Evidence map›Paper›PMID 25542144›Full record

ArticleToxicology letters2015

Diindolylmethane, a naturally occurring compound, induces CYP3A4 and MDR1 gene expression by activating human PXR.

Satyanarayana R Pondugula, Patrick C Flannery, Kodye L Abbott, Elaine S Coleman, Sridhar Mani, Temesgen Samuel, Wen Xie

Abstract read
In one paragraph

Article in Toxicology letters, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Evaluation ofJournal of dietary supplements · 2026
    Article
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  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Diverse roles of microbial indole compounds in eukaryotic systems.Biological reviews of the Cambridge Philosophical Society · 2021
    Review
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  11. Article
  12. Article
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Satyanarayana R PondugulaDepartment of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, AL, United States; Auburn University Research Initiative in Cancer, Auburn University, Auburn, AL, United States. Electronic address: srp0010@auburn.edu.
Patrick C FlanneryDepartment of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, AL, United States; Auburn University Research Initiative in Cancer, Auburn University, Auburn, AL, United States.
Kodye L AbbottDepartment of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, AL, United States; Auburn University Research Initiative in Cancer, Auburn University, Auburn, AL, United States.
Elaine S ColemanDepartment of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, AL, United States.
Sridhar ManiAlbert Einstein Cancer Center, Albert Einstein College of Medicine, New York, NY, United States.
Temesgen SamuelDepartment of Pathobiology, College of Veterinary Medicine, Nursing and Allied Health, Tuskegee University, AL, United States.
Wen XieCenter for Pharmacogenetics and Department of Pharmaceutical Sciences, University of Pittsburgh, Pittsburgh, PA, United States.
Auburn University · USAlbert Einstein College of Medicine · USTuskegee University · USUniversity of Pittsburgh · US

Funding

WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI THOMAS E ROHAN · 1985 to 2026
$111.2M
Microbial Metabolite Mimics, PXR and Colitis-Induced Colorectal CancerR01CA222469 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MANI, SRIDHAR · 2018 to 2022
$2.3M
Chemical Modulation of Orphan Nuclear Receptor FunctionR01CA127231 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI MANI, SRIDHAR · 2009 to 2014
$1.6M
Development of Novel Drugs to Alleviate CPT-11 ToxicityR01CA161879 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MANI, SRIDHAR, REDINBO, MATTHEW R · 2012 to 2016
$1.6M
Quercetin as an enhancer of the efficacy of 5-FU in mouse models of colon cancerSC3GM109314 · NIGMS · TUSKEGEE UNIVERSITY · PI SAMUEL, TEMESGEN · 2014 to 2016
$331k
NCI NIH HHS P30 CA013330NCI NIH HHS R01 CA127231NCI NIH HHS R01 CA161879NIGMS NIH HHS SC3 GM109314
6 · The paper itself

Abstract

Activation of human pregnane X receptor (hPXR)-regulated expression of cytochrome P450 3A4 (CYP3A4) and multidrug resistance protein 1 (MDR1) plays an important role in mediating adverse drug interactions. Given the common use of natural products as part of adjunct human health behavior, there is a growing concern about natural products for their potential to induce undesired drug interactions through the activation of hPXR-regulated CYP3A4 and MDR1. Here, we studied whether 3,3'-diindolylmethane (DIM), a natural health supplement, could induce hPXR-mediated regulation of CYP3A4 and MDR1 in human hepatocytes and intestinal cells. DIM, at its physiologically relevant concentrations, not only induced hPXR transactivation of CYP3A4 promoter activity but also induced gene expression of CYP3A4 and MDR1. DIM decreased intracellular accumulation of MDR1 substrate rhodamine 123, suggesting that DIM induces the functional expression of MDR1. Pharmacologic inhibition or genetic knockdown of hPXR resulted in attenuation of DIM induced CYP3A4 and MDR1 gene expression, suggesting that DIM induces CYP3A4 and MDR1 in an hPXR-dependent manner. Together, these results support our conclusion that DIM induces hPXR-regulated CYP3A4 and MDR1 gene expression. The inductive effects of DIM on CYP3A4 and MDR1 expression caution the use of DIM in conjunction with other medications metabolized and transported via CYP3A4 and MDR1, respectively.

Indexed as

ATP Binding Cassette Transporter, Subfamily BCell LineCytochrome P-450 CYP3AEpithelial CellsGene Expression RegulationHepatocytesHumansIndolesIntestinal MucosaPregnane X ReceptorPromoter Regions, GeneticReceptors, SteroidRNA InterferenceRNA, Small Interfering3,3'-diindolylmethaneABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BCYP3A4 protein, humanCytochrome P-450 CYP3AIndolesPregnane X ReceptorReceptors, SteroidRNA, Small InterferingCYP3A4DiindolylmethaneMDR1PXR

Identifiers

PMID25542144
PMCPMC4568078
OpenAlexW2051602682

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.