Atorvastatin, fluvastatin and rosuvastatin are drugs used for treatment of hypercholesterolemia. They cause numerous drug-drug interactions by inhibiting and inducing drug-metabolizing cytochromes P450. These three statins exist in four optical forms, but they are currently used as enantiopure drugs, i.e., only one single enantiomer. There are numerous evidences that efficacy, adverse effects and toxicity of drugs may be enantiospecific. Therefore, we investigated the effects of optical isomers of atorvastatin, fluvastatin and rosuvastatin on the expression of drug-metabolizing P450s in primary human hepatocytes, using western blots and RT-PCR for measurement of proteins and mRNAs, respectively. The activity of P450 transcriptional regulators, including pregnane X receptor (PXR), aryl hydrocarbon receptor (AhR) and glucocorticoid receptor (GR), was assessed by gene reporter assays and EMSA. Transcriptional activity of AhR was not influenced by any statin tested. Basal transcriptional activity of GR was not affected by tested statins, but dexamethasone-inducible activity of GR was dose-dependently and enantioselectively inhibited by fluvastatin. Basal and ligand-inducible transcriptional activity of PXR was dose-dependently influenced by all tested statins, and the potency and efficacy between individual optical isomers varied depending on statin and optical isomer. The expression of CYP1A1 and CYP1A2 in human hepatocytes was not influenced by tested statins. All statins induced CYP2A6, CYP2B6 and CYP3A4, and the effects on CYP2C9 were rather modulatory. The effects varied between statins and enantiomers and induction potency decreased in order: atorvastatin (RR>RS = SR>SS) > fluvastatin (SR>RS = SS>RR) >> rosuvastatin (only RS active). The data presented here might be of toxicological and clinical importance.

• MeSH
• atorvastatin farmakologie   MeSH
• cytochrom P-450 CYP3A biosyntéza   MeSH
• cytochrom P450 CYP2A6 biosyntéza   MeSH
• cytochrom P450 CYP2B6 biosyntéza   MeSH
• dospělí MeSH
• enzymová indukce účinky léků   MeSH
• fluvastatin MeSH
• hepatocyty cytologie   enzymologie   MeSH
• indoly farmakologie   MeSH
• induktory cytochromu P450 CYP2B6 farmakologie   MeSH
• induktory cytochromu P450 CYP3A farmakologie   MeSH
• kyseliny mastné mononenasycené farmakologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádorové buněčné linie MeSH
• pregnanový X receptor MeSH
• rosuvastatin kalcium farmakologie   MeSH
• senioři MeSH
• stereoizomerie MeSH
• steroidní receptory biosyntéza   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• atorvastatin MeSH
• CYP2A6 protein, human MeSH Prohlížeč
• CYP2B6 protein, human MeSH Prohlížeč
• CYP3A4 protein, human MeSH Prohlížeč
• cytochrom P-450 CYP3A MeSH
• cytochrom P450 CYP2A6 MeSH
• cytochrom P450 CYP2B6 MeSH
• fluvastatin MeSH
• indoly MeSH
• induktory cytochromu P450 CYP2B6 MeSH
• induktory cytochromu P450 CYP3A MeSH
• kyseliny mastné mononenasycené MeSH
• pregnanový X receptor MeSH
• rosuvastatin kalcium MeSH
• steroidní receptory MeSH