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Division of Pharmacology (K.N., H.T., A.M., S.I., M.S., S.O.) and Deputy Director General (Y.O.), National Institute of Health Sciences, Kamiyoga, Setagaya-ku, Tokyo, Japan; Department of Biopharmaceutics, Meiji Pharmaceutical University, Noshio, Kiyose, Tokyo, Japan (K.N., H.T., K.H., H.O.); Department of Hepatology, Toranomon Hospital, Toranomon, Minato-ku, Tokyo, Japan (F.S., H.K.); Department of Pharmacodynamics and Molecular Genetics, Faculty of Pharmaceutical Sciences, Iwate Medical University, Nishitokuta, Yahabacho, Shiwa-gun, Iwate, Japan (W.H., S.O.); Department of Pharmacology and Surgery Division (Y.K.) and Second Department of Surgery (K.K., J.K.), Dokkyo Medical University School of Medicine, Mibu, Tochigi, Japan
Patients with chronic hepatitis C viral infection underwent liver biopsies and laboratory studies for evaluation and to determine subsequent treatment. Changes in status of drug metabolism and disposition may vary with chronic hepatitis C stage and should be assessed. Total RNA was extracted from liver biopsy specimens (n = 63) and reverse transcribed to yield cDNA. Relative mRNA levels of drug-metabolizing enzymes, transporters, nuclear receptors, and proinflammatory cytokines were analyzed with normalization to glyceraldehyde 3-phosphate dehydrogenase expression. mRNAs encoding cytochromes P450 1A2, 2E1, and 3A4, and drug transporters, Na+-taurocholate-cotransporting polypeptide, organic anion-transporting peptide-C, and organic cation transporter 1 showed remarkable decreases, and tumor necrosis factor-
showed an increase according to fibrosis stage progression. HepG2 cells and primary hepatocytes of two human individuals were treated with interleukin 1β, interleukin 6, or tumor necrosis factor-
. CYP1A2 and Na+-taurocholate-cotransporting polypeptide mRNA levels significantly decreased in HepG2 cells with interleukin 1β and interleukin 6 treatments. CYP2E1 and organic cation transporter 1 mRNA levels significantly decreased with tumor necrosis factor-
treatment only in HepG2. These results suggested that down-regulation of CYP1A2, 2E1, and 3A4, and drug transporters, Na+-taurocholate-cotransporting polypeptide, organic anion-transporting peptide-C, and organic cation transporter 1, manifested in livers of patients with chronic hepatitis C viral infection, was associated, at least in part, with the elevated production of proinflammatory cytokines, including tumor necrosis factor-
.
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M. L. Vee, V. Lecureur, B. Stieger, and O. Fardel Regulation of Drug Transporter Expression in Human Hepatocytes Exposed to the Proinflammatory Cytokines Tumor Necrosis Factor-{alpha} or Interleukin-6 Drug Metab. Dispos., March 1, 2009; 37(3): 685 - 693. [Abstract] [Full Text] [PDF] |
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