Elsevier

Biochemical Pharmacology

Volume 52, Issue 3, 9 August 1996, Pages 497-504
Biochemical Pharmacology

Research paper
Cytochrome P-450 expression in sudden infant death syndrome

https://doi.org/10.1016/0006-2952(96)00253-5Get rights and content

Abstract

In the human liver, the major rise of the cytochrome P-450 isoform content occurs during the first months following birth (e.g., the high vulnerability period to sudden infant death syndrome (SIDS), a syndrome frequently associated with viral infection and drug hypersensitivity. We examined the expression of individual P-450 isoforms in liver samples collected postmortem from SIDS infants and compared values with those of control adults and children of the same age suffering from various pathologies. Hepatic microsomes were prepared and examined for their content in total P-450, the level of individual isoforms (CYP1A2, CYP2E1, CYP4A, CYP3A, and CYP2C) determined with specific antibodies and for their enzymatic activities. Total RNA was extracted and probed with several CYP cDNAs and oligomers. The overall hepatic P-450 content was not modified in SIDS infants. Among cytochrome P-450 isoforms, only CYP2C was markedly increased. This rise resulted from an accumulation of RNA encoding CYP2C and was associated with a stimulation of diazepam demethylation. The precocious expression of CYP2C in SIDS could result in a higher production of epoxye-icosatrienoic acids in the neonate, believed to act as relaxant of pulmonary smooth muscles. Its consequence might be the induction of fatal apnea in SIDS.

References (48)

  • T Cresteil et al.

    Transcriptional control of human cytochrome P1-450 gene expression by 2,3,7,8 tetrachlorodibenzo-p-dioxin in human tissue culture cell lines

    Arch Biochem Biophys

    (1987)
  • WJ Howat et al.

    Pulmonary immunopathology of sudden infant death syndrome

    Lancet

    (1994)
  • MH Bouvier-Colle et al.

    Postneonatal mortality, sudden infant death syndrome: factors preventing the decline of infant mortality in France from 1973 to 1985

    Paediatr Perinatal Epidemiol

    (1989)
  • AL Ponsonby et al.

    Sudden infant death syndrome: seasonality and a biphasic model of pathogenesis

    J Epidemiol Community Health

    (1992)
  • DC Shannon et al.

    SIDS and near-SIDS

    N Engl J Med

    (1982)
  • G Cheron et al.

    Morts subites au berceau. Expérience d'un centre de référence, 1986–1991

    Arch Fr Pediatr

    (1993)
  • JB Lundemose et al.

    Cytokine release from human peripheral blood leucocytes incubated with endotoxin with and without prior infection with influenza virus: relevance to the sudden infant death syndrome

    Int J Exp Path

    (1993)
  • L Stoltenberg et al.

    Sudden infant death syndrome victims show local immunoglobulin M response in tracheal wall and immunoglobulin A response in duodenal mucosa

    Pediatr Res

    (1992)
  • A Kahn et al.

    Phenothiazines and sudden death infant syndrome

    Pediatrics

    (1982)
  • LA Stanley et al.

    Potentiation and suppression of mouse liver cytochrome P450 isoforms during the acute-phase response induced by bacterial endotoxin

    Eur J Biochem

    (1988)
  • DR Nelson et al.

    The P450 superfamily: update on new sequences, gene mapping, accession numbers, early trivial names of enzymes and nomenclature

    DNA and Cell Biol

    (1993)
  • T Cresteil et al.

    Immunoquantification of epoxide hydrolase and cytochrome P-450 isoenzymes in fetal and adult human liver microsomes

    Eur J Biochem

    (1985)
  • M Komori et al.

    Fetus-specific expression of a form of cytochrome P-450 in human livers

    Biochemistry (USA)

    (1990)
  • JM Treluyer et al.

    Expression of CYP2D6 in the developing human liver

    Eur J Biochem

    (1991)
  • Cited by (53)

    • Application of reaction phenotyping to address pharmacokinetic variability in patient populations

      2023, Overcoming Obstacles in Drug Discovery and Development: Surmounting the Insurmountable-Case Studies for Critical Thinking
    • Pediatric clinical pharmacology and therapeutics

      2021, Atkinson's Principles of Clinical Pharmacology
    • Polycomb Repressive Complex 2 Proteins EZH1 and EZH2 Regulate Timing of Postnatal Hepatocyte Maturation and Fibrosis by Repressing Genes With Euchromatic Promoters in Mice

      2019, Gastroenterology
      Citation Excerpt :

      Together, the failure to repress fibrosis-related genes starting at 2 weeks postnatal is associated with the 2-month-old fibrotic phenotype in Ezh1/2 livers. To be effective therapeutically, newly generated hepatocyte-like cells must perform the complex metabolic functions of native hepatocytes that are naturally induced postnatally,65–67 but these late maturational functions are limited in many hepatocyte-like cells.5–9 Here we define a P14 to M2 transitional hepatocyte profile with more than 3000 transcripts exhibiting differential expression.

    • Hepatic Drug Metabolism in Pediatric Patients

      2017, Drug Metabolism in Diseases
    • The immature rat as a potential model for chemical risks to children: Ontogeny of selected hepatic P450s

      2016, Chemico-Biological Interactions
      Citation Excerpt :

      Hepatic microsomal CYP450 levels rise substantially from birth to adulthood in rats and humans, with some species differences manifesting in the timing of these increases. CYP450 levels in the liver of newborn humans are reported to be 1/3 of those in adults [29]. Hines and McCarver [30] observed that total hepatic CYP450 content approaches and reaches adult levels during the first 2 years in humans.

    • Infant toxicology: State of the science and considerations in evaluation of safety

      2014, Food and Chemical Toxicology
      Citation Excerpt :

      The metabolic profile of infants is significantly different than that of adults. For example, cytochrome p450 (CYP) enzyme content remains roughly 50% of adult levels until one year of age (Treluyer et al., 1996), which may indicate that CYP activities are similarly reduced during the first year (Alcorn and McNamara, 2002). In terms of phase II reactions, infants are generally deficient in glucuronidation (Coughtrie et al., 1988) and acetylation capacity, but have relatively efficient sulfation and glutathione conjugation pathways (Alcorn and McNamara, 2002).

    View all citing articles on Scopus

    This study was supported by a grant from the Délegation á la Recherche Clinique de l'Assistance Publique-Hôpitaux de Paris (912001).

    View full text