| Objective To study the effect of HBV on human hepatic CYP3A4 in patients with chronic HBV infection, and further probe the potential mechanisms at cell and molecular levels. Methods Liver tissue samples were obtained from patients. The expression and activity of CYP3A4 was determined by Western-blot and HPLC respectively, 1a, 25-(OH)2D3 was selected as inducer. HepG2 cells were transfected with plasmid pcDNA3-X to observe the effect of HBx on induction of CYP3A4 in HepG2 cells. Results The expression and activity of CYP3A4 in patients with chronic HBV infection were significantly reduced (P<0.05) comparing to the normal control group.1a, 25-(OH)2D3 could induced increasing CYP3A4 mRNA and expression of CYP3A4 protein in HepG2. HBx interfered with the induction of CYP3A4 by 1a, 25-(OH)2D3 in HepG2 Cell line. Conclusions Chronic HBV infection tends to down-regulate the expression of hepatic CYP3A4 and reduce its activity, but does not affect its structure; HBx had suppressive effect on the expression of CYP3A4. |