Phenobarbital induction of drug/steroid-metabolizing enzymes and nuclear receptor CAR

Biochim Biophys Acta. 2003 Feb 17;1619(3):239-42. doi: 10.1016/s0304-4165(02)00482-8.

Abstract

Phenobarbital (PB) increases hepatic drug/steroid-metabolic capability by coordinately activating transcription of the genes encoding various metabolizing enzymes. The nuclear receptor CAR was first implicated as a transcription factor that activates the cytochrome P450 Cyp2b10 gene. In response to PB, CAR forms a heterodimer with the retinoid X receptor (RXR), binds to a PB response element (typified by DR-4 motif), and activates transcription of the gene. In the CAR-null mouse, PB does not only induce the Cyp2b10 gene, but also induces genes encoding various metabolizing enzymes. Thus, CAR is a general nuclear receptor that is essential for PB induction of drug/steroid metabolizing enzymes. PB also induces amino levulinate synthase 1 (ALAS-1), the rate-limiting enzyme in heme biosynthesis, to increase heme supply. However, PB induction of the synthase occurs in CAR-null mice, suggesting that CAR does not coordinate the heme synthesis for the induction of drug/steroid metabolism.

Publication types

  • Review

MeSH terms

  • 5-Aminolevulinate Synthetase / biosynthesis
  • 5-Aminolevulinate Synthetase / genetics
  • Animals
  • Aryl Hydrocarbon Hydroxylases / biosynthesis
  • Aryl Hydrocarbon Hydroxylases / genetics
  • Cell Nucleus / enzymology
  • Constitutive Androstane Receptor
  • Cytochrome P450 Family 2
  • Cytoplasm / enzymology
  • Humans
  • Liver / enzymology
  • Lung / enzymology
  • Phenobarbital / pharmacology*
  • RNA, Messenger / biosynthesis
  • Receptors, Cytoplasmic and Nuclear / biosynthesis*
  • Receptors, Cytoplasmic and Nuclear / chemistry
  • Receptors, Cytoplasmic and Nuclear / deficiency
  • Receptors, Retinoic Acid / chemistry
  • Receptors, Retinoic Acid / metabolism
  • Retinoid X Receptors
  • Steroid Hydroxylases / biosynthesis
  • Steroid Hydroxylases / genetics
  • Transcription Factors / biosynthesis*
  • Transcription Factors / chemistry
  • Transcription Factors / deficiency
  • Transcription Factors / metabolism

Substances

  • Constitutive Androstane Receptor
  • RNA, Messenger
  • Receptors, Cytoplasmic and Nuclear
  • Receptors, Retinoic Acid
  • Retinoid X Receptors
  • Transcription Factors
  • Steroid Hydroxylases
  • Aryl Hydrocarbon Hydroxylases
  • Cyp2b10 protein, mouse
  • Cytochrome P450 Family 2
  • 5-Aminolevulinate Synthetase
  • Phenobarbital