2003
DOI: 10.1038/nm815
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The orphan nuclear receptor HNF4α determines PXR- and CAR-mediated xenobiotic induction of CYP3A4

Abstract: The drug metabolizing enzyme cytochrome P450 3A4 (CYP3A4) is thought to be involved in the metabolism of nearly 50% of all the drugs currently prescribed. Alteration in the activity or expression of this enzyme seems to be a key predictor of drug responsiveness and toxicity. Currently available studies indicate that the ligand-activated nuclear receptors pregnane X receptor (PXR; NR1I2) and constitutive androstane receptor (CAR; NR1I3) regulate CYP3A4 expression. However, in cell-based reporter assays, CYP3A4 … Show more

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Cited by 413 publications
(381 citation statements)
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“…In addition, we should consider involvement of tissue-enriched transcription factors such as liver-enriched transcription factors (LEFTs -HNF4α, HNF1α, C/EBPα and β etc.) in CYP3A4 transactivation [3,4,13].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In addition, we should consider involvement of tissue-enriched transcription factors such as liver-enriched transcription factors (LEFTs -HNF4α, HNF1α, C/EBPα and β etc.) in CYP3A4 transactivation [3,4,13].…”
Section: Discussionmentioning
confidence: 99%
“…CYP3A4 induction by xenobiotics and hormones is mediated by the pregnane X receptor (PXR, NR1I2) [5][6][7], constitutive androstane receptor (CAR, NR1I3) [8,9], vitamin D receptor (VDR, NR1I1) [10,11], glucocorticoid receptor- (GR, NR3C1) [12], hepatocyte nuclear factor-4 (HNF4, NR2A1) [13] and retinoid X receptor- (RXR, NR2B1) in the liver [3]. In addition, basal (constitutive) CYP3A4 expression in the absence of an inducing agent has been found to correlate with expression of CAR, PXR and HNF4 in the liver [12,14].…”
Section: Introductionmentioning
confidence: 99%
“…Given the major role of HNF4α in regulating liver gene expression [2,6,41], HNF4α may act by inducing the expression of one or more factors that block JAK2 activation or stimulate JAK2 deactivation (dephosphorylation) in GH-stimulated cells. For example, HNF4α may induce the expression of one or more JAK2-inhibitory cytokine receptor signalling inhibitors, such as SOCS (suppressor of cytokine signalling) 1 and SOCS3 [42].…”
Section: Discussionmentioning
confidence: 99%
“…Further work is also needed to investigate the interplay of cytokine signalling pathways with transcription factors known to be relevant to drug-metabolising and transporting genes such as hepatocyte nuclear factor-4a, signal transducer and activators of transcription 3, CCAAT enhancer binding proteins and the pregnane X receptor, in order to further understand the mechanism by which IL-6 regulates drug clearance in the presence of tumours (Roy-Chowdhury et al, 2003;Tirona et al, 2003).…”
Section: Downregulation Of Hepatic Metabolism In Malignancymentioning
confidence: 99%