Interleukin (IL)-22 is a
cytokine up-regulated in inflammatory situations and known to exert various hepatic effects. The potential impact of
IL-22 towards liver drug detoxifying
proteins remains nevertheless unknown, but may be important to determine owing to the well-established alterations of liver detoxification occuring during
inflammation. The present study was therefore designed to analyze the effects of
IL-22 towards drug metabolizing
enzyme and drug transporter expression and activity in cultured human hepatic cells. Exposure of differentiated
hepatoma HepaRG cells or primary human hepatocytes to 10 ng/mL
IL-22 was found to repress
mRNA expression of
cytochrome P-450 (
CYP) 1A2,
CYP3A4,
CYP2B6 and
CYP2C9 and of the sinusoidal
sodium-taurocholate co-transporting
polypeptide (NTCP); such
IL-22 effects were concentration-dependent for
CYP3A4 (IC50 = 1.7 ng/mL),
CYP2B6 (IC50 = 0.9 ng/mL) and NTCP (IC50 = 1.8 ng/mL). Activity of
CYP1A2 (
phenacetin O-deethylation),
CYP3A4 (
midazolam hydroxylation) and
CYP2B6 (
bupropion hydroxylation), as well as that of NTCP (
taurocholate uptake) were concomitantly decreased in IL-22-treated HepaRG cells; by contrast, activity of
organic anion transporter polypeptides (OATPs) (estrone-3-sulfate uptake) and of organic
cation transporter (OCT) 1 (tetra-
ethylammonium uptake) remained unchanged.
IL-22 was next found to activate the
Janus kinase (JAK)/signal transducer and activator of transcription (STAT) 3 pathway, whose inhibition by the
JAK inhibitor ruxolitinib fully prevented the IL-22-mediated
CYP3A4,
CYP2B6 and NTCP repression in HepaRG cells. This JAK-dependent down-regulation of hepatic drug detoxifying
proteins, notably of CYPs, by
IL-22 may contribute to alteration of pharmacokinetics in patients suffering from acute and chronic inflammatory diseases and may be the source of drug-drug interactions.