The CYP2D6 protein is a polymorphic isoenzyme involved in the biotransformation of several drugs including the probe drug dextromethorphan. The rise in the protein concentration, immunochemically determined with a specific antibody, was shown to occur within the first week following birth, whatever the gestational age at birth.In fetuses, the concentration of hepatic CYP2D6 protein was very low or undetectable in 70% of samples tested. In the remaining 30%, its concentration was comparable to that of newborns aged 1 -7 days. This early rise was associated with spontaneous abortion in 70% of positive samples, whereas in fetuses with an intermediate CYP2D6 protein concentration, 80% were from induced abortions.The rise in CYP2D6 protein was associated with the developmental onset of dextromethorphan O-demethylation, but not N-demethylation, even if activity was lower in fetal than in neonatal and in adult liver microsomes.Lastly, the CYP2D6 RNA is detectable earlier than the protein and exhibits a peak of hepatic accumulation in newborns, before declining in adulthood. A positive correlation between RNA accumulation and protein concentration can be demonstrated only in the adult. This suggests that regulation is primarily at the transcriptional level, but cannot rule out the participation of post-transcriptional events in the regulation process throughout ontogenesis.Monooxygenase activities involved in the biotransformation of endogenous and exogenous hydrophobic molecules are mainly supported by cytochrome P-450 isoenzymes. To date, more than 30 isoenzymes of cytochrome P-450 have been identified, purified and/or cloned from the human liver (for review see [l]). These P-450s exhibit different profiles for their developmental evolution. In fetal liver, only one P-450 has been repeatedly detected: a CYP3A protein is present at a level roughly similar to that of the adult liver when determined by Western blotting [2] and is able to catalyze enzymatic activities like benzphetamine demethylation, aldrin epoxidation and dehydroepiandrosterone 16P-hydroxylation as the adult isoenzyme does. CYP2C8, one of the major P-450 isozymes immunologically detected in adult liver, is totally absent from fetal liver. The absence of this P-450 is responsible for the very low or negligible activity towards various substrates including mephenytoin, benzopyrene, p-nitroanisole [2, 31. To date, little or no data are available for other P-450 isoenzymes.We have focused our attention on CYP2D6, a gene coding for a polymorphic isoenzyme involved in the biotransformation of many drugs like P-blockers, tricyclic antidepressants, antitussives drugs, etc. In the adult Caucasian population, approximately 7% of individuals (poor vs extensive metabolizers) are defective in the active enzyme able to carry Enzymes. P-450, cytochrome P-450 (EC 1.14.14.1); isocitrate dehydrogenase (EC 1 .I .I .42). out the reaction [4]. This deficiency leads to an altered profile of urinary metabolites and consequently the ratio metabolite/ parent drug is markedly lo...