Xenobiotic receptors in mediating the effect of sepsis on drug metabolism

Autor: Chuanzhu Lv, Ling Huang
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Oatp2
organic anion transport polypeptide 2

SRC1
steroid receptor coactivator 1

Review
Pharmacology
Xenobiotic receptors
chemistry.chemical_compound
AHR
aryl hydrocarbon receptor

0302 clinical medicine
Glucocorticoid receptor
ARNT
AHR nuclear translocator

PRRs
pattern recognition receptors

Constitutive androstane receptor
GC
glucocorticoid

GREs
glucocorticoid receptor response elements

General Pharmacology
Toxicology and Pharmaceutics

Receptor
NOS
nitric oxide synthase

CYPs
cytochrome P450s

NF-κB
nuclear factor-kappa B

0303 health sciences
Pregnane X receptor
biology
IBD
inflammatory bowel disease

PCN
pregnenolone-16α-carbonitrile

PXR
pregnane X receptor

NR
nuclear receptor

Inflammatory cytokines
CLP
cecum ligation and puncture

Sult
sulfonyl transferase

030220 oncology & carcinogenesis
LPS
lipopolysaccharide

DMEs
drug-metabolizing enzymes

Drug-metabolizing enzymes
Mrp
phase III multidrug-resistant protein

COX-2
cyclooxygenase 2

IL-1β
interleukin-1β

HSP90
heat shock protein 90

IRF7
interferon regulatory factor 7

Proinflammatory cytokine
Sepsis
03 medical and health sciences
PAS
Per/ARNT/Sim

Drug transporters
PKC
protein kinase C

medicine
Ugts
UDP-glucuronic transferase

030304 developmental biology
Drug metabolism
GR
glucocorticoid receptor

business.industry
DREs
dioxin response elements

IRF3
interferon regulatory factor 3

lcsh:RM1-950
Gsts
phase II glutathione S-transferase

PLA2
phospholipase A2

STAT3
signal transducers and activators of transcription 3

medicine.disease
Aryl hydrocarbon receptor
P-gp
p-glycoprotein

TNF-α
tumor necrosis factor

lcsh:Therapeutics. Pharmacology
chemistry
biology.protein
Xenobiotic
business
AP-1
adaptor protein 1
Zdroj: Acta Pharmaceutica Sinica. B
Acta Pharmaceutica Sinica B, Vol 10, Iss 1, Pp 33-41 (2020)
ISSN: 2211-3843
2211-3835
Popis: Sepsis is an infection-induced systemic inflammatory syndrome. The immune response in sepsis is characterized by the activation of both proinflammatory and anti-inflammatory pathways. When sepsis occurs, the expression and activity of many inflammatory cytokines are markedly affected. Xenobiotic receptors are chemical-sensing transcription factors that play essential roles in the transcriptional regulation of drug-metabolizing enzymes (DMEs). Xenobiotic receptors mediate the functional crosstalk between sepsis and drug metabolism because the inflammatory cytokines released during sepsis can affect the expression and activity of xenobiotic receptors and thus impact the expression and activity of DMEs. Xenobiotic receptors in turn may affect the clinical outcomes of sepsis. This review focuses on the sepsis-induced inflammatory response and xenobiotic receptors such as pregnane X receptor (PXR), aryl hydrocarbon receptor (AHR), glucocorticoid receptor (GR), and constitutive androstane receptor (CAR), DMEs such as CYP1A, CYP2B6, CYP2C9, and CYP3A4, and drug transporters such as p-glycoprotein (P-gp), and multidrug resistance-associated protein (MRPs) that are affected by sepsis. Understanding the xenobiotic receptor-mediated effect of sepsis on drug metabolism will help to improve the safe use of drugs in sepsis patients and the development of new xenobiotic receptor-based therapeutic strategies for sepsis.
Graphical abstract The functional crosstalk between sepsis and drug metabolism is mediated by xenobiotic receptors. The inflammatory cytokines released during sepsis can affect the expression and activity of xenobiotic receptors and thus impact the expression and activity of DMEs.Image 1
Databáze: OpenAIRE