kwak H, Gajendrarao P, Krishnamoorthy N, Yun SC, Lee K and Han K (2008) The CYP3A4*18 Genotype in the Cytochrome P450 3A4 Gene, a Rapid Metabolizer of Sex Steroids, Is Associated With Low Bone Mineral Density. Clin Pharmacol Ther. Kapelari K, Ghanaati Z, Wollmann H, Ventz M, Ranke MB, Kofler R and Peters H (1999) A rapid screening for steroid 21-hydroxylase mutations in patients with congenital adrenal hyperplasia. Mutations in brief no. 247. Online. Hum Mutat 13:505. Katsumata N, Ohtake M, Hojo T, Ogawa E, Hara T, Sato N and Tanaka T (2002) Compound heterozygous mutations in the cholesterol side-chain cleavage enzyme gene (CYP11A) cause congenital adrenal insufficiency in humans. J Clin Endocrinol Metab 87:3808-3813. Kharrat M, Tardy V, M'Rad R, Maazoul F, Jemaa LB, Refai M, Morel Y and Chaabouni H (2004) Molecular genetic analysis of Tunisian patients with a classic form of 21-hydroxylase deficiency: identification of four novel mutations and high prevalence of Q318X mutation. J Clin Endocrinol Metab 89:368-374. Kim KS, Kubota S, Kuriyama M, Fujiyama J, Bjorkhem I, Eggertsen G and Seyama Y (1994) Identification of new mutations in sterol 27-hydroxylase gene in Japanese patients with cerebrotendinous xanthomatosis (CTX). J Lipid Res 35:1031-1039. King BP, Khan TI, Aithal GP, Kamali F and Daly AK (2004) Upstream and coding region CYP2C9 polymorphisms: correlation with warfarin dose and metabolism. Pharmacogenetics 14:813-822. King LM, Ma J, Srettabunjong S, Graves J, Bradbury JA, Li L, Spiecker M, Liao JK, Mohrenweiser H and Zeldin DC (2002) Cloning of CYP2J2 gene and identification of functional polymorphisms. Mol Pharmacol 61:840-852. 21 Kirby-Keyser L, Porter CC and Donohoue PA (1997) E380D: a novel point mutation of CYP21 in an HLA-homozygous patient with salt-losing congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Hum Mutat 9:181-182. Kirchheiner J, Klein C, Meineke I, Sasse J, Zanger UM, Murdter TE, Roots I and Brockmoller J (2003) Bupropion and 4-OH-bupropion pharmacokinetics in relation to genetic polymorphisms in CYP2B6. Pharmacogenetics 13:619-626. Kitagawa K, Kunugita N, Kitagawa M and Kawamoto T (2001) CYP2A6*6, a novel polymorphism in cytochrome p450 2A6, has a single amino acid substitution (R128Q) that inactivates enzymatic activity. J Biol Chem 276:17830-17835. Kitanaka S, Murayama A, Sakaki T, Inouye K, Seino Y, Fukumoto S, Shima M, Yukizane S, Takayanagi M, Niimi H, Takeyama K and Kato S (1999) No enzyme activity of 25-hydroxyvitamin D3 1alpha-hydroxylase gene product in pseudovitamin D deficiency rickets, including that with mild clinical manifestation. J Clin Endocrinol Metab 84:4111-4117. Kitanaka S, Takeyama K, Murayama A, Sato T, Okumura K, Nogami M, Hasegawa Y, Niimi H, Yanagisawa J, Tanaka T and Kato S (1998) Inactivating mutations in the 25-hydroxyvitamin D3 1alpha-hydroxylase gene in patients with pseudovitamin D-deficiency rickets. N Engl J Med 338:653-661. Klein K, Lang T, Saussele T, Barbosa-Sicard E, Schunck WH, Eichelbaum M, Schwab M and Zanger UM (2005) Genetic variability of CYP2B6 in populations of African and Asian origin: allele frequencies, novel functional variants, and possible implications for anti-HIV therapy with efavirenz. Pharmacogenet Genomics 15:861-873. Krone N, Braun A, Roscher AA, Knorr D and Schwarz HP (2000) Predicting phenotype in steroid 21-hydroxylase deficiency? Comprehensive genotyping in 155 unrelated, well defined patients from southern Germany. J Clin Endocrinol Metab 85:1059-1065. Krone N, Grischuk Y, Muller M, Volk RE, Grotzinger J, Holterhus PM, Sippell WG and Riepe FG (2006) Analyzing the functional and structural consequences of two point mutations (P94L and A368D) in the CYP11B1 gene causing congenital adrenal hyperplasia resulting from 11-hydroxylase deficiency. J Clin Endocrinol Metab 91:2682-2688. Krone N, Riepe FG, Grotzinger J, Partsch CJ and Sippell WG (2005) Functional characterization of two novel point mutations in the CYP21 gene causing simple virilizing forms of congenital adrenal hyperplasia due to 21-hydroxylase deficiency. J Clin Endocrinol Metab 90:445-454. Laflamme N, Leblanc JF, Mailloux J, Faure N, Labrie F and Simard J (1996) Mutation R96W in cytochrome P450c17 gene causes combined 17 alpha-hydroxylase/17-20-lyase deficiency in two French Canadian patients. J Clin Endocrinol Metab 81:264-268. Lajic S, Clauin S, Robins T, Vexiau P, Blanche H, Bellanne-Chantelot C and Wedell A (2002) Novel mutations in CYP21 detected in individuals with hyperandrogenism. J Clin Endocrinol Metab 87:2824-2829. 22 Lajic S, Levo A, Nikoshkov A, Lundberg Y, Partanen J and Wedell A (1997) A cluster of missense mutations at Arg356 of human steroid 21-hydroxylase may impair redox partner interaction. Hum Genet 99:704-709. Lajic S, Nikoshkov A, Holst M and Wedell A (1999) Effects of missense mutations and deletions on membrane anchoring and enzyme function of human steroid 21-hydroxylase (P450c21). Biochem Biophys Res Commun 257:384-390. Lajic S, Robins T, Krone N, Schwarz HP and Wedell A (2001) CYP21 mutations in simple virilizing congenital adrenal hyperplasia. J Mol Med 79:581-586. Lamon-Fava S, Schaefer EJ, Garuti R, Salen G and Calandra S (2002) Two novel mutations in the sterol 27-hydroxylase gene causing cerebrotendinous xanthomatosis. Clin Genet 61:185-191. Lang T, Klein K, Richter T, Zibat A, Kerb R, Eichelbaum M, Schwab M and Zanger UM (2004) Multiple novel nonsynonymous CYP2B6 gene polymorphisms in Caucasians: demonstration of phenotypic null alleles. J Pharmacol Exp Ther 311:34-43. Lee SJ, Perera L, Coulter SJ, Mohrenweiser HW, Jetten A and Goldstein JA (2007a) The discovery of new coding alleles of human CYP26A1 that are potentially defective in the metabolism of all-trans retinoic acid and their assessment in a recombinant cDNA expression system. Pharmacogenet Genomics 17:169-180. Lee SJ, Usmani KA, Chanas B, Ghanayem B, Xi T, Hodgson E, Mohrenweiser HW and Goldstein JA (2003) Genetic findings and functional studies of human CYP3A5 single nucleotide polymorphisms in different ethnic groups. Pharmacogenetics 13:461-472. Lee SJ, van der Heiden IP, Goldstein JA and van Schaik RH (2007b) A new CYP3A5 variant, CYP3A5*11, is shown to be defective in nifedipine metabolism in a recombinant cDNA expression system. Drug Metab Dispos 35:67-71. Leung AY, Chow HC, Kwong YL, Lie AK, Fung AT, Chow WH, Yip AS and Liang R (2001) Genetic polymorphism in exon 4 of cytochrome P450 CYP2C9 may be associated with warfarin sensitivity in Chinese patients. Blood 98:2584-2587. Levo A and Partanen J (2001) Novel mutations in the human CYP21 gene. Prenat Diagn 21:885-889. Li A, Jiao X, Munier FL, Schorderet DF, Yao W, Iwata F, Hayakawa M, Kanai A, Shy Chen M, Alan Lewis R, Heckenlively J, Weleber RG, Traboulsi EI, Zhang Q, Xiao X, Kaiser-Kupfer M, Sergeev YV and Hejtmancik JF (2004) Bietti crystalline corneoretinal dystrophy is caused by mutations in the novel gene CYP4V2. Am J Hum Genet 74:817-826. Lin D, Harikrishna JA, Moore CC, Jones KL and Miller WL (1991) Missense mutation serine106----proline causes 17 alpha-hydroxylase deficiency. J Biol Chem 266:15992-15998. Loke KY, Lee YS, Lee WW and Poh LK (2001) Molecular analysis of CYP-21 mutations for congenital adrenal hyperplasia in Singapore. Horm Res 55:179-184. 23 Ma CX, Adjei AA, Salavaggione OE, Coronel J, Pelleymounter L, Wang L, Eckloff BW, Schaid D, Wieben ED, Adjei AA and Weinshilboum RM (2005) Human aromatase: gene resequencing and functional genomics. Cancer Res 65:11071-11082. Maekawa K, Fukushima-Uesaka H, Tohkin M, Hasegawa R, Kajio H, Kuzuya N, Yasuda K, Kawamoto M, Kamatani N, Suzuki K, Yanagawa T, Saito Y and Sawada J (2006) Four novel defective alleles and comprehensive haplotype analysis of CYP2C9 in Japanese. Pharmacogenet Genomics 16:497-514. Maffei L, Murata Y, Rochira V, Tubert G, Aranda C, Vazquez M, Clyne CD, Davis S, Simpson ER and Carani C (2004) Dysmetabolic syndrome in a man with a novel mutation of the aromatase gene: effects of testosterone, alendronate, and estradiol treatment. J Clin Endocrinol Metab 89:61-70. Marez D, Legrand M, Sabbagh N, Lo-Guidice JM, Boone P and Broly F (1996) An additional allelic variant of the CYP2D6 gene causing impaired metabolism of sparteine. Hum Genet 97:668-670. Martin RM, Lin CJ, Costa EM, de Oliveira ML, Carrilho A, Villar H, Longui CA and Mendonca BB (2003) P450c17 deficiency in Brazilian patients: biochemical diagnosis through progesterone levels confirmed by CYP17 genotyping. J Clin Endocrinol Metab 88:5739-5746. Masimirembwa C, Persson I, Bertilsson L, Hasler J and Ingelman-Sundberg M (1996) A novel mutant variant of the CYP2D6 gene (CYP2D6*17) common in a black African population: association with diminished debrisoquine hydroxylase activity. Br J Clin Pharmacol 42:713-719. Melki R, Colomb E, Lefort N, Brezin AP and Garchon HJ (2004) CYP1B1 mutations in French patients with early-onset primary open-angle glaucoma. J Med Genet 41:647-651. Monno S, Ogawa H, Date T, Fujioka M, Miller WL and Kobayashi M (1993) Mutation of histidine 373 to leucine in cytochrome P450c17 causes 17 alpha-hydroxylase deficiency. J Biol Chem 268:25811-25817. Morishima A, Grumbach MM, Simpson ER, Fisher C and Qin K (1995) Aromatase deficiency in male and female siblings caused by a novel mutation and the physiological role of estrogens. J Clin Endocrinol Metab 80:3689-3698. Morita J, Kobayashi K, Wanibuchi A, Kimura M, Irie S, Ishizaki T and Chiba K (2004) A novel single nucleotide polymorphism (SNP) of the CYP2C19 gene in a Japanese subject with lowered capacity of mephobarbital 4'-hydroxylation. Drug Metab Pharmacokinet 19:236-238. Murayama N, Nakamura T, Saeki M, Soyama A, Saito Y, Sai K, Ishida S, Nakajima O, Itoda M, Ohno Y, Ozawa S and Sawada J (2002) CYP3A4 gene polymorphisms influence testosterone 6beta-hydroxylation. Drug Metab Pharmacokinet 17:150-156. Murayama N, Soyama A, Saito Y, Nakajima Y, Komamura K, Ueno K, Kamakura S, Kitakaze M, Kimura H, Goto Y, Saitoh O, Katoh M, Ohnuma T, Kawai M, Sugai K, Ohtsuki T, Suzuki C, Minami N, Ozawa S and Sawada J (2004) Six novel nonsynonymous CYP1A2 gene polymorphisms: catalytic activities of the naturally occurring variant enzymes. J Pharmacol Exp Ther 308:300-306. 24 Mussig K, Kaltenbach S, Machicao F, Maser-Gluth C, Hartmann MF, Wudy SA, Schnauder G, Haring HU, Seif FJ and Gallwitz B (2005) 17alpha-hydroxylase/17,20-lyase deficiency caused by a novel homozygous mutation (Y27Stop) in the cytochrome CYP17 gene. J Clin Endocrinol Metab 90:4362-4365. Mwenifumbo JC, Al Koudsi N, Ho MK, Zhou Q, Hoffmann EB, Sellers EM and Tyndale RF (2008) Novel and established CYP2A6 alleles impair in vivo nicotine metabolism in a population of Black African descent. Hum Mutat 29:679-688. Naiki Y, Kawamoto T, Mitsuuchi Y, Miyahara K, Toda K, Orii T, Imura H and Shizuta Y (1993) A nonsense mutation (TGG [Trp116]-->TAG [Stop]) in CYP11B1 causes steroid 11 beta-hydroxylase deficiency. J Clin Endocrinol Metab 77:1677-1682. Nikoshkov A, Lajic S, Holst M, Wedell A and Luthman H (1997) Synergistic effect of partially inactivating mutations in steroid 21-hydroxylase deficiency. J Clin Endocrinol Metab 82:194-199. Nikoshkov A, Lajic S, Vlamis-Gardikas A, Tranebjaerg L, Holst M, Wedell A and Luthman H (1998) Naturally occurring mutants of human steroid 21-hydroxylase (P450c21) pinpoint residues important for enzyme activity and stability. J Biol Chem 273:6163-6165. Nomoto S, Massa G, Mitani F, Ishimura Y, Miyahara K, Toda K, Nagano I, Yamashiro T, Ogoshi S, Fukata J, Onishi S, Hashimoto K, Doi Y, Imura H and Shizuta Y (1997) CMO I deficiency caused by a point mutation in exon 8 of the human CYP11B2 gene encoding steroid 18-hydroxylase (P450C18). Biochem Biophys Res Commun 234:382-385. Nunez BS, Lobato MN, White PC and Meseguer A (1999) Functional analysis of four CYP21 mutations from spanish patients with congenital adrenal hyperplasia. Biochem Biophys Res Commun 262:635-637. Ohlsson G, Muller J, Skakkebaek NE and Schwartz M (1999) Steroid 21-hydroxylase deficiency: mutational spectrum in Denmark, three novel mutations, and in vitro expression analysis. Hum Mutat 13:482-486. Oscarson M, Hidestrand M, Johansson I and Ingelman-Sundberg M (1997) A combination of mutations in the CYP2D6*17 (CYP2D6Z) allele causes alterations in enzyme function. Mol Pharmacol 52:1034-1040. Oscarson M, McLellan RA, Gullsten H, Agundez JA, Benitez J, Rautio A, Raunio H, Pelkonen O and Ingelman-Sundberg M (1999) Identification and characterisation of novel polymorphisms in the CYP2A locus: implications for nicotine metabolism. FEBS Lett 460:321-327. Pascoe L, Curnow KM, Slutsker L, Connell JM, Speiser PW, New MI and White PC (1992a) Glucocorticoid-suppressible hyperaldosteronism results from hybrid genes created by unequal crossovers between CYP11B1 and CYP11B2. Proc Natl Acad Sci U S A 89:8327-8331. Pascoe L, Curnow KM, Slutsker L, Rosler A and White PC (1992b) Mutations in the human CYP11B2 (aldosterone synthase) gene causing corticosterone methyloxidase II deficiency. Proc Natl Acad Sci U S A 89:4996-5000. 25 Peter M, Bunger K, Solyom J and Sippell WG (1998) Mutation THR-185 ILE is associated with corticosterone methyl oxidase deficiency type II. Eur J Pediatr 157:378-381. Peter M, Fawaz L, Drop SL, Visser HK and Sippell WG (1997) Hereditary defect in biosynthesis of aldosterone: aldosterone synthase deficiency 1964-1997. J Clin Endocrinol Metab 82:3525-3528. Pinto G, Tardy V, Trivin C, Thalassinos C, Lortat-Jacob S, Nihoul-Fekete C, Morel Y and Brauner R (2003) Follow-up of 68 children with congenital adrenal hyperplasia due to 21-hydroxylase deficiency: relevance of genotype for management. J Clin Endocrinol Metab 88:2624-2633. Portrat-Doyen S, Tourniaire J, Richard O, Mulatero P, Aupetit-Faisant B, Curnow KM, Pascoe L and Morel Y (1998) Isolated aldosterone synthase deficiency caused by simultaneous E198D and V386A mutations in the CYP11B2 gene. J Clin Endocrinol Metab 83:4156-4161. Robins T, Barbaro M, Lajic S and Wedell A (2005) Not all amino acid substitutions of the common cluster E6 mutation in CYP21 cause congenital adrenal hyperplasia. J Clin Endocrinol Metab 90:2148-2153. Robins T, Bellanne-Chantelot C, Barbaro M, Cabrol S, Wedell A and Lajic S (2007) Characterization of novel missense mutations in CYP21 causing congenital adrenal hyperplasia. J Mol Med 85:247-255. Rodrigues NR, Dunham I, Yu CY, Carroll MC, Porter RR and Campbell RD (1987) Molecular characterization of the HLA-linked steroid 21-hydroxylase B gene from an individual with congenital adrenal hyperplasia. Embo J 6:1653-1661. Rodriguez-Antona C, Jande M, Rane A and Ingelman-Sundberg M (2005) Identification and phenotype characterization of two CYP3A haplotypes causing different enzymatic capacity in fetal livers. Clin Pharmacol Ther 77:259-270. Rotger M, Tegude H, Colombo S, Cavassini M, Furrer H, Decosterd L, Blievernicht J, Saussele T, Gunthard HF, Schwab M, Eichelbaum M, Telenti A and Zanger UM (2007) Predictive value of known and novel alleles of CYP2B6 for efavirenz plasma concentrations in HIV-infected individuals. Clin Pharmacol Ther 81:557-566. Saeki M, Saito Y, Nakamura T, Murayama N, Kim SR, Ozawa S, Komamura K, Ueno K, Kamakura S, Nakajima T, Saito H, Kitamura Y, Kamatani N and Sawada J (2003) Single nucleotide polymorphisms and haplotype frequencies of CYP3A5 in a Japanese population. Hum Mutat 21:653. Saito Y, Hanioka N, Maekawa K, Isobe T, Tsuneto Y, Nakamura R, Soyama A, Ozawa S, Tanaka-Kagawa T, Jinno H, Narimatsu S and Sawada J (2005) Functional analysis of three CYP1A2 variants found in a Japanese population. Drug Metab Dispos 33:1905-1910. Sata F, Sapone A, Elizondo G, Stocker P, Miller VP, Zheng W, Raunio H, Crespi CL and Gonzalez FJ (2000) CYP3A4 allelic variants with amino acid substitutions in exons 7 and 12: evidence for an allelic variant with altered catalytic activity. Clin Pharmacol Ther 67:48-56. 26 Shintani M, Ieiri I, Inoue K, Mamiya K, Ninomiya H, Tashiro N, Higuchi S and Otsubo K (2001) Genetic polymorphisms and functional characterization of the 5'-flanking region of the human CYP2C9 gene: in vitro and in vivo studies. Clin Pharmacol Ther 70:175-182. Smith SJ, Rucka AK, Berry JL, Davies M, Mylchreest S, Paterson CR, Heath DA, Tassabehji M, Read AP, Mee AP and Mawer EB (1999) Novel mutations in the 1alpha-hydroxylase (P450c1) gene in three families with pseudovitamin D-deficiency rickets resulting in loss of functional enzyme activity in blood-derived macrophages. J Bone Miner Res 14:730-739. Speiser PW, New MI and White PC (1988) Molecular genetic analysis of nonclassic steroid 21-hydroxylase deficiency associated with HLA-B14,DR1. N Engl J Med 319:19-23. Stec DE, Roman RJ, Flasch A and Rieder MJ (2007) Functional polymorphism in human CYP4F2 decreases 20-HETE production. Physiol Genomics 30:74-81. Stikkelbroeck NM, Hoefsloot LH, de Wijs IJ, Otten BJ, Hermus AR and Sistermans EA (2003) CYP21 gene mutation analysis in 198 patients with 21-hydroxylase deficiency in The Netherlands: six novel mutations and a specific cluster of four mutations. J Clin Endocrinol Metab 88:3852-3859. Stoilov I, Akarsu AN, Alozie I, Child A, Barsoum-Homsy M, Turacli ME, Or M, Lewis RA, Ozdemir N, Brice G, Aktan SG, Chevrette L, Coca-Prados M and Sarfarazi M (1998) Sequence analysis and homology modeling suggest that primary congenital glaucoma on 2p21 results from mutations disrupting either the hinge region or the conserved core structures of cytochrome P4501B1. Am J Hum Genet 62:573-584. Suzuki Y, Nagashima T, Nomura Y, Onigata K, Nagashima K and Morikawa A (1998) A new compound heterozygous mutation (W17X, 436 + 5G --> T) in the cytochrome P450c17 gene causes 17 alpha-hydroxylase/17,20-lyase deficiency. J Clin Endocrinol Metab 83:199-202. Taniyama M, Tanabe M, Saito H, Ban Y, Nawata H and Yanase T (2005) Subtle 17alpha-hydroxylase/17,20-lyase deficiency with homozygous Y201N mutation in an infertile woman. J Clin Endocrinol Metab 90:2508-2511. Tsuchiya K, Gatanaga H, Tachikawa N, Teruya K, Kikuchi Y, Yoshino M, Kuwahara T, Shirasaka T, Kimura S and Oka S (2004) Homozygous CYP2B6 *6 (Q172H and K262R) correlates with high plasma efavirenz concentrations in HIV-1 patients treated with standard efavirenz-containing regimens. Biochem Biophys Res Commun 319:1322-1326. Tusie-Luna MT, Speiser PW, Dumic M, New MI and White PC (1991) A mutation (Pro-30 to Leu) in CYP21 represents a potential nonclassic steroid 21-hydroxylase deficiency allele. Mol Endocrinol 5:685-692. Tusie-Luna MT, Traktman P and White PC (1990) Determination of functional effects of mutations in the steroid 21-hydroxylase gene (CYP21) using recombinant vaccinia virus. J Biol Chem 265:20916-20922. Usui T, Nishisho K, Kaji M, Ikuno N, Yorifuji T, Yasuda T, Kuzuya H and Shimatsu A (2004) Three novel mutations in Japanese patients with 21-hydroxylase deficiency. Horm Res 61:126-132. 27 Van Den Akker EL, Koper JW, Boehmer AL, Themmen AP, Verhoef-Post M, Timmerman MA, Otten BJ, Drop SL and De Jong FH (2002) Differential inhibition of 17alpha-hydroxylase and 17,20-lyase activities by three novel missense CYP17 mutations identified in patients with P450c17 deficiency. J Clin Endocrinol Metab 87:5714-5721. Vincent A, Billingsley G, Priston M, Williams-Lyn D, Sutherland J, Glaser T, Oliver E, Walter MA, Heathcote G, Levin A and Heon E (2001) Phenotypic heterogeneity of CYP1B1: mutations in a patient with Peters' anomaly. J Med Genet 38:324-326. Vincent AL, Billingsley G, Buys Y, Levin AV, Priston M, Trope G, Williams-Lyn D and Heon E (2002) Digenic inheritance of early-onset glaucoma: CYP1B1, a potential modifier gene. Am J Hum Genet 70:448-460. Wang J, Sonnerborg A, Rane A, Josephson F, Lundgren S, Stahle L and Ingelman-Sundberg M (2006) Identification of a novel specific CYP2B6 allele in Africans causing impaired metabolism of the HIV drug efavirenz. Pharmacogenet Genomics 16:191-198. Wang JT, Lin CJ, Burridge SM, Fu GK, Labuda M, Portale AA and Miller WL (1998) Genetics of vitamin D 1alpha-hydroxylase deficiency in 17 families. Am J Hum Genet 63:1694-1702. Wang SL, Lai MD and Huang JD (1999) G169R mutation diminishes the metabolic activity of CYP2D6 in Chinese. Drug Metab Dispos 27:385-388. Wang X, Zhang MY, Miller WL and Portale AA (2002) Novel gene mutations in patients with 1alpha-hydroxylase deficiency that confer partial enzyme activity in vitro. J Clin Endocrinol Metab 87:2424-2430. Wedell A and Luthman H (1993) Steroid 21-hydroxylase deficiency: two additional mutations in salt-wasting disease and rapid screening of disease-causing mutations. Hum Mol Genet 2:499-504. Wennerholm A, Dandara C, Sayi J, Svensson JO, Abdi YA, Ingelman-Sundberg M, Bertilsson L, Hasler J and Gustafsson LL (2002) The African-specific CYP2D617 allele encodes an enzyme with changed substrate specificity. Clin Pharmacol Ther 71:77-88. White PC, Dupont J, New MI, Leiberman E, Hochberg Z and Rosler A (1991) A mutation in CYP11B1 (Arg-448----His) associated with steroid 11 beta-hydroxylase deficiency in Jews of Moroccan origin. J Clin Invest 87:1664-1667. White PC, Tusie-Luna MT, New MI and Speiser PW (1994) Mutations in steroid 21-hydroxylase (CYP21). Hum Mutat 3:373-378. Williams TA, Mulatero P, Bosio M, Lewicka S, Palermo M, Veglio F and Armanini D (2004) A particular phenotype in a girl with aldosterone synthase deficiency. J Clin Endocrinol Metab 89:3168-3172. Wu DA and Chung BC (1991) Mutations of P450c21 (steroid 21-hydroxylase) at Cys428, Val281, and Ser268 result in complete, partial, or no loss of enzymatic activity, respectively. J Clin Invest 88:519-523. 28 Yanase T, Waterman MR, Zachmann M, Winter JS, Simpson ER and Kagimoto M (1992) Molecular basis of apparent isolated 17,20-lyase deficiency: compound heterozygous mutations in the C-terminal region (Arg(496)----Cys, Gln(461)----Stop) actually cause combined 17 alpha-hydroxylase/17,20-lyase deficiency. Biochim Biophys Acta 1139:275-279. Yang J, Cui B, Sun S, Shi T, Zheng S, Bi Y, Liu J, Zhao Y, Chen J, Ning G and Li X (2006) Phenotype-genotype correlation in eight Chinese 17alpha-hydroxylase/17,20 lyase-deficiency patients with five novel mutations of CYP17A1 gene. J Clin Endocrinol Metab 91:3619-3625. Yokota H, Tamura S, Furuya H, Kimura S, Watanabe M, Kanazawa I, Kondo I and Gonzalez FJ (1993) Evidence for a new variant CYP2D6 allele CYP2D6J in a Japanese population associated with lower in vivo rates of sparteine metabolism. Pharmacogenetics 3:256-263. Yoshida R, Nakajima M, Watanabe Y, Kwon JT and Yokoi T (2002) Genetic polymorphisms in human CYP2A6 gene causing impaired nicotine metabolism. Br J Clin Pharmacol 54:511-517. Zeng X, Witchel SF, Dobrowolski SF, Moulder PV, Jarvik JW and Telmer CA (2004) Detection and assignment of CYP21 mutations using peptide mass signature genotyping. Mol Genet Metab 82:38-47. Zhou H, Josephy PD, Kim D and Guengerich FP (2004) Functional characterization of four allelic variants of human cytochrome P450 1A2. Arch Biochem Biophys 422:23-30. 29