PT  - JOURNAL ARTICLE
AU  - Krisztina Kőhalmy
AU  - Viola Tamási
AU  - László Kóbori
AU  - Enikő Sárváry
AU  - Jean-Marc Pascussi
AU  - Pálma Porrogi
AU  - Damjana Rozman
AU  - Russell A. Prough
AU  - Urs A. Meyer
AU  - Katalin Monostory
TI  - Dehydroepiandrosterone Induces Human CYP2B6 through the Constitutive Androstane Receptor
AID  - 10.1124/dmd.107.016303
DP  - 2007 Sep 01
TA  - Drug Metabolism and Disposition
PG  - 1495--1501
VI  - 35
IP  - 9
4099  - http://dmd.aspetjournals.org/content/35/9/1495.short
4100  - http://dmd.aspetjournals.org/content/35/9/1495.full
SO  - Drug Metab Dispos2007 Sep 01; 35
AB  - Dehydroepiandrosterone (DHEA), the major precursor of androgens and estrogens, has several beneficial effects on the immune system, on memory function, and in modulating the effects of diabetes, obesity, and chemical carcinogenesis. Treatment of rats with DHEA influences expression of cytochrome P450 (P450) genes, including peroxisome proliferator-activated receptor α (PPARα)- and pregnane X receptor (PXR)-mediated induction of CYP4As and CYP3A23, and suppression of CYP2C11. DHEA treatment elevated the expression and activities of CYP3A4, CYP2C9, CYP2C19, and CYP2B6 in primary cultures of human hepatocytes. Induction of CYP3A4 in human hepatocytes was consistent with studies in rats, but induction of CYP2Cs was unexpected. The role of PXR in this response was studied in transient transfection assays. DHEA activated hPXR in a concentration-dependent manner. Because CYP2B6 induction by DHEA in human hepatocytes might involve either PXR or constitutive androstane receptor (CAR) activation, we performed experiments in primary hepatocytes from CAR knockout mice and observed that CAR was required for maximal induction of Cyp2b10 by DHEA. Furthermore, CAR-mediated Cyp2b10 induction by DHEA was inhibited by the inverse agonist of CAR, androstanol (5α-androstan-3α-ol). Further evidence for CAR activation was provided by cytoplasmic/nuclear transfer of CAR upon DHEA treatment. Elucidation of CAR activation and subsequent induction of CYP2B6 by DHEA presented an additional mechanism by which the sterol can modify the expression of P450s. The effect of DHEA on the activation of the xenosensors PPARα, PXR, and CAR, and the consequent potential for adverse drug/toxicant interactions should be considered in humans treated with this nutriceutical agent. The American Society for Pharmacology and Experimental Therapeutics