Cyclophosphamide (CPA) and ifosfamide (IFA) are oxazaphosphorine anticancer prodrugs metabolized by two alternative cytochrome P450 (P450) pathways, drug activation by 4-hydroxylation and drug inactivation by N-dechloroethylation, which generates the neurotoxic and nephrotoxic byproduct chloroacetaldehyde. CPA and IFA metabolism catalyzed by P450s 2B1, 2B4, 2B5, and seven site-specific 2B1 mutants was studied in a reconstituted Escherichia coli expression system to identify residues that contribute to the unique activities and substrate specificities of these enzymes. The catalytic efficiency of CPA 4-hydroxylation by rat P450 2B1 was 10-to 35-fold higher than that of rabbit P450 2B4 or 2B5. With IFA, ϳ50% of metabolism proceeded via N-dechloroethylation for 2B1 and 2B4, whereas CPA N-dechloroethylation corresponded to only ϳ3% of total metabolism (2B1) or was absent (2B4, 2B5). Improved catalytic efficiency of CPA and IFA 4-hydroxylation was obtained upon substitution of 2B1 Ile-114 by Val, and replacement of Val-363 by Leu or Ile selectively suppressed CPA N-dechloroethylation Ն90%. P450 2B1-V367A, containing the Ala replacement found in 2B5, exhibited only ϳ10% of wild-type 2B1 activity for both substrates. Canine P450 2B11, which has Val-114, Leu-363, and Val-367, was therefore predicted to be a regioselective CPA 4-hydroxylase with high catalytic efficiency. Indeed, P450 2B11 was 7-to 8-fold more active as a CPA and IFA 4-hydroxylase than 2B1, exhibited a highly desirable low K m (80 -160 M), and catalyzed no CPA N-dechloroethylation. These findings provide insight into the role of specific P450 2B residues in oxazaphosphorine metabolism and pave the way for gene therapeutic applications using P450 enzymes with improved catalytic activity toward these anticancer prodrug substrates.The oxazaphosphorine cyclophosphamide (CPA) and its structural isomer ifosfamide (IFA) are DNA-alkylating agents commonly used in cancer chemotherapy (Sladek, 1994). These anticancer agents are administered as prodrugs that are activated by a liver cytochrome P450-catalyzed 4-hydroxylation reaction that yields active, cytotoxic metabolites. Several liver-expressed P450 enzymes catalyze this activation reaction; the phenobarbital-inducible rat P450 enzyme 2B1 (Clarke and Waxman, 1989) and its human counterpart 2B6 (Chang et al., 1993;Huang et al., 2000) show particularly high CPA 4-hydroxylase activity compared with other P450 forms. The primary metabolite, 4-OH-CPA or 4-OH-IFA, equilibrates with the ring-open aldophosphamide and undergoes -elimination to yield the therapeutically active, DNA cross-linking phosphoramide mustard and the byproduct acrolein (4-hydroxylation pathway). CPA and IFA are also subject to an alternative, P450-catalyzed side chain oxidation that generates therapeutically inactive N-dechloroethylated metabolites and the neurotoxic and nephrotoxic byproduct chloroacetaldehyde (CAA; N-dechloroethylation pathway) (Furlanut and Franceschi, 2003).In patients with cancer, CPA and IFA are primarily activated...