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Vol. 58, Issue 2, 361-372, August 2000
Expression in Human Hepatocytes: Synergistic Increase of
CYP3A4 Induction by Pregnane X Receptor Activators
Institut National de la Santé et de la Recherche
Médicale U128, Institut Federatif de Recherche 24, Centre
National de la Recherche Scientifique, Montpellier, France
In this report we show that submicromolar concentrations of
dexamethasone enhance pregnane X receptor (PXR)
activator-mediated CYP3A4 gene expression in cultured human
hepatocytes. Because this result is only observed after 24 h of
cotreatment and is inhibited by pretreatment with cycloheximide, we
further investigated which factor(s), induced by dexamethasone, might
be responsible for this effect. We report that dexamethasone increases
both retinoid X receptor-
(RXR
) and PXR mRNA expression in
cultured human hepatocytes, whereas PXR activators such as rifampicin
and clotrimazole do not. Accumulation of RXR
and PXR mRNA reaches a
maximum at a concentration of 100 nM dexamethasone after treatment for
6 to 12 h and is greatly diminished by RU486. A similar pattern of
expression is observed with tyrosine aminotransferase mRNA. Moreover,
the effect of dexamethasone on PXR mRNA accumulation seems to be
through direct action on the glucocorticoid receptor (GR) because the
addition of cycloheximide has no effect, and dexamethasone does not
affect the degradation of PXR mRNA. Furthermore, dexamethasone induces
the accumulation of a RXR
-immunoreactive protein and increases the
nuclear level of RXR
:PXR heterodimer as shown by gel shift assays
with a CYP3A4 ER6 PXRE probe. This accumulation of latent PXR
and RXR
in the nucleus of hepatocytes explains the synergistic
effect observed with dexamethasone and PXR activators together on
CYP3A4 induction. These results reveal the existence of functional
cross talk between the GR and PXR, and may explain some controversial
aspects of the role of the GR in CYP3A4 induction.
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