PMID- 17097148 OWN - NLM STAT- MEDLINE DCOM- 20070315 LR - 20220318 IS - 0163-7258 (Print) IS - 0163-7258 (Linking) VI - 113 IP - 1 DP - 2007 Jan TI - The role of intracellular signaling in insulin-mediated regulation of drug metabolizing enzyme gene and protein expression. PG - 88-120 AB - Endogenous factors, including hormones, growth factors and cytokines, play an important role in the regulation of hepatic drug metabolizing enzyme expression in both physiological and pathophysiological conditions. Diabetes, fasting, obesity, protein-calorie malnutrition and long-term alcohol consumption produce changes in hepatic drug metabolizing enzyme gene and protein expression. This difference in expression alters the metabolism of xenobiotics, including procarcinogens, carcinogens, toxicants and therapeutic agents, potentially impacting the efficacy and safety of therapeutic agents, and/or resulting in drug-drug interactions. Although the mechanisms by which xenobiotics regulate drug metabolizing enzymes have been studied intensively, less is known regarding the cellular signaling pathways and components which regulate drug metabolizing enzyme gene and protein expression in response to hormones and cytokines. Recent findings, however, have revealed that several cellular signaling pathways are involved in hormone- and growth factor-mediated regulation of drug metabolizing enzymes. Our laboratory has reported that insulin and growth factors regulate drug metabolizing enzyme gene and protein expression, including cytochromes P450 (CYP), glutathione S-transferases (GST) and microsomal epoxide hydrolase (mEH), through receptors which are members of the large receptor tyrosine kinase (RTK) family, and by downstream effectors such as phosphatidylinositol 3-kinase, mitogen activated protein kinase (MAPK), Akt/protein kinase B (PKB), mammalian target of rapamycin (mTOR), and the p70 ribosomal protein S6 kinase (p70S6 kinase). Here, we review current knowledge of the signaling pathways implicated in regulation of drug metabolizing enzyme gene and protein expression in response to insulin and growth factors, with the goal of increasing our understanding of how disease affects these signaling pathways, components, and ultimately gene expression and translational control. FAU - Kim, Sang K AU - Kim SK AD - Institute of Environmental Health Sciences, Wayne State University, 2727 Second Avenue, Room 4000, Detroit, MI 48201, USA. FAU - Novak, Raymond F AU - Novak RF LA - eng GR - R01 ES003656/ES/NIEHS NIH HHS/United States GR - P30 ES006639-13/ES/NIEHS NIH HHS/United States GR - R01 ES003656-17/ES/NIEHS NIH HHS/United States GR - P30 ES06639/ES/NIEHS NIH HHS/United States GR - ES03656/ES/NIEHS NIH HHS/United States GR - P30 ES006639/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20061113 PL - England TA - Pharmacol Ther JT - Pharmacology & therapeutics JID - 7905840 RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Isoenzymes) RN - 0 (Receptors, Growth Factor) RN - 9035-51-2 (Cytochrome P-450 Enzyme System) RN - EC 2.5.1.18 (Glutathione Transferase) RN - EC 2.7.10.1 (Receptor, Insulin) RN - EC 3.1.3.2 (Phosphoric Monoester Hydrolases) RN - EC 3.3.2.- (Epoxide Hydrolases) RN - EC 6.3.2.2 (Glutamate-Cysteine Ligase) SB - IM MH - Animals MH - Cytochrome P-450 Enzyme System/biosynthesis/genetics MH - Epoxide Hydrolases/biosynthesis/genetics MH - *Gene Expression Regulation, Enzymologic/drug effects MH - Glutamate-Cysteine Ligase/biosynthesis/genetics MH - Glutathione Transferase/biosynthesis/genetics MH - Humans MH - Hypoglycemic Agents/*metabolism/pharmacology MH - Insulin/*metabolism/pharmacology MH - Intercellular Signaling Peptides and Proteins/metabolism MH - Isoenzymes MH - Liver/drug effects/*enzymology MH - MAP Kinase Signaling System/drug effects MH - Metabolic Detoxication, Phase II/genetics MH - Phosphoric Monoester Hydrolases/metabolism MH - Receptor, Insulin/metabolism MH - Receptors, Growth Factor/metabolism MH - *Signal Transduction/drug effects PMC - PMC1828071 MID - NIHMS16392 EDAT- 2006/11/14 09:00 MHDA- 2007/03/16 09:00 PMCR- 2008/02/01 CRDT- 2006/11/14 09:00 PHST- 2006/07/11 00:00 [received] PHST- 2006/07/18 00:00 [accepted] PHST- 2006/11/14 09:00 [pubmed] PHST- 2007/03/16 09:00 [medline] PHST- 2006/11/14 09:00 [entrez] PHST- 2008/02/01 00:00 [pmc-release] AID - S0163-7258(06)00135-5 [pii] AID - 10.1016/j.pharmthera.2006.07.004 [doi] PST - ppublish SO - Pharmacol Ther. 2007 Jan;113(1):88-120. doi: 10.1016/j.pharmthera.2006.07.004. Epub 2006 Nov 13.