ABSTRACT:Human carboxylesterase 2 (hCE-2) is a member of the serine esterase superfamily and is responsible for hydrolysis of a wide variety of xenobiotic and endogenous esters. hCE-2 also activates an anticancer drug, irinotecan (7-ethyl-10-[4-(1-piperidino)-1-piperidino]-carbonyloxycamptothecin, CPT-11), into its active metabolite, 7-ethyl-10-hydroxycamptothecin (SN-38). In this study, a comprehensive haplotype analysis of the CES2 gene, which encodes hCE-2, in a Japanese population was conducted. Human carboxylesterases are members of the serine esterase superfamily and are responsible for hydrolysis of a wide variety of xenobiotic and endogenous esters. They metabolize esters, thioesters, carbamates, and amides to yield soluble acids and alcohols or amines (Satoh and Hosokawa, 1998;Satoh et al., 2002). In the human liver, two major isoforms of carboxylesterase, hCE-1 and hCE-2, have been identified (Shibata et al., 1993;Schwer et al., 1997). hCE-2 is a 60-kDa monomeric enzyme with a pI value of approximately 4.9 and shares 48% amino acid sequence identity with hCE-1 (Pindel et al., 1997;Schwer et al., 1997;Takai et al., 1997). The CES2 gene, which encodes hCE-2, is located on chromosome 16q22.1 and consists of 12 exons. Distribution of hCE-2 is relatively limited to several tissues, such as the small intestine, colon, heart, kidney, and liver, whereas hCE-1 is ubiquitously expressed (Satoh et al., 2002;Xie et al., 2002).Although both hCE-1 and hCE-2 show broad substrate specificities, hCE-2 is relatively specific for heroin, cocaine (benzoyl ester), 6-acetylmorphine, procaine, and oxybutynin (Pindel et al., 1997;Takai et al., 1997;Satoh et al., 2002). In addition, hCE-2 is reported to play a major role in the metabolic activation of the antitumor drug irinotecan (7-ethyl-10-[4-(1-piperidino)-1-piperidino]-carbonyloxycamptothecin; CPT-11). Irinotecan is a water-soluble derivative of the plant alkaloid camptothecin and is widely used for treatment of several types of cancer. Irinotecan is converted to 7-ethyl-10-hydroxy- camptothecin (SN-38), a topoisomerase inhibitor, by carboxylesterases (Humerickhouse et al., 2000) and further conjugated by hepatic uridine diphosphate glucuronosyltransferase to form the inactive metabolite SN-38 glucuronide (SN-38G) (Iyer et al., 1998). To a lesser extent, irinotecan is also converted to 7-ethyl-10-[4-N-(5-aminopentanoic acid)-1-piperidino]carbonyloxycamptothecin and 7-ethyl-10-(4-amino-1-piperidino)carbonyloxycamptothecin by cytochrome P450 3A4 (Dodds et al., 1998;Santos et al., 2000). Irinotecan and its metabolites are excreted by the efflux transporters, ABCB1 (P-glycoprotein), ABCC2 (canalicular multispecific organic anion transporter), and ABCG2 (breast cancer resistance protein), via a hepatobiliary pathway (Mathijssen et al., 2001). Although irinotecan metabolism is rather complex, hCE-2 is a key enzyme that determines the plasma levels of the active metabolite SN-38. Hepatic hCE-2 activity toward irinotecan varies 3-fold in microsomes obtained from a panel of human ...