Pregnane X receptor-mediated induction of Cyp3a by black cohosh

Xenobiotica. 2011 Feb;41(2):112-23. doi: 10.3109/00498254.2010.527021. Epub 2010 Oct 27.

Abstract

Black cohosh (BC) has been widely applied for the treatment of menopausal symptoms. However, increasing concerns about herb-drug interactions demand the need for studies on the influence of BC on cytochrome 450. Cyp3a11 in liver was induced by 7-fold in wild-type mice treated with 500 mg/kg black cohosh for 28 days compared with the control group as assessed by quantitative real-time PCR; no difference was found in small intestine and kidney, suggesting that up-regulation of Cyp3a11 by black cohosh was liver-specific. Western blot, activity assays, and pharmacokinetic analyses established dose- and time-dependent induction of Cyp3a11. To determine the mechanism of Cyp3a11 induction, including the role of pregnane X receptor (PXR) in vivo and in vitro, respectively, in Pxr-null, PXR-humanized, and double transgenic CYP3A4/hPXR mice, cell-based luciferase assays were employed revealing that mouse PXR played a direct role in the induction of Cyp3a11; human PXR was not activated by black cohosh. Overall, these findings demonstrate that induction of Cyp3a11 is liver-specific and involved only mouse PXR, not the human counterpart. Thus, the incidence of herb-drug interaction in patients administered black cohosh may not be mediated by human PXR and CYP3A4.

Publication types

  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blotting, Western
  • Cimicifuga / chemistry*
  • Cimicifuga / toxicity
  • Cytochrome P-450 CYP3A / biosynthesis*
  • Cytochrome P-450 CYP3A / genetics
  • Enzyme Assays
  • Enzyme Induction / drug effects
  • Female
  • Gene Expression Regulation / drug effects
  • Genes, Reporter
  • Hep G2 Cells
  • Humans
  • Intestine, Small / drug effects
  • Intestine, Small / metabolism
  • Kidney / drug effects
  • Kidney / metabolism
  • Liver / drug effects
  • Liver / metabolism
  • Membrane Proteins / biosynthesis*
  • Membrane Proteins / genetics
  • Mice
  • Mice, Inbred C57BL
  • Midazolam / administration & dosage
  • Midazolam / blood
  • Midazolam / pharmacokinetics
  • Plant Extracts / pharmacology*
  • Plant Extracts / toxicity
  • Pregnane X Receptor
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, Steroid / genetics
  • Receptors, Steroid / metabolism*
  • Saponins / chemistry
  • Saponins / metabolism
  • Triterpenes / chemistry
  • Triterpenes / metabolism

Substances

  • Membrane Proteins
  • Plant Extracts
  • Pregnane X Receptor
  • RNA, Messenger
  • Receptors, Steroid
  • Saponins
  • Triterpenes
  • 23-epi-26-deoxyactein
  • Cyp3a11 protein, mouse
  • Cytochrome P-450 CYP3A
  • actein
  • Midazolam