Probing Ligand Structure-Activity Relationships in Pregnane X Receptor (PXR): Efavirenz and 8-Hydroxyefavirenz Exhibit Divergence in Activation.
Probing Ligand Structure-Activity Relationships in Pregnane X Receptor (PXR): Efavirenz and 8-Hydroxyefavirenz Exhibit Divergence in Activation.
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DOI:
10.1002/cmdc.201700730
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发表时间:
2018-04-06
期刊:
影响因子:
3.4
通讯作者:
Bumpus NN
中科院分区:
文献类型:
--
作者:
Narayanan B;Lade JM;Heck CJS;Dietz KD;Wade H;Bumpus NN
Efavirenz (EFV), an antiretroviral that interacts clinically with co-administered drugs via activation of the pregnane X receptor (PXR), is extensively metabolized by the cytochromes P450. We tested whether its primary metabolite, 8-hydroxyEFV (8-OHEFV) can activate PXR and potentially contribute to PXR-mediated drug-drug interactions attributed to EFV. Luciferase reporter assays revealed that despite only differing from EFV by an oxygen atom, 8-OHEFV did not activate PXR. Corroborating this, treatment with EFV for 72 h elevated the mRNA abundance of the PXR target gene, Cyp3a11, an approximate 28-fold in primary hepatocytes isolated from PXR-humanized mice while treatment with 8-OHEFV did not result in a change in Cyp3a11 mRNA levels. FRET-based competitive binding assays and isothermal calorimetry demonstrated that even with the lack of ability to activate PXR, 8-OHEFV displays an affinity for PXR (IC50 12.1 µM; KD 7.9 µM) nearly identical to that of EFV (IC50 18.7 µM; KD 12.5 µM). The use of 16 EFV analogs suggest that other discreet changes to the EFV structure beyond the 8-position are well-tolerated. Molecular docking simulations implicate an 8-OHEFV binding mode that may underlie its divergence in PXR activation from EFV. Efavirenz interacts clinically with co-administered drugs via activation of the pregnane X receptor and is extensively metabolized by the cytochromes P450. Its primary metabolite, 8-hydroxyEFV (8-OHEFV), circulates in a near 1:1 ratio with EFV following chronic EFV use. We determined that 8-OHEFV does not activate PXR and thereby does not likely contribute to PXR-mediated drug-drug interactions attributed to EFV. Although it lacks the ability to activate PXR, 8-OHEFV appears to bind PXR with an affinity nearly identical to EFV. Molecular docking indicates that 8-OHEFV exhibits a binding mode distinct from EFV, which may underlie the divergence in PXR activation.
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发表时间:
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