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Vol. 30, Issue 9, 977-984, September 2002
Departments of Drug Safety Evaluation (Y.H.W., E.U., S.K.,
V.E.K.), Pharmacokinetics, Dynamics, and Metabolism (J.S., K.R), and
Molecular Sciences (X.Z.), Pfizer Global Research and Development, Ann
Arbor, Michigan; Veterans Administration Medical Center, White River
Junction, Vermont (J.F.S.); Departments of Biochemistry and
Pharmacology/Toxicology, Dartmouth Medical School, Hanover, New
Hampshire (J.F.S.); and University of Pittsburgh Medical Center,
Department of Pathology, Pittsburgh, Pennsylvania (H.C., S.C.S.)
We investigated the effect of bergamottin, a major furanocoumarin
in grapefruit juice, on phase I and phase II drug-metabolizing enzymes
using cultured human and monkey hepatocytes. Both cultured systems were
compared and evaluated for the direct effects of bergamottin as well as
control treatments on liver enzymes. Treatment of hepatocytes with 0.1, 1, 5, and 10 µM bergamottin resulted in a concentration-dependent
reduction in CYP3A4 activity (40-100%) in both human and monkey
cells, as measured by testosterone 6
-hydroxylase activity.
Bergamottin was potent at eliciting these inhibitory effects at both
basal and induced states of CYP3A. Bergamottin (5 µM) completely
inhibited
-naphthoflavone-induced ethoxyresorufin O-dealkylase (EROD) and methoxyresorufin
O-dealkylase (MROD) activities in human hepatocytes and
caused a 100% decrease in EROD activity in monkey hepatocytes. A 48-h
exposure of cultured human hepatocytes to bergamottin resulted in
increased levels of immunoreactive CYP3A4, CYP1A1, and CYP1A2 proteins,
and CYP3A4, CYP1A1, CYP1A2, CYP2B6, and UDP-glucuronosyl transferase
mRNAs. There was only a 20 to 30% reduction in glucuronidation and
sulfation of 4-methylumbelliferone in human hepatocytes by 10 µM
bergamottin and no effect on conjugation in the monkey hepatocytes.
These results suggest that bergamottin causes both inhibition of CYP3A
and CYP1A1/2 enzymatic activities and induction of correspondent
proteins and mRNAs.
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