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Cytochrome P450 3A4 also oxidizes small organic molecules. However, it has much broader substrate specificity (termed promiscuity). It is responsible for  the metabolism of 50% of currently used drugs. The addition of oxygen either neutralizes the ligand, or increases plasma solubility, facilitating clearing.


1. Here the enzyme is shown in its entirety. It is drawn in the same way as on the previous page with alpha helices in pink, beta sheets in yellow, and regions without secondary structure in white. The Heme is drawn in wireframe. Shown in blue are amino acid differences between chimpanzees and humans. The amino acid substitutions may have been triggered by an increased load of dietary anabolic steroids, leading to a novel defense mechanism against cholestasis.
 
2. Drawn in the same way as 1. Human 3A4 is now bound to Erythromycin, an antibiotic. in the absence of CYP3A4 Erythromycin has a half life of 6 hours compared to 2 hours in a healthy individual, significantly changing the pharmicokinetics. 
  3. Now the protein is drawn in CPK to better display the channel leading to the heme, in this structure occupied by Erythromycin. The channel is larger than in other Cytochrome P450 and allows for higher substrate specificity. The residues are colored the same and the drawing of the Heme and ligand are unchanged. 


1.  Yano JK, Wester MR, Schoch GA, Griffin KJ, Stout CD, Johnson EF. The structure of human microsomal cytochrome P450 3A4 determined by X-ray crystallography to 2.05-A resolution.
J Biol Chem. 2004 Sep 10;279(37):38091-4. Epub 2004 Jul 16. (PubMed)

    1TQN (PDB) Homo sapiens

2, 3. Ekroos M, Sjögren T. Structural basis for ligand promiscuity in cytochrome P450 3A4.
  Proc Natl Acad Sci U S A. 2006 Sep 12;103(37):13682-7. Epub 2006 Sep 5. (PubMed)

    2J0D (PDB) Homo sapiens

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