Department of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland (S.M., H.W.).
Department of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland (S.M., H.W.)
Drug Metab Dispos. 2023 Feb;51(2):210-218. doi: 10.1124/dmd.122.000859. Epub 2022 Nov 9.
Phenobarbital (PB) is a commonly prescribed anti-epileptic drug that can also benefit newborns from hyperbilirubinemia. Being the first drug demonstrating hepatic induction of cytochrome P450 (CYP), PB has since been broadly used as a model compound to study xenobiotic-induced drug metabolism and clearance. Mechanistically, PB-mediated CYP induction is linked to a number of nuclear receptors, such as the constitutive androstane receptor (CAR), pregnane X receptor (PXR), and estrogen receptor , with CAR being the predominant regulator. Unlike prototypical agonistic ligands, PB-mediated activation of CAR does not involve direct binding with the receptor. Instead, dephosphorylation of threonine 38 in the DNA-binding domain of CAR was delineated as a key signaling event underlying PB-mediated indirect activation of CAR. Further studies revealed that such phosphorylation sites appear to be highly conserved among most human nuclear receptors. Interestingly, while PB is a pan-CAR activator in both animals and humans, PB activates human but not mouse PXR. The species-specific role of PB in gene regulation is a key determinant of its implication in xenobiotic metabolism, drug-drug interactions, energy homeostasis, and cell proliferation. In this review, we summarize the recent progress in our understanding of PB-provoked transactivation of nuclear receptors with a focus on CAR and PXR. SIGNIFICANCE STATEMENT: Extensive studies using PB as a research tool have significantly advanced our understanding of the molecular basis underlying nuclear receptor-mediated drug metabolism, drug-drug interactions, energy homeostasis, and cell proliferation. In particular, CAR has been established as a cell signaling-regulated nuclear receptor in addition to ligand-dependent functionality. This mini-review highlights the mechanisms by which PB transactivates CAR and PXR.
苯巴比妥(PB)是一种常用的抗癫痫药物,也可使高胆红素血症的新生儿受益。作为第一个证明细胞色素 P450(CYP)肝诱导的药物,PB 已被广泛用作研究外源性物质诱导的药物代谢和清除的模型化合物。从机制上讲,PB 介导的 CYP 诱导与许多核受体有关,如组成型雄烷受体(CAR)、妊娠相关 X 受体(PXR)和雌激素受体,其中 CAR 是主要的调节剂。与典型的激动性配体不同,PB 介导的 CAR 激活不涉及与受体的直接结合。相反,CAR 中 DNA 结合域中苏氨酸 38 的去磷酸化被描绘为 PB 介导的 CAR 间接激活的关键信号事件。进一步的研究表明,这些磷酸化位点似乎在大多数人类核受体中高度保守。有趣的是,虽然 PB 是动物和人类中泛 CAR 激活剂,但 PB 激活人而不激活鼠 PXR。PB 在基因调控中的种属特异性作用是其在异生物质代谢、药物相互作用、能量平衡和细胞增殖中的作用的关键决定因素。在这篇综述中,我们总结了近年来对 PB 诱导核受体转激活的理解的最新进展,重点是 CAR 和 PXR。意义陈述:使用 PB 作为研究工具进行的广泛研究极大地促进了我们对核受体介导的药物代谢、药物相互作用、能量平衡和细胞增殖的分子基础的理解。特别是,CAR 已被确立为一种细胞信号调节核受体,除了配体依赖性功能。这篇小综述强调了 PB 转激活 CAR 和 PXR 的机制。