Gut microbiome-mediated modulation of hepatic cytochrome P450 and P-glycoprotein: impact of butyrate and fructo-oligosaccharide-inulin

J Pharm Pharmacol. 2020 Aug;72(8):1072-1081. doi: 10.1111/jphp.13276. Epub 2020 Apr 26.

Abstract

Objectives: Our objective was to demonstrate microbial regulation of hepatic genes implicated in drug metabolism and transport using germ-free (GF) mice and to explore the impact of a microbial metabolite, butyrate, and a prebiotic dietary intervention on hepatic gene expression in mice.

Methods: Using reverse-transcriptase PCR, we investigated cytochrome P450 (CYP) and multidrug-resistance protein 1 (MDR1) expression in conventional, GF and colonised GF mice. To investigate the effects of butyrate, sodium butyrate (3 g/l) was administered for 21 days to conventional or GF mice. In the prebiotic study, young adult and middle-aged mice received diet enriched with 10% fructo-oligosaccharide (FOS)-inulin for 14 weeks.

Key findings: Colonisation of GF animals normalised expression of Cyp3a11 and Mdr1b to conventional levels. Butyrate upregulated Cyp2b10 in conventional mice (P < 0.05) but overall did not induce widespread changes in hepatic genes. FOS-inulin increased Cyp3a13 expression and had the opposite effect on Mdr1a expression in young adult mice (P < 0.05). Age, on the other hand, influenced the prebiotic effect on Cyp2a4 expression (P < 0.01).

Conclusion: The expression of hepatic genes implicated in drug metabolism and transport displays sensitivity to the microbiome, microbiome-derived metabolites and a microbial-targeted intervention. Our study may provide the impetus to explore microbiota-targeted interventions in normalising host metabolic activity and reducing inter-individual variability in drug pharmacokinetics.

Keywords: cytochrome; hepatic; metabolism; microbiome; transporter.

Publication types

  • Comparative Study

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • ATP Binding Cassette Transporter, Subfamily B / metabolism*
  • ATP-Binding Cassette Sub-Family B Member 4
  • Age Factors
  • Animals
  • Bacteria / drug effects*
  • Bacteria / metabolism
  • Butyrates / pharmacology*
  • Cytochrome P-450 Enzyme System / genetics
  • Cytochrome P-450 Enzyme System / metabolism*
  • Gastrointestinal Microbiome / drug effects*
  • Gene Expression Regulation, Enzymologic
  • Germ-Free Life
  • Intestines / drug effects*
  • Intestines / microbiology
  • Inulin / pharmacology*
  • Isoenzymes
  • Liver / drug effects*
  • Liver / enzymology
  • Male
  • Mice, Inbred C57BL
  • Oligosaccharides / pharmacology*
  • Prebiotics*

Substances

  • ATP Binding Cassette Transporter, Subfamily B
  • Butyrates
  • Isoenzymes
  • Oligosaccharides
  • Prebiotics
  • fructooligosaccharide
  • Inulin
  • Cytochrome P-450 Enzyme System
  • multidrug resistance protein 3