Cited by 235Pharmacogenetics and Drug MetabolismDrug Transport and Resistance MechanismsDrug-Induced Hepatotoxicity and Protection

Knockout of cytochrome P450 3A yields new mouse models for understanding xenobiotic metabolism

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van Herwaarden, Antonius E., Wagenaar, Els, van der Kruijssen, Cornelia M.M., van Waterschoot, Robert A.B., Smit, Johan W., Song, Ji-Ying, van der Valk, Martin A., van Tellingen, Olaf +4 more·2007·Journal of Clinical Investigation

Abstract

Cytochrome P450 3A (CYP3A) enzymes constitute an important detoxification system that contributes to primary metabolism of more than half of all prescribed medications.To investigate the physiological and pharmacological roles of CYP3A, we generated Cyp3a-knockout (Cyp3a -/-) mice lacking all functional Cyp3a genes.Cyp3a -/-mice were viable, fertile, and without marked physiological abnormalities.However, these mice exhibited severely impaired detoxification capacity when exposed to the chemotherapeutic agent docetaxel, displaying higher exposure levels in response to both oral and intravenous administration.These mice also demonstrated increased sensitivity to docetaxel toxicity, suggesting a primary role for Cyp3a in xenobiotic detoxification.To determine the relative importance of intestinal versus hepatic Cyp3a in first-pass metabolism, we generated transgenic Cyp3a -/-mice expressing human CYP3A4 in either the intestine or the liver.Expression of CYP3A4 in the intestine dramatically decreased absorption of docetaxel into the bloodstream, while hepatic expression aided systemic docetaxel clearance.These results suggest that CYP3A expression determines impairment of drug absorption and efficient systemic clearance in a tissue-specific manner.The genetic models used in this study provide powerful tools to further study CYP3A-mediated xenobiotic metabolism, as well as interactions between CYP3A and other detoxification systems.Nonstandard abbreviations used: AUC, area under the curve; Cyp3a, cytochrome P450 3A; Cyp3a -/-A mice, Cyp3a-knockout mice with apoE promoter-driven liverspecific expression of human CYP3A4; Cyp3a -/-V mice, Cyp3a -/-mice with villin promoter-driven intestine-specific expression of human CYP3A4; P-gp, P-glycoprotein.

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  • Mitotane is a very strong inducer of the drug-metabolizing microsomal liver and gut enzyme CYP3A4.

    “It has recently become clear that mitotane is a very strong inducer of the drug-metabolizing microsomal liver and gut enzyme CYP3A4 (299, 301–303).”

    From Adrenocortical carcinoma (2014) · cites this paper as [303]

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Authors
van Herwaarden, A. E., Wagenaar, E., van der Kruijssen, C. M. M., van Waterschoot, R. A. B., Smit, J. W., Song, J.-Y., van der Valk, M. A., van Tellingen, O., van der Hoorn, J. W. A., Rosing, H., Beijnen, J. H., & Schinkel, A. H.
Affiliations
  • The Netherlands Cancer Institute (NL)
  • Slotervaartziekenhuis (NL)
Corresponding author
Schinkel, Alfred H.
Venue
Journal of Clinical Investigation
Published
2007-11-01
Volume
117
Issue
11
Pages
3583-3592
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2150549589
Cited by
235
References
29
Citations by year
2025: 8 · 2024: 7 · 2023: 7 · 2022: 10 · 2021: 17 · 2020: 12 · 2019: 12 · 2018: 9 · 2017: 11 · 2016: 17 · 2015: 12 · 2014: 13 · 2013: 16 · 2012: 14
FWCI
14.69
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • TNO Repository (submittedVersion)
Funders
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek
  • KWF Kankerbestrijding
Topics
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
  • Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
Keywords
CYP3A, CYP3A4, xenobiotic metabolism, docetaxel, drug detoxification, drug absorption, first-pass metabolism, drug clearance, drug toxicity, tissue-specific gene expression, P-glycoprotein
MeSH terms
Docetaxel, Animals, Antineoplastic Agents, Biological Availability, Cytochrome P-450 Enzyme System, Humans, Membrane Proteins, Mice, Transgenic, Microsomes, Phenotype, Xenobiotics, Mice, Knockout, Taxoids, Mice, Cytochrome P-450 CYP3A

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