High volume bioassays to assess CYP3A4-mediated drug interactions: induction and inhibition in a single cell line.

Article Details

Citation

Yueh MF, Kawahara M, Raucy J

High volume bioassays to assess CYP3A4-mediated drug interactions: induction and inhibition in a single cell line.

Drug Metab Dispos. 2005 Jan;33(1):38-48. Epub 2004 Oct 1.

PubMed ID
15466163 [ View in PubMed
]
Abstract

Exposure to certain xenochemicals can alter the catalytic activity of the major drug-metabolizing enzyme, CYP3A4, either by enhancing expression of this cytochrome P450 or inhibiting its activity. Such alterations can result in adverse consequences stemming from drug-drug interactions. A simplified and reliable tool for detecting the ability of candidate drugs to alter CYP3A4 levels or inhibit catalytic activity was developed by stable integration of human pregnane X receptor and a luciferase vector harboring the CYP3A4 enhancers. Treatment of stable transformants, namely DPX-2, with various concentrations of inducers including rifampicin, mifepristone, troglitazone, methoxychlor, and kava produced dose-dependent increases in luciferase expression (between 2- and 40-fold above dimethyl sulfoxide-treated cells). Northern blot analyses of CYP3A4 mRNA in DPX-2 cells exhibited a good correlation to results generated with the reporter gene assay (r(2) = 0.5, p < 0.01). Induction of CYP3A4 protein was examined by measuring catalytic activity with the CYP3A4 substrate, luciferin 6' benzyl ether (luciferin BE). Metabolism of luciferin BE by DPX-2 cells was enhanced 5.2-fold above dimethyl sulfoxide-treated cells by treatment with rifampicin. Constitutive androstane receptor-mediated regulation of CYP3A4 protein was addressed by measuring catalytic activity in a separate cell line over-expressing this receptor. Phenobarbital and dexamethasone produced 1.5- and 2.0-fold increases, respectively, above control in luciferin BE metabolism. To determine the utility of DPX-2 cells for identifying inhibitors of CYP3A4 catabolism, luciferin BE activity was measured in the presence of various concentrations of ketoconazole, erythromycin, or kava. These agents exhibited dose-dependent decreases in CYP3A4 activity with IC(50) values of 0.3 microM for ketoconazole, 108 microM for erythromycin, and 15.5 microg/ml for kava. Collectively, DPX-2 cells were used to identify xenobiotics that induce or inhibit CYP3A4 in a high throughput manner, demonstrating their applicability to early-stage drug development.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
MifepristoneCytochrome P450 3A4ProteinHumans
Unknown
Substrate
Inhibitor
Inducer
Details
Pharmaco-transcriptomics
DrugDrug GroupsGeneGene IDChangeInteractionChromosome
ClotrimazoleApproved Vet ApprovedCYP3A41576
upregulated
Clotrimazole results in increased expression of CYP3A4 mRNA7q22.1
DexamethasoneApproved Investigational Vet ApprovedCYP3A41576
upregulated
Dexamethasone results in increased expression of CYP3A4 mRNA7q22.1
MevastatinExperimentalCYP3A41576
upregulated
mevastatin results in increased expression of CYP3A4 mRNA7q22.1
MifepristoneApproved InvestigationalCYP3A41576
upregulated
Mifepristone results in increased expression of CYP3A4 mRNA7q22.1
OmeprazoleApproved Investigational Vet ApprovedCYP3A41576
upregulated
Omeprazole results in increased expression of CYP3A4 mRNA7q22.1
PhenobarbitalApproved InvestigationalCYP3A41576
upregulated
Phenobarbital results in increased expression of CYP3A4 mRNA7q22.1
PhenytoinApproved Vet ApprovedCYP3A41576
upregulated
Phenytoin results in increased expression of CYP3A4 mRNA7q22.1
RifampicinApprovedCYP3A41576
upregulated
Rifampin results in increased expression of CYP3A4 mRNA7q22.1
TroglitazoneApproved Investigational WithdrawnCYP3A41576
upregulated
troglitazone results in increased expression of CYP3A4 mRNA7q22.1