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Received for publication August 12, 2005.
Revised January 12, 2006.
Accepted for publication January 12, 2006.
Multidrug resistance (mdr) proteins of the mdr1-type function as multi-specific xenobiotic transporters in hepatocytes. In the liver, mdr1 overexpression occurs during regeneration, cirrhosis, and hepatocarcinogenesis and may contribute to primary chemotherapy resistance. Cultured rat hepatocytes exhibit time-dependent "intrinsic" increase in functional mdr1b expression, which depends on cyclooxygenase-catalyzed prostaglandin E2 release. In the present study, the prostaglandin E (EP)-receptor agonist misoprostol (1-10 µg/ml) further enhanced intrinsic mdr1b mRNA expression in primary rat hepatocytes. On the other hand, AH23848B (30 µmol/L), an antagonist of the cAMP-coupled EP4-receptor, and the protein kinase A (PKA) inhibitor H89 (10nmol/L) repressed intrinsic mdr1b mRNA up-regulation, whereas the stable cAMP analogue 8 bromo-cAMP (10 µmol/L) and the phosphodiesterase inhibitor 3-isobutyl-1-methylxanthine (IBMX, 100 µmol/L) further enhanced intrinsic mdr1b expression. Primary rat hepatocytes, transiently transfected with reporter gene constructs, controlled by mdr1b 5'-gene-flanking regions (1074 to +154 bp or -250 to +154 bp), demonstrated pronounced mdr1b promoter activity, already without addition of exogenous modulators. Nevertheless, activity was further stimulated by misoprostol, 8 bromo-cAMP or IBMX. Co-transfection with expression vectors for PKI, an inhibitor protein of cAMP-dependent PKA, or KCREB, a dominant-negative mutant of the cAMP-responsive element-binding protein (CREB), decreased high intrinsic mdr1b promoter activity. KCREB also counteracted misoprostol-induced mdr1b promoter activation. In conclusion, these data provide evidence for a pivotal role of EP-receptor-stimulated, cAMP-dependent activation of PKA and CREB, or CREB-related proteins, in mdr1b gene activation in primary rat hepatocytes. Thus, these data might offer potential new target structures for the reversal of primary drug resistance of e.g. liver tumors.
Key words:
CREB, P-glycoprotein, mdr1b promoter, multidrug resistance, prostaglandin E2, rat hepatocyte cultures
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