Caffeine Metabolism mediated by CYP1A2 describes the physiological process by which the body breaks down and eliminates caffeine, primarily catalyzed by the Cytochrome P450 1A2 enzyme. Genetic variations, specifically single nucleotide polymorphisms (SNPs) in the CYP1A2 gene, dictate an individual’s metabolic speed, classifying them as fast or slow metabolizers. This rate of clearance significantly impacts caffeine’s physiological effects on the central nervous system and its interaction with hormonal pathways.
Origin
This clinical concept originates from pharmacology and pharmacogenetics, focusing on how genetic variability influences drug and xenobiotic processing. The Cytochrome P450 enzyme system, of which CYP1A2 is a key member, was identified for its crucial role in hepatic detoxification and metabolism. The specific link to caffeine metabolism emerged as clinical studies quantified the half-life of caffeine in individuals with different CYP1A2 genotypes.
Mechanism
The CYP1A2 enzyme, predominantly expressed in the liver, functions to demethylate caffeine into its primary metabolites, paraxanthine, theobromine, and theophylline. Individuals with the fast-metabolizer genotype exhibit higher enzyme activity, leading to rapid clearance and fewer prolonged physiological effects. Conversely, slow metabolizers experience sustained elevated plasma caffeine concentrations, potentially increasing the duration of sympathetic nervous system stimulation and impacting stress hormone regulation.
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