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Vol. 26, Issue 3, 234-239, March 1998
Department of Drug Safety and Disposition, Ligand Pharmaceuticals,
Inc.
Retinoids are compounds that bind to and activate one or more
retinoid receptors to elicit various physiological responses. There are
two families of retinoid receptors, i.e. retinoic acid receptors (RAR) and retinoid X receptors (RXR), for which the various
synthetic and naturally occurring retinoids have differing selectivities. The synthetic analogs LG100268 and LGD1069 (Targretin) are RXR-selective, whereas ALRT1550 is highly RAR-selective. Naturally occurring all-trans-retinoic acid (Tretinoin) has a degree
of selectivity for RAR, whereas ALRT1057 (9-cis-retinoic
acid, Panretin) is equally active at RAR and RXR (i.e. a
pan-agonist). To evaluate the effects of these compounds on metabolic
enzymes, male Sprague-Dawley rats received daily oral doses for 4 days,
and liver microsomes were prepared on day 5. As a class, these ligands
exerted profound effects on hepatic microsomal metabolic enzyme levels.
Those with RAR activity decreased hepatic cytochrome P450 (CYP or P450)
levels and in vitro metabolism of the compound of
pretreatment, whereas those exerting predominantly RXR activity
increased these parameters. A similar relationship was observed when
glucuronidation was examined. Hepatic CYP2B1/2 was unaffected and CYP3A
was decreased by RAR-selective ALRT1550, whereas both were induced by
ligands selective for RXR. However, both RAR- and RXR-selective ligands
decreased CYP1A2, whereas they induced CYP4A. Although the mechanisms
underlying these effects are not known, these results suggest that RAR-
and RXR-binding ligands exert distinct effects on hepatic metabolism, and they indicate the potential for drug-drug interactions, especially involving CYP3A. The nature of such interactions would depend on the
RAR/RXR selectivity of the ligand and the P450 isozymes responsible for
the metabolism of coadministered drugs.
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