Home LiteratureArticle Details
PMID: 2590599 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

The increase in urinary excretion of 6 beta-hydroxycortisol as a marker of human hepatic cytochrome P450IIIA induction.

British journal of clinical pharmacology ·Vol. 28 ·No. 4 ·1989-10-00 ·Pages 373-87

Ged C, Rouillon JM, Pichard L, Combalbert J, Bressot N, Bories P, Michel H, Beaune P, Maurel P

Abstract

1. Urinary excretion of 6 beta-hydroxycortisol, hepatic microsomal cortisol 6 beta-hydroxylase and the specific content of several forms of cytochrome P450 were measured in 8 to 14 patients before and after treatment with rifampicin (600 mg orally per day for 4 days). 2. Rifampicin treatment produced an average five fold increase in daily excretion of urinary 6 beta-hydroxycortisol. 3. Cortisol 6 beta-hydroxylase activity increased from 15 +/- 6 pmol min-1 mg-1 in organ donors (considered as 'control subjects') to 87 +/- 31 pmol min-1 mg-1 in rifampicin treated patients. 4. Among three forms of human P450 (P450IA, IIC and IIIA), (1), (2), measured by Western blots, only P450IIIA was significantly induced by the antibiotic. 5. Only antibodies against P450IIIA selectively inhibited cortisol 6 beta-hydroxylase in human liver microsomes. 6. Cortisol 6 beta-hydroxylase was correlated with P450IIIA specific content. 7. The urinary level of 6 beta-hydroxycortisol correlated with liver microsomal cortisol 6 beta-hydroxylase and P450IIIA specific content. 8. We conclude that P450IIIA is predominantly responsible for cortisol 6 beta-hydroxylase activity in human liver microsomes and that urinary 6 beta-hydroxycortisol is a marker of the induction of this cytochrome P450.

MeSH Terms
Adult Aged Biomarkers Chromatography, High Pressure Liquid Cytochrome P-450 Enzyme System/biosynthesis Enzyme Induction/drug effects Female Humans Hydrocortisone/analogs & derivatives,urine Immunoblotting Isoenzymes/biosynthesis Liver/enzymology Male Microsomes, Liver/enzymology Middle Aged Mixed Function Oxygenases/metabolism Rifampin/pharmacology Tissue Donors
Chemicals
Biomarkers Isoenzymes 6 beta-hydroxycortisol Cytochrome P-450 Enzyme System Mixed Function Oxygenases Rifampin Hydrocortisone
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Ged C
INSERM U 75, Hôpital Necker-Enfants Malades, Paris, France.
Rouillon J M
Pichard L
Combalbert J
Bressot N
Bories P
Michel H
Beaune P
Maurel P
References (64)
64 references, click to expand
  1. Ethoxyresorufin: direct fluorimetric assay of a microsomal O-dealkylation which is preferentially inducible by 3-methylcholanthrene.
    Drug Metab Dispos. 1974 Nov-Dec;2(6):583-8 PMID: 4155680
  2. Protein measurement with the Folin phenol reagent.
    J Biol Chem. 1951 Nov;193(1):265-75 PMID: 14907713
  3. Radioactive assay for aryl hydrocarbon hydroxylase. Improved method and biological importance.
    Biochem Biophys Res Commun. 1977 Nov 21;79(2):505-12 PMID: 588282
  4. Radioimmunoassay of 6beta-hydroxycortisol in human plasma and urine.
    Steroids. 1977 Dec;30(6):741-9 PMID: 611639
  5. A direct radioimmunoassay for 6 beta-hydroxycortisol in human urine.
    J Steroid Biochem. 1978 Oct;9(10):963-6 PMID: 745397
  6. Quantitative determination by HPLC of urinary 6beta-hydroxycortisol, an indicator of enzyme induction by rifampicin and antiepileptic drugs.
    Eur J Clin Pharmacol. 1979 Aug;16(1):63-71 PMID: 499302
  7. 6 beta-Hydroxycortisol: a noninvasive indicator of enzyme induction.
    J Clin Endocrinol Metab. 1981 Mar;52(3):381-4 PMID: 7462397
  8. A direct enzyme immunoassay of 6 beta-hydroxycortisol in human urine.
    Chem Pharm Bull (Tokyo). 1981 Jan;29(1):170-5 PMID: 7020966
  9. Cytochrome P-450 monooxygenase activities in human and rat liver microsomes.
    Eur J Biochem. 1981 Sep 1;118(3):599-606 PMID: 7297566
  10. Immunochemical characterization of some monooxygenase activities in liver microsomes from untreated and phenobarbital-treated rats.
    Biochem Biophys Res Commun. 1981 Jul 30;101(2):547-54 PMID: 6796075
  11. Assessment of urinary 6 beta-hydroxycortisol as an in vivo index of mixed-function oxygenase activity.
    Br J Clin Pharmacol. 1981 Aug;12(2):97-102 PMID: 7030374
  12. 6 beta-hydroxycortisol excretion in relation to polymorphic N-oxidation of sparteine.
    Br J Clin Pharmacol. 1982 May;13(5):737-40 PMID: 7082544
  13. Estimation of isozymes of microsomal cytochrome P-450 in rats, rabbits, and humans using immunochemical staining coupled with sodium dodecyl sulfate-polyacrylamide gel electrophoresis.
    Biochemistry. 1982 Mar 30;21(7):1698-706 PMID: 7044420
  14. Radioimmunoassay of plasma and urine 6 beta-hydroxycortisol: levels in healthy adults and in hypercortisolemic states.
    J Steroid Biochem. 1982 Sep;17(3):343-50 PMID: 7132351
  15. Assessment of the drug metabolism capacity of the liver.
    Br J Clin Pharmacol. 1982 Nov;14(5):631-51 PMID: 6128018
  16. Microsomal enzyme induction in children: the influence of carbamazepine treatment on antipyrine kinetics, 6 beta-hydroxycortisol excretion and plasma gamma-glutamyltranspeptidase activity.
    Br J Clin Pharmacol. 1982 Dec;14(6):861-5 PMID: 6129885
  17. Purification and characterization of liver microsomal cytochromes p-450: electrophoretic, spectral, catalytic, and immunochemical properties and inducibility of eight isozymes isolated from rats treated with phenobarbital or beta-naphthoflavone.
    Biochemistry. 1982 Nov 9;21(23):6019-30 PMID: 6758842
  18. Enzyme-inducing drug combinations and their effects on liver microsomal enzyme activity in man.
    Eur J Clin Pharmacol. 1983;24(2):247-50 PMID: 6840175
  19. 6 beta-hydroxycortisol in random urine samples as an indicator of enzyme induction.
    Clin Pharmacol Ther. 1983 Dec;34(6):818-21 PMID: 6641098
  20. Purification and characterization of six cytochrome P-450 isozymes from human liver microsomes.
    Biochemistry. 1983 Nov 8;22(23):5375-83 PMID: 6418201
  21. Variability in nifedipine pharmacokinetics and dynamics: a new oxidation polymorphism in man.
    Biochem Pharmacol. 1984 Nov 15;33(22):3721-4 PMID: 6508829
  22. Clinical evaluation of urinary cortisol determinations by competetive protein-binding radioassay.
    J Clin Endocrinol Metab. 1968 Mar;28(3):343-8 PMID: 4296070
  23. Isolation and sequence of a human cytochrome P-450 cDNA clone.
    Proc Natl Acad Sci U S A. 1985 Feb;82(4):983-7 PMID: 3856261
  24. Human dioxin-inducible cytochrome P1-450: complementary DNA and amino acid sequence.
    Science. 1985 Apr 5;228(4695):80-3 PMID: 3838385
  25. Human P1-450 gene sequence and correlation of mRNA with genetic differences in benzo[a]pyrene metabolism.
    Nucleic Acids Res. 1985 Jun 25;13(12):4503-20 PMID: 2989797
  26. Triacetyloleandomycin as inducer of cytochrome P-450 LM3c from rabbit liver microsomes.
    Biochem Pharmacol. 1985 Jul 15;34(14):2445-50 PMID: 3874626
  27. Purification and characterization of the human liver cytochromes P-450 involved in debrisoquine 4-hydroxylation and phenacetin O-deethylation, two prototypes for genetic polymorphism in oxidative drug metabolism.
    J Biol Chem. 1985 Jul 25;260(15):9057-67 PMID: 4019462
  28. Determination of urinary cortisol and 6 beta-hydroxycortisol by high performance liquid chromatography.
    Clin Chim Acta. 1985 Jul 15;149(2-3):215-24 PMID: 4028441
  29. Immunoquantification of epoxide hydrolase and cytochrome P-450 isozymes in fetal and adult human liver microsomes.
    Eur J Biochem. 1985 Sep 2;151(2):345-50 PMID: 2411555
  30. Identification of an inducible form of cytochrome P-450 in human liver.
    Proc Natl Acad Sci U S A. 1985 Sep;82(18):6310-4 PMID: 3898085
  31. Monoclonal antibodies against human liver cytochrome P-450.
    Biochem Pharmacol. 1985 Oct 1;34(19):3547-52 PMID: 4052098
  32. Human liver microsomal cytochrome P-450 mephenytoin 4-hydroxylase, a prototype of genetic polymorphism in oxidative drug metabolism. Purification and characterization of two similar forms involved in the reaction.
    J Biol Chem. 1986 Jan 15;261(2):909-21 PMID: 3079764
  33. D-glucaric acid excretion in critical care patients--comparison with 6 beta-hydroxycortisol excretion and serum gamma-glutamyltranspeptidase activity and relation to multiple drug therapy.
    Br J Clin Pharmacol. 1986 Jan;21(1):9-18 PMID: 2868749
  34. Characterization of rat and human liver microsomal cytochrome P-450 forms involved in nifedipine oxidation, a prototype for genetic polymorphism in oxidative drug metabolism.
    J Biol Chem. 1986 Apr 15;261(11):5051-60 PMID: 3514607
  35. Complete cDNA sequence of a cytochrome P-450 inducible by glucocorticoids in human liver.
    Proc Natl Acad Sci U S A. 1986 Jul;83(14):5311-5 PMID: 3460094
  36. ELISA of 6-beta-hydroxycortisol in human urine: diurnal variations and effects of antiepileptic therapy.
    Clin Chim Acta. 1986 Jun 30;157(3):267-76 PMID: 3731488
  37. Comparison of monooxygenase activities and cytochrome P-450 isozyme concentrations in human liver microsomes.
    Drug Metab Dispos. 1986 Jul-Aug;14(4):437-42 PMID: 2873991
  38. Human cytochrome P-450 4 mRNA and gene: part of a multigene family that contains Alu sequences in its mRNA.
    Proc Natl Acad Sci U S A. 1986 Sep;83(18):6731-5 PMID: 3462722
  39. Structure and drug inducibility of the human cytochrome P-450c gene.
    Eur J Biochem. 1986 Sep 1;159(2):219-25 PMID: 3019683
  40. Isolation and sequence determination of a cDNA clone related to human cytochrome P-450 nifedipine oxidase.
    Proc Natl Acad Sci U S A. 1986 Nov;83(21):8064-8 PMID: 3464943
  41. Complementary DNA and protein sequences of ethanol-inducible rat and human cytochrome P-450s. Transcriptional and post-transcriptional regulation of the rat enzyme.
    J Biol Chem. 1986 Dec 15;261(35):16689-97 PMID: 3782137
  42. Characterization of ethanol-inducible human liver N-nitrosodimethylamine demethylase.
    Biochemistry. 1986 Nov 4;25(22):6731-5 PMID: 3801389
  43. Cloning and sequence determination of a complementary DNA related to human liver microsomal cytochrome P-450 S-mephenytoin 4-hydroxylase.
    Biochemistry. 1987 Feb 24;26(4):1094-9 PMID: 3032244
  44. Aging and drug interactions. I. Effect of cimetidine and smoking on the oxidation of theophylline and cortisol in healthy men.
    J Pharmacol Exp Ther. 1987 May;241(2):488-500 PMID: 3572808
  45. P450 genes: structure, evolution, and regulation.
    Annu Rev Biochem. 1987;56:945-93 PMID: 3304150
  46. The urinary 6 beta-hydroxycortisol excretion in man on inducers and inhibitors of the hepatic mixed function oxidase.
    Pharmacol Ther. 1987;33(1):197-9 PMID: 3628474
  47. Purification and characterization of ethanol-inducible human hepatic cytochrome P-450HLj.
    Arch Biochem Biophys. 1987 Oct;258(1):292-7 PMID: 3310902
  48. [6 beta-hydroxycortisol: a non-invasive reflection of enzymes of drug metabolism].
    Pathol Biol (Paris). 1987 Sep;35(7):1087-93 PMID: 3313218
  49. Expression of five forms of microsomal cytochrome P-450 in primary cultures of rabbit hepatocytes treated with various classes of inducers.
    Biochem Pharmacol. 1987 Nov 1;36(21):3597-606 PMID: 3675617
  50. Characterization of multiple human cytochrome P-450 1 cDNAs. The chromosomal localization of the gene and evidence for alternate RNA splicing.
    J Biol Chem. 1987 Nov 25;262(33):16072-9 PMID: 3500169
  51. Characterization of the common genetic defect in humans deficient in debrisoquine metabolism.
    Nature. 1988 Feb 4;331(6155):442-6 PMID: 3123997
  52. Complete sequence of cytochrome P450 3c cDNA and presence of two mRNA species with 3' untranslated regions of different lengths.
    DNA. 1988 Jan-Feb;7(1):39-46 PMID: 3349903
  53. Oxidation of 17 alpha-ethynylestradiol by human liver cytochrome P-450.
    Mol Pharmacol. 1988 May;33(5):500-8 PMID: 3285175
  54. 6beta-Hydroxycortisol and other polar corticosteroids: measurement and significance in human urine.
    J Clin Endocrinol Metab. 1961 Oct;21:1290-303 PMID: 13894709
  55. The physiologic significance of 6beta-hydroxycortisol in human corticoid metabolism.
    J Clin Endocrinol Metab. 1962 Jan;22:71-7 PMID: 14454377
  56. Human liver microsomal steroid metabolism: identification of the major microsomal steroid hormone 6 beta-hydroxylase cytochrome P-450 enzyme.
    Arch Biochem Biophys. 1988 Jun;263(2):424-36 PMID: 3259858
  57. Involvement of the macrolide antibiotic inducible cytochrome P-450 LM3c in the metabolism of midazolam by microsomal fractions prepared from rabbit liver.
    Biochem Pharmacol. 1988 May 15;37(10):1947-53 PMID: 3259880
  58. Human drug metabolism in vitro.
    Pharmacol Ther. 1988;37(2):193-211 PMID: 3290907
  59. A novel human cytochrome P450 gene (P450IIB): chromosomal localization and evidence for alternative splicing.
    Nucleic Acids Res. 1988 Jul 11;16(13):5783-95 PMID: 2899870
  60. Comparative effects of rifabutin and rifampicin on hepatic microsomal enzyme activity in normal subjects.
    Eur J Clin Pharmacol. 1988;34(6):595-9 PMID: 2901960
  61. Characterization of cDNAs, mRNAs, and proteins related to human liver microsomal cytochrome P-450 (S)-mephenytoin 4'-hydroxylase.
    Biochemistry. 1988 Sep 6;27(18):6929-40 PMID: 3196692
  62. The P450 superfamily: updated listing of all genes and recommended nomenclature for the chromosomal loci.
    DNA. 1989 Jan-Feb;8(1):1-13 PMID: 2651058
  63. Metabolism of cyclosporin A. IV. Purification and identification of the rifampicin-inducible human liver cytochrome P-450 (cyclosporin A oxidase) as a product of P450IIIA gene subfamily.
    Drug Metab Dispos. 1989 Mar-Apr;17(2):197-207 PMID: 2565211
  64. Properties of electrophoretically homogeneous phenobarbital-inducible and beta-naphthoflavone-inducible forms of liver microsomal cytochrome P-450.
    J Biol Chem. 1976 Dec 25;251(24):7929-39 PMID: 187601
Article Info
Journal
British journal of clinical pharmacology
Abbr.
Br J Clin Pharmacol
ISSN
0306-5251
Published
1989-10-00
Pages
373-87
Language
English
Region
England
NLM ID
7503323
PMCID
PMC1379986
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: [email protected]