Skip to main content

Advertisement

Log in

Activation of Pregnane X Receptor (PXR) and Constitutive Androstane Receptor (CAR) by Herbal Medicines

  • Review Article
  • Theme: Natural Products as Therapeutic Modulators
  • Published:
The AAPS Journal Aims and scope Submit manuscript

Abstract

Pregnane X receptor (PXR) and constitutive androstane receptor (CAR) are transcription factors that control the expression of a broad array of genes involved not only in transcellular transport and biotransformation of many drugs, other xenochemicals, and endogenous substances, such as bile acid, bilirubin, and certain vitamins, but also in various physiological/pathophysiological processes such as lipid metabolism, glucose homeostasis, and inflammation. Ligands of PXR and CAR are chemicals of diverse structures, including naturally occurring compounds present in herbal medicines. The overall aim of this article is to provide an overview of our current understanding of the role of herbal medicines as modulators of PXR and CAR.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Koehn FE, Carter GT. The evolving role of natural products in drug discovery. Nat Rev Drug Discov. 2005;4:206–20.

    Article  PubMed  CAS  Google Scholar 

  2. Germain P, Staels B, Dacquet C, Spedding M, Laudet V. Overview of nomenclature of nuclear receptors. Pharmacol Rev. 2006;58:685–704.

    Article  PubMed  CAS  Google Scholar 

  3. Kliewer SA, Moore JT, Wade L, Staudinger JL, Watson MA, Jones SA, et al. An orphan nuclear receptor activated by pregnanes defines a novel steroid signaling pathway. Cell. 1998;92:73–82.

    Article  PubMed  CAS  Google Scholar 

  4. Lehmann JM, McKee DD, Watson MA, Willson TM, Moore JT, Kliewer SA. The human orphan nuclear receptor PXR is activated by compounds that regulate CYP3A4 gene expression and cause drug interactions. J Clin Invest. 1998;102:1016–23.

    Article  PubMed  CAS  Google Scholar 

  5. Blumberg B, Sabbagh W Jr, Juguilon H, Bolado J Jr, van Meter CM, Ong ES, et al. SXR, a novel steroid and xenobiotic-sensing nuclear receptor. Genes Dev. 1998;12:3195–205.

    Article  PubMed  CAS  Google Scholar 

  6. Bertilsson G, Heidrich J, Svensson K, Asman M, Jendeberg L, Sydow-Backman M, et al. Identification of a human nuclear receptor defines a new signaling pathway for CYP3A induction. Proc Natl Acad Sci USA. 1998;95:12208–13.

    Article  PubMed  CAS  Google Scholar 

  7. Baes M, Gulick T, Choi HS, Martinoli MG, Simha D, Moore DD. A new orphan member of the nuclear hormone receptor superfamily that interacts with a subset of retinoic acid response elements. Mol Cell Biol. 1994;14:1544–52.

    PubMed  CAS  Google Scholar 

  8. Maglich JM, Stoltz CM, Goodwin B, Hawkins-Brown D, Moore JT, Kliewer SA. Nuclear pregnane X receptor and constitutive androstane receptor regulate overlapping but distinct sets of genes involved in xenobiotic detoxification. Mol Pharmacol. 2002;62:638–46.

    Article  PubMed  CAS  Google Scholar 

  9. Rosenfeld JM, Vargas R Jr, Xie W, Evans RM. Genetic profiling defines the xenobiotic gene network controlled by the nuclear receptor pregnane X receptor. Mol Endocrinol. 2003;17:1268–82.

    Article  PubMed  CAS  Google Scholar 

  10. Moreau A, Vilarem MJ, Maurel P, Pascussi JM. Xenoreceptors CAR and PXR activation and consequences on lipid metabolism, glucose homeostasis, and inflammatory response. Mol Pharm. 2008;5:35–41.

    Article  PubMed  CAS  Google Scholar 

  11. Kakizaki S, Yamazaki Y, Takizawa D, Negishi M. New insights on the xenobiotic-sensing nuclear receptors in liver diseases—CAR and PXR. Curr Drug Metab. 2008;9:614–21.

    Article  PubMed  CAS  Google Scholar 

  12. Chang TKH, Waxman DJ. Synthetic drugs and natural products as modulators of constitutive androstane receptor (CAR) and pregnane X receptor (PXR). Drug Metab Rev. 2006;38:51–73.

    Article  PubMed  CAS  Google Scholar 

  13. Moore LB, Goodwin B, Jones SA, Wisely GB, Serabjit-Singh CJ, Willson TM, et al. St. John’s wort induces hepatic drug metabolism through activation of the pregnane X receptor. Proc Natl Acad Sci USA. 2000;97:7500–2.

    Article  PubMed  CAS  Google Scholar 

  14. Wentworth JM, Agostini M, Love J, Schwabe JW, Chatterjee VKK. St. John’s wort, a herbal antidepressant, activates the steroid X receptor. J Endocrinol. 2000;166:R11–6.

    Article  PubMed  CAS  Google Scholar 

  15. Huang W, Zhang J, Moore DD. A traditional herbal medicine enhances bilirubin clearance by activating the nuclear receptor CAR. J Clin Invest. 2004;113:137–43.

    PubMed  CAS  Google Scholar 

  16. Stanley LA, Horsburgh BC, Ross J, Scheer N, Wolf CR. PXR and CAR: Nuclear receptors which play a pivotal role in drug disposition and chemical toxicity. Drug Metab Rev. 2006;38:515–97.

    Article  PubMed  CAS  Google Scholar 

  17. Timsit YE, Negishi M. CAR and PXR: the xenobiotic-sensing receptors. Steroids. 2007;72:231–46.

    Article  PubMed  CAS  Google Scholar 

  18. Li CW, Dinh GK, Chen JD. Preferential physical and functional interaction of pregnane X receptor with the SMRTα isoform. Mol Pharmacol. 2009;75:363–73.

    Article  PubMed  CAS  Google Scholar 

  19. Pascussi JM, Gerbal-Chaloin S, Duret C, Daujat-Chavanieu M, Vilarem MJ, Maurel P. The tangle of nuclear receptors that controls xenobiotic metabolism and transport: crosstalk and consequences. Annu Rev Pharmacol Toxicol. 2008;48:1–32.

    Article  PubMed  CAS  Google Scholar 

  20. Zhang H, LeCluyse EL, Liu L, Hu M, Matoney L, Zhu W, et al. Rat pregnane X receptor: molecular cloning, tissue distribution, and xenobiotic regulation. Arch Biochem Biophys. 1999;368:14–22.

    Article  PubMed  CAS  Google Scholar 

  21. Bauer B, Hartz AMS, Fricker G, Miller DS. Pregnane X receptor up-regulation of P-glycoprotein expression and transport function at the blood-brain barrier. Mol Pharmacol. 2004;66:413–9.

    PubMed  CAS  Google Scholar 

  22. Dotzlaw H, Leygue E, Watson P, Murphy LC. The human orphan receptor PXR messenger RNA is expressed in both normal and neoplastic breast tissue. Clin Cancer Res. 1999;5:2103–7.

    PubMed  CAS  Google Scholar 

  23. Masuyama H, Hiramatsu Y, Kodama J, Kudo T. Expression and potential roles of pregnane X receptor in endometrial cancer. J Clin Endocrinol Metab. 2003;88:4446–54.

    Article  PubMed  CAS  Google Scholar 

  24. Ma X, Shah YM, Guo GL, Wang T, Krausz KW, Idle JR, et al. Rifaximin is a gut-specific human pregnane X receptor activator. J Pharmacol Exp Ther. 2007;322:391–8.

    Article  PubMed  CAS  Google Scholar 

  25. Jones SA, Moore LB, Shenk JL, Wisely GB, Hamilton GA, McKee DD, et al. The Pregnane X receptor: a promiscuous xenobiotic receptor that has diverged during evolution. Mol Endocrinol. 2000;14:27–39.

    Article  PubMed  CAS  Google Scholar 

  26. Staudinger JL, Ding X, Lichti K. Pregnane X receptor and natural products: beyond drug-drug interactions. Expert Opin Drug Metab Toxicol. 2006;2:847–57.

    Article  PubMed  CAS  Google Scholar 

  27. Ammon HP, Muller AB. Forskolin: from an Ayurvedic remedy to a modern agent. Planta Med. 1985;51:473–7.

    Article  PubMed  CAS  Google Scholar 

  28. Insel PA, Ostrom RS. Forskolin as a tool for examining adenylyl cyclase expression, regulation, and G protein signalling. Cell Mol Neurobiol. 2003;23:305–14.

    Article  PubMed  CAS  Google Scholar 

  29. Ding X, Staudinger JL. Induction of drug metabolism by forskolin: the role of the pregnane X receptor and the protein kinase A signal transduction pathway. J Pharmacol Exp Ther. 2005;312:849–56.

    Article  PubMed  CAS  Google Scholar 

  30. Dowless MS, Barbee JL, Borchert KM, Bocchinfuso WP, Houck KA. Cyclic AMP-independent activation of CYP3A4 gene expression by forskolin. Eur J Pharmacol. 2005;512:9–13.

    Article  PubMed  CAS  Google Scholar 

  31. Sinz M, Kim S, Zhu Z, Chen T, Anthony M, Dickinson K, et al. Evaluation of 170 xenobiotics as transactivators of human pregnane X receptor (hPXR) and correlation to known CYP3A4 drug interactions. Curr Drug Metab. 2006;7:375–88.

    Article  PubMed  CAS  Google Scholar 

  32. Satyavati GV. Gum guggul (Commiphora mukul)—the success story of an ancient insight leading to a modern discovery. Indian J Med Res. 1988;87:327–35.

    PubMed  CAS  Google Scholar 

  33. Urizar NL, Moore DD. GUGULIPID: A natural cholesterol-lowering agent. Annu Rev Nutr. 2003;23:303–13.

    Article  PubMed  CAS  Google Scholar 

  34. Wu J, Xia C, Meier J, Li S, Hu X, Lala DS. The hypolipidemic natural product guggulsterone acts as an antagonist of the bile acid receptor. Mol Endocrinol. 2002;16:1590–7.

    Article  PubMed  CAS  Google Scholar 

  35. Deng R, Yang D, Radke A, Yang J, Yan B. The hypolipidemic agent guggulsterone regulates the expression of human bile acid export pump: dominance of transactivation over farnesoid X-receptor-mediated antagonism. J Pharmacol Exp Ther. 2007;320:1153–62.

    Article  PubMed  CAS  Google Scholar 

  36. Brobst DE, Ding X, Creech KL, Goodwin B, Kelley B, Staudinger JL. Guggulsterone activates multiple nuclear receptors and induces CYP3A gene expression through the pregnane X receptor. J Pharmacol Exp Ther. 2004;310:528–35.

    Article  PubMed  CAS  Google Scholar 

  37. Ohnhaus EE, Kirchhof B, Peheim E. Effect of enzyme induction on plasma lipids using antipyrine, phenobarbital, and rifampicin. Clin Pharmacol Ther. 1979;25:591–7.

    PubMed  CAS  Google Scholar 

  38. van Beek TA, Montoro P. Chemical analysis and quality control of Ginkgo biloba leaves, extracts, and phytopharmaceuticals. J Chromatogr A. 2009;1216:2002–32.

    Article  PubMed  Google Scholar 

  39. Gohil K. Genomic responses to herbal extracts: lesson from in vitro and in vivo studies with an extract of Ginkgo biloba. Biochem Pharmacol. 2002;64:913–7.

    Article  PubMed  CAS  Google Scholar 

  40. Ramassamy C. Emerging role of polyphenolic compounds in the treatment of neurodegenerative diseases: a review of their intracellular targets. Eur J Pharmacol. 2006;545:51–64.

    Article  PubMed  CAS  Google Scholar 

  41. Yeung EYH, Sueyoshi T, Negishi M, Chang TKH. Identification of Ginkgo biloba as a novel activator of pregnane X receptor. Drug Metab Dispos. 2008;36:2270–6.

    Article  PubMed  CAS  Google Scholar 

  42. Li L, Stanton JD, Tolson AH, Luo Y, Wang H. Bioactive terpenoids and flavonoids from Ginkgo biloba extract induce the expression of hepatic drug-metabolizing enzymes through pregnane X receptor, constitutive androstane receptor, and aryl hydrocarbon receptor-mediated pathways. Pharm Res. 2009;26:872–82.

    Article  PubMed  CAS  Google Scholar 

  43. Satsu H, Hiura Y, Mochizuki K, Hamada M, Shimizu M. Activation of pregnane X receptor and induction of MDR1 by dietary phytochemicals. J Agric Food Chem. 2008;56:5366–73.

    Article  PubMed  CAS  Google Scholar 

  44. Zanoli P, Zavatti M. Pharmacognostic and pharmacological profile of Humulus lupulus L. J Ethnopharmacol. 2008;116:383–96.

    Article  PubMed  CAS  Google Scholar 

  45. Chadwick LR, Pauli GF, Farnsworth NR. The pharmacognosy of Humulus lupulus L. (hops) with an emphasis on estrogenic properties. Phytomedicine. 2006;13:119–31.

    Article  PubMed  CAS  Google Scholar 

  46. Teotico DG, Bischof JJ, Peng L, Kliewer SA, Redinbo MR. Structural basis of human pregnane X receptor activation by the hops constituent colupulone. Mol Pharmacol. 2008;74:1512–20.

    Article  PubMed  CAS  Google Scholar 

  47. Mannering GJ, Shoeman JA, Deloria LB. Identification of the antibiotic hops component, colupulone, as an inducer of hepatic cytochrome P-450 3A in the mouse. Drug Metab Dispos. 1992;20:142–7.

    PubMed  CAS  Google Scholar 

  48. Shipp EB, Mehigh CS, Helferich WG. The effect of colupulone (a hops β-acid) on hepatic cytochrome P-450 enzyme activity in the rat. Food Chem Toxicol. 1994;32:1007–14.

    Article  PubMed  CAS  Google Scholar 

  49. Muller WE, Rolli M, Schafer C, Hafner U. Effect of hypericum extract (LI 160) in biochemical models of antidepressant activity. Pharmacopsychiatry. 1997;30:S102–7.

    Article  Google Scholar 

  50. Choudhuri S, Valerio LG Jr. Usefulness of studies on the molecular mechanisms of action of herbals/botanicals: the case of St. John's wort. J Biochem Mol Toxicol. 2005;19:1–11.

    Article  PubMed  CAS  Google Scholar 

  51. Muller WE, Singer A, Wonnemann M, Hafner U, Rolli M, Schafer C. Hyperforin represents the neurotransmitter reuptake inhibiting constituent of hypericum extract. Pharmacopsychiatry. 1998;31(Suppl. 1):16–21.

    Article  PubMed  CAS  Google Scholar 

  52. Watkins RE, Maglich JM, Moore LB, Wisely GB, Noble SM, Davis-Searles PR, et al. 2.1 A crystal structure of human PXR in complex with the St. John's wort compound hyperforin. Biochemistry. 2003;42:1430–8.

    Article  PubMed  CAS  Google Scholar 

  53. Kober M, Pohl K, Efferth T. Molecular mechanisms underlying St. John's wort drug interactions. Curr Drug Metab. 2008;9:1027–37.

    Article  PubMed  CAS  Google Scholar 

  54. Wheatley D. Medicinal plants for insomnia: a review of their pharmacology, efficacy and tolerability. J Psychopharmacol. 2005;19:414–21.

    Article  PubMed  Google Scholar 

  55. Keledjian J, Duffield PH, Jamieson DD, Lidgaard RO, Duffield AM. Uptake into mouse brain of four compounds present in the psychoactive beverage kava. J Pharm Sci. 1988;77:1003–6.

    Article  PubMed  CAS  Google Scholar 

  56. Seitz U, Schule A, Gleitz J. [3H]-Monoamine uptake inhibition properties of kava pyrones. Planta Med. 1997;63:548–9.

    Article  PubMed  CAS  Google Scholar 

  57. Bilia AR, Scalise L, Bergonzi MC, Vincieri FF. Analysis of kavalactones from Piper methysticum (kava-kava). J Chromatogr B. 2004;812:203–14.

    CAS  Google Scholar 

  58. Fu PP, Xia Q, Guo L, Yu H, Chan PC. Toxicity of kava kava. J Environ Sci Health C. 2008;26:89–112.

    Article  CAS  Google Scholar 

  59. Raucy JL. Regulation of CYP3A4 expression in human hepatocytes by pharmaceuticals and natural products. Drug Metab Dispos. 2003;31:533–9.

    Article  PubMed  CAS  Google Scholar 

  60. Yueh MF, Kawahara M, Raucy J. High volume bioassays to assess CYP3A4-mediated drug interactions: induction and inhibition in a single cell line. Drug Metab Dispos. 2005;33:38–48.

    Article  PubMed  CAS  Google Scholar 

  61. Ma Y, Sachdeva K, Liu J, Ford M, Yang D, Khan IA, et al. Desmethoxyyangonin and dihyromethysticin are two major pharmacological kavalactones with marked activity on the induction of CYP3A23. Drug Metab Dispos. 2004;32:1317–24.

    Article  PubMed  CAS  Google Scholar 

  62. Li MH, Chen JM, Peng Y, Wu Q, Xiao PG. Investigation of Danshen and related medicinal plants in China. J Ethnopharmacol. 2008;120:419–26.

    Article  PubMed  Google Scholar 

  63. Cheng TO. Cardiovascular effects of Danshen. Int J Cardiol. 2007;121:9–22.

    Article  PubMed  Google Scholar 

  64. Wang X, Morris-Natschke SL, Lee KH. New developments in the chemistry and biology of the bioactive constituents of tanshen. Med Res Rev. 2007;27:133–48.

    Article  PubMed  Google Scholar 

  65. Yu C, Ye S, Sun H, Liu Y, Gao L, Shen C, et al. PXR-mediated transcriptional activation of CYP3A4 by cryptotanshinone and tanshinone IIA. Chem Biol Interact. 2009;177:58–64.

    Article  PubMed  CAS  Google Scholar 

  66. Kuo YH, Lin YL, Don MJ, Chen RM, Ueng YF. Induction of cytochrome P450-dependent monooxygenase by extracts of the medicinal herb Salvia miltiorrhiza. J Pharm Pharmacol. 2006;58:521–7.

    Article  PubMed  CAS  Google Scholar 

  67. Panossian A, Wikman G. Pharmacology of Schisandra chinensis Bail.: an overview of Russian research and uses in medicine. J Ethnopharmacol. 2008;118:183–212.

    Article  PubMed  Google Scholar 

  68. Chang HF, Lin YH, Chu CC, Wu SJ, Tsai YH, Chao JCJ. Protective effects of Ginkgo biloba, Panax ginseng, and Schizandra chinensis extract on liver injury in rats. Am J Chin Med. 2007;35:995–1009.

    Article  PubMed  CAS  Google Scholar 

  69. Halstead CW, Lee S, Khoo CS, Hennell JR, Bensoussan A. Validation of a method for the simultaneous determination of four schisandra lignans in the raw herb and commerical dried aqueous extracts of Schisandra chinensis (wu wei zi) by RP-LC with DAD. J Pharm Biomed Anal. 2007;45:30–7.

    Article  PubMed  CAS  Google Scholar 

  70. Mu Y, Zhang J, Zhang S, Zhou HH, Toma D, Ren S, et al. Traditional Chinese medicines Wu Wei Zi (Schisandra chinensis Baill) and Gan Cao (Glycyrrhiza uralensis Fisch) activate pregnane X receptor and increases warfarin clearance in rats. J Pharmacol Exp Ther. 2006;316:1369–77.

    Article  PubMed  CAS  Google Scholar 

  71. Sun A, Chia JS, Wang WB, Chiang CP. Immunomodulating effects of “Tien-Hsien liquid” on peripheral blood mononuclear cells and T-lymphocytes from patients with recurrent aphthous ulcerations. Am J Chin Med. 2004;32:221–4.

    Article  PubMed  Google Scholar 

  72. Sun A, Chia JS, Chiang CP, Hsuen SP, Du JL, Wu CW, et al. The Chinese herbal medicine tien-hsien liquid inhibits cell growth and induces apoptosis in a wide variety of human cancer cells. J Altern Complement Med. 2005;11:245–56.

    Article  PubMed  Google Scholar 

  73. Lichti-Kaiser K, Staudinger JL. The traditional Chinese herbal remedy tian xian activates pregnane X receptor and induces CYP3A gene expression in hepatocytes. Drug Metab Dispos. 2008;36:1538–45.

    Article  PubMed  CAS  Google Scholar 

  74. van den Bout-van den Beukel CJP, Hamza OJM, Moshi JM, Matee MIN, Mikx F, Burger DM, et al. Evaluation of cytotoxic, genotoxic and CYP450 enzymatic competition effects of Tanzanian plant extracts traditionally used for treatment of fungal infections. Basic Clin Pharmacol Toxicol. 2008;102:515–26.

    Google Scholar 

  75. Mills E, Foster BC, van Heeswijk R, Phillips E, Wilson K, Leonard B, et al. Impact of African herbal medicines on antiretroviral metabolism. AIDS. 2005;19:95–7.

    Article  PubMed  Google Scholar 

  76. Wei P, Zhang J, Dowhan DH, Han Y, Moore DD. Specific and overlapping functions of the nuclear hormone receptors CAR and PXR in xenobiotic response. Pharmacogenomics J. 2002;2:117–26.

    Article  PubMed  CAS  Google Scholar 

  77. Faucette SR, Sueyoshi T, Smith CM, Negishi M, LeCluyse EL, Wang H. Differential regulation of hepatic CYP2B6 and CYP3A4 genes by constitutive androstane receptor but not pregnane X receptor. J Pharmacol Exp Ther. 2006;317:1200–9.

    Article  PubMed  CAS  Google Scholar 

  78. Tien ES, Negishi M. Nuclear receptors CAR and PXR in the regulation of hepatic metabolism. Xenobiotica. 2006;36:1152–63.

    Article  PubMed  CAS  Google Scholar 

  79. Lempiainen H, Molnar F, Gonzalez MM, Perakyla M, Carlberg C. Antagonist- and inverse agonist-driven interactions of the vitamin D receptor and the constitutive androstane receptor with corepressor protein. Mol Endocrinol. 2005;19:2258–72.

    Article  PubMed  CAS  Google Scholar 

  80. Kodama S, Negishi M. Phenobarbital confers its diverse effects by activating the orphan nuclear receptor CAR. Drug Metab Rev. 2006;38:75–87.

    Article  PubMed  CAS  Google Scholar 

  81. Guo D, Sarkar J, Suino-Powell K, Xu Y, Matsumoto K, Jia Y, et al. Induction of nuclear translocation of constitutive androstane receptor by peroxisome proliferator-activated receptor α synthetic ligands in mouse liver. J Biol Chem. 2007;282:36766–76.

    Article  PubMed  CAS  Google Scholar 

  82. Iciek M, Kwiecien I, Wlodek L. Biological properties of garlic and garlic-derived organosulfur compounds. Environ Mol Mutagen. 2009;50:247–65.

    Article  PubMed  CAS  Google Scholar 

  83. Amagase H. Clarifying the real bioactive constituents of garlic. J Nutr. 2006;136(Suppl. 3):716S–25S.

    PubMed  CAS  Google Scholar 

  84. Fisher CD, Augustine LM, Maher JM, Nelson DM, Slitt AL, Klaassen CD, et al. Induction of drug-metabolizing enzymes by garlic and allyl sulfide compounds via activation of constitutive androstane receptor and nuclear factor E2-related factor 2. Drug Metab Dispos. 2007;35:995–1000.

    Article  PubMed  CAS  Google Scholar 

  85. Yoshinari K, Sueyoshi T, Moore R, Negishi M. Nuclear receptor CAR as a regulatory factor for the sexually dimorphic induction of CYP2B1 gene by phenobarbital in rat livers. Mol Pharmacol. 2001;59:278–84.

    PubMed  CAS  Google Scholar 

  86. Ding X, Staudinger JL. The ratio of constitutive androstane receptor to pregnane X receptor determines the activity of guggulsterone against the Cyp2b10 promoter. J Pharmacol Exp Ther. 2005;314:120–7.

    Article  PubMed  CAS  Google Scholar 

  87. Chang TKH, Bandiera SM, Chen J. Constitutive androstane receptor and pregnane X receptor gene expression in human liver: Interindividual variability and correlation with CYP2B6 mRNA levels. Drug Metab Dispos. 2003;31:7–10.

    Article  PubMed  CAS  Google Scholar 

  88. Maglich JM, Parks DJ, Moore LB, Collins JL, Goodwin B, Billin AN, et al. Identification of a novel human constitutive androstane receptor (CAR) agonist and its use in the identification of CAR target genes. J Biol Chem. 2003;278:17277–83.

    Article  PubMed  CAS  Google Scholar 

  89. Umegaki K, Saito K, Kubota Y, Sanada H, Yamada K, Shinozuka K. Ginkgo biloba extract markedly induces pentoxyresorufin O-dealkylase activity in rats. Jpn J Pharmacol. 2002;90:345–51.

    Article  PubMed  CAS  Google Scholar 

  90. Chen ZL, Guan WH. Approach to the effect and indication of Yin Zhi Huang to treat neonatal jaundice. J Clin Pediatr. 1985;3:302–3.

    Google Scholar 

  91. Yin J, Wennberg RP, Xia Y, Liu JW, Zhou H. Effect of a traditional Chinese medicine, Yin Zhi Huang, on bilirubin clearance and conjugation. Dev Pharmacol Ther. 1991;16:59–64.

    PubMed  CAS  Google Scholar 

  92. Zhu Z, Kim S, Chen T, Lin JH, Bell A, Bryson J, et al. Correlation of high-throughput pregnane X receptor (PXR) transactivation and binding assays. J Biomol Screen. 2004;9:533–40.

    Article  PubMed  CAS  Google Scholar 

  93. McGinnity DF, Zhang G, Kenny JR, Hamilton GA, Otmani S, Stams KR, et al. Evaluation of multiple in vitro systems for assessment of CYP3A4 induction in drug discovery: human hepatocytes, pregnane X receptor reporter gene, and Fa2N-4 and HepaRG cells. Drug Metab Dispos. 2009;37:1259–68.

    Article  PubMed  CAS  Google Scholar 

  94. Kawamoto T, Sueyoshi T, Zelko I, Moore R, Washburn K, Negishi M. Phenobarbital-responsive nuclear translocation of the receptor CAR in induction of the CYP2B gene. Mol Cell Biol. 1999;19:6318–22.

    PubMed  CAS  Google Scholar 

  95. Xie W, Barwick JL, Downes M, Blumberg B, Simon CM, Nelson MC, et al. Humanized xenobiotic response in mice expressing nuclear receptor SXR. Nature. 2000;406:435–9.

    Article  PubMed  CAS  Google Scholar 

  96. Wei P, Zhang J, Egan-Hafley M, Liang S, Moore DD. The nuclear receptor CAR mediates specific xenobiotic induction of drug metabolism. Nature. 2000;407:920–3.

    Article  PubMed  CAS  Google Scholar 

  97. Ma X, Shah Y, Cheung C, Guo GL, Feigenbaum L, Krausz KW, et al. The pregnane X receptor gene-humanized mouse: a model for investigating drug-drug interactions mediated by cytochrome P450 3A. Drug Metab Dispos. 2007;35:194–200.

    Article  PubMed  CAS  Google Scholar 

  98. Scheer N, Ross J, Rode A, Zevnik B, Niehaves S, Faust N, et al. A novel panel of mouse models to evaluate the role of human pregnane X receptor and constitutive androstane receptor in drug response. J Clin Invest. 2008;118:3228–39.

    Article  PubMed  CAS  Google Scholar 

  99. Schuetz E, Lan L, Yasuda K, Kim R, Kocarek TA, Schuetz J, et al. Development of a real-time in vivo transcription assay: application reveals pregnane X receptor-mediated induction of CYP3A4 by cancer chemotherapeutic agents. Mol Pharmacol. 2002;62:439–45.

    Article  PubMed  CAS  Google Scholar 

  100. Wang H, Faucette S, Moore R, Sueyoshi T, Negishi M, LeCluyse E. Human constitutive androstane receptor mediates induction of CYP2B6 gene expression by phenytoin. J Biol Chem. 2004;279:29295–301.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This work was supported by the Canadian Institutes of Health Research (Grant MOP-84581) and Michael Smith Foundation for Health Research (a Senior Scholar Award to T.K.H.C.).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas K. H. Chang.

Additional information

Guest Editor: Marilyn E. Morris

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chang, T.K.H. Activation of Pregnane X Receptor (PXR) and Constitutive Androstane Receptor (CAR) by Herbal Medicines. AAPS J 11, 590–601 (2009). https://doi.org/10.1208/s12248-009-9135-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1208/s12248-009-9135-y

Key words

Navigation