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Microarray Analysis of Differentially-Expressed Genes Encoding CYP450 and Phase II Drug Metabolizing Enzymes in
Venil N Sumantran1, Pratik Mishra2, Rakesh Bera3
1Department of Biotechnology, Dr. M.G.R. Educational and Research Institute University, Chennai, Tamil Nadu 600095, India. venil.sumantran@gmail.com.
Abstract:
Cytochrome P450 drug metabolizing enzymes are implicated in personalized medicine for two main reasons. First, inter-individual variability in CYP3A4 expression is a confounding factor during cancer treatment. Second, inhibition or induction of CYP3A4 can trigger adverse drug-drug interactions. However, inflammation can downregulate CYP3A4 and other drug metabolizing enzymes and lead to altered metabolism of drugs and essential vitamins and lipids. Little is known about effects of inflammation on expression of CYP450 genes controlling drug metabolism in the skin. Therefore, we analyzed seven published microarray datasets, and identified differentially-expressed genes in two inflammatory skin diseases (melanoma and psoriasis). We observed opposite patterns of expression of genes regulating metabolism of specific vitamins and lipids in psoriasis and melanoma samples. Thus, genes controlling the turnover of vitamin D (CYP27B1, CYP24A1), vitamin A (ALDH1A3, AKR1B10), and cholesterol (CYP7B1), were up-regulated in psoriasis, whereas melanomas showed downregulation of genes regulating turnover of vitamin A (AKR1C3), and cholesterol (CYP39A1). Genes controlling abnormal keratinocyte differentiation and epidermal barrier function (CYP4F22, SULT2B1) were up-regulated in psoriasis. The up-regulated CYP24A1, CYP4F22, SULT2B1, and CYP7B1 genes are potential drug targets in psoriatic skin. Both disease samples showed diminished drug metabolizing capacity due to downregulation of the CYP1B1 and CYP3A5 genes. However, melanomas showed greater loss of drug metabolizing capacity due to downregulation of the CYP3A4 gene.
Insights
Inflammation alters skin drug metabolism by affecting cytochrome P450 (CYP450) genes. Psoriasis up-regulates some CYP450 genes, while melanoma down-regulates them, impacting drug efficacy and safety.
Area of Science:
- Pharmacogenomics and Cutaneous Biology
- Biochemistry and Molecular Biology
- Dermatology and Oncology
Background:
- Cytochrome P450 (CYP450) enzymes are crucial for drug metabolism and personalized medicine, but their expression varies between individuals.
- Inflammation can significantly alter CYP450 expression, affecting drug efficacy and potentially leading to adverse drug-drug interactions.
- The impact of inflammation on CYP450 gene expression in skin, particularly in dermatological conditions like melanoma and psoriasis, remains poorly understood.
Purpose of the Study:
- To investigate the differential expression of CYP450 genes in response to inflammation in skin diseases.
- To identify specific CYP450 genes that are altered in melanoma and psoriasis.
- To explore the potential of these altered CYP450 genes as therapeutic targets in dermatological conditions.
Main Methods:
- Analysis of seven publicly available microarray datasets.
- Identification of differentially expressed genes in skin samples from patients with melanoma and psoriasis.
- Comparison of gene expression patterns related to drug metabolism, vitamin, and lipid turnover.
Main Results:
- Psoriasis samples showed up-regulation of genes involved in vitamin D, vitamin A, and cholesterol metabolism (e.g., CYP27B1, CYP24A1, ALDH1A3, AKR1B10, CYP7B1).
- Melanoma samples exhibited down-regulation of genes involved in vitamin A and cholesterol metabolism (e.g., AKR1C3, CYP39A1).
- Both diseases displayed reduced drug-metabolizing capacity due to down-regulation of CYP1B1 and CYP3A5, with melanoma showing a more pronounced loss due to CYP3A4 down-regulation.
Conclusions:
- Inflammation in skin diseases like psoriasis and melanoma leads to distinct alterations in CYP450 gene expression.
- Specific up-regulated genes in psoriasis (CYP24A1, CYP4F22, SULT2B1, CYP7B1) represent potential therapeutic targets.
- Diminished drug-metabolizing capacity in both conditions, particularly in melanoma, highlights the need for careful drug selection and dosage adjustments.
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