Caffeine Metabolism15q24.1

rs762551 - Fast or Slow Caffeine Metabolizer?

Gene: CYP1A2

rs762551 determines how quickly your liver breaks down caffeine. CYP1A2 is the primary enzyme responsible for caffeine metabolism, and this variant significantly affects the enzyme's activity level.

Genotype Interpretations

AA~46% (global)

Fast caffeine metabolizer - coffee is cleared quickly. May benefit from coffee's cardioprotective effects

AC~44% (global)

Intermediate metabolizer - moderate caffeine clearance. Limit afternoon coffee for better sleep

CC~10% (global)

Slow metabolizer - caffeine lingers 2-3x longer. 2+ cups/day associated with increased heart attack risk

Population Context

The fast-metabolizer A allele is common globally. CYP1A2 activity is also influenced by smoking (induces the enzyme), cruciferous vegetables (induces), and oral contraceptives (inhibits).

Clinical Relevance

Slow metabolizers should limit coffee to 1-2 cups before noon. Fast metabolizers may drink 3-4 cups safely. Also affects theophylline (asthma drug) and melatonin metabolism.

Sources

  • [1] Cornelis MC et al. (2006) JAMA 295:1135-41
  • [2] Sachse C et al. (1999) Br J Clin Pharmacol 47:445-9

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