Delage Y, Erlinger S, Duval M, Bpenhamou J P
Gut. 1975 Feb;16(2):105-8. doi: 10.1136/gut.16.2.105.
The influence of dehydrocholate on bromsulphtalein relative-storage capacity, bilary transport maximum (Tm), and fractional transfer rates between plasma, liver and bile have been studied in unanaesthetized dogs. In six dogs, storage capacity, Tm, and fractional transfer rates from plasma to liver, liver to bile, and liver to plasma were measured during 0-15 M NaCL infusion and the measurements were repeated under a dehydrocholate infusion of 95 mumol. min-1, ie, an infusion rate approaching the known biliary Tm of bile salts. It was found that: (a) storage capacity and fractional transfer rates from plasma to liver significantly lower during dehydrocholate infusions (respectively 18-0 plus or minus SD 9-0 mg-mg-1. 100 ml-1 and 0-120 plus or minus SD 0-035 min-1) than during NaCL infusions (respectively 47-0 plus or minus 21-0 mg. mg-1. 100 ml-1 and 0-280 plus or minus SD 0-055 min-1; P smaller than 0-001); (b) Tm and fractional transfer rates from liver to bile were also significantly lower during dehydrocholate infusion (respectively 3-2 plus or minus SD 1-1 mg. min-1 and 0-013 plus or minus SD 0-004 min-1) than during NaCl infusion (4-8 plus or minus SD 1-1 mg. min-1 and 0-033 plus or minus SD 0-017 min-1; P smaller than 0-02); (c) in three additional experiments, taurocholate had similar effects on storage capacity and Tm. These findings suggest that competition occurred between bile salts and bromsulphthalein for hepaticuptake and storage. They support the hypothesis that the decreased disappearance rate and relative storage capacity of bromsulphtalein observed during biliary obstruction may be due to competition between bile salts and bromsulphthalein for hepatic uptake and storage.
在未麻醉的犬身上研究了脱氢胆酸盐对溴磺酞相对储存容量、胆汁转运最大值(Tm)以及血浆、肝脏和胆汁之间的分数转运率的影响。在6只犬中,在输注0-15M氯化钠期间测量储存容量、Tm以及从血浆到肝脏、从肝脏到胆汁和从肝脏到血浆的分数转运率,并在输注95μmol·min-1的脱氢胆酸盐(即接近已知胆盐胆汁Tm的输注速率)时重复测量。结果发现:(a)在输注脱氢胆酸盐期间,储存容量和从血浆到肝脏的分数转运率显著降低(分别为18.0±标准差9.0mg·mg-1·100ml-1和0.120±标准差0.035min-1),低于输注氯化钠期间(分别为47.0±21.0mg·mg-1·100ml-1和0.280±标准差0.055min-1;P<0.001);(b)在输注脱氢胆酸盐期间,Tm和从肝脏到胆汁的分数转运率也显著降低(分别为3.2±标准差1.1mg·min-1和0.013±标准差0.004min-1),低于输注氯化钠期间(4.8±标准差1.1mg·min-1和0.033±标准差0.017min-1;P<0.02);(c)在另外三个实验中,牛磺胆酸盐对储存容量和Tm有类似影响。这些发现表明胆盐和溴磺酞在肝脏摄取和储存方面存在竞争。它们支持这样的假说,即胆汁梗阻期间观察到的溴磺酞消失率降低和相对储存容量降低可能是由于胆盐和溴磺酞在肝脏摄取和储存方面的竞争所致。