趙云龍,楊衛紅,張莉蓉
1)鄭州大學基礎醫學院法醫學系 鄭州 450001 2)焦作市第二人民醫院病理科 焦作 454001 3)鄭州大學基礎醫學院藥理學系 鄭州 450001
?
HepG2細胞中CYP3A、SLCO1B1和POR基因型檢測*
趙云龍1,2),楊衛紅1),張莉蓉3)#
1)鄭州大學基礎醫學院法醫學系 鄭州 4500012)焦作市第二人民醫院病理科 焦作 4540013)鄭州大學基礎醫學院藥理學系 鄭州 450001
HepG2;CYP3A;SLCO1B1;POR;單核苷酸多態性
目的:檢測HepG2細胞中CYP3A、SLCO1B1、POR的單核苷酸多態性(SNP)位點CYP3A4*1G、CYP3A4*22、CYP3AP1*3、CYP3A5*3、SLCO1B1 T521C、SLCO1B1 A388G、POR*28的基因型。方法:從HepG2細胞中提取基因組DNA,PCR擴增目的片段,對PCR擴增產物測序后分析上述7個多態性位點的基因型。結果與結論:CYP3A4*1G、CYP3A4*22、CYP3AP1*3、CYP3A5*3、SLCO1B1 T521C、SLCO1B1 A388G、POR*28的基因型分別為GA、CC、GA、AG、TC、AG、CC。CYP3A4*1G下游596 bp處基因型為CT,SLCO1B1 T521C下游50 bp和76 bp處基因型分別為TC和CT,POR*28下游281 bp處基因型為GA。
*國家自然科學基金項目81173127;河南省杰出青年基金項目074100510020;河南省教育廳基礎研究項目13A310663;河南省科技廳基礎與前沿技術研究計劃項目142300410206
藥物代謝酶CYP3A(主要由CYP3A4和CYP3A5組成)在成人肝臟中含量豐富,可代謝50%左右的臨床常用處方藥物[1],因而多年來一直是科研工作者研究的熱點之一。CYP3A基因單核苷酸多態性(single nucleotide polymorphism,SNP)是影響該酶表達與活性的主要因素[2]。到目前為止,研究[3-8]結果表明CYP3A基因中CYP3A4*1G(rs2242480)、CYP3A4*22(rs35599367)、CYP3AP1*3(rs2177180)、CYP3A5*3(rs776746)可影響CYP3A4或CYP3A5的表達和活性,進而影響阿托伐他汀、芬太尼、辛伐他汀、他可莫司等藥物的療效。另外,SLCO1B1 T521C(rs4149056)、SLCO1B1 A388G(rs2306283)和POR*28(rs1057868)多態性也與常用臨床藥物的療效相關[6,9-10]。體外實驗[11]證實CYP3A4內含子10可影響CYP3A4的表達,并且被該內含子中的CYP3A4*1G所調控。同時,CYP3A4*1G增強CYP3A4基因表達的作用受到附近抑制元件的負調控[12]。
HepG2細胞是研究藥物代謝酶最常用的一種細胞株,目前尚未有研究對HepG2細胞中上述7個SNP位點進行基因分型。該研究目的是對HepG2細胞中的上述基因位點進行分型,采集最基本的遺傳資料,為將來從內含子和假基因角度進一步闡明CYP3A酶活性個體差異的機制、指導臨床個體化用藥提供理論基礎。
1.1材料HepG2細胞株(上海中科院細胞研究所);基因組DNA提取試劑盒(QIAGEN公司產品),PCR試劑盒(TaKaRa公司產品),PCR擴增儀(德國Biometra公司產品),水平電泳槽(美國Bio-Rad公司產品),凝膠成像分析系統(美國Syngene公司產品)。
1.2DNA提取用DNA提取試劑盒按說明書從培養的HepG2細胞中提取DNA。
1.3目的片段的擴增PCR擴增目的片段所用引物來自參考文獻[8-9,13-14]。CYP3A4*1G、CYP3A4*22、CYP3AP1*3、CYP3A5*3、SLCO1B1 T521C、 SLCO1B1 A388G、POR*28所用引物序列及相關信息見表1。PCR產物經瓊脂糖凝膠電泳初步驗證后送立菲生物技術有限公司測序,將測序結果與NCBI上預期序列進行比對。

表1 所用引物及相關信息
F:上游引物,R:下游引物。
測序結果見圖1~4,其中出現的SNP相關信息見表2。結果表明HepG2細胞中CYP3A4*1G、CYP3AP1*3、SLCO1B1 T521C、CYP3A5*3、SLCO1B1 A388G均為突變型雜合子;CYP3A4*22、POR*28為野生型純合子。
另外,對比測序結果發現:在CYP3A4內含子10中,位于CYP3A4*1G位點下游596 bp處有一SNP rs4646440(C→T)存在,是CT基因型,為突變雜合子,見圖1B;POR*28位點下游281 bp處有一SNP rs1057870(G→A)存在,是GA基因型,為突變雜合子,見圖2C;SLCO1B1 T521C位點下游50 bp處有一SNP rs4149057(T→C)存在,是TC基因型,為突變雜合子,見圖3B;SLCO1B1 T521C位點下游76 bp處,有一SNP rs2291075(C→T)存在,是CT基因型,為突變雜合子,見圖3C。

A:CYP3A4*1G為GA基因型;B:CYP3A4*1G下游596 bp處SNP為CT基因型。圖1 CYP3A4*1G PCR產物測序結果

A:CYP3A5*3為AG基因型;B:POR*28為CC基因型;C:POR*28下游281 bp處SNP為GA基因型。圖2 CYP3A5*3與POR*28 PCR產物測序結果

A:TC基因型;B/C:SLCO1B1 T521C下游50/76 bp處SNPs為TC/CT基因型。圖3 SLCO1B1 T521C PCR產物測序結果

A:CYP3AP1*3;B:CYP3A4*22;C:SLCO1B1 A388G。圖4 CYP3AP1*3、CYP3A4*22、SLCO1B1 A388G PCR產物測序結果

表1 測序中出現的SNP及相關信息
染色體數據來自http://www.ncbi.nlm.nih.gov。
與代謝相關的SNP的功能分析一直是研究的熱點,有文獻[5]報道CYP3A4*1G遺傳多態性可降低CYP3A活性,使芬太尼代謝減慢。 CYP3A5*3可降低腎移植受體他克莫司代謝速率[15],CYP3A5*3聯合CYP3AP1*3可能降低肝臟活性代謝物的水平,并最終降低阿托伐他汀的降脂作用[8]。CYP3A4*22能夠明顯降低CYP3A4 mRNA的表達,降低辛伐他汀的代謝[6],減少他克莫司的清除[16]。POR*28能夠提高CYP3A4酶活性,降低阿托伐他汀降總膽固醇和低密度脂蛋白膽固醇的效應[17]。SLCO1B1 T521C能夠明顯減弱普伐他汀降低密度脂蛋白膽固醇的效應[18],能夠降低甲氨蝶呤的代謝[19-21]。SLCO1B1 A388G可提高阿托伐他汀治療高膽固醇血癥、升高密度脂蛋白的效應[22]。但這些研究大多集中于體內,而這種體內研究往往受多種不可控因素影響,難以將機制研究進行下去,甚至有可能得出截然相反的結論。
近年來基因組編輯在研究DNA片段的作用機制及其與疾病和治療的關系方面起著舉足輕重的作用[23-24]。為探求與CYP3A基因表達有關的遺傳生物標志物并從基因組水平闡明其機制,作者將選取在肝臟藥物代謝酶研究中常用的HepG2細胞為研究對象,對CYP3A基因進行編輯。為此,此次試驗對影響CYP3A表達的SNP位點進行了基因型分析,以期為將來的基因組編輯研究提供遺傳背景信息。該研究發現,HepG2細胞中POR*28和CYP3A4*22均為野生型純合子;POR*28位點下游281 bp的rs1057870為突變雜合子,是同義突變;而CYP3A4*1G、CYP3AP1*3和CYP3A5*3為突變型雜合子,可作為后續對照研究的中間體;位于CYP3A4*1G下游596 bp的SNP rs4646440為突變雜合子,位于增強子區[25],其具體情況不明,可用基因組編輯的方法進一步研究。除檢測影響CYP3A表達的位點之外,該研究也對HepG2細胞中與藥物轉運有關的轉運體的基因多態性位點進行了分析,結果表明,SLCO1B1 T521C、SLCO1B1 A388G均為突變型雜合子;位于SLCO1B1 T521C位點下游的rs4149057和rs2291075為突變雜合子,均為同義突變。
該研究結果提示:在清晰的遺傳背景下,采用CRISPR/Cas9技術在HepG2細胞中進行基因敲除或定點突變,可用于研究CYP3A4內含子10、CYP3A4*1G、CYP3AP1*3及CYP3A4*22的功能,這將有效地定向排除體內研究所存在的其他干擾因素的影響,從而得出更具說服力的結論,同時也為研究SNP功能開辟了新的途徑。
[1]WANG D,SADEE W.The making of a CYP3A biomarker panel for guiding drug therapy[J].J Pers Med,2012,2(4):175
[2]OZDEMIR V,KALOW W,TANG BK,et al.Evaluation of the genetic component of variability in CYP3A4 activity: a repeated drug administration method[J].Pharmacogenetics,2000,10(5):373
[3]GAO Y,ZHANG LR,FU Q.CYP3A4*1G polymorphism is associated with lipid-lowering efficacy of atorvastatin but not of simvastatin[J].Eur J Clin Pharmacol,2008,64(9):877
[4]HE BX,SHI L,QIU J,et al.The effect of CYP3A4*1G allele on the pharmacokinetics of atorvastatin in Chinese Han patients with coronary heart disease[J].J Clin Pharmacol,2014,54(4):462
[5]ZHANG W,CHANG YZ,KAN QC,et al.CYP3A4*1G genetic polymorphism influences CYP3A activity and response to fentanyl in Chinese gynecologic patients[J].Eur J Clin Pharmacol,2010,66(1):61
[6]LUZUM JA,THEUSCH E,TAYLOR KD,et al.Individual and combined associations of genetic variants in CYP3A4, CYP3A5, and SLCO1B1 with simvastatin and simvastatin acid plasma concentrations[J].J Cardiovasc Pharmacol,2015,66(1):80
[7]MIURA M,SATOH S,KAGAYA H,et al.Impact of the CYP3A4*1G polymorphism and its combination with CYP3A5 genotypes on tacrolimus pharmacokinetics in renal transplant patients[J].Pharmacogenomics,2011,12(7):977
[8]LI YP,ZHANG LR,JIA M,et al.CYP3AP1*3 allele is associated with lipid-lowering efficacy of simvastatin and atorvastatin in Chinese women[J].J Clin Pharmacol,2011,51(2):181
[9]WANG XF,YAN L,CAO HM,et al.Effect of CYP3A4*1G, CYP3A5*3, POR*28, and ABCB1 C3435T on the pharmacokinetics of nifedipine in healthy Chinese volunteers[J].Int J Clin Pharmacol Ther,2015,53(9):737
[10]SHABANA MF,MISHRIKI AA,ISSAC MS,et al.Do MDR1 and SLCO1B1 polymorphisms influence the therapeutic response to atorvastatin:a study on a cohort of Egyptian patients with hypercholesterolemia[J].Mol Diagn Ther,2013,17(5):299
[11]YANG W,ZHAO D,HAN S,et al.CYP3A4*1G regulates CYP3A4 intron 10 enhancer and promoter activity in an allelic-dependent manner[J].Int J Clin Pharmacol Ther,2015,53(8):647
[12]楊衛紅,閆良,劉利娥,等.雙熒光素酶報告基因系統檢測 CYP3A4*1G 增強 CYP3A4表達的調控作用[J].鄭州大學學報(醫學版),2015,50(6):765
[13]WANG D,GUO Y,WRIGHTON SA,et al.Intronic polymorphism in CYP3A4 affects hepatic expression and response to statin drugs[J].Pharmacogenomics J,2011,11(4):274
[14]韋侃侃,賈敏,付強,等.影響他汀類藥物降脂治療的相關基因的多態性及其與高脂血癥的關系[J].中國新藥與臨床雜志,2008,27(8):570
[15]DSS R,OETTING WS,GUAN WH,et al.Multigene predictors of tacrolimus exposure in kidney transplant recipients[J].Pharmacogenomics,2015,16(8):14
[16]ELENS L,BOUAMAR R,HESSELINK DA,et al.A new functional CYP3A4 intron 6 polymorphism significantly affects tacrolimus pharmacokinetics in kidney transplant recipients[J].Clin Chem,2011,57(11):1574
[17]DROGARI E,RAGIA G,MOLLAKI V,et al.POR*28 SNP is associated with lipid response to atorvastatin in children and adolescents with familial hypercholesterolemia[J]. Pharmacogenomics,2014,15(16):1963
[18]AKAO H,POLISECKI E,KAJINAMI K,et al.Genetic variation at the SLCO1B1 gene locus and low density lipoprotein cholesterol lowering response to pravastatin in the elderly[J].Atherosclerosis,2012,220(2):413
[19]CSORDAS K,LAUTNER-CSORBA O,SEMSEI AF,et al.Associations of novel genetic variations in the folate-related and ARID5B genes with the pharmacokinetics and toxicity of high-dose methotrexate in paediatric acute lymphoblastic leukaemia[J].Br J Haematol,2014,166(3):410

[21]ZHANG HN,HE XL,WANG C,et al.Impact of SLCO1B1 521T>C variant on leucovorin rescue and risk of relapse in childhood acute lymphoblastic leukemia treated with high-dose methotrexate[J].Pediatr Blood Cancer,2014,61(12):2203
[22]PRADO Y,SAAVEDRA N,ZAMBRANO T,et al.SLCO1B1 c.388A>G polymorphism is associated with HDL-C levels in response to atorvastatin in Chilean individuals[J].Int J Mol Sci,2015,16(9):20609
[23]METSER G,SHIN HY,WANG C,et al.An autoregulatory enhancer controls mammary-specific STAT5 functions[J].Nucleic Acids Res,2016,44(3):1052
[24]PELLAGATTI A,DOLATSHAD H,YIP BH,et al.Application of genome editing technologies to the study and treatment of hematological disease[J].Adv Biol Regul,2016,60(15):122
[25]CHEN CH,WANG SC,TSOU HH,et al.Genetic polymorphisms in CYP3A4 are associated with withdrawal symptoms and adverse reactions in methadone maintenance patients[J].Pharmacogenomics,2011,12(10):1397
(2015-11-28收稿責任編輯王曼)
Genotype analysis of CYP3A, SLCO1B1 and POR in HepG2 cells
ZHAOYunlong1,2),YANGWeihong1),ZHANGLirong3)
1)DepartmentofForensicMedicine,CollegeofBasicMedicalSciences,ZhengzhouUniversity,Zhengzhou4500012)DepartmentofPathology,theSecondPeople′sHospitalofJiaozuoCity,Jiaozuo4540013)DepartmentofPharmacology,CollegeofBasicMedicalSciences,ZhengzhouUniversity,Zhengzhou450001
HepG2;CYP3A;SLCO1B1;POR;single necleotide polymorphism
Aim: To detect the single nucleotide polymorphism(SNP) of drug metabolic enzyme CYP3A, transporter SLCO1B1 and cytochrome P450 oxidoreductase(POR) including CYP3A4*1G, CYP3A4*22, CYP3AP1*3, CYP3A5*3, SLCO1B1 T521C, SLCO1B1 A388G and POR*28 in HepG2 cells.Methods: Genome DNA was obtained from HepG2 cells. Target gene segments were amplified by PCR. Then the genotype of the 7 alleles mentioned above were detected by sequencing the amplification products. Results and Conclusion: The genotypes of CYP3A4*1G, CYP3A4*22, CYP3AP1*3, CYP3A5*3, SLCO1B1 T521C, SLCO1B1 A388G, POR*28 were GA, CC, GA, AG, TC, AG, and CC, respectively. Besides, the genotypes of SNP located 596 bp downstream of CYP3A4*1G, those located 50 bp and 76 bp downstream of SLCO1B1 T521C, 281 bp downstream of POR*28 were CT, TC, CT, and GA, respectively.
10.13705/j.issn.1671-6825.2016.05.007
,女,1964年10月生,博士,教授,研究方向:藥物基因組學,E-mail:zhanglirongzzu@126.com
R394