Cytochrome P450 monooxygenase 3A4 (CYP3A4) is responsible for the metabolism of endogenous steroids and drugs in liver. Many inducers of human CYP3A4, such as rifampicin, bind to the orphan nuclear receptor SXR (steroid and xenobiotic receptor) as ligands and stimulate transcription on xenobiotic response elements located in the CYP3A4 promoter. Conversely, it is not known whether SXR mediates the transcriptional repression. We thus examined transcriptional repression of SXR and its interaction with corepressors, NCoR (nuclear receptor corepressor) and SMRT (silencing mediator for retinoid and thyroid receptors) using reporter assays in the absence and presence of ligand. Cotransfection of SMRT, but not NCoR, inhibited not only basal but also rifampicin-induced transcriptional activity of SXR on the CYP3A4 promoter through specific SMRT-SXR interaction in HepG2 cells. Interestingly, rifampicin also increased the interaction of SXR with SMRT as well as with coactivator SRC-1. On the other hand, the anti-fungal agent ketoconazole decreased SXR interaction with both SRC-1 and SMRT. Ketoconazole partially inhibited corticosterone-induced SXR-mediated transcription on the CYP3A4 promoter. Taken together, our results suggest that the differential interaction of coactivators and corepressors induced by various xenobiotics may alter SXR-mediated transcription. Further, the effects of ketoconazole on the CYP3A4 gene suppression may explain, in part, drug-induced inhibition of the CYP3A4 action at the transcriptional level.The cytochromes P450 (CYPs) 1 superfamily consists of hemecontaining monooxygenases that play an important role in the oxidative metabolism of endogenous substances, natural compounds, and xenobiotics. The CYP3A4 gene product is the most abundant CYP that is expressed in human liver and is involved in the metabolism of drugs, steroids, and environmental procarcinogens (reviewed in Ref. 1). The expression of the CYP3A4 is transcriptionally activated by many natural and xenobiotic compounds. This induction of the CYP3A4 gene by xenobiotic compounds, in turn, can cause drug-drug interactions. One such example is the antibiotic rifampicin, a well known inducer of the human CYP3A4 gene, which then increases the clearance of immunosuppressant cyclosporine A, oral contraceptives, glucocorticoid derivatives, and calcium channel blockers. Recently, the orphan nuclear receptor, steroid and xenobiotic receptor (SXR) (also called pregnane X receptor (PXR)), has been isolated (2-5). SXR is highly expressed in the liver and small intestine and regulates the CYP3A4 gene. SXR forms heterodimer with retinoid X receptor (RXR) on xenobiotic-response elements (XREs), located in the promoter region of the CYP3A4 gene. A variety of known CYP3A4 inducers such as rifampicin, clotrimazole, and nifedipine bind to SXR as ligands and stimulate transcription of the CYP3A4 (3-6).Ligand-dependent interaction with coactivators activates transcription, and ligand-independent interaction with corepressors represses basal transcription b...