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A traditional herbal medicine enhances bilirubin clearance by activating the nuclear receptor CAR
Wendong Huang, … , Jun Zhang, David D. Moore
Wendong Huang, … , Jun Zhang, David D. Moore
Published January 1, 2004
Citation Information: J Clin Invest. 2004;113(1):137-143. https://doi.org/10.1172/JCI18385.
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Article Hepatology

A traditional herbal medicine enhances bilirubin clearance by activating the nuclear receptor CAR

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Abstract

Yin Zhi Huang, a decoction of Yin Chin (Artemisia capillaris) and three other herbs, is widely used in Asia to prevent and treat neonatal jaundice. We recently identified the constitutive androstane receptor (CAR, NR1I3) as a key regulator of bilirubin clearance in the liver. Here we show that treatment of WT and humanized CAR transgenic mice with Yin Zhi Huang for 3 days accelerates the clearance of intravenously infused bilirubin. This effect is absent in CAR knockout animals. Expression of bilirubin glucuronyl transferase and other components of the bilirubin metabolism pathway is induced by Yin Zhi Huang treatment of WT mice or mice expressing only human CAR, but not CAR knockout animals. 6,7-Dimethylesculetin, a compound present in Yin Chin, activates CAR in primary hepatocytes from both WT and humanized CAR mice and accelerates bilirubin clearance in vivo. We conclude that CAR mediates the effects of Yin Zhi Huang on bilirubin clearance and that 6,7-dimethylesculetin is an active component of this herbal medicine. CAR is a potential target for the development of new drugs to treat neonatal, genetic, or acquired forms of jaundice.

Authors

Wendong Huang, Jun Zhang, David D. Moore

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Figure 4

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6,7-Dimethylesculetin activates CAR in primary hepatocytes. (a) Structur...
6,7-Dimethylesculetin activates CAR in primary hepatocytes. (a) Structures of 6,7-dimethylesculetin and 4′-hydroxyacetophenone. (b) Primary hepatocytes from either WT (+/+) or CAR knockout animals (–/–) were cultured in William’s E medium (Invitrogen) and incubated with solvent (CO) or increasing concentrations of 4′-hydroxyacetophenone (HA; 10 μM, or 50 μM), or 6,7-dimethylescule μM) for 24 hours. Total cell RNA was prepared, and 15 μg of each RNA sample were used for Northern hybridization as indicated. (c) Primary hepatocytes were isolated from humanized CAR transgenic mice and cultured in the presence of either solvent or 10 μM or 50 μM 6,7-dimethylesculetin for 24 hours. Fifteen micrograms of total RNA from cells were analyzed by Northern hybridization. (d) Primary hepatocytes were isolated from either CAR knockout or humanized CAR transgenic mice and cultured in the presence of either solvent, or 50 μM 6,7-dimethylesculetin for 3 hours. Fifty micrograms of nuclear extract protein (upper panel) or 50 μg of cell total protein (lower panel) from each treatment were fractionated by SDS-PAGE and immunoblotted with an anti c-Myc antibody that recognizes the N-terminal epitope tag on the human CAR expressed in these animals.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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