Xenobiotic stress induces hepatomegaly and liver tumors via the nuclear receptor constitutive androstane receptor

Mol Endocrinol. 2005 Jun;19(6):1646-53. doi: 10.1210/me.2004-0520. Epub 2005 Apr 14.


The constitutive androstane receptor (CAR, NR1I3) is a central regulator of xenobiotic metabolism. CAR activation induces hepatic expression of detoxification enzymes and transporters and increases liver size. Here we show that CAR-mediated hepatomegaly is a transient, adaptive response to acute xenobiotic stress. In contrast, chronic CAR activation results in hepatocarcinogenesis. In both acute and chronic xenobiotic responses, hepatocyte DNA replication is increased and apoptosis is decreased. These effects are absent in CAR null mice, which are completely resistant to tumorigenic effects of chronic xenobiotic stress. In the acute response, direct up-regulation of Mdm2 expression by CAR contributes to both increased DNA replication and inhibition of p53-mediated apoptosis. These results demonstrate an essential role for CAR in regulating both liver homeostasis and tumorigenesis in response to xenobiotic stresses, and they also identify a specific molecular mechanism linking chronic environmental stress and tumor formation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Apoptosis
  • Cell Proliferation
  • Chromatin Immunoprecipitation
  • Constitutive Androstane Receptor
  • DNA / metabolism
  • DNA Fragmentation
  • Flow Cytometry
  • HeLa Cells
  • Hepatocytes / metabolism
  • Hepatomegaly / pathology*
  • Humans
  • Liver / metabolism
  • Liver / pathology
  • Liver Neoplasms / etiology
  • Liver Neoplasms / pathology*
  • Mice
  • Mice, Transgenic
  • Nuclear Proteins / metabolism
  • Protein Binding
  • Proto-Oncogene Proteins / metabolism
  • Proto-Oncogene Proteins c-mdm2
  • RNA / metabolism
  • Receptors, Cytoplasmic and Nuclear / metabolism
  • Receptors, Cytoplasmic and Nuclear / physiology*
  • Time Factors
  • Transcription Factors / metabolism
  • Transcription Factors / physiology*
  • Transfection
  • Tumor Suppressor Protein p53 / metabolism
  • Up-Regulation
  • Xenobiotics / chemistry


  • Constitutive Androstane Receptor
  • NR1I3 protein, human
  • Nr1i3 protein, mouse
  • Nuclear Proteins
  • Proto-Oncogene Proteins
  • Receptors, Cytoplasmic and Nuclear
  • Transcription Factors
  • Tumor Suppressor Protein p53
  • Xenobiotics
  • RNA
  • DNA
  • MDM2 protein, human
  • Mdm2 protein, mouse
  • Proto-Oncogene Proteins c-mdm2