Hepatic cytochromes P450 3A (P450s 3A) are endoplasmic reticulum (ER)-proteins, responsible for xenobiotic metabolism. They are degraded by the ubiquitin-dependent 26S proteasome. Consistent with this, we have shown that proteasomal inhibitors N-benzoyloxycarbonyl (Z)-Leu-Leu-leucinal (MG132) and N-benzoyloxycarbonyl-Leu-Leu-Leu-B(OH) 2 (MG262) stabilize CYP3A proteins. However, MG132 has been reported to suppress P450s 3A as a result of impaired nuclear factor-B activation and consequently reduced CYP3A protein stability. Because the MG132 concentration used in those studies was 10-fold higher than that required for CYP3A stabilization, we examined the effect of MG132 (0 -300 M) concentration-dependent proteasomal inhibition on CYP3A turnover in cultured primary rat hepatocytes. We found a biphasic MG132 concentration effect on CYP3A turnover: Stabilization at 5 to 10 M with marked suppression at Ͼ100 M. Proteasomal inhibitors reportedly induce ER stress, heat shock, and apoptotic response. At these high MG132 concentrations, such CYP3A suppression could be due to ER stress induction, so we monitored the activity of PERK [PKR (RNA-dependent protein kinase)-like ER kinase (EIF2AK3)], the ER stress-activated eukaryotic initiation factor 2␣ (eIF2␣) kinase. Indeed, we found a marked (Ϸ4-fold) MG132 concentration-dependent PERK autophosphorylation, along with an 8-fold increase in eIF2␣-phosphorylation. In parallel, MG132 also activated GCN2 [general control nonderepressible-2 (EIF2AK4)] eIF2␣ kinase in a concentration-dependent manner, but not the heme-regulated inhibitor eIF2␣ kinase [(EIF2AK1)]. Pulse-chase, immunoprecipitation/immunoblotting analyses documented the consequently dramatic translational shutoff of total hepatic protein, including but not limited to CYP3A and tryptophan 2,3-dioxygenase protein syntheses. These findings reveal that at high concentrations, MG132 is indeed cytotoxic and can suppress CYP3A synthesis, a result confirmed by confocal immunofluorescence analyses of MG132-treated hepatocytes.Hepatic cytochromes P450 (P450s) are endoplasmic reticulum (ER)-anchored integral proteins responsible for the metabolism of various endobiotics as well as xenobiotics, including drugs, toxins, and carcinogens. Of these, human liver CYP3A4 and its mammalian orthologs are noteworthy not only because they biotransform a host of clinically relevant drugs, but also because they are inducible by their substrates via enhanced transcriptional/translational activity, or protein stabilization. Such substrate-mediated regulation of hepatic CYP3A 1 content can result in clinically relevant drugdrug interactions (DDIs), respectively prototyped by the DDIs encountered between rifampin-ethinylestradiol cotherapy on one hand, and grapefruit juice furanocoumarins and felodipine cointake, on the other (Yang et al., 2008). The 1 CYP3A or P450s 3A refer to rat liver P450s 3A2, 3A23, 3A18, and 3A9 and/or human liver CYP3A4/CYP3A5.