To investigate whether interindividual variation in CYP2E1 levels can be ex
plained by genetic polymorphism, we analysed DNA samples from 40 healthy in
dividuals by single-strand conformational polymorphism analysis for polymor
phisms in the CYP2E1 coding sequence and promoter region. DNA sequencing of
samples showing mobility shifts on single-strand conformational polymorphi
sm detected polymorphisms at positions -31.6 (A to G), -297 (T to A), -35 (
G to T), 1107 (G to C; intron 1), 4804 (G to A Val(179)Ile; exon 4) and 101
57 (C to T; exon 8). All individuals positive for either A(-316)G, G(-35)T,
G(4804)A or the previously described RsaI polymorphism at -1019 were also
positive for T(-297)A, which had the highest allele frequency of the observ
ed polymorphisms (0.20). A(-316)G, G(-35)T and G(4804)A were detected at al
lele frequencies of 0.022, 0.052 and 0.013, respectively. The functional si
gnificance of the upstream polymorphisms was examined by preparing construc
ts of positions -549 to +3 of CYP2E1 containing the observed combinations o
f the polymorphisms fused to luciferase reporter genes and transfecting Hep
G2 cells. For the G(-35)T/T(-297)A construct, a 1.8-fold increase in lucife
rase activity compared with the wild-type sequence (P = 0.06) and 2.5-fold
compared with T(-297)A only (P = 0.025) was observed. No significant differ
ence in activity was observed between the other constructs. The significanc
e of the predicted Val(179)Ile base change from G(4804)A was determined by
expression of the wild-type and mutated full length cDNAs in lymphoblastoid
cells. No significant difference in kinetic constants for chlorzoxazone hy
droxylation between mutant and wild-type was observed. In summary, this Stu
dy demonstrated six novel CYP2E1 polymorphisms, including three upstream of
the promoter, but with the possible exception of G,,T, none appeared to be
of functional significance. Pharmacogenetics 8:543-552. (C) 1998 Lippincot
t Williams & Wilkins.