Dose-dependent effects of medroxyprogesterone acetate on the hepatic drug-metabolizing enzyme system in rats

The activity of the hepatic microsomal drug metabolism was examined in vitro in rats pretreated with 10–600 mg/kg medroxyprogesterone acetate intraperitoneally daily for seven days. In both sexes there was a significant increase in the liver weight, amount of cytochrome P-450, activity of NADPH-cytochrome c reductase, benzoa]pyrene hydroxylase and 2,5-diphenyloxazole hydroxylase. The increase in 7-ethoxycoumarin-O-deethylase activity was also significant in female rats, but not in male rats. In the female rats pretreated with medroxyprogesterone acetate, the ability of α-naphtho-flavone and SKF 525A to inhibit benzoa]pyrene hydroxylase was decreased and slightly increased, respectively. The results show that medroxyprogesterone acetate has a dose-dependent inducing effect on the hepatic drug metabolism in rats. Female rats seem to be more sensitive to the inducing effect of medroxyprogesterone acetate than the males. The characteristics of medroxyprogesterone acetate induction resemble mostly those caused by phenobarbital and pregnenolone-16α-carbonitrile.