Indirubin, a component of Ban-Lan-Gen, activates CYP3A4 gene transcription through the human pregnane X receptor

Drug Metab Pharmacokinet. 2016 Apr;31(2):139-45. doi: 10.1016/j.dmpk.2016.01.002. Epub 2016 Jan 22.

Abstract

Ban-Lan-Gen is the common name for the dried roots of indigo plants, including Polygonum tinctorium, Isatis indigotica, Isatis tinctoria, and Strobilanthes cusia. Ban-Lan-Gen is frequently used as an anti-inflammatory and an anti-viral for the treatment of hepatitis, influenza, and various types of inflammation. One of the cytochrome P450 (CYP) enzymes, CYP3A4, is responsible for the metabolism of a wide variety of xenobiotics, including an estimated 60% of all clinically used drugs. In this study, we investigated the effect of Ban-Lan-Gen on the transcriptional activation of the CYP3A4 gene. Ban-Lan-Gen extract increased CYP3A4 gene reporter activity in a dose-dependent manner. Indirubin, one of the biologically active ingredients in the Ban-Lan-Gen, also dose-dependently increased CYP3A4 gene reporter activity. Expression of short hairpin RNA for the human pregnane X receptor (hPXR-shRNA) inhibited CYP3A4 gene reporter activity, and overexpression of human PXR increased indirubin- and rifampicin-induced CYP3A4 gene reporter activity. Furthermore, indirubin induced CYP3A4 mRNA expression in HepG2 cells. Taken together, these results indicate that indirubin, a component of Ban-Lan-Gen, activated CYP3A4 gene transcription through the activation of the human PXR.

Keywords: AhR activator; CYP3A4 induction; Herb–drug interactions; Indirubin; PXR.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cytochrome P-450 CYP3A / genetics*
  • Cytochrome P-450 CYP3A / metabolism
  • Dose-Response Relationship, Drug
  • Hep G2 Cells
  • Humans
  • Indoles / pharmacology
  • Pregnane X Receptor
  • RNA, Messenger / drug effects
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, Steroid / metabolism*
  • Structure-Activity Relationship
  • Transcriptional Activation / drug effects*
  • Transcriptional Activation / genetics

Substances

  • Indoles
  • Pregnane X Receptor
  • RNA, Messenger
  • Receptors, Steroid
  • Cytochrome P-450 CYP3A
  • CYP3A4 protein, human
  • indirubin