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Updated: Oct 1, 2026

An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment
Published on: December 3, 2020
Molecular mechanisms of polymorphic CYP3A7 expression in adult human liver and intestine
Oliver Burk1, Heike Tegude, Ina Koch
1Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Auerbachstrasse 112, D-70376 Stuttgart, Germany. oliver.burk@ikp-stuttgart.de
Abstract:
Human CYP3A enzymes play a pivotal role in the metabolism of many drugs, and the variability of their expression among individuals may have a strong impact on the efficacy of drug treatment. However, the individual contributions of the four CYP3A genes to total CYP3A activity remain unclear. To elucidate the role of CYP3A7, we have studied its expression in human liver and intestine. In both organs, expression of CYP3A7 mRNA was polymorphic. The recently identified CYP3A7*1C allele was a consistent marker of increased CYP3A7 expression both in liver and intestine, whereas the CYP3A7*1B allele was associated with increased CYP3A7 expression only in liver. Because of the replacement of part of the CYP3A7 promoter by the corresponding region of CYP3A4, the CYP3A7*1C allele contains the proximal ER6 motif of CYP3A4. The pregnane X and constitutively activated receptors were shown to bind with higher affinity to CYP3A4-ER6 than to CYP3A7-ER6 motifs and transactivated only promoter constructs containing CYP3A4-ER6. Furthermore, we identified mutations in CYP3A7*1C in addition to the ER6 motif that were necessary only for activation by the constitutively activated receptor. We conclude that the presence of the ER6 motif of CYP3A4 mediates the high expression of CYP3A7 in subjects carrying CYP3A7*1C.
Insights
The CYP3A7*1C genetic variant increases drug metabolism by enhancing CYP3A7 gene expression in the liver and intestine. This is due to a CYP3A4 promoter region, impacting drug efficacy.
Area of Science:
- Pharmacogenomics
- Drug Metabolism
- Molecular Biology
Background:
- Human CYP3A enzymes are crucial for drug metabolism, with individual expression variability affecting treatment outcomes.
- The specific roles of the four CYP3A genes in overall CYP3A activity are not fully understood.
Purpose of the Study:
- To investigate the expression of CYP3A7 in human liver and intestine.
- To clarify the contribution of CYP3A7 to total CYP3A activity and its genetic regulation.
Main Methods:
- Studied CYP3A7 mRNA expression in human liver and intestine tissues.
- Analyzed the association of CYP3A7 alleles (*1C and *1B) with gene expression levels.
- Investigated the role of the ER6 motif and receptor binding in CYP3A7 promoter activity.
Main Results:
- CYP3A7 mRNA expression was found to be polymorphic in both liver and intestine.
- The CYP3A7*1C allele strongly correlated with increased CYP3A7 expression in both organs.
- The CYP3A7*1B allele was linked to higher CYP3A7 expression solely in the liver.
- The CYP3A7*1C allele contains a CYP3A4-derived ER6 motif, which binds nuclear receptors more effectively, driving higher CYP3A7 expression.
Conclusions:
- The presence of the CYP3A4-derived ER6 motif in the CYP3A7*1C allele is responsible for the elevated CYP3A7 expression observed in individuals carrying this allele.
- This finding helps explain inter-individual variability in drug metabolism and response.
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