Department of Children's Health and Care, Children's Hospital of Zhejiang University School of Medicine and Zhejiang Key Laboratory for Diagnosis and Therapy of Neonatal Diseases, Hangzhou 310003, China.
World J Pediatr. 2013 Aug;9(3):266-72. doi: 10.1007/s12519-013-0429-x. Epub 2013 Aug 9.
We aimed to investigate the effects of low birth weight (LBW) on the hepatic expression of cytochrome P-450 3A (CYP3A) in developing female rats.
Pregnant rats were divided into two groups, a nourished group and an under-nourished group. The offspring of the nourished rats were defined as a normal weight, normal diet group (NN group). The offspring of the under-nourished rats were designated as a LBW, normal diet group (LN group). CYP3A mRNA expression, protein expression, protein localization and activity were determined.
The CYP3A1 mRNA expression levels of the LN group on days 3, 21, and 56 were significantly higher than those of the same age in the NN group (P≤0.01). The mRNA expression of CYP3A2 in the LN group on day 21 was higher than in rats of the same age in the NN group (P<0.01). The staining intensity and frequency of CYP3A1-positive hepatocytes were significantly lower on days 7 and 21 in the LN group than those of rats of the same age in the NN group (P<0.05). The staining intensity and frequency of CYP3A2-positive hepatocytes on days 14 and 21 were higher in the LN group than those on the same days in the NN group (P<0.05). The mean CYP3A activity of the LN group on day 3 was significantly higher than that of the NN group (P<0.001).
We found the effect of LBW on CYP3A activity was most prominent during the early days of life in rats. Investigators and clinicians should consider the effect of LBW on CYP3A in both pharmacokinetic study design and data interpretation, when prescribing drugs to LBW infants.
我们旨在研究低出生体重(LBW)对发育中雌性大鼠肝微粒体细胞色素 P-450 3A(CYP3A)表达的影响。
将怀孕大鼠分为两组,营养充足组和营养不足组。营养充足大鼠的后代被定义为正常体重、正常饮食组(NN 组)。营养不足大鼠的后代被指定为低出生体重、正常饮食组(LN 组)。测定 CYP3A mRNA 表达、蛋白表达、蛋白定位和活性。
LN 组大鼠在第 3、21 和 56 天的 CYP3A1mRNA 表达水平明显高于 NN 组同年龄大鼠(P≤0.01)。LN 组大鼠在第 21 天的 CYP3A2mRNA 表达高于 NN 组同年龄大鼠(P<0.01)。LN 组大鼠在第 7 和 21 天的 CYP3A1 阳性肝细胞染色强度和频率明显低于 NN 组同年龄大鼠(P<0.05)。LN 组大鼠在第 14 和 21 天的 CYP3A2 阳性肝细胞染色强度和频率高于 NN 组同年龄大鼠(P<0.05)。LN 组大鼠在第 3 天的平均 CYP3A 活性明显高于 NN 组(P<0.001)。
我们发现 LBW 对 CYP3A 活性的影响在大鼠生命早期最为显著。在为 LBW 婴儿开处方时,研究人员和临床医生在进行药代动力学研究设计和数据解释时,应考虑 LBW 对 CYP3A 的影响。