RT Journal Article SR Electronic T1 Continuum of Host-Gut Microbial Co-metabolism: Host CYP3A4/3A7 Are Responsible for Tertiary Oxidations of Deoxycholate Species JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP dmd.118.085670 DO 10.1124/dmd.118.085670 A1 Jian Zhang A1 Ling-Zhi Gao A1 Yu-Jie Chen A1 Ping-Ping Zhu A1 Shan-Shan Yin A1 Ming-Ming Su A1 Yan Ni A1 Jia Miao A1 Wen-lin Wu A1 Hong Chen A1 Kim L.R. Brouwer A1 Chang-Xiao Liu A1 Liang Xu A1 Wei Jia A1 Ke Lan YR 2019 UL http://dmd.aspetjournals.org/content/early/2019/01/03/dmd.118.085670.abstract AB The gut microbiota modifies endogenous primary bile acids (BAs) to produce exogenous secondary BAs, which may be further metabolized by cytochrome P450 enzymes (CYPs). Our primary aim was to examine how the host adapts to the stress of microbe-derived secondary BAs by CYPs-mediated oxidative modifications on the steroid nucleus. Five unconjugated tri-hydroxyl BAs that were structurally and/or biologically associated with deoxycholate (DCA) were determined in human biological samples by LC-MS/MS in combination with enzyme-digestion techniques. They were identified as DCA-19-ol, DCA-6β-ol, DCA-5β-ol, DCA-6α-ol, DCA-1β-ol and DCA-4β-ol based on matching with in-lab synthesized standards. Metabolic inhibition assays in human liver microsomes and recombinant CYP assays revealed that CYP3A4 and CYP3A7 were responsible for the regioselective oxidations of both DCA and its conjugated forms, glycodeoxycholate (GDCA) and taurodeoxycholate (TDCA). The modification of secondary BAs to tertiary BAs defines a host liver (primary BAs) - gut microbiota (secondary BAs) - host liver (tertiary BAs) axis. The regioselective oxidations of DCA, GDCA and TDCA by CYP3A4 and CYP3A7 may help eliminate host-toxic DCA species. The 19- and 4β-hydroxylation of DCA species demonstrated outstanding CYP3A7 selectivity and may be useful indicators of CYP3A7 activity.