Edwards A M
Biochem Pharmacol. 1984 Dec 1;33(23):3839-45. doi: 10.1016/0006-2952(84)90049-2.
The proposition that changes in activity of gamma-glutamyltranspeptidase (GGT) in serum may provide a useful index of the extent of induction of liver drug-metabolizing enzymes by various drugs was examined by comparing control of GGT and monooxygenase activities in cultured hepatocytes. In rat hepatocyte monolayers maintained for up to 5 days the effects of xenobiotics and other factors on cellular GGT activity were compared with effects on a relatively broad measure of drug metabolism, the 7-ethoxycoumarin O-deethylase (ECD) activity of intact cells. A diverse group of drugs including phenobarbital and other barbiturates, diphenylhydantoin, glutethimide, aminopyrine and griseofulvin and the steroids dexamethasone and pregnenolone 16 alpha-carbonitrile were shown to induce both GGT and ECD under comparable culture conditions. Inductions of both activities were potentiated by glucocorticoids and depressed (where tested) by dibutyryl cyclic AMP. Some other hormones or nutrients modulated the activities differently. The magnitude of GGT induction by different drugs did not correlate with relative ECD induction and for several drugs the concentration-dependence of the two effects was different. Interpretation is complicated by the possible contribution of multiple forms of cytochrome P-450 to ECD activity but it seems unlikely that drugs which induce both GGT and drug metabolism do so via a common regulatory mechanism. For such drugs changes in serum GGT could provide only a crude guide to likely changes in drug metabolism. Some compounds including polycyclic hydrocarbons and warfarin induced ECD but had no associated effect on GGT in hepatocytes.
通过比较培养肝细胞中γ-谷氨酰转肽酶(GGT)的活性控制和单加氧酶活性,研究了血清中GGT活性变化可能为各种药物诱导肝药物代谢酶的程度提供有用指标这一命题。在维持长达5天的大鼠肝细胞单层中,将异生物素和其他因素对细胞GGT活性的影响与对完整细胞相对广泛的药物代谢指标——7-乙氧基香豆素O-脱乙基酶(ECD)活性的影响进行了比较。包括苯巴比妥和其他巴比妥类药物、苯妥英、格鲁米特、氨基比林、灰黄霉素以及类固醇地塞米松和孕烯醇酮16α-腈在内的多种药物在可比的培养条件下均显示可诱导GGT和ECD。两种活性的诱导均被糖皮质激素增强,而被二丁酰环磷酸腺苷抑制(在测试时)。其他一些激素或营养物质对活性的调节方式不同。不同药物对GGT的诱导程度与相对ECD诱导程度不相关,并且对于几种药物,两种效应的浓度依赖性不同。由于细胞色素P-450的多种形式可能对ECD活性有贡献,解释变得复杂,但诱导GGT和药物代谢的药物似乎不太可能通过共同的调节机制来实现。对于此类药物,血清GGT的变化只能为药物代谢可能的变化提供粗略的指导。一些化合物,包括多环烃和华法林,可诱导ECD,但对肝细胞中的GGT没有相关影响。