Shi Cunzhong, Min Luo, Yang Julin, Dai Manyun, Song Danjun, Hua Huiying, Xu Gangming, Gonzalez Frank J, Liu Aiming
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Medical School of Ningbo University, Ningbo, China.
Basic Clin Pharmacol Toxicol. 2017 Sep;121(3):169-174. doi: 10.1111/bcpt.12794. Epub 2017 May 10.
Gemfibrozil, a peroxisome proliferator-activated receptor α (PPARα) agonist, is widely used for hypertriglyceridaemia and mixed hyperlipidaemia. Drug-drug interaction of gemfibrozil and other PPARα agonists has been reported. However, the role of PPARα in cytochrome P450 (CYP) induction by fibrates is not well known. In this study, wild-type mice were first fed gemfibrozil-containing diets (0.375%, 0.75% and 1.5%) for 14 days to establish a dose-response relationship for CYP induction. Then, wild-type mice and Pparα-null mice were treated with a 0.75% gemfibrozil-containing diet for 7 days. CYP3a, CYP2b and CYP2c were induced in a dose-dependent manner by gemfibrozil. In Pparα-null mice, their mRNA level, protein level and activity were induced more than those in wild-type mice. So, gemfibrozil induced CYP, and this action was inhibited by activated PPARα. These data suggested that the induction potential of CYPs was suppressed by activated PPARα, showing a potential role of this receptor in drug-drug interactions and metabolic diseases treated with fibrates.
吉非贝齐是一种过氧化物酶体增殖物激活受体α(PPARα)激动剂,广泛用于治疗高甘油三酯血症和混合性高脂血症。已有报道吉非贝齐与其他PPARα激动剂之间存在药物相互作用。然而,PPARα在贝特类药物诱导细胞色素P450(CYP)中的作用尚不清楚。在本研究中,首先给野生型小鼠喂食含吉非贝齐的饲料(0.375%、0.75%和1.5%)14天,以建立CYP诱导的剂量反应关系。然后,给野生型小鼠和Pparα基因敲除小鼠喂食含0.75%吉非贝齐的饲料7天。吉非贝齐以剂量依赖的方式诱导CYP3a、CYP2b和CYP2c。在Pparα基因敲除小鼠中,它们的mRNA水平、蛋白质水平和活性的诱导程度高于野生型小鼠。因此,吉非贝齐诱导CYP,而这种作用被激活的PPARα抑制。这些数据表明,激活的PPARα抑制了CYPs的诱导潜能,显示了该受体在药物相互作用和贝特类药物治疗的代谢性疾病中的潜在作用。