Accatino L, Pizarro M, Solís N, Arrese M, Vollrath V, Ananthanarayanan M, Chianale J, Koenig C S
Department of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago.
J Lab Clin Med. 2000 Aug;136(2):125-37. doi: 10.1067/mlc.2000.108151.
Extracellular adenosine triphosphate (ATP) may regulate hepatocyte and cholangiocyte functions, and under some conditions it may have deleterious effects on bile secretion and cause cholestasis. The canalicular membrane enzyme Ca2+/Mg2+-ecto-ATPase (ecto-ATPase) hydrolyzes ATP/adenosine diphosphate (ATP/ADP) and regulates hepatic extracellular ATP concentration. Changes in liver ecto-ATPase in estrogen-induced cholestasis were examined in male rats receiving 17alpha-ethinylestradiol (E groups) for 1, 3, or 5 days (5 mg/kg/day, sc) and compared with changes in rats subjected to obstructive cholestasis (O groups) for 1, 3, or 8 days. Activity of ecto-ATPase, protein mass in canalicular membranes and bile (estimated by Western blotting), steady state mRNA levels (by Northern blotting), and cellular and acinar distributions of the enzyme (histochemistry and immunocytochemistry) were assessed in these groups. Activity of ecto-ATPase, protein mass in isolated canalicular membranes, and enzyme mRNA levels were significantly increased in E group rats as compared with controls. In contrast, these parameters were markedly decreased in O group rats, and the enzyme protein was undetectable in bile. The ecto-ATPase histochemical reaction was markedly increased in the canalicular membrane of E group rats, extending from acinar zone 2 to zone 1, whereas it decreased in the O group. The ecto-ATPase immunocytochemical reaction was present in the canalicular membrane and pericanalicular vesicles in control and E group hepatocytes, but it decreased in obstructive cholestasis and was localized only to the canalicular membrane. Thus, significant changes in liver ecto-ATPase were apparent in 17alpha-ethinylestradiol-induced cholestasis that were opposite to those observed in obstructive cholestasis. Assuming that the alterations observed in obstructive cholestasis are the result of the cholestatic phenomenon, we conclude that changes in ecto-ATPase in 17alpha-ethinylestradiol-treated rats might be either primary events or part of an adaptive response in 17alpha-ethinylestradiol-induced cholestasis.
细胞外三磷酸腺苷(ATP)可能调节肝细胞和胆管细胞的功能,在某些情况下,它可能对胆汁分泌产生有害影响并导致胆汁淤积。胆小管膜酶Ca2+/Mg2+-外切ATP酶(ecto-ATPase)可水解ATP/二磷酸腺苷(ATP/ADP)并调节肝脏细胞外ATP浓度。在接受17α-乙炔雌二醇(E组)1、3或5天(5mg/kg/天,皮下注射)的雄性大鼠中,检测雌激素诱导的胆汁淤积时肝脏ecto-ATPase的变化,并与阻塞性胆汁淤积(O组)1、3或8天的大鼠变化进行比较。评估这些组中ecto-ATPase的活性、胆小管膜和胆汁中的蛋白质含量(通过蛋白质印迹法估计)、稳态mRNA水平(通过Northern印迹法)以及该酶的细胞和腺泡分布(组织化学和免疫细胞化学)。与对照组相比,E组大鼠的ecto-ATPase活性、分离的胆小管膜中的蛋白质含量和酶mRNA水平显著增加。相反,O组大鼠的这些参数明显降低,且胆汁中检测不到该酶蛋白。E组大鼠胆小管膜中的ecto-ATPase组织化学反应明显增加,从腺泡2区延伸至1区,而O组则降低。ecto-ATPase免疫细胞化学反应在对照组和E组肝细胞的胆小管膜和胆小管周围小泡中存在,但在阻塞性胆汁淤积中降低,且仅局限于胆小管膜。因此,在17α-乙炔雌二醇诱导的胆汁淤积中,肝脏ecto-ATPase出现了显著变化,这些变化与阻塞性胆汁淤积中观察到的变化相反。假设在阻塞性胆汁淤积中观察到的改变是胆汁淤积现象的结果,我们得出结论,17α-乙炔雌二醇处理的大鼠中ecto-ATPase的变化可能是原发性事件,或是17α-乙炔雌二醇诱导的胆汁淤积中适应性反应的一部分。