2001
DOI: 10.1053/jhep.2001.24172
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The phenobarbital response enhancer module in the human bilirubin UDP-glucuronosyltransferase UGT1A1 gene and regulation by the nuclear receptor CAR

Abstract: The UDP-glucuronosyltransferase, UGT1A1, is the critical enzyme responsible for detoxification of the potentially neurotoxic bilirubin by conjugating it with glucuronic acid. For decades, phenobarbital (PB) treatment for hyperbilirubinemia has been known to increase expression of the UGT1A1 gene in liver. We have now delineated the PB response activity to a 290-bp distal enhancer sequence (؊3483/؊3194) of the UGT1A1 gene. The enhancer contains 3 putative nuclear receptor motifs, and it was activated by the nuc… Show more

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Cited by 335 publications
(251 citation statements)
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“…UGT1A gene products are generated by a strategy of exon sharing, resulting in divergent isoforms with a unique N-terminal domain and commonly shared C-terminal 245 amino acids. As UGT proteins are detoxifying enzymes, it is natural that this gene expression is regulated by xenobiotic receptor including pregnenolone X receptor and constitutive androstane receptor (Sugatani et al, 2001;Xie et al, 2003). Reduction of UGT1A expression is involved in the early phase of neoplastic transformation, such as in liver and biliary cancer, bladder cancer and colon cancer (Strassburg et al, 1997;Giuliani et al, 2005).…”
Section: Discussionmentioning
confidence: 99%
“…UGT1A gene products are generated by a strategy of exon sharing, resulting in divergent isoforms with a unique N-terminal domain and commonly shared C-terminal 245 amino acids. As UGT proteins are detoxifying enzymes, it is natural that this gene expression is regulated by xenobiotic receptor including pregnenolone X receptor and constitutive androstane receptor (Sugatani et al, 2001;Xie et al, 2003). Reduction of UGT1A expression is involved in the early phase of neoplastic transformation, such as in liver and biliary cancer, bladder cancer and colon cancer (Strassburg et al, 1997;Giuliani et al, 2005).…”
Section: Discussionmentioning
confidence: 99%
“…In fact, Crigler-Najjar syndromes I and II habe been distinguished on the basis of phenobarbital induction of UGT1A1 [45]. CAR/RXR-binding domains were first identified in studies of UGT1A1 regulation [46,47], the only UGT responsible for bilirubin clearance in humans. Interestingly, the CAR-binding domain resides in a 290 base pair cluster, termed gtPBREM (glucuronosyltransferase PhenobarbitalResponsive Enhancer Module), discussed in section 4.2.…”
Section: Car and Pxrmentioning
confidence: 99%
“…It is tempting to speculate that evolution of the gtPBREM cluster of binding sites for a number of LATFs in the promoter of UGT1A1 [46,47] may be related to the need for perinatal UGT1A1 induction in primates. This cluster contains binding sites for CAR and PXR [47], AhR [33], Nrf2 [76], PPARα [51] and for the glucocorticoid receptor [47].…”
Section: Page 9 Of 31mentioning
confidence: 99%
“…Of note, segment I extends upstream to include the phenobarbital response enhancer module 5 0 of UGT1A1. 35 The region labeled 3 0 represents the sum of four segments in the 3 0 end portion of the gene cluster, which contains the shared exons coding for the enzyme C-terminus. The segments coincide with conserved non-coding sequence 5 0 to the exons, exons 2-4, exon 5, and a region of 3 0 conserved non-coding sequence.…”
Section: Multispecies Comparative Genomics Of Ugt1amentioning
confidence: 99%