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Vol. 59, Issue 6, 1402-1409, June 2001
Institute of Pharmacology and Toxicology, Department of Toxicology, University of Göttingen, Germany
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Abstract |
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Xenobiotic-metabolizing cytochrome P-450 (P-450) enzymes not only play a pivotal role in elimination of foreign compounds but also contribute to generation of toxic intermediates, including reactive oxygen species, that may elicit cellular damage if produced excessively. Expression of several xenobiotic-metabolizing P-450 enzymes is induced by phenobarbital (PB). Pronounced induction is observed for the rat CYP2B1 isoform. A primary rat hepatocyte culture system was used to investigate whether reactive oxygen species might modulate PB-dependent CYP2B1 induction. In cells cultivated for 3 days with 1.5 mM PB, substantial CYP2B1 mRNA induction was observed (100%). Addition of H2O2 or of the catalase inhibitor 3-amino-1,2,4-triazole (AT) to the medium repressed induction to approximately 30% (at 1 mM H2O2 and 2 mM AT, respectively). Accordingly, treatment of hepatocytes with PB and the glutathione precursor N-acetylcysteine (NAC) led to enhanced PB-dependent induction (to over 1000% at 10 mM NAC). In primary hepatocyte cultures transfected with a CYP2B1 promoter-luciferase construct containing approximately 2.7 kilobase pairs of the native CYP2B1 promoter sequence, PB-dependent reporter gene activation was repressed by AT and stimulated by N-acetylcysteine. Furthermore, a 263-base pair CYP2B1 promoter fragment encompassing the phenobarbital-responsive enhancer module conferred suppression of PB-dependent luciferase expression by AT and activation by NAC in a heterologous SV40-promoter construct. In summary, these data demonstrate a regulatory mechanism that is dependent on the cellular redox status, which modulates CYP2B1 mRNA induction by PB on the transcriptional level, thus representing a feedback mechanism preventing further P-450-dependent production of reactive oxygen intermediates under oxidative stress.
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Introduction |
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The
superfamily of cytochrome P-450 (P-450) proteins consists of enzymes
involved in metabolism of an array of endogenous and xenobiotic
compounds (Nelson et al., 1996
). Processes mediated by P-450 enzymes
include steroidogenesis and metabolism of cholesterol, vitamin D3, and
fatty acids but also biotransformation of innumerable drugs,
environmental chemicals, and pollutants. Four of the cytochrome P-450
families (CYP1, CYP2, CYP3, and CYP4) are of relevance in drug and
xenobiotic metabolism. Expression of many members of xenobiotic-metabolizing P-450 isoforms is induced by their substrates, thus allowing adaptation of metabolism. The liver, constituting the
major site of biotransformation of xenobiotics, exhibits abundant basal
expression and induction of xenobiotic-metabolizing cytochrome P-450
isoforms. Phenobarbital (PB) is regarded as the prototype of
structurally unrelated inducers that affect expression of a specific
spectrum of genes (reviewed by Honkakoski and Negishi, 1998
). Although
members of several P-450 subfamilies are inducible by PB (CYP2A, CYP2B,
CYP2C, CYP3A, CYP4B), phenobarbital-dependent induction of the rat
CYP2B1 isoform is most pronounced [up to 100-fold or greater increase
of CYP2B1 protein in rat liver microsomes (Waxman and Azaroff, 1992
)].
Several laboratories recently demonstrated the pivotal role of a
phenobarbital-responsive enhancer found in the distal region of the rat
CYP2B2 promoter in conferring CYP2B2 gene
activation by phenobarbital (Trottier et al., 1995
; Park et al., 1996
;
Stoltz et al., 1998
). The relevance of a homologous region in conveying
PB-dependent CYP2B induction was later confirmed in the mouse
Cyp2b10 promoter (Honkakoski and Negishi, 1997
). The ability
to confer induction has recently been localized to a 51-bp
sequence in the mouse Cyp2B10 promoter, termed the
phenobarbital-responsive enhancer module (PBREM; reviewed by
Honkakoski and Negishi, 2000
). Sequences highly homologous to the mouse
PBREM are found in the human CYP2B6 and the rat
CYP2B1/CYP2B2 promoters (Sueyoshi et al., 1999
).
In addition to participating in elimination of xenobiotics, P-450
activity may also contribute to generation of potentially toxic
products. Many procarcinogens are metabolically activated by P-450
isoforms to ultimate carcinogens. CYP2B isoforms in particular are
involved in activation of aflatoxin B1 or cyclophosphamide to genotoxic
metabolites (Chang et al., 1993
). Furthermore, reactive oxygen species
(ROS) are released during the catalytic reaction cycle of P-450
(Heinemeyer et al., 1980
). It is assumed that activity of P-450 systems
constitutes a major source of intracellular ROS in the liver (Bondy and
Naderi, 1994
; Puntarulo and Cederbaum, 1998
), indicating that excessive
P-450 activity resulting from P-450 induction may lead to cellular
damage caused by generation of noxious metabolites or ROS. Accordingly,
adaptive mechanisms, repressing P-450 induction during cellular
oxidative stress and thus lowering P-450-dependent production of active
intermediates, would be expected to minimize cellular damage. Indeed,
several lines of evidence suggest that ROS might play a negative
regulatory role in CYP2B induction by phenobarbital. Induction of CYP2B
isoforms by phenobarbital, as well as basal and induced expression of
other P-450 isoforms, have been shown to be decreased by inflammatory processes in the liver (reviewed by Morgan, 1997
), during which also
enhanced liberation of ROS occurs. Several proinflammatory cytokines,
including interleukin 6 and tumor necrosis factor-
, and also other
cytokines (e.g., epidermal growth factor), that may lead to
intracellular ROS production via physiological signaling (Bae et al.,
1997
; reviewed by Morel and Barouki, 1999
), have also been identified
as mediators of repression of phenobarbital-dependent CYP2B1 induction
in rat hepatocytes (Aubrecht et al., 1995
; Clark et al., 1995
;
Carlson and Billings, 1996
).
To investigate whether ROS might affect CYP2B1 induction, we used as a model system primary rat hepatocyte cultures in which inducibility of CYP2B1 expression by phenobarbital was retained. Although treatment of hepatocytes with H2O2 and the catalase inhibitor 3-amino-1,2,4-triazole (AT) decreased CYP2B1 mRNA induction by PB, induction was markedly enhanced by the antioxidant N-acetylcysteine. In primary hepatocytes transfected with a CYP2B1 promoter-luciferase construct, promoter activity was significantly repressed by 3-amino-1,2,4-triazole and, conversely, enhanced by N-acetylcysteine. These data, therefore, demonstrate for the first time that CYP2B1 mRNA induction by phenobarbital is modulated in a redox-sensitive manner and that transcriptional activation participates in redox-dependent regulation of CYP2B1 mRNA induction.
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Experimental Procedures |
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Materials.
All chemicals were of reagent grade and purchased
from commercial suppliers. Collagenase was obtained from Biochrom
(Berlin, Germany) and fetal calf serum from PAA (Coelbe, Germany). Cell culture dishes were purchased from Nunc (Wiesbaden, Germany). T4
polynucleotide kinase was from Roche Molecular Biochemicals (Mannheim,
Germany). Hybond N nylon membrane and
[
-32P]ATP were obtained from Amersham
Pharmacia Biotech (Freiburg, Germany). The transfection reagent
Effectene was purchased from Qiagen (Hilden, Germany). Firefly and
Renilla luciferase expression plasmids as well as the Dual
Luciferase Reporter Assay kit were obtained from Promega (Mannheim, Germany).
Hepatocyte Culture and Induction Experiments.
Primary
hepatocytes were isolated from adult male Wistar rats (180-220 g) by
collagenase perfusion (Seglen, 1976
). Hepatocyte suspensions showed
viabilities >90% as determined by trypan blue exclusion. Cells were
plated onto culture dishes at a density of 8.6 × 104 cells/cm2 in MX-82
medium (Hoffmann et al., 1989
) supplemented with 10% fetal calf serum.
After an initial attachment period of 3 h at 37°C in a
humidified atmosphere of 10% CO2 and 90% air,
the medium was replaced with serum-free MX-83 medium (Hoffmann et al.,
1989
) that lacked arginine, but contained 1 µM insulin and 20 µM
hydrocortisone hemisuccinate. The cells were further cultured (37°C,
humidified atmosphere of 10% CO2/90% air) in
the absence or presence of 0.75 or 1.5 mM PB, with or without oxidants
(0.1-2 mM H2O2 or 0.5-5 mM 3-amino-1,2,4-triazole) or antioxidants (1-20 mM
N-acetylcysteine or 100 µM tocopherol acetate), as
indicated, for up to 3 days. Media changes were performed daily.
RNA Isolation and Northern Blot Analysis.
Total cellular RNA
was isolated by guanidinium thiocyanate-phenol-chloroform extraction
(Chomczynski and Sacchi, 1987
) and separated through formaldehyde
agarose gels (20 µg/lane). The gels were stained with ethidium
bromide to ensure equal loading of lanes, and RNA was subsequently
blotted onto Hybond N nylon membranes by capillary transfer. RNA blots
were hybridized to the rat CYP2B1 gene-specific
oligonucleotide probe 5'-GGTTGGTAGCCGGTGTGA-3' (corresponding to bases
66-49 of exon 7 region, GeneBank L00318), which had been end-labeled
by T4-polynucleotide kinase using
-32P-ATP
(Omiecinski et al., 1985
).
Hepatocyte Transfection and Luciferase Reporter Gene Assay.
Firefly and Renilla luciferase expression plasmids
(pGL3-Basic, pGL3-Control, pGL3-Promoter, and pRL-CMV) were purchased
from Promega. A fragment representing approximately 2.7 kilobase
pairs of the native rat CYP2B1 promoter sequence was amplified by PCR from genomic rat hepatocyte DNA using primers corresponding to sites of
the promoter sequence published by Shaw et al., 1996
(bases
2648 to
2623 and 29 to 4, respectively). To facilitate cloning, the primers
contained an additional 5' NheI recognition site and a
three-base overhang: 5'-AAAGCTAGCAGGTTCCCAACCATTTGGCCTACGAA-3' (forward) and 5'-ATTGCTAGCTCCTGGTGTAACCACGGTAGACTTCA-3' (reverse).
2413 to
2151, was treated with T4-DNA polymerase to
yield blunt ends and further cloned into the SmaI site of
the pGL3-Promoter vector containing the SV40 promoter,
yielding the heterologous promoter construct pGL3CS1.
Sequence and orientation of the insert were confirmed by sequencing
using the standard pGL3 primers. Endotoxin-free maxi-prep kits
(Macherey-Nagel, Düren, Germany) were employed for plasmid
purification following amplification in Escherichia coli.
Primary adherent rat hepatocyte cultures, plated at a density of
8.6 × 104 cells/cm2
onto six-well plates (Nunc), were transiently transfected 24 h
after seeding with 0.5 µg of one of the firefly luciferase constructs (pGL3-Basic, pGL3-Control, pGL3-Promoter, pGL3C2B1, or
pGL3CS1) and 0.03 µg of the Renilla luciferase
construct pRL-CMV using the Effectene reagent (QIAGEN) according to the
manufacturer's instructions. Six hours later the medium was replaced
with fresh MX-83 medium with or without 1.5 mM phenobarbital or
modulators of induction (2 mM 3-amino-1,2,4-triazole, 10 mM
N-acetylcysteine) as indicated. The medium was exchanged
24 h after transfection; 48 h after transfection, hepatocytes
were lysed with 150 µl of lysis buffer (Dual Luciferase Reporter
Assay kit, Promega) and firefly and Renilla luciferase
activity were measured in 20 µl of cell lysate according to the
Promega protocol using a Berthold Lumat LB 9501 luminometer (Berthold
Technologies, Bad Wildbad, Germany). Renilla luciferase
activity was used to normalize the transfection efficiency in all
culture wells.
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Results |
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In the present study, we addressed whether phenobarbital-dependent
CYP2B1 induction might be subject to repression by reactive oxygen
species. Experiments were performed with primary rat hepatocyte cultures in which induction of CYP2B1 by phenobarbital, a
hepatocyte-specific function lost in hepatoma cell lines, was retained
(Aubrecht et al., 1995
). Maximal CYP2B1 mRNA induction was observed in
hepatocyte cultures exposed to 0.75 or 1.5 mM PB for three days, which
is consistent with previous reports (Aubrecht et al., 1995
; Kietzmann et al., 1999
). Therefore, primary hepatocytes were treated with PB and
possible modulators of CYP2B1 mRNA induction for 3 days.
Repression by H2O2 of
Phenobarbital-Dependent CYP2B1 mRNA Induction.
To examine the
possible role of oxidants in modulation of CYP2B1 mRNA induction by PB,
hepatocyte cultures were treated with H2O2, a highly diffusible
molecule that easily penetrates through cellular membrane structures. A
H2O2 concentration of 1 mM
was previously shown to up-regulate mRNA expression of antioxidant enzymes (catalase, Mn-superoxide dismutase; Röhrdanz and Kahl et
al., 1998
) as well as expression of the rat multidrug resistance mdr1b gene (Ziemann et al., 1999
) in primary rat hepatocyte
cultures. Thus, in the present study, initial concentrations of
H2O2 from 0.1 to 2 mM were
added to the medium once daily for 3 days. PB-dependent CYP2B1 mRNA
induction was determined in Northern blot analyses. Induction, defined
as the difference between PB-dependent CYP2B1 mRNA expression and basal
CYP2B1 mRNA levels in the absence of PB, was set to 100% in cultures
treated with PB in the absence of
H2O2. Indeed,
H2O2 elicited repression of
PB-dependent CYP2B1 mRNA induction in a concentration-dependent manner
(Fig. 1). This effect reached statistical
significance at concentrations of 0.5 mM
H2O2 and above, amounting
to mRNA levels of about 37% at 0.5 mM
H2O2, 30% at 1 mM
H2O2, and 12% at 2 mM
H2O2, respectively (Fig. 1,
A and B). Expression of GAPDH mRNA in control hybridizations remained
stable under H2O2 (Fig.
1B). On the other hand, we observed stimulation of mdr1b
gene expression by H2O2 in
the same culture system (shown for 0.5 mM
H2O2 in Fig. 1C), with
maximal stimulation at 0.5 to 1 mM
H2O2 (Ziemann et al.,
1999
). Thus, H2O2
significantly repressed PB-dependent CYP2B1 mRNA induction at
concentrations that did not result in a deleterious general repression
of mRNA expression.
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Enhancement by N-Acetylcysteine of
Phenobarbital-Dependent CYP2B1 mRNA Induction.
Because
H2O2 and
3-amino-1,2,4-triazole repressed PB-dependent CYP2B1 mRNA induction, it
was hypothesized that an increase in hepatocyte antioxidant capacity
might enhance CYP2B1 mRNA induction or counteract ROS-dependent
inhibition of induction. Therefore, the effect of the antioxidant
N-acetylcysteine (NAC), a precursor of glutathione, on
PB-dependent CYP2B1 mRNA induction was examined. In hepatocytes
concomitantly treated with PB and 1 to 20 mM NAC for 3 days, a dramatic
concentration-dependent enhancement of CYP2B1 mRNA induction was
observed that was maximal (approximately 1000%) between 10 and 20 mM
NAC (Fig. 3, A and B). The incubation of
hepatocytes with PB and a 100 µM concentration of the antioxidant tocopherol acetate (vitamin E), a membrane-bound radical scavenger, also led to a moderate increase (to approximately 200%) of
PB-dependent CYP2B1 mRNA induction (Fig. 3C).
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Repression of PB-dependent CYP2B1 Promoter
Activation by Aminotriazole and Enhancement of Promoter Activation by
N-Acetylcysteine.
To investigate whether the
modulation of PB-dependent mRNA induction by ROS and
N-acetylcysteine might be based on regulation of
CYP2B1 transcription, a CYP2B1
promoter-luciferase reporter gene construct was generated, bearing the
native CYP2B1 promoter sequence from +30 to
2648 (Fig.
5A). Primary rat hepatocyte cultures were
transiently transfected with the original luciferase vector without the
CYP2B1 promoter insert (pGL3-Basic) or with the
CYP2B1 promoter-luciferase construct (pGL3C2B1)
24 h after seeding of hepatocytes and subsequently treated with
1.5 mM PB or with a combination of PB and AT and/or NAC for 48 h.
Firefly luciferase activity was determined in hepatocyte lysates as a
measure of promoter activation. Although AT or NAC alone did not
influence promoter activation, PB significantly induced reporter gene
expression (Fig. 5B). Mean promoter activation by PB alone was set to
100%. In accordance with modulation of PB-dependent CYP2B1 mRNA
induction, 2 mM AT repressed PB-dependent promoter activation to
approximately 25%, whereas 10 mM NAC enhanced promoter activation to
about 900%. In combination with PB and NAC, AT counteracted
enhancement by NAC of promoter activation (Fig. 5B). Thus, these
results support the conclusion that modulation of CYP2B1 mRNA induction
by AT and NAC occurs on the transcriptional level.
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Discussion |
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Extreme exposure to ROS is deleterious to the cell, resulting
either in necrosis or apoptosis. A transient or moderate increase in
ROS, however, may allow reconstitution of the cellular redox status,
either by direct detoxification processes or by long-term adaptive
alterations in gene expression (Morel and Barouki, 1999
). Thus,
ROS-dependent repression of activation of genes encoding enzymes
contributing to ROS production, as well as induction of proteins
participating in ROS detoxification, may be regarded as part of a
general defense response to maintain cellular redox homeostasis. In the
present study, H2O2 and the
catalase inhibitor 3-amino-1,2,4-triazole, which interferes with
decomposition of intracellular
H2O2, repressed
PB-dependent induction of CYP2B1 mRNA.
Cytochrome P-450-dependent systems are regarded as a major source of
intracellular production of free radicals in hepatocytes, even in the
uninduced state (Bondy and Naderi, 1994
; Puntarulo and Cederbaum,
1998
). Under conditions of enhanced exposure to ROS (e.g., during
inflammation), marked induction of P-450 enzymes, resulting in further
P-450-dependent ROS production, would be expected to result in oxidant
damage to the cell. Therefore, adaptive mechanisms by which ROS might
prevent induction of several P-450 isoforms in the liver seem feasible.
Indeed, the transcriptional suppression by
H2O2 of basal expression of
the CYP1A1 and CYP1A2 isoforms and of their
-naphthoflavone-dependent induction has been described previously
(Barker et al., 1994
). The present study demonstrates ROS-dependent
repression of induction by a different type of inducer (phenobarbital)
of a different P-450 isoform (CYP2B1). At this point, the questions of
whether PB-dependent induction of other xenobiotic-metabolizing genes
apart from CYP2B1 might also be subject to regulation by ROS
and whether overlapping mechanisms might be crucial in redox-dependent
regulation of P-450 induction remain to be resolved.
The xenobiotic-responsive elements (XREs), to which
heterodimers of the aryl hydrocarbon receptor and the aryl hydrocarbon receptor nuclear translocator protein bind, play a pivotal role in
conferring induction of CYP1A enzymes by aromatic hydrocarbons (Hankinson, 1995
). The ability of AT and NAC in the present study to
modulate promoter activation in CYP2B1 promoter-reporter
gene constructs transiently transfected into primary hepatocytes
supports the conclusion that regulation of CYP2B1 induction by ROS
occurs on the transcriptional level. However, in contrast to
CYP1A gene regulation, XRE regions have not been shown to be
of relevance in mediating PB-dependent induction (Waxman, 1999
);
rather, the major PB-responsive region in CYP2B promoters is
a PB-responsive enhancer (Trottier et al., 1995
; Park et al., 1996
;
Stoltz et al., 1998
), which has been delimited to the PBREM
in the mouse Cyp2b10 promoter (reviewed by Honkakoski and
Negishi, 2000
). To further specify the CYP2B1 promoter
region conveying modulation of PB-dependent gene activation by AT and
NAC, a promoter construct was employed in which a 263-bp fragment of
the CYP2B1 promoter, encompassing the 51-bp
PBREM, was placed in front of the heterologous SV40 promoter (Fig. 6A). Responsiveness not only to PB but
also to AT and NAC was retained in hepatocytes transfected with the heterologous promoter construct, which suggests that either the PBREM itself or functional synergism between the
PBREM and a promoter region in the vicinity of the
PBREM is involved in conferring redox-sensitive regulation
of PB-dependent CYP2B1 promoter activation.
The cellular redox status may affect transcription by different
pathways. First, ROS might lead directly to oxidation of sensitive moieties of transcription factors, (e.g., of thiol groups), thus resulting in possible alterations in transcription factor DNA binding,
in translocation to the nucleus, or in trans-activation (reviewed by Morel and Barouki, 1999
). The PBREM region
contains a nuclear factor 1 (NF1) binding motif, flanked by two nuclear receptor binding sites (reviewed by Honkakoski and Negishi, 2000
). Interestingly, studies conducted with hepatoma cells suggest that oxidation of NF1 protein binding to a proximal NF1 site in the CYP1A1 promoter, which acts in synergy with XRE
regions, constitutes the basis of suppression of CYP1A induction by
ROS: the NF1/CTF trans-activating domain was repressed by
oxidative stress, mediated by a critical cysteine (Morel et al., 1999
).
On the other hand, a different study indicates that the
H2O2-dependent suppression of CYP1A1 induction is linked to the potential of the XREs
to confer transcriptional activation by aromatic hydrocarbons (Xu and
Pasco, 1998
). Further examples of redox-sensitive regulation have been
provided for members of the nuclear receptor superfamily (Morel and
Barouki, 1999
). Although oxidation of a cysteine residue in the nuclear
localization signal domain NL1 of the glucocorticoid receptor
interferes with nuclear translocation (Okamoto et al., 1999
), thiol
oxidation in the DNA binding domain of the estrogen receptor seems to
constitute the major factor contributing to redox-dependent estrogen
receptor regulation (Liang et al., 1998
).
Alternatively, ROS may indirectly modulate the activity of
transcription factors by leading to an alteration in their
phosphorylation status. ROS
(H2O2) have been shown to
enhance protein phosphorylation by reducing protein tyrosine
phosphatase and serine/threonine phosphatase activities (Whisler et
al., 1995
).
Hyperphosphorylation of as-yet-unspecified proteins is known to lead to
repression of CYP2B1 mRNA induction by phenobarbital: inhibition of
serin/threonine phosphatases (e.g., by okadaic acid) or inhibition of
phosphotyrosine phosphatases (e.g., by orthovanadate) both result in
inhibition of CYP2B induction (Sidhu and Omiecinski, 1997
; Honkakoski
and Negishi, 1998
; Kawamura et al., 1999
). Phosphorylation of members
of the nuclear receptor family may interfere with nuclear translocation: phosphorylation of the nuclear orphan receptor NGFI-B,
which is induced by nerve growth factor, results in redistribution of a
NGFI-B-retinoid-X-receptor complex out of the nucleus, reducing transcriptional activation (Katagiri et al., 2000
). Nuclear receptor dimers consisting of the constitutive androstane receptor and the
retinoid-X-receptor are thought to play an essential role in
PB-dependent transcriptional activation of CYP2B genes via the PBREM (reviewed by Honkakoski and Negishi, 2000
).
Nuclear translocation of the constitutive androstane receptor protein into the nucleus was shown to be inhibited by the protein phosphatase inhibitor okadaic acid (Kawamoto et al., 1999
), indicating that either
hyperphosphorylation of the nuclear receptor protein itself or
hyperphosphorylation of a different protein essential for the translocation process interferes with nuclear translocation.
Thus, it may be hypothesized that ROS may repress PB-dependent transcriptional activation of CYP2B1 gene expression directly, by oxidation of redox-sensitive transcription factors, or indirectly, by leading to an alteration in transcription factor phosphorylation status and/or by interfering with translocation of a transcription factor into the nuclear compartment.
In summary, the present study demonstrates the regulation of PB-dependent CYP2B1 gene activation by the cellular redox status. Repression of CYP2B1 induction under oxidative stress may be interpreted as part of a general defense strategy that is activated under enhanced exposure to ROS or when the antioxidative status of the hepatocyte is compromised.
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Acknowledgments |
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We thank Ms. S. Blume and Mr. C. Schmitz-Salue for their excellent technical assistance.
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Footnotes |
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Received October 18, 2000; Accepted February 13, 2001
This study was supported by a grant from the Deutsche Forschungsgemeinschaft (SFB 402, TP A2) and by a Friedrich-Ebert-Stiftung fellowship (D.B.).
Send reprint requests to: Dr. K. I. Hirsch-Ernst, Institute of Pharmacology and Toxicology, Department of Toxicology, Robert-Koch-Strasse 40, D-37075 Göttingen, Germany. E-mail: khirsche{at}med.uni-goettingen.de
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Abbreviations |
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P-450, cytochrome P-450; PB, phenobarbital; bp, base pair(s); PBREM, phenobarbital-responsive enhancer module; AT, 3-amino-1,2,4-triazole; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; PCR, polymerase chain reaction; mdr, multidrug resistance transporter; ROS, reactive oxygen species; NAC, N-acetylcysteine; NF1, nuclear factor 1; XRE, xenobiotic-responsive element.
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Biochem Pharmacol
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