PMID- 22912432 OWN - NLM STAT- MEDLINE DCOM- 20130612 LR - 20181202 IS - 1521-009X (Electronic) IS - 0090-9556 (Linking) VI - 40 IP - 11 DP - 2012 Nov TI - Utility of DPX2 cells for predicting CYP3A induction-mediated drug-drug interactions and associated structure-activity relationships. PG - 2204-11 LID - 10.1124/dmd.112.047456 [doi] AB - The increase in cytochrome P450 (P450) enzyme activity noted upon exposure to therapeutics can elicit marked drug-drug interactions (DDIs) that may ultimately result in poor clinical outcome or adverse drug effects. As such, in vitro model systems that can rapidly and accurately determine whether potential therapeutics activate the human pregnane X receptor (PXR) and thus induce CYP3A P450 levels are highly sought after tools for drug discovery. To that end, we assessed whether DPX2 cells, a HepG2-derived cell line stably integrated with a PXR expression vector plus a luciferase reporter, could detect agents that not only cause PXR activation/CYP3A induction but also elicit clinical DDIs. All 20 clinical inducers and 9 of 15 clinical noninducers examined activated PXR in DPX2 cells (E(max) > 8-fold), although activation parameters obtained with the noninducers were not predictive of DDI. The relative induction score, calculated by combining PXR activation parameters (EC(50) and E(max)) in DPX2 cells for seven inducers plus four noninducers with their efficacious total plasma concentrations, strongly correlated (R(2) = 0.90) with the magnitude of induction of midazolam clearance. Thus, the DPX cell-based PXR activation system is not only capable of distinguishing potential inducers in a high-throughput manner but can also differentiate among compounds in predicting the magnitude of induction-mediated DDIs, providing a means for structure-activity relationship screening during discovery and development. FAU - Fahmi, Odette A AU - Fahmi OA AD - Department of Pharmacokinetics, Dynamics and Metabolism, Pfizer, Inc., Global Research and Development, Groton, CT 06340, USA. odette.a.fahmi@pfizer.com FAU - Raucy, Judy L AU - Raucy JL FAU - Ponce, Elsa AU - Ponce E FAU - Hassanali, Saleema AU - Hassanali S FAU - Lasker, Jerome M AU - Lasker JM LA - eng PT - Journal Article DEP - 20120821 PL - United States TA - Drug Metab Dispos JT - Drug metabolism and disposition: the biological fate of chemicals JID - 9421550 RN - 0 (Pregnane X Receptor) RN - 0 (Receptors, Steroid) RN - EC 1.14.14.1 (CYP3A protein, human) RN - EC 1.14.14.1 (Cytochrome P-450 CYP3A) RN - R60L0SM5BC (Midazolam) SB - IM MH - Cell Line, Tumor MH - Cytochrome P-450 CYP3A/biosynthesis/*metabolism MH - Drug Interactions MH - Enzyme Induction MH - Hep G2 Cells MH - Humans MH - Midazolam/metabolism MH - Pregnane X Receptor MH - Receptors, Steroid/metabolism MH - Structure-Activity Relationship EDAT- 2012/08/23 06:00 MHDA- 2013/06/13 06:00 CRDT- 2012/08/23 06:00 PHST- 2012/08/23 06:00 [entrez] PHST- 2012/08/23 06:00 [pubmed] PHST- 2013/06/13 06:00 [medline] AID - dmd.112.047456 [pii] AID - 10.1124/dmd.112.047456 [doi] PST - ppublish SO - Drug Metab Dispos. 2012 Nov;40(11):2204-11. doi: 10.1124/dmd.112.047456. Epub 2012 Aug 21.