Stress is a critical player in CYP3A, CYP2C, and CYP2D regulation: role of adrenergic receptor signaling pathways

Am J Physiol Endocrinol Metab. 2012 Jul 1;303(1):E40-54. doi: 10.1152/ajpendo.00545.2011. Epub 2012 Apr 17.

Abstract

Stress is a critical player in the regulation of the major cytochrome P-450s (CYPs) that metabolize the majority of the prescribed drugs. Early in life, maternal deprivation (MD) stress and repeated restraint stress (RS) modified CYP expression in a stress-specific manner. In particular, the expression of CYP3A1 and CYP2C11 was increased in the liver of MD rats, whereas RS had no significant effect. In contrast, hepatic CYP2D1/2 activity was increased by RS, whereas MD did not affect it. The primary effectors of the stress system, glucocorticoids and epinephrine, highly induced CYP3A1/2. Epinephrine also induced the expression of CYP2C11 and CYP2D1/2. Further investigation indicated that AR-agonists may modify CYP regulation. In vitro experiments using primary hepatocyte cultures treated with the AR-agonists phenylephrine, dexmedetomidine, and isoprenaline indicated an AR-induced upregulating effect on the above-mentioned CYPs mediated by the cAMP/protein kinase A and c-Jun NH₂-terminal kinase signaling pathways. Interestingly though, in vivo pharmacological manipulations of ARs using the same AR-agonists led to a suppressed hepatic CYP expression profile, indicating that the effect of the complex network of central and peripheral AR-linked pathways overrides that of the hepatic ARs. The AR-mediated alterations in CYP3A1/2, CYP2C11, and CYP2D1/2 expressions are potentially connected with those observed in the activation of signal transducer and activator of transcription 5b. In conclusion, stress and AR-agonists may modify the expression of the major CYP genes involved in the metabolism of drugs used in a wide range of diseases, thus affecting drug efficacy and toxicity.

MeSH terms

  • Adrenergic Agonists / pharmacology
  • Animals
  • Aryl Hydrocarbon Hydroxylases / genetics
  • Aryl Hydrocarbon Hydroxylases / metabolism*
  • Cells, Cultured
  • Corticosterone / metabolism
  • Cytochrome P-450 CYP2D6 / genetics
  • Cytochrome P-450 CYP2D6 / metabolism*
  • Cytochrome P-450 CYP3A / genetics
  • Cytochrome P-450 CYP3A / metabolism*
  • Cytochrome P450 Family 2
  • Enzyme Induction / drug effects
  • Epinephrine / metabolism
  • Hepatocytes / cytology
  • Hepatocytes / drug effects
  • Hepatocytes / metabolism*
  • Isoenzymes / genetics
  • Isoenzymes / metabolism
  • Male
  • Maternal Deprivation
  • Protein Kinase Inhibitors / pharmacology
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Wistar
  • Receptors, Adrenergic / chemistry
  • Receptors, Adrenergic / metabolism*
  • Restraint, Physical / adverse effects
  • Signal Transduction / drug effects
  • Steroid 16-alpha-Hydroxylase / genetics
  • Steroid 16-alpha-Hydroxylase / metabolism*
  • Stress, Physiological*
  • Stress, Psychological / metabolism*
  • Stress, Psychological / pathology

Substances

  • Adrenergic Agonists
  • Isoenzymes
  • Protein Kinase Inhibitors
  • RNA, Messenger
  • Receptors, Adrenergic
  • Aryl Hydrocarbon Hydroxylases
  • CYP2C11 protein, rat
  • Cytochrome P-450 CYP2D6
  • Cytochrome P-450 CYP3A
  • Cytochrome P450 Family 2
  • Steroid 16-alpha-Hydroxylase
  • Corticosterone
  • Epinephrine