General Information of Drug Off-Target (DOT) (ID: OTCMHMBZ)

DOT Name kinase isozyme 4, mitochondrial (PDK4)
Synonyms EC 2.7.11.2; Pyruvate dehydrogenase kinase isoform 4
Gene Name PDK4
Related Disease
Adult glioblastoma ( )
Glioblastoma multiforme ( )
Primary biliary cholangitis ( )
Advanced cancer ( )
Arteriosclerosis ( )
Atherosclerosis ( )
Atrial fibrillation ( )
Bladder cancer ( )
Breast cancer ( )
Breast carcinoma ( )
Cardiac failure ( )
Chronic kidney disease ( )
Colon carcinoma ( )
Colorectal carcinoma ( )
Congestive heart failure ( )
Dilated cardiomyopathy ( )
Epithelial ovarian cancer ( )
Fatty liver disease ( )
Glioma ( )
Hyperglycemia ( )
Hyperinsulinemia ( )
Liver cancer ( )
Lung adenocarcinoma ( )
Lung cancer ( )
Lung carcinoma ( )
Metabolic disorder ( )
Myocardial infarction ( )
Myocardial ischemia ( )
Obesity ( )
Ovarian cancer ( )
Ovarian neoplasm ( )
Prostate cancer ( )
Prostate carcinoma ( )
Pulmonary arterial hypertension ( )
Type-1/2 diabetes ( )
Urinary bladder cancer ( )
Urinary bladder neoplasm ( )
Pancreatic cancer ( )
Non-alcoholic fatty liver disease ( )
Non-alcoholic steatohepatitis ( )
Bone osteosarcoma ( )
Cardiomyopathy ( )
Hepatocellular carcinoma ( )
Neoplasm ( )
Nervous system inflammation ( )
Osteosarcoma ( )
UniProt ID
PDK4_HUMAN
3D Structure
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2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
PDB ID
2E0A; 2ZDX; 2ZDY; 2ZKJ; 3D2R; 7EAT; 7EBB; 7EBG
EC Number
2.7.11.2
Pfam ID
PF10436 ; PF02518
Sequence
MKAARFVLRSAGSLNGAGLVPREVEHFSRYSPSPLSMKQLLDFGSENACERTSFAFLRQE
LPVRLANILKEIDILPTQLVNTSSVQLVKSWYIQSLMDLVEFHEKSPDDQKALSDFVDTL
IKVRNRHHNVVPTMAQGIIEYKDACTVDPVTNQNLQYFLDRFYMNRISTRMLMNQHILIF
SDSQTGNPSHIGSIDPNCDVVAVVQDAFECSRMLCDQYYLSSPELKLTQVNGKFPDQPIH
IVYVPSHLHHMLFELFKNAMRATVEHQENQPSLTPIEVIVVLGKEDLTIKISDRGGGVPL
RIIDRLFSYTYSTAPTPVMDNSRNAPLAGFGYGLPISRLYAKYFQGDLNLYSLSGYGTDA
IIYLKALSSESIEKLPVFNKSAFKHYQMSSEADDWCIPSREPKNLAKEVAM
Function
Kinase that plays a key role in regulation of glucose and fatty acid metabolism and homeostasis via phosphorylation of the pyruvate dehydrogenase subunits PDHA1 and PDHA2. This inhibits pyruvate dehydrogenase activity, and thereby regulates metabolite flux through the tricarboxylic acid cycle, down-regulates aerobic respiration and inhibits the formation of acetyl-coenzyme A from pyruvate. Inhibition of pyruvate dehydrogenase decreases glucose utilization and increases fat metabolism in response to prolonged fasting and starvation. Plays an important role in maintaining normal blood glucose levels under starvation, and is involved in the insulin signaling cascade. Via its regulation of pyruvate dehydrogenase activity, plays an important role in maintaining normal blood pH and in preventing the accumulation of ketone bodies under starvation. In the fed state, mediates cellular responses to glucose levels and to a high-fat diet. Regulates both fatty acid oxidation and de novo fatty acid biosynthesis. Plays a role in the generation of reactive oxygen species. Protects detached epithelial cells against anoikis. Plays a role in cell proliferation via its role in regulating carbohydrate and fatty acid metabolism.
Tissue Specificity Ubiquitous; highest levels of expression in heart and skeletal muscle.
KEGG Pathway
Diabetic cardiomyopathy (hsa05415 )
Reactome Pathway
Signaling by Retinoic Acid (R-HSA-5362517 )
Regulation of pyruvate dehydrogenase (PDH) complex (R-HSA-204174 )

Molecular Interaction Atlas (MIA) of This DOT

46 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Adult glioblastoma DISVP4LU Definitive Altered Expression [1]
Glioblastoma multiforme DISK8246 Definitive Altered Expression [1]
Primary biliary cholangitis DIS43E0O Definitive Altered Expression [2]
Advanced cancer DISAT1Z9 Strong Altered Expression [3]
Arteriosclerosis DISK5QGC Strong Altered Expression [4]
Atherosclerosis DISMN9J3 Strong Altered Expression [4]
Atrial fibrillation DIS15W6U Strong Altered Expression [5]
Bladder cancer DISUHNM0 Strong Biomarker [6]
Breast cancer DIS7DPX1 Strong Biomarker [7]
Breast carcinoma DIS2UE88 Strong Biomarker [7]
Cardiac failure DISDC067 Strong Biomarker [8]
Chronic kidney disease DISW82R7 Strong Altered Expression [9]
Colon carcinoma DISJYKUO Strong Altered Expression [10]
Colorectal carcinoma DIS5PYL0 Strong Biomarker [11]
Congestive heart failure DIS32MEA Strong Biomarker [8]
Dilated cardiomyopathy DISX608J Strong Genetic Variation [12]
Epithelial ovarian cancer DIS56MH2 Strong Biomarker [13]
Fatty liver disease DIS485QZ Strong Altered Expression [14]
Glioma DIS5RPEH Strong Biomarker [15]
Hyperglycemia DIS0BZB5 Strong Genetic Variation [16]
Hyperinsulinemia DISIDWT6 Strong Biomarker [17]
Liver cancer DISDE4BI Strong Biomarker [18]
Lung adenocarcinoma DISD51WR Strong Biomarker [19]
Lung cancer DISCM4YA Strong Altered Expression [19]
Lung carcinoma DISTR26C Strong Altered Expression [19]
Metabolic disorder DIS71G5H Strong Biomarker [20]
Myocardial infarction DIS655KI Strong Biomarker [21]
Myocardial ischemia DISFTVXF Strong Biomarker [22]
Obesity DIS47Y1K Strong Biomarker [23]
Ovarian cancer DISZJHAP Strong Biomarker [13]
Ovarian neoplasm DISEAFTY Strong Biomarker [13]
Prostate cancer DISF190Y Strong Biomarker [24]
Prostate carcinoma DISMJPLE Strong Biomarker [24]
Pulmonary arterial hypertension DISP8ZX5 Strong Biomarker [25]
Type-1/2 diabetes DISIUHAP Strong Biomarker [16]
Urinary bladder cancer DISDV4T7 Strong Biomarker [6]
Urinary bladder neoplasm DIS7HACE Strong Biomarker [6]
Pancreatic cancer DISJC981 moderate Altered Expression [26]
Non-alcoholic fatty liver disease DISDG1NL Disputed Biomarker [27]
Non-alcoholic steatohepatitis DIST4788 Disputed Biomarker [27]
Bone osteosarcoma DIST1004 Limited Altered Expression [28]
Cardiomyopathy DISUPZRG Limited Altered Expression [29]
Hepatocellular carcinoma DIS0J828 Limited Biomarker [30]
Neoplasm DISZKGEW Limited Biomarker [28]
Nervous system inflammation DISB3X5A Limited Altered Expression [31]
Osteosarcoma DISLQ7E2 Limited Altered Expression [28]
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⏷ Show the Full List of 46 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
41 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [32]
Ciclosporin DMAZJFX Approved Ciclosporin decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [33]
Tretinoin DM49DUI Approved Tretinoin increases the expression of kinase isozyme 4, mitochondrial (PDK4). [34]
Doxorubicin DMVP5YE Approved Doxorubicin increases the expression of kinase isozyme 4, mitochondrial (PDK4). [35]
Cisplatin DMRHGI9 Approved Cisplatin decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [36]
Estradiol DMUNTE3 Approved Estradiol decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [33]
Quercetin DM3NC4M Approved Quercetin increases the expression of kinase isozyme 4, mitochondrial (PDK4). [37]
Zoledronate DMIXC7G Approved Zoledronate decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [38]
Dexamethasone DMMWZET Approved Dexamethasone increases the expression of kinase isozyme 4, mitochondrial (PDK4). [39]
Troglitazone DM3VFPD Approved Troglitazone increases the expression of kinase isozyme 4, mitochondrial (PDK4). [40]
Rosiglitazone DMILWZR Approved Rosiglitazone increases the expression of kinase isozyme 4, mitochondrial (PDK4). [41]
Etoposide DMNH3PG Approved Etoposide increases the expression of kinase isozyme 4, mitochondrial (PDK4). [42]
Testosterone enanthate DMB6871 Approved Testosterone enanthate affects the expression of kinase isozyme 4, mitochondrial (PDK4). [43]
Cidofovir DMA13GD Approved Cidofovir increases the expression of kinase isozyme 4, mitochondrial (PDK4). [45]
Fenofibrate DMFKXDY Approved Fenofibrate increases the expression of kinase isozyme 4, mitochondrial (PDK4). [46]
Clodronate DM9Y6X7 Approved Clodronate increases the expression of kinase isozyme 4, mitochondrial (PDK4). [45]
Ibuprofen DM8VCBE Approved Ibuprofen increases the expression of kinase isozyme 4, mitochondrial (PDK4). [45]
Pioglitazone DMKJ485 Approved Pioglitazone increases the expression of kinase isozyme 4, mitochondrial (PDK4). [47]
Liothyronine DM6IR3P Approved Liothyronine increases the expression of kinase isozyme 4, mitochondrial (PDK4). [48]
Bezafibrate DMZDCS0 Approved Bezafibrate increases the expression of kinase isozyme 4, mitochondrial (PDK4). [49]
Chlorambucil DMRKE63 Approved Chlorambucil affects the expression of kinase isozyme 4, mitochondrial (PDK4). [50]
Hexachlorophene DMLKSE0 Approved Hexachlorophene affects the expression of kinase isozyme 4, mitochondrial (PDK4). [50]
SNDX-275 DMH7W9X Phase 3 SNDX-275 increases the expression of kinase isozyme 4, mitochondrial (PDK4). [50]
Resveratrol DM3RWXL Phase 3 Resveratrol increases the expression of kinase isozyme 4, mitochondrial (PDK4). [48]
PMID28460551-Compound-2 DM4DOUB Patented PMID28460551-Compound-2 decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [52]
Terfenadine DM4KLPT Withdrawn from market Terfenadine affects the expression of kinase isozyme 4, mitochondrial (PDK4). [50]
GW-501516 DMPL2KM Discontinued in Phase 4 GW-501516 increases the expression of kinase isozyme 4, mitochondrial (PDK4). [53]
Torcetrapib DMDHYM7 Discontinued in Phase 2 Torcetrapib increases the expression of kinase isozyme 4, mitochondrial (PDK4). [54]
PIRINIXIC ACID DM82Y75 Preclinical PIRINIXIC ACID increases the expression of kinase isozyme 4, mitochondrial (PDK4). [55]
AZD-7545 DMU6L4I Terminated AZD-7545 increases the activity of kinase isozyme 4, mitochondrial (PDK4). [56]
Bisphenol A DM2ZLD7 Investigative Bisphenol A decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [57]
Trichostatin A DM9C8NX Investigative Trichostatin A increases the expression of kinase isozyme 4, mitochondrial (PDK4). [34]
Paraquat DMR8O3X Investigative Paraquat decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [58]
Hexadecanoic acid DMWUXDZ Investigative Hexadecanoic acid increases the expression of kinase isozyme 4, mitochondrial (PDK4). [59]
(E)-4-(3,5-dimethoxystyryl)phenol DMYXI2V Investigative (E)-4-(3,5-dimethoxystyryl)phenol increases the expression of kinase isozyme 4, mitochondrial (PDK4). [60]
Oleic acid DM54O1Z Investigative Oleic acid increases the expression of kinase isozyme 4, mitochondrial (PDK4). [61]
GW7647 DM9RD0C Investigative GW7647 increases the expression of kinase isozyme 4, mitochondrial (PDK4). [62]
CITCO DM0N634 Investigative CITCO decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [63]
EPI-001 DMYWV81 Investigative EPI-001 increases the expression of kinase isozyme 4, mitochondrial (PDK4). [64]
GSK-3787 DMKDLB7 Investigative GSK-3787 decreases the expression of kinase isozyme 4, mitochondrial (PDK4). [65]
chaetocin DMBK86L Investigative chaetocin increases the expression of kinase isozyme 4, mitochondrial (PDK4). [66]
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⏷ Show the Full List of 41 Drug(s)
2 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Azacitidine DMTA5OE Approved Azacitidine decreases the methylation of kinase isozyme 4, mitochondrial (PDK4). [44]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene increases the methylation of kinase isozyme 4, mitochondrial (PDK4). [51]
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References

1 Carnosine influences transcription via epigenetic regulation as demonstrated by enhanced histone acetylation of the pyruvate dehydrogenase kinase 4 promoter in glioblastoma cells.Amino Acids. 2019 Jan;51(1):61-71. doi: 10.1007/s00726-018-2619-2. Epub 2018 Jul 20.
2 Alteration of energy metabolism in the pathogenesis of bile duct lesions in primary biliary cirrhosis.J Clin Pathol. 2014 May;67(5):396-402. doi: 10.1136/jclinpath-2013-201815. Epub 2013 Nov 29.
3 Benzyl butyl phthalate (BBP) triggers the malignancy of acute myeloid leukemia cells via upregulation of PDK4.Toxicol In Vitro. 2020 Feb;62:104693. doi: 10.1016/j.tiv.2019.104693. Epub 2019 Oct 17.
4 Pyruvate Dehydrogenase Kinase 4 Promotes Vascular Calcification via SMAD1/5/8 Phosphorylation.Sci Rep. 2015 Nov 12;5:16577. doi: 10.1038/srep16577.
5 Whole Blood Gene Expression Differentiates between Atrial Fibrillation and Sinus Rhythm after Cardioversion.PLoS One. 2016 Jun 22;11(6):e0157550. doi: 10.1371/journal.pone.0157550. eCollection 2016.
6 The Role of Pyruvate Dehydrogenase Kinase-4 (PDK4) in Bladder Cancer and Chemoresistance.Mol Cancer Ther. 2018 Sep;17(9):2004-2012. doi: 10.1158/1535-7163.MCT-18-0063. Epub 2018 Jun 15.
7 Targeting PDK4 inhibits breast cancer metabolism.Am J Cancer Res. 2018 Sep 1;8(9):1725-1738. eCollection 2018.
8 The interplay between NF-kappaB and E2F1 coordinately regulates inflammation and metabolism in human cardiac cells.PLoS One. 2011;6(5):e19724. doi: 10.1371/journal.pone.0019724. Epub 2011 May 23.
9 Reduction of mitochondria and up regulation of pyruvate dehydrogenase kinase 4 of skeletal muscle in patients with chronic kidney disease.Nephrology (Carlton). 2020 Mar;25(3):230-238. doi: 10.1111/nep.13606. Epub 2019 Jun 7.
10 Oncogenic role of PDK4 in human colon cancer cells.Br J Cancer. 2017 Mar 28;116(7):930-936. doi: 10.1038/bjc.2017.38. Epub 2017 Feb 16.
11 MicroRNA-23a promotes colorectal cancer cell survival by targeting PDK4.Exp Cell Res. 2018 Dec 15;373(1-2):171-179. doi: 10.1016/j.yexcr.2018.10.010. Epub 2018 Oct 19.
12 A missense variant in the titin gene in Doberman pinscher dogs with familial dilated cardiomyopathy and sudden cardiac death.Hum Genet. 2019 May;138(5):515-524. doi: 10.1007/s00439-019-01973-2. Epub 2019 Feb 4.
13 Overexpression of PDK4 is associated with cell proliferation, drug resistance and poor prognosis in ovarian cancer.Cancer Manag Res. 2018 Dec 24;11:251-262. doi: 10.2147/CMAR.S185015. eCollection 2019.
14 The lncRNA ENST00000608794 acts as a competing endogenous RNA to regulate PDK4 expression by sponging miR-15b-5p in dexamethasone induced steatosis.Biochim Biophys Acta Mol Cell Biol Lipids. 2019 Oct;1864(10):1449-1457. doi: 10.1016/j.bbalip.2019.07.003. Epub 2019 Jul 19.
15 CK2 inhibition induced PDK4-AMPK axis regulates metabolic adaptation and survival responses in glioma.Exp Cell Res. 2016 May 15;344(1):132-142. doi: 10.1016/j.yexcr.2016.03.017. Epub 2016 Mar 18.
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17 Independent and combined effects of acute physiological hyperglycaemia and hyperinsulinaemia on metabolic gene expression in human skeletal muscle.Clin Sci (Lond). 2013 Jun;124(11):675-84. doi: 10.1042/CS20120481.
18 Active glycolytic metabolism in CD133(+) hepatocellular cancer stem cells: regulation by MIR-122.Oncotarget. 2015 Dec 1;6(38):40822-35. doi: 10.18632/oncotarget.5812.
19 HOXA4-Dependent Transcriptional Activation of AXL Promotes Cisplatin- Resistance in Lung Adenocarcinoma Cells.Anticancer Agents Med Chem. 2018;18(14):2062-2067. doi: 10.2174/1871520619666181203110835.
20 Discovery of Novel Pyruvate Dehydrogenase Kinase 4 Inhibitors for Potential Oral Treatment of Metabolic Diseases.J Med Chem. 2019 Jan 24;62(2):575-588. doi: 10.1021/acs.jmedchem.8b01168. Epub 2019 Jan 9.
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22 Cardioplegia prevents ischemia-induced transcriptional alterations of cytoprotective genes in rat hearts: a DNA microarray study.J Thorac Cardiovasc Surg. 2005 Oct;130(4):1151. doi: 10.1016/j.jtcvs.2005.06.027.
23 Inhibition of pyruvate dehydrogenase kinase-4 by l-glutamine protects pregnant rats against fructose-induced obesity and hepatic lipid accumulation.Biomed Pharmacother. 2019 Feb;110:59-67. doi: 10.1016/j.biopha.2018.11.038. Epub 2018 Nov 19.
24 AMPK/GSK3/-catenin cascade-triggered overexpression of CEMIP promotes migration and invasion in anoikis-resistant prostate cancer cells by enhancing metabolic reprogramming.FASEB J. 2018 Jul;32(7):3924-3935. doi: 10.1096/fj.201701078R. Epub 2018 Mar 5.
25 Increased Pyruvate Dehydrogenase Kinase 4 Expression in Lung Pericytes Is Associated with Reduced Endothelial-Pericyte Interactions and Small Vessel Loss in Pulmonary Arterial Hypertension.Am J Pathol. 2016 Sep;186(9):2500-14. doi: 10.1016/j.ajpath.2016.05.016. Epub 2016 Jul 25.
26 Antitumor activity of potent pyruvate dehydrogenase kinase 4 inhibitors from plants in pancreatic cancer.Mol Carcinog. 2019 Oct;58(10):1726-1737. doi: 10.1002/mc.23045. Epub 2019 May 20.
27 Pyruvate dehydrogenase kinase 4 mediates lipogenesis and contributes to the pathogenesis of nonalcoholic steatohepatitis.Biochem Biophys Res Commun. 2018 Jan 1;495(1):582-586. doi: 10.1016/j.bbrc.2017.11.054. Epub 2017 Nov 9.
28 The miR-15b-5p/PDK4 axis regulates osteosarcoma proliferation through modulation of the Warburg effect.Biochem Biophys Res Commun. 2018 Sep 18;503(4):2749-2757. doi: 10.1016/j.bbrc.2018.08.035. Epub 2018 Aug 6.
29 Overexpression of pyruvate dehydrogenase kinase 4 in heart perturbs metabolism and exacerbates calcineurin-induced cardiomyopathy.Am J Physiol Heart Circ Physiol. 2008 Feb;294(2):H936-43. doi: 10.1152/ajpheart.00870.2007. Epub 2007 Dec 14.
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31 Melatonin Therapy Modulates Cerebral Metabolism and Enhances Remyelination by Increasing PDK4 in a Mouse Model of Multiple Sclerosis.Front Pharmacol. 2019 Feb 28;10:147. doi: 10.3389/fphar.2019.00147. eCollection 2019.
32 Human embryonic stem cell-derived test systems for developmental neurotoxicity: a transcriptomics approach. Arch Toxicol. 2013 Jan;87(1):123-43.
33 Comparison of HepG2 and HepaRG by whole-genome gene expression analysis for the purpose of chemical hazard identification. Toxicol Sci. 2010 May;115(1):66-79.
34 Retinoic acids and trichostatin A (TSA), a histone deacetylase inhibitor, induce human pyruvate dehydrogenase kinase 4 (PDK4) gene expression. Biochim Biophys Acta. 2006 Mar-Apr;1759(3-4):141-51. doi: 10.1016/j.bbaexp.2006.04.005. Epub 2006 Apr 27.
35 Functional cardiotoxicity assessment of cosmetic compounds using human-induced pluripotent stem cell-derived cardiomyocytes. Arch Toxicol. 2018 Jan;92(1):371-381.
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44 Pyruvate Dehydrogenase Kinase 4 Deficiency Results in Expedited Cellular Proliferation through E2F1-Mediated Increase of Cyclins. Mol Pharmacol. 2017 Mar;91(3):189-196. doi: 10.1124/mol.116.106757. Epub 2016 Dec 21.
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58 An in vitro strategy using multiple human induced pluripotent stem cell-derived models to assess the toxicity of chemicals: A case study on paraquat. Toxicol In Vitro. 2022 Jun;81:105333. doi: 10.1016/j.tiv.2022.105333. Epub 2022 Feb 16.
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60 ERK5/HDAC5-mediated, resveratrol-, and pterostilbene-induced expression of MnSOD in human endothelial cells. Mol Nutr Food Res. 2016 Feb;60(2):266-77. doi: 10.1002/mnfr.201500466. Epub 2015 Oct 23.
61 A cellular model to study drug-induced liver injury in nonalcoholic fatty liver disease: application to acetaminophen. Toxicol Appl Pharmacol. 2016 Feb 1;292:40-55.
62 System analysis of cross-talk between nuclear receptors reveals an opposite regulation of the cell cycle by LXR and FXR in human HepaRG liver cells. PLoS One. 2019 Aug 22;14(8):e0220894. doi: 10.1371/journal.pone.0220894. eCollection 2019.
63 Activation of the constitutive androstane receptor by monophthalates. Chem Res Toxicol. 2016 Oct 17;29(10):1651-1661.
64 EPI-001 is a selective peroxisome proliferator-activated receptor-gamma modulator with inhibitory effects on androgen receptor expression and activity in prostate cancer. Oncotarget. 2015 Feb 28;6(6):3811-24.
65 Cellular and pharmacological selectivity of the peroxisome proliferator-activated receptor-beta/delta antagonist GSK3787. Mol Pharmacol. 2010 Sep;78(3):419-30. doi: 10.1124/mol.110.065508. Epub 2010 Jun 1.
66 Arsenic silences hepatic PDK4 expression through activation of histone H3K9 methylatransferase G9a. Toxicol Appl Pharmacol. 2016 Aug 1;304:42-7. doi: 10.1016/j.taap.2016.05.015. Epub 2016 May 20.