Effects of Diminished NADPH:cytochrome P450 Reductase in Human Hepatocytes on Lipid and Bile Acid Homeostasis

Tamara Heintze1,2, Denise Wilhelm1, Thierry Schmidlin1,2,3

  • 1Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany.

Frontiers in Pharmacology
|December 6, 2021
PubMed

Insights

NADPH:cytochrome P450 oxidoreductase (POR) is crucial for drug and steroid metabolism. POR knockdown in human liver cells impacts ADME gene expression and deregulates bile acid and cholesterol biosynthesis.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Genetics

Background:

  • NADPH:cytochrome P450 oxidoreductase (POR) is essential for cytochrome P450 (CYP) enzyme function in endogenous substance biosynthesis and xenobiotic metabolism.
  • POR also supports other redox enzymes in fatty acid and cholesterol pathways.
  • Previous work established CRISPR/Cas9-mediated POR knockdown in HepaRG cells, showing differential effects on CYP activity.

Purpose of the Study:

  • To systematically investigate the impact of POR knockdown on ADME gene expression and related regulators in a human hepatic cell model.
  • To assess functional consequences on bile acid and cholesterol metabolism using quantitative mass spectrometry.
  • To analyze global protein expression changes and deduce the resulting protein network.

Main Methods:

  • CRISPR/Cas9-mediated POR knockdown in HepaRG cells.
  • Quantitative mass spectrometry for targeted metabolomics (bile acids, cholesterol) and untargeted proteomics.
  • Analysis of RNA expression for ADME genes and transcriptional regulators.

Main Results:

  • Significant downregulation of drug metabolism and transport regulators (CAR, PXR, FXR, LXRα) following POR knockdown.
  • Deregulated bile acid and cholesterol biosynthesis with altered levels of specific derivatives.
  • Downregulation of lipid metabolism and biological oxidation pathways indicated by global protein expression changes.

Conclusions:

  • POR knockdown significantly impacts the expression of key ADME regulators and endogenous metabolic pathways in human liver cells.
  • Altered bile acid and cholesterol homeostasis are significant consequences of diminished POR expression.
  • These findings highlight a widespread role for POR in metabolism and provide human data on the effects of reduced POR expression in a genome-edited HepaRG model.

Related Concept Videos

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
19
Phase I Reactions: Reductive Reactions01:27

Phase I Reactions: Reductive Reactions

Phase I biotransformation reductive reactions are chemical processes that modify drugs by introducing or revealing polar functional groups via reduction. Enzymes called reductases catalyze these reactions, playing a pivotal role in drug metabolism by transforming lipophilic drugs into more polar, water-soluble metabolites for easy excretion. An essential type of reductive reaction is the carbonyl group reduction, where aldehydes and ketones are reduced to alcohols. An example is the...
299
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
18
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment01:08

Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment

Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
21
Drug Metabolism: Phase I Reactions01:17

Drug Metabolism: Phase I Reactions

A phase I reaction is a biochemical process that introduces a functionally reactive polar group to a substance. This transformation predominantly occurs in the liver, facilitated by the cytochrome P450 system of hemoproteins situated in the lipophilic endoplasmic reticulum of cells. The metabolite generated through this process can have varying polarities. If it is sufficiently polar, it can be easily excreted in the urine due to its water compatibility. However, if the metabolite is nonpolar,...
3.9K
Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug01:14

Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug

In pharmacotherapy, monitoring drug concentrations is paramount, especially for drugs whose therapeutic effects hinge on both the active compound and its metabolite. Hepatic impairment profoundly influences drug potency by altering liver function. If the drug is more potent than its metabolite, impaired liver function amplifies drug activity due to elevated drug concentration levels. Conversely, if the metabolite holds greater potency, diminished liver function diminishes drug activity by...
16