Electron Transfer Partners of Cytochrome P450
119
A similar intronic arrangement is found for the
mouse gene located on chromosome 6^^' ^^. The
human gene is located on chromosome 7^^
Although the regulation of expression of
individual P450s in response to exogenous and
endogenous factors has been studied extensively,
the factors controlling the expression of the
CPR gene are less well understood. Reductase
expression may be induced by a number of
cytochrome P450 inducers such as phenobarbi-
tal'^^
but the regulation of reductase gene expres-
sion is independent of that of cytochrome P450'^^.
The upstream regulatory region of the rat
CPR gene has a number of interesting features"^^.
Unlike many drug-metabolizing enzymes, the
promoter does not contain either a TATA or
CCAAT box, it is GC rich, contains multiple
Spl consensus sequences, and utilizes two major
transcription start sites.
The CPR gene is regulated by thyroid hor-
mone, which stimulates CPR expression via the
thyroid response element (TRE) in the upstream
promoter'*^'
^^.
Most recently, peroxisome prolifer-
ators,
which regulate a battery of rodent P450
genes,
have also been shown to regulate CPR
levels"^^,
possibly through a putative DNA bind-
ing site for PPARa that exists in the mouse
CPR promoter between -568 and -556 bp^^
Interestingly, following exposure to peroxisome
proliferators CPR gene transcript levels appear
to increase, while levels of CPR protein are
decreased"^^. Thus, opposing transcriptional and
translational or post-translational mechanisms
appear to play a role in the regulation of CPR by
peroxisome proliferators"^^.
2.4. Probing the Physiological
Role of CPR
The reductase gene has been knocked out in
mice^^'
^^;
this leads to embryonic lethality, thus
demonstrating that CPR is essential for normal
development in higher organisms, presumably
because it plays a key role in the biosynthesis of
signaling factors such as retinoic acid, sterols,
prostaglandins, and steroids that are dependent
on P450 catalysis. The precise role of CPR in
embryogenesis is still unclear and the effects of
gene deletion on the developing embryos are com-
plex. Embryos lacking CPR do not survive beyond
8-9 days and display a number of defects includ-
ing neural tube, cardiac, eye, and limb abnormali-
ties,
and generalized defects in cell adhesion"^^.
Kasper's group has examined the effects of
CPR gene disruption by removing the natural
translation initiation site and deleting the
membrane-binding domain of CPR"^^. However,
some homozygous null embryos (CPR~^~) were
found to produce a truncated 66 kDa c5^oplasmic
form of CPR, presumably through initiation at an
alternative start site. That these still produced the
spectrum of embryonic defects leading to mid-
gestational lethality provides strong evidence that
the microsomal location of CPR is essential for the
physiologically important functions of
the
P450s.
The problem of the lethality of a CPR knock-
out has been resolved by applying the regulatable
Cre/loxP system^^ to generate mice in which
CPR can be deleted post-natally in the liver^^. Such
"conditional knockout" mice, in which all the
hepatic P450s are essentially inactivated, provide
the means of evaluating P450 function in normal
homeostasis, drug pharmacology, and chemical
toxicity in vivo. Hepatic CPR-null mice exhibit
many intriguing phenotypes^^. Due to an inability
to produce bile acids, they no longer break down
cholesterol, and whereas hepatic lipid levels were
significantly increased, circulating levels of cho-
lesterol and triglycerides are severely reduced.
There are also profound changes in the in vivo
metabolism of pentobarbital and acetaminophen,
demonstrating the predominant role of the hepatic
P450s in the pharmacology and toxicology of
these compounds, and illustrating the power of
transgenic models in understanding P450 function.
One of the remarkable aspects of the hepatic
CPR deletion in mice was the fact that they live
and reproduce normally. This means that in adult
mice at least, the hepatic P450 system is not essen-
tial for life, and indicates most strongly a funda-
mental role in providing protection against toxic
environmental agents. The data from these trans-
genic models^^'
^^
also demonstrate that potential
alternative electron transfer pathways for P450s,
such as the cytochrome b^/b^ reductase systems
that are discussed later, play only a minor role, if
any, in vivo.
The earliest CPR gene deletions were of
course carried out with yeast, and the data offer
some interesting contrasts with mammalian
deletions"^^'
'^^.
The deletion of the CPR gene in