Cytochrome P450 Enzymes: Meet the Superfamily

ribbon graphic of cytochrome p450 enzyme CYP3A4

Metabolism is described as the series of chemical reactions required to sustain life; when it comes to drug metabolism, no one does it better than the cytochrome P450 (CYP450) family of enzymes. Understanding of key enzymes within this superfamily – such as CYP2D6, CYP2C9 and CYP3A4 – is an important part of drug design. Were you expecting The Incredibles? Sorry, not that superfamily, but still super nonetheless!

Metabolism in Drug Design

In drug discovery, understanding the metabolism pathways of a drug candidate greatly increases its chances of making it through development. It allows us to predict how a drug might behave once it is inside a patient’s body, as well as make modifications to its existing structure.

To put it simply, if we suspect that a certain functional group will make it unstable, we can replace it with another to increase its overall half-life and vice versa if it is too stable.

reaction product metabolism of functional groups by cyp450
Table of reactions that are carried out by the body on certain functional groups, along with examples of drugs that contain them.

The liver plays a key role in the metabolism and clearance of drugs. Passive diffusion, as well as various carrier proteins, are responsible for moving the drug compounds from the bloodstream into hepatic cells, which can then work their magic. Generally, the role of the liver is to make the compounds more hydrophilic (or water-soluble) such that it can be dissolved and excreted as urine (which is mostly water).

Cytochrome P450 (CYP450)

Discovered in 1958, the cytochrome P450 (CYP450) family of enzymes exhibit a unique and intense absorption band at 450nm, hence their creative name. Drug metabolism is commonly broken down into phase I and phase II. They are first oxidized (fitted with an OH group) and then conjugated (existing OH group replaced with a big functional group).

The CYP450 family carries out phase I oxygen atom insertions by targeting a drug’s H atoms or electrons, oxidizing the compound and making it more hydrophilic. CYP450s are important in drug metabolism because enzymes in this family are usually not too picky with their substrates. This means they can metabolize exogenous (foreign) compounds, including many drugs!

pathways cytochrome P450 cyp450 metabolism activated oxygen
The almost infinite pathways of CYP450 oxidation by its ‘activated’ oxygen center2

The wonderful non-specificity of CYP450 enzymes stems from its haem center, namely the highly electron deficient, highly valent FeO3+ complex – iron in the +4 or +5 oxidation state! The high valence of the iron center ‘activates’ oxygen, such that it is a competent oxidant in alkene epoxidation and alkane hydroxylation via a 1-electron (radical) oxidation3.

This means it essentially rips hydrogens from carbons and forces an oxygen atom in between them, which is no mean feat. The three major forms of CYP450 identified to be the most active in drug metabolism in humans are CYP2D6, CYP2C9 and CYP3A4.


The CYP2D6 enzyme bears an aspartic acid (COO) residue that allows it to bind to compounds containing basic nitrogen atoms, such as propafenone – a drug used to control irregular heartbeat (arrhythmia).

The strength of the aspartic acid-nitrogen bond means that CYP2D6 can bind with a high affinity to certain compounds. Hence, it is extremely important in drug metabolism despite its relatively low concentrations in the liver.

propafenone drug CYP2D6 cytochrome P450 CYP450 metabolized
Structure of propafenone, metabolized almost exclusively by CYP2D6. It oxidizes at the electron-rich aromatic ring – can you guess which one and at which position?

Once bound, CYP2D6 performs oxidation on areas of high electron density, such as electron-rich aromatic rings (especially at the para position) and terminal R-O-R’ substituents. Both metoprolol and betaxolol are beta-blockers, but metoprolol has a much shorter half-life compared to betaxolol and has to be dosed multiple times a day.

betaxolol metoprolol drugs CYP2D6 cytochrome P450 CYP450 metabolized
By adding a cyclopropyl ring to metoprolol’s electron-rich terminal methyl group, it becomes less likely to have its hydrogen abstracted by CYP2D6. Hence betaxolol has a much longer half-life than metoprolol.


Substrates of CYP2C9 are unique in that they have hydrogen bond donating groups a set distance away from the site of oxidation, allowing them to oxidize a wide range of compounds.

Tolbutamide (a drug candidate) was found to be metabolized too quickly by CYP2C9 at the para-methyl group on the aromatic ring. By replacing the methyl group with a chlorine atom (chlorpromamide), the molecule became more resistant to attack from this location. The chlorine atom makes the entire compound more resistant to oxidation, resulting in chlorpromamide having a much longer half-life.

tolbutamide chlorpromamide CYP2C9 cytochrome P450 CYP450 metabolized
Both tolbutamide and chlorpropamide are used to treat diabetes but display very different kinetics. Note the hydrogen bond donor (N-H) present in both.

Replacing electron-rich hydrogen groups with halogens is a common technique medicinal chemists use in order to prolong the duration of action of drugs. The stronger C-X bond compared with C-H makes it harder to break, combined with steric effects of having a large, bulky halogen group instead of a tiny proton!


The jack of all trades, CYP3A4 is able to metabolize probably the largest range of drugs in the CYP450 superfamily. Its enzyme-substrate bonding forces are relatively weak, meaning the active site can adapt to different orientations depending on the substrate.

Rather, substrates are targeted based on their lipophilicity, as they are thought to be able to drive water out of the active site of CYP3A4. This expulsion of water provides the driving force needed to ‘activate’ the iron-oxygen center and allows oxidation to take place.

In particular, CYP3A4 favors N-demethylation and carbon oxidation at allylic/benzylic positions as hydrogen atoms in those locations tend to be more reactive. As with other chemical reactions, the statistical probability has to be taken into account (i.e. multiple sites of oxidation) – as seen in terfenadine, an antihistamine.

terfenadine CYP3A4 cytochrome P450 CYP450 enzyme metabolized
Terfenadine with tert-butyl group shown. Although the methyl groups are not particularly reactive, statistically three times the number of terminal groups mean that it is the major site of oxygen insertion by CYP3A4.

Trying to circumvent drug metabolism by CYP3A4 poses a big challenge in drug design due to its affinity for many substrates as well as tolerance to changes in the substrate structure, courtesy of its binding mechanism. However, the two strategies that are first considered are:

  1. Removal or replacement of the culprit group(s) that are the major site of oxidation
  2. Reduction of lipophilicity of the entire compound (by oxygen insertion, reduction of carbon chain length, etc.)

Other Considerations

There are, of course, many other enzymes involved in drug substrate metabolism. CYP450 activity is just one of the factors (albeit an important factor) that has to be understood when designing a new ‘hit’ compound. It allows us to model and predict pharmacokinetic profiles like ADME before drug development, saving both time and money. It also enables modification of an existing drug to improve its properties, such as increasing/decreasing its rate of clearance or designing a prodrug for more efficient membrane transfer.


  1. Smith, D. A., & Van de Waterbeemd, H. (2012). Pharmacokinetics and metabolism in drug design. John Wiley & Sons.
  2. Gupta, G. K., & Kumar, V. (2016). Chemical Drug Design. Walter de Gruyter GmbH & Co KG.
  3. Hohenberger, J., Ray, K., & Meyer, K. (2012). The biology and chemistry of high-valent iron-oxo and iron-nitrido complexes. Nature communications3, 720.
  4. Danielson, P. B. (2002). The cytochrome P450 superfamily: biochemistry, evolution and drug metabolism in humans. Current drug metabolism3(6), 561-597.
  5. Hernandes, M. Z., Cavalcanti, S. M. T., Moreira, D. R. M., de Azevedo, J., Filgueira, W., & Leite, A. C. L. (2010). Halogen atoms in the modern medicinal chemistry: hints for the drug design. Current drug targets11(3), 303-314.

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2 Responses

  1. Sean says:

    It really is a super protein! You are right of course, in stating that the overall charge should formally change with the oxidation state of iron. The emphasis was on the 3+ overall charge as it is the activated form i.e. Fe(V), but of course the deactivated form Fe(IV) would have a 2+ overall charge. I was just highlighting the point that the iron was of higher valence than what we are normally used to (+2 +3).

    Another thing to note is with high valent iron complexes, the transitions are not very clear since they must be stabilized (usually by huge macrocyclic ligands). Fe-O and Fe=O bond character in P450s isn’t a discrete differentiation, as bond distance is affected by solvent effects and supporting ligands. This in turn would affect the ‘formal charge’ of Fe(4.5 maybe?), as Fe(V) would be an extremely reactive intermediate – though it has been observed!

    Sorry for rambling on, and thank you so much for taking the time to read and comment!


  2. omg yes my favorite types of proteins
    though i may ask why you state the fe-o to have an overall charge of +3 in the +4 and +5 oxidation state? i may just be thinking too much about another class of cytochromes, but from what i recall when fe is in the +4 oxidation state it has an overall charge of +2 (as noted i think in one of the proposed reaction chains for fenton chemistry) but would have an overall +3 charge in the +5 oxidation state

    other than that, i really enjoyed this article and am so glad to finally find a good resource explaining p450! thank you so much for this article! <3 -wendi

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