SN-38 (7-ethyl-10-hydroxycamptothecin), an active metabolite of the antitumor
prodrug irinotecan, is conjugated and detoxified to
SN-38 10-O-beta-d-glucuronide by hepatic
UDP-glucuronosyltransferase (UGT) 1A1. Recent studies have revealed that other UGT1A
isoforms, UGT1A7 and UGT1A9, also participate in
SN-38 glucuronidation. Although several genetic polymorphisms are reported for UGT1A1 and UGT1A7 that affect the
SN-38 glucuronidation activities, no such polymorphisms have been identified for UGT1A9. In the present study, UGT1A9 exon 1 and its flanking regions were sequenced from 61 Japanese
cancer patients who were all treated with
irinotecan. A novel nonsynonymous single nucleotide polymorphism was identified in UGT1A9 exon 1, heterozygous 766G>A resulting in the amino acid substitution of D256N. The wild-type and D256N UGT1A9s were transiently expressed at similar
protein levels in COS-1 cells, and their membrane fractions were characterized in vitro for the glucuronidation activities toward
SN-38. The apparent Km values were 19.3 and 44.4 microM, and the Vmax values were 2.94 and 0.24 pmol/min/mg of
membrane protein for the wild-type and D256N variant, respectively. The
SN-38 glucuronidation efficiency (normalized Vmax/Km) of D256N was less than 5% that of wild-type UGT1A9. These results clearly indicate that the D256N variant is essentially nonfunctional with regard to
SN-38 glucuronidation. These findings highlight the importance of further studies into the potential influence of UGT1A9 D256N variant to
irinotecan metabolism in vivo.