Cytochrome P450 2A6 (CYP2A6) is a polymorphic enzyme responsible for t
he oxidation of certain precarcinogens and drugs and is the major nico
tine C-oxidase, The role of CYP2A6 for nicotine elimination was emphas
ised recently by the finding that smokers carrying defective CYP2A6 al
leles consumed fewer cigarettes [Pianezza et al, (1998) Nature 393, 75
0]. The method used for CYP2A6 genotyping has, however, been found to
give erroneous results with respect to the coumarin hydroxylase phenot
ype, a probe reaction for the CYP2A6 enzyme. The present study describ
es an allele-specific PCR genotyping method that identifies the major
defective CYP2A6 allele and accurately predicts the phenotype, An alle
le frequency of 1-3% was observed in Finnish, Spanish, and Swedish pop
ulations, much lower than described previously. (C) 1998 Federation of
European Biochemical Societies.