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Vol. 291, Issue 3, 953-959, December 1999
School of Physiology and Pharmacology, University of New South
Wales, Sydney, Australia (G.M.S., M.M.); and Molecular Pharmacology
Unit, Heart Research Institute, Camperdown, Australia (G.M.S., R.M.S.,
M.M.)
Microvesicular steatosis is an important component of the overall
pathogenesis of drug-mediated liver injury. Although mitochondrial damage has a role in the development of microvesicular steatosis, the
consequences of fatty change for hepatic gene function are unclear. The
present study was undertaken to evaluate hepatic cytochrome P-450 (CYP)
function in a rat model of microvesicular steatosis produced by the
intake of diets containing 1% orotic acid (OA) that were administered
for 5, 10, or 21 days. Hepatic triglyceride levels were increased to
3-fold of control after 5 days and were elevated further at 10 and 21 days. Cholesterol and phospholipid contents were increased after 10 and
21 days but not by 5 days of feeding. Microsomal
androst-4-ene-3,17-dione hydroxylation activities mediated by CYP2C11
(16
-hydroxylation) and CYP3A2 (6
-hydroxylation) were decreased in
liver from OA-fed rats for only 5 days, whereas CYP2A1/2-mediated
steroid 7
-hydroxylation was decreased after 10 days; these
observations were complemented by immunoblot analysis that demonstrated
the impaired expression of the corresponding CYP proteins. CYP2C11
mRNA, the major CYP in male rat liver, was down-regulated in steatotic
liver to 52 ± 4% of control. Thus, microvesicular steatosis
induced by short-term intake of OA-containing diets is histologically
similar to that produced by hepatotoxic drugs and produces the rapid
down-regulation of constitutive CYPs in rat liver. Analogous processes
of lipid deposition in human liver after drug- or disease-related
injury could precipitate adverse effects during subsequent drug therapy.
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