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Updated: Oct 11, 2025

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Published on: September 9, 2021
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.
Abstract:
NADPH:cytochrome P450 oxidoreductase (POR) is the obligate electron donor for microsomal cytochrome P450 (CYP) enzymes involved in the biosynthesis of endogenous substances like bile acids and other steroids as well as in the oxidative metabolism of xenobiotics. P450 oxidoreductase also supports other redox enzymes in fatty acid and cholesterol pathways. Recently, we have established CRISPR/Cas9-mediated POR knockdown in a human hepatic cell model, HepaRG, and demonstrated the differential effects of limited POR expression on CYP activity. The aim of the present work was to systematically investigate the impact of POR knockdown with a focus on the expression of ADME (absorption, distribution, metabolism, and excretion) genes and related regulators. Functional consequences have been assessed using quantitative mass spectrometry for targeted metabolomics covering bile acids, and cholesterol and its precursors, and for untargeted proteomics. In addition to the previously described alteration of RNA expression of CYP genes, we showed significant downregulation of transcriptional regulators of drug metabolism and transport, including NR1I3 (CAR), NR1I2 (PXR), NR1H4 (FXR), and NR1H3 (LXRα) in cells with POR gene disruption. Furthermore, POR knockdown resulted in deregulated bile acid and cholesterol biosynthesis demonstrated by low levels of cholic acid derivates and increased concentrations of chenodeoxycholic acid derivates, respectively. Systemic effects of POR knockdown on global protein expression were indicated by downregulation of several metabolic pathways including lipid metabolism and biological oxidation reactions. The deduced protein network map corroborates CYP enzymes as direct interaction partners, whereas changes in lipid metabolism and homeostasis are the result of indirect effects. In summary, our results emphasize a widespread role of POR in various metabolic pathways and provide the first human data on the effects of diminished POR expression on drug and endogenous metabolism in a genomeedited HepaRG cell model.
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.
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