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CYP1A2

CYP1A2

Search complete. 50 mentions across 17 episodes found for "CYP1A2".

Sep 18, 2026

Lisa TamatiHOST
49:26
And that's the one that changed my life the most.
Lisa TamatiHOST
49:28
So phase one and phase two liver detox, the CYP450 enzymes, CYP1A1, 1A2, 2E1, CYP3A4 and the rest.
Lisa TamatiHOST
49:39
The GST family that I mentioned, GSTM1 and the P1 and then there's NAT2 and PON1 and the vitamin D pathway genes.
Lisa TamatiHOST
49:47
CYP2R1 and the VDR receptors, lots of gobbledygook.
Megan MaroneyHOST
19:20
Yeah.
Megan MaroneyHOST
19:21
So it doesn't, I mean, it does have, it's a CYP1A2 inhibitor.
Megan MaroneyHOST
19:27
I'm like double checking.
Megan MaroneyHOST
19:29
Yes.
Max GriessingerHOST
21:03
So first of all, there are various genes that are somehow related to it.
Max GriessingerHOST
21:07
When it comes to pure caffeine metabolism, so the breakdown of caffeine, we have a gene that codes for that, and that's CYP1A2.
Max GriessingerHOST
21:18
And that, yeah, there are different versions of it.
Max GriessingerHOST
21:21
You can either be AA, I won't go deeper into that, or you can be CC or AC.
Max GriessingerHOST
21:56
And then you have the slow metabolizers who are at about 10 to 15%.
Max GriessingerHOST
22:01
So not actually that many, but of course, those are people who have to be extremely careful because they really shouldn't drink coffee after, I don't know, 11, 12 o'clock under any circumstances because they'll simply really still notice a difference in their sleep architecture.
Max GriessingerHOST
22:17
But now it's not just CYP1A2.
Max GriessingerHOST
22:20
I, in this case, am actually a fast metabolizer, which I never would have thought because I'm actually very sensitive to caffeine.
speaker_1HOST
13:57
The drug is extensively metabolized by the liver, relying heavily on three specific pathways.
speaker_0HOST
14:02
Which are CYP3A4, CYP2D6, and CYP1A2.
speaker_1HOST
14:07
Right.
speaker_1HOST
14:08
When we look at a patient's medication list, we have to guard against two distinct types of threats.
Norma FloodHOST
7:57
Genetics also play a role.
Norma FloodHOST
7:59
The primary gene responsible for breaking down caffeine is CYP1A2.
Norma FloodHOST
8:05
Roughly 50% of people carry a variant of this gene that slows the process of breaking down caffeine, allowing this caffeine to build up more in the body.
Norma FloodHOST
8:17
And 10 to 15% carry an even more severe variant of this gene.
Kyla ChannellHOST
21:39
Interesting.
Kyla ChannellHOST
21:40
So knowing like what your liver enzyme, um, genetic markers are is can be helpful like at the high level for sure um if you've ever done 23andme you can look it up um oftentimes like if you you can look up your snip they call it a single nucleotide polymorphism like code for the CYP1A2 gene for our listeners oh okay cool but huh yeah yeah yeah
Savilia BlunkGUEST
22:06
I do I take caffeine for the the XCO um and that I mean like yeah that
Kyla ChannellHOST
22:14
works for me for sure.
speaker_1HOST
4:05
Yeah.
speaker_2HOST
4:05
Caffeine is extensively metabolized in the liver, primarily by an enzyme called CYP1A2.
speaker_1HOST
4:11
Okay, CYP1A2.
speaker_2HOST
4:13
Right.
speaker_2HOST
4:14
And as this enzyme breaks down the caffeine, it creates three entirely new active metabolites.
speaker_2HOST
5:06
It clears it out at a steady percentage rate, usually a half-life of about three to five hours.
speaker_1HOST
5:11
Right.
speaker_2HOST
5:11
But if you flood the system with high doses, the CYP1A2 enzymes in your liver become completely saturated.
Stephen CherniskeGUEST
8:59
And so some of us, myself included, are rapid metabolizers.
Autumn SmithHOST
9:04
He's talking about the CYP1A2 gene, a landmark study in JAMA found that people with slow variants of this gene who consumed two to three cups of coffee daily had a 36% increased risk of heart attack, while fast metabolizers had a decreased risk.
Stephen CherniskeGUEST
9:19
Whereas a slow metabolizer, and again, it's about 50-50.
Stephen CherniskeGUEST
9:24
So you have half of the population who's slow metabolizers, which means they're going to accumulate caffeine during the day, which means it's going to have an adverse effect on them.
David PerlmutterGUEST
81:07
I know it's going to affect my sleep.
David PerlmutterGUEST
81:09
But I think you mentioned a very interesting point that people have different abilities to handle The breakdown of caffeine, there's what's called the CYP1A2 gene, and variations of that gene can determine whether you can or cannot metabolize that caffeine appropriately.
David PerlmutterGUEST
81:28
As such... caffeine may affect you more than the next person.
David PerlmutterGUEST
81:32
So it's good to know that.
speaker_5HOST
13:02
No, it is the polycyclic aromatic hydrocarbons present in the tobacco smoke.
speaker_5HOST
13:06
When those hydrocarbons enter the body, they bind to aryl hydrocarbon receptors, and that aggressively upregulates the transcription of the CYP1A2 liver enzyme.
speaker_4HOST
13:16
Wow.
speaker_4HOST
13:16
So his liver is suddenly hypermetabolizing any drug that is a CYP1A2 substrate.
speaker_5HOST
13:22
Precisely.
speaker_5HOST
13:22
If JB happens to be on theophylline for his lungs or olanzapine for a psychiatric condition, that CYP1A2 induction means his drug serum levels are just plummeting.
speaker_4HOST
13:31
So a standard dose will be completely sub-therapeutic.
speaker_5HOST
13:35
Exactly.

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