Of the 57 reported CYP2C9 alleles, to date, 36 of them have been identified in the Chinese population. The aim of this study was to assess the catalytic characteristics of these allelic isoforms and their effects on the metabolism of glimepiride in vitro. Baculovirus-mediated expressing system was used to highly express wild-type and the 35 CYP2C9 allelic variants in insect cell microsomes. Then, the enzymatic characteristics of each variant were evaluated using glimepiride as the substrate. Reactions were performed at 37°C with the insect microsomes and 0.125-10 lM glimepiride for 40 min. After termination, the products were extracted and used for signal collection by LC-MS/MS. Of the 36 tested CYP2C9 allelic isoforms, only four variants (CYP2C9.40, CYP2C9.47, CYP2C9.51 and CYP2C9.54) exhibited similar relative clearance values to that of wild-type CYP2C9.1. In addition, one variant (CYP2C9.36) showed a higher intrinsic clearance value than the wild-type protein, while the remaining 30 CYP2C9 allelic isoforms exhibited significantly decreased clearance values (from 0.1% to 87.2%) compared to CYP2C9.1. This study provided the most comprehensive data on the enzymatic activities of all reported CYP2C9 variants in the Chinese population with regard to the commonly used antidiabetic drug, glimepiride. Our results indicate that most of the tested rare alleles significantly decrease the catalytic activity of CYP2C9 variants towards glimepiride hydroxylation in vitro.As one of the second-generation sulphonylurea-type antidiabetic drugs, glimepiride has been widely used for the treatment of patients with type II diabetes mellitus and is currently available in more than 60 countries worldwide [1,2]. Compared with other sulphonylureas drugs, glimepiride achieves metabolic control with the lowest dose (1-8 mg/day) and can be administered once daily at any time of day, while still providing acceptable glycaemic control as long as 24 hr. In addition, there appears to be a lower risk of hypoglycaemia during physical exercise with glimepiride, as it maintains a more physiological regulation of insulin secretion than glibenclamide. Based on these special characteristics, glimepiride has been regarded as a particularly important second-generation sulphonylurea drug in clinics [2,3].Previous in vitro and in vivo studies have revealed that glimepiride is primarily metabolized by the cytochrome P450 enzyme 2C9 (CYP2C9) in human beings, which can convert glimepiride into the main active metabolite M1 (cyclohexyl hydroxymethyl glimepiride). CYP2C9 constitutes approximately 20% of total human liver microsome CYP proteins and metabolizes approximately 15-20% of therapeutically important drugs [4,5]