Pregnane X receptor activation induces liver enlargement and regeneration and simultaneously promotes the metabolic activity of CYP3A1/2 and CYP2C6/11 in rats
Guofang Bi
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorFengting Liang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorTing Wu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorPeng Wang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorXiaowen Jiang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorShuang Hu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorChenghua Wu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorWenhong Zhou
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorJiayin Guo
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorXiao Yang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorJian-hong Fang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorCorresponding Author
Wenying Chen
Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
Correspondence
Huichang Bi, School of Pharmaceutical Sciences, Southern Medical University, 1023 # Shatai Nan Road, Baiyun District, Guangzhou 510515, China.
Email: [email protected]
Wenying Chen, Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, No.183, Zhongshan Avenue West, Guangzhou 510515, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Huichang Bi
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
The State Key Laboratory of Chemical Oncogenomics, School of Chemical Biology and Biotechnology, Shenzhen Graduate School of Peking University, Shenzhen, China
Correspondence
Huichang Bi, School of Pharmaceutical Sciences, Southern Medical University, 1023 # Shatai Nan Road, Baiyun District, Guangzhou 510515, China.
Email: [email protected]
Wenying Chen, Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, No.183, Zhongshan Avenue West, Guangzhou 510515, China.
Email: [email protected]
Search for more papers by this authorGuofang Bi
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorFengting Liang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorTing Wu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorPeng Wang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorXiaowen Jiang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorShuang Hu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorChenghua Wu
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorWenhong Zhou
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorJiayin Guo
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorXiao Yang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorJian-hong Fang
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
Search for more papers by this authorCorresponding Author
Wenying Chen
Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China
Correspondence
Huichang Bi, School of Pharmaceutical Sciences, Southern Medical University, 1023 # Shatai Nan Road, Baiyun District, Guangzhou 510515, China.
Email: [email protected]
Wenying Chen, Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, No.183, Zhongshan Avenue West, Guangzhou 510515, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Huichang Bi
NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening & Guangdong-Hong Kong-Macao Joint Laboratory for New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China
The State Key Laboratory of Chemical Oncogenomics, School of Chemical Biology and Biotechnology, Shenzhen Graduate School of Peking University, Shenzhen, China
Correspondence
Huichang Bi, School of Pharmaceutical Sciences, Southern Medical University, 1023 # Shatai Nan Road, Baiyun District, Guangzhou 510515, China.
Email: [email protected]
Wenying Chen, Department of Pharmacy, The Third Affiliated Hospital of Southern Medical University, No.183, Zhongshan Avenue West, Guangzhou 510515, China.
Email: [email protected]
Search for more papers by this authorAbstract
Human pregnane X receptor (PXR) is critical for regulating the expression of key drug-metabolizing enzymes such as CYP3A and CYP2C. Our recent study revealed that treatment with rodent-specific PXR agonist pregnenolone-16α-carbonitrile (PCN) significantly induced hepatomegaly and promoted liver regeneration after two-thirds partial hepatectomy (PHx) in mice. However, it remains unclear whether PXR activation induces hepatomegaly and liver regeneration and simultaneously promotes metabolic function of the liver. Here, we investigated the metabolism activity of CYP1A2, CYP3A1/2 and CYP2C6/11 during PXR activation-induced liver enlargement and regeneration in rats after cocktail dosing of CYP probe drugs. For PCN-induced hepatomegaly, a notable increase in the metabolic activity of CYP3A1/2 and CYP2C6/11, as evidenced by the plasma exposure of probe substrates and the AUC ratios of the characteristic metabolites to its corresponding probe substrates. The metabolic activity of CYP1A2, CYP3A1/2 and CYP2C6/11 decreased significantly after PHx. However, PCN treatment obviously enhanced the metabolic activity of CYP2C6/11 and CYP3A1/2 in PHx rats. Furthermore, the protein expression levels of CYP3A1/2 and CYP2C6/11 in liver were up-regulated. Taken together, this study demonstrates that PXR activation not only induces hepatomegaly and liver regeneration in rats, but also promotes the protein expression and metabolic activity of the PXR downstream metabolizing enzymes such as CYP3A1/2 and CYP2C6/11 in the body.
CONFLICT OF INTEREST STATEMENT
All authors disclosed no relevant relationships.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
REFERENCES
- 1Cai X, Young GM, Xie W. The xenobiotic receptors PXR and CAR in liver physiology, an update. Biochim Biophys Acta Mol Basis Dis. 2021; 1867(6):166101. doi:10.1016/j.bbadis.2021.166101
- 2Kodama S, Negishi M. PXR cross-talks with internal and external signals in physiological and pathophysiological responses. Drug Metab Rev. 2013; 45(3): 300-310. doi:10.3109/03602532.2013.795585
- 3Vyhlidal CA, Rogan PK, Leeder JS. Development and refinement of pregnane X receptor (PXR) DNA binding site model using information theory: insights into PXR-mediated gene regulation. J Biol Chem. 2004; 279(45): 46779-46786. doi:10.1074/jbc.M408395200
- 4Saravanakumar A, Sadighi A, Ryu R, Akhlaghi F. Physicochemical properties, biotransformation, and transport pathways of established and newly approved medications: a systematic review of the top 200 most prescribed drugs vs. the FDA-approved drugs between 2005 and 2016. Clin Pharmacokinet. 2019; 58(10): 1281-1294.
- 5Xu C, Li CY, Kong AN. Induction of phase I, II and III drug metabolism/transport by xenobiotics. Arch Pharm Res. 2005; 28(3): 249-268. doi:10.1007/BF02977789
- 6Devarbhavi H, Asrani SK, Arab JP, Nartey YA, Pose E, Kamath PS. Global burden of liver disease: 2023 update. J Hepatol. 2023; 79: 516-537. doi:10.1016/j.jhep.2023.03.017
- 7Michalopoulos GK, Bhushan B. Liver regeneration: biological and pathological mechanisms and implications. Nat Rev Gastroenterol Hepatol. 2021; 18(1): 40-55. doi:10.1038/s41575-020-0342-4
- 8Zhao YY, Yao XP, Jiao TY, et al. Schisandrol B promotes liver enlargement via activation of PXR and YAP pathways in mice. Phytomedicine. 2021; 84:153520. doi:10.1016/j.phymed.2021.153520
- 9Yao XP, Jiao TY, Jiang YM, et al. PXR mediates mifepristone-induced hepatomegaly in mice. Acta Pharmacol Sin. 2022; 43(1): 146-156. doi:10.1038/s41401-021-00633-4
- 10Jiao T, Yao X, Zhao Y, et al. Dexamethasone-induced liver enlargement is related to PXR/YAP activation and lipid accumulation but not hepatocyte proliferation. Drug Metab Dispos. 2020; 48(9): 830-839. doi:10.1124/dmd.120.000061
- 11Zeng H, Li D, Qin X, et al. Hepatoprotective effects of Schisandra sphenanthera extract against lithocholic acid-induced cholestasis in male mice are associated with activation of the pregnane X receptor pathway and promotion of liver regeneration. Drug Metab Dispos. 2016; 44(3): 337-342. doi:10.1124/dmd.115.066969
- 12Jiang Y, Feng D, Ma X, et al. Receptor regulates liver size and liver cell fate by yes-associated protein activation in mice. Hepatology (Baltimore, Md). 2019; 69: 343-358.
- 13Zhang S, Guo M, Jiang X, et al. PXR triggers YAP-TEAD binding and Sirt2-driven YAP deacetylation and polyubiquitination to promote liver enlargement and regeneration in mice. Pharmacol Res. 2023; 188:106666. doi:10.1016/j.phrs.2023.106666
- 14Li X, Fan S, Cai C, et al. YAP regulates the liver size during the fasting-refeeding transition in mice. Acta Pharm Sin B. 2023; 13(4): 1588-1599. doi:10.1016/j.apsb.2022.12.011
- 15Tian J, Wang R, Yang X, et al. Pregnane X receptor promotes liver enlargement in mice through the spatial induction of hepatocyte hypertrophy and proliferation. Chem Biol Interact. 2022; 367:110133. doi:10.1016/j.cbi.2022.110133
- 16Tveden-Nyborg P, Bergmann TK, Jessen N, Simonsen U, Lykkesfeldt J. BCPT 2023 policy for experimental and clinical studies. Basic Clin Pharmacol Toxicol. 2023; 133: 391-396.
- 17Kwon M, Jeon JH, Choi MK, Song IS. The development and validation of a novel “dual cocktail” probe for cytochrome P450s and transporter functions to evaluate pharmacokinetic drug-drug and herb-drug interactions. Pharmaceutics. 2020; 12(10):938. doi:10.3390/pharmaceutics12100938
- 18Mitchell C, Willenbring H. A reproducible and well-tolerated method for 2/3 partial hepatectomy in mice. Nat Protoc. 2008; 3(7): 1167-1170. doi:10.1038/nprot.2008.80
- 19Fan S, Gao Y, Qu A, et al. YAP-TEAD mediates PPAR α-induced hepatomegaly and liver regeneration in mice. Hepatology (Baltimore, Md). 2022; 75: 74-88.
- 20LeCluyse EL. Pregnane X receptor: molecular basis for species differences in CYP3A induction by xenobiotics. Chem Biol Interact. 2001; 134(3): 283-289. doi:10.1016/S0009-2797(01)00163-6
- 21Aleksunes LM, Klaassen CD. Coordinated regulation of hepatic phase I and II drug-metabolizing genes and transporters using AhR-, CAR-, PXR-, PPARα-, and Nrf2-null mice. Drug Metab Dispos. 2012; 40(7): 1366-1379. doi:10.1124/dmd.112.045112
- 22Luo G, Cunningham M, Kim S, et al. CYP3A4 induction by drugs: correlation between a pregnane X receptor reporter gene assay and CYP3A4 expression in human hepatocytes. Drug Metab Dispos. 2002; 30(7): 795-804. doi:10.1124/dmd.30.7.795
- 23Hasegawa M, Tahara H, Inoue R, Kakuni M, Tateno C, Ushiki J. Investigation of drug-drug interactions caused by human pregnane X receptor-mediated induction of CYP3A4 and CYP2C subfamilies in chimeric mice with a humanized liver. Drug Metab Dispos. 2012; 40(3): 474-480. doi:10.1124/dmd.111.042754
- 24Ndanusa BU, Mustapha A, Abdu-Aguye I. The effect of single does of rifampicin on the pharmacokinetics of oral nifedipine. J Pharm Biomed Anal. 1997; 15(9-10): 1571-1575. doi:10.1016/S0731-7085(97)00044-7
- 25Li H, Canet MJ, Clarke JD, et al. Pediatric cytochrome P450 activity alterations in nonalcoholic steatohepatitis. Drug Metab Dispos. 2017; 45(12): 1317-1325. doi:10.1124/dmd.117.077644
- 26Paine MF, Shen DD, Kunze KL, et al. First-pass metabolism of midazolam by the human intestine. Clin Pharmacol Ther. 1996; 60(1): 14-24.
- 27Wójcikowski J, Haduch A, Daniel WA. Effect of antidepressant drugs on cytochrome P450 2C11 (CYP2C11) in rat liver. Pharmacol Rep: PR. 2013; 65(5): 1247-1255.
- 28Zhou W, Johnson TN, Bui KH, et al. Predictive performance of physiologically based pharmacokinetic (PBPK) modeling of drugs extensively metabolized by major cytochrome P450s in children. Clin Pharmacol Ther. 2018; 104(1): 188-200. doi:10.1002/cpt.905
- 29Wegler C, Matsson P, Krogstad V, et al. Influence of proteome profiles and intracellular drug exposure on differences in CYP activity in donor-matched human liver microsomes and hepatocytes. Mol Pharm. 2021; 18(4): 1792-1805. doi:10.1021/acs.molpharmaceut.1c00053
- 30Inui N, Akamatsu T, Uchida S, et al. Chronological effects of rifampicin discontinuation on cytochrome P450 activity in healthy Japanese volunteers, using the cocktail method. Clin Pharmacol Ther. 2013; 94(6): 702-708. doi:10.1038/clpt.2013.167
- 31Kanebratt KP, Diczfalusy U, Bäckström T, et al. Cytochrome P450 induction by rifampicin in healthy subjects: determination using the Karolinska cocktail and the endogenous CYP3A4 marker 4β-hydroxycholesterol. Clin Pharmacol Ther. 2008; 84(5): 589-594. doi:10.1038/clpt.2008.132
- 32Gerbal-Chaloin S, Pascussi JM, Pichard-Garcia L, et al. Induction of CYP2C genes in human hepatocytes in primary culture. Drug Metab Dispos. 2001; 29(3): 242-251.
- 33Madan A, Graham RA, Carroll KM, et al. Effects of prototypical microsomal enzyme inducers on cytochrome P450 expression in cultured human hepatocytes. Drug Metab Dispos. 2003; 31(4): 421-431. doi:10.1124/dmd.31.4.421
- 34Faber MS, Jetter A, Fuhr U. Assessment of CYP1A2 activity in clinical practice: why, how, and when? Basic Clin Pharmacol Toxicol. 2005; 97(3): 125-134. doi:10.1111/j.1742-7843.2005.pto_973160.x
- 35Nehlig A. Interindividual differences in caffeine metabolism and factors driving caffeine consumption. Pharmacol Rev. 2018; 70(2): 384-411. doi:10.1124/pr.117.014407
- 36Golriz M, El Sakka S, Majlesara A, et al. Hepatic hemodynamic changes following stepwise liver resection. J Gastrointest Surg. 2016; 20(3): 587-594. doi:10.1007/s11605-015-3021-y
- 37Favre C, Monti JA, Scapini C, Pellegrino J, Carnovale CE, Carrillo MC. Putrescine decreases cytochrome P450 3A4 levels during liver regeneration in the rat. J Hepatol. 1998; 28(4): 700-708. doi:10.1016/S0168-8278(98)80295-X
- 38Tian H, Ou J, Strom SC, Venkataramanan R. Pharmacokinetics of tacrolimus and mycophenolic acid are altered, but recover at different times during hepatic regeneration in rats. Drug Metab Dispos. 2005; 33(3): 329-335. doi:10.1124/dmd.104.002287
- 39Nagayoshi S, Kawashita Y, Eguchi S, et al. Metabolism for cyclosporin A during liver regeneration after partial hepatectomy in rats. World J Gastroenterol. 2008; 14(41): 6355-6359. doi:10.3748/wjg.14.6355
- 40Fujino C, Sanoh S, Tateno C, Ohta S, Kotake Y. Coordinated cytochrome P450 expression in mouse liver and intestine under different dietary conditions during liver regeneration after partial hepatectomy. Toxicol Appl Pharmacol. 2019; 370: 133-144. doi:10.1016/j.taap.2019.03.010
- 41Gao Y, Fan S, Li H, et al. Constitutive androstane receptor induced-hepatomegaly and liver regeneration is partially via yes-associated protein activation. Acta Pharm Sin B. 2021; 11(3): 727-737. doi:10.1016/j.apsb.2020.11.021