Gene DPYD
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Also known as
DPD, DHPDHASE, dihydropyrimidine dehydrogenaseOverview
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.