Gene DPYD

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Also known as

DPD, DHPDHASE, dihydropyrimidine dehydrogenase

Overview

DPYD (Dihydropyrimidine Dehydrogenase) encodes the rate-limiting enzyme in pyrimidine catabolism, responsible for degrading uracil and thymine. More importantly for clinical medicine, DPYD is the primary enzyme responsible for inactivating the chemotherapy drug 5-fluorouracil (5-FU) and its prodrugs capecitabine and tegafur.

DPYD deficiency is a serious pharmacogenetic consideration. Individuals with reduced DPYD activity who receive standard doses of fluoropyrimidine chemotherapy can experience severe, potentially fatal toxicity including myelosuppression, mucositis, and neurotoxicity. Approximately 3-5% of the population carries variants that reduce DPYD function.

Pre-treatment DPYD genetic testing is increasingly recommended before fluoropyrimidine chemotherapy. Understanding your DPYD status can be life-saving if cancer treatment is ever needed, allowing for appropriate dose adjustments or alternative treatment selection to prevent serious adverse events.

NutraHacker Raw DNA Analysis Products that include this gene

Upload raw DNA data to get your very own analysis of gene DPYD through your personalized DNA reports.