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胆管上皮细胞调节正常大鼠肝脏中胆汁碳酸氢盐的排泄。

Bile duct epithelia regulate biliary bicarbonate excretion in normal rat liver.

作者信息

Hirata K, Nathanson M H

机构信息

Department of Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, Connecticut 06520-8019, USA.

出版信息

Gastroenterology. 2001 Aug;121(2):396-406. doi: 10.1053/gast.2001.26280.

Abstract

BACKGROUND & AIMS: A number of transporters and channels have been identified in cholangiocytes, but the role that bile ducts play in the formation of bile in vivo is unclear. We determined the contribution of cholangiocytes to bile flow and biliary bicarbonate excretion in normal rat liver.

METHODS

Bile flow and biliary bicarbonate were measured in isolated rat livers perfused via both the portal vein and the hepatic artery because the hepatic artery provides the blood supply to bile ducts. Livers were perfused with secretin or acetylcholine (ACh), which respectively increase either adenosine 3',5'-cyclic monophosphate (cAMP) or cytosolic Ca(2+) in cholangiocytes. Livers also were perfused with glucagon or vasopressin to instead increase cAMP or cytosolic Ca(2+) in hepatocytes.

RESULTS

Secretin increased biliary bicarbonate in a dose-dependent fashion and was much more effective when administered via the hepatic artery. Secretin did not affect bile flow. Similarly, ACh increased bicarbonate excretion when infused via the hepatic artery but not the portal vein. The effects of secretin were augmented by ACh, and this was prevented by cyclosporin A. The effects of ACh were blocked by 4,4'-diisothiocyanatostilbene-2,2'-disulfonic acid (DIDS), 5-nitro2-(3-phenylpropylamino)benzoic acid (NPPB), or diphenylamine-2-carboxylic acid (DPC), and the effects of secretin were inhibited by NPPB or DPC and unaffected by DIDS. Neither glucagon nor vasopressin altered biliary bicarbonate.

CONCLUSIONS

Biliary bicarbonate is regulated by cholangiocytes rather than hepatocytes in normal rat liver. ACh-induced bicarbonate excretion depends on both chloride channels and bicarbonate exchange, whereas secretin-induced bicarbonate excretion is independent of bicarbonate exchange.

摘要

背景与目的

胆管细胞中已鉴定出多种转运体和通道,但胆管在体内胆汁形成中所起的作用尚不清楚。我们确定了胆管细胞对正常大鼠肝脏胆汁流动和胆汁碳酸氢盐排泄的贡献。

方法

在通过门静脉和肝动脉灌注的离体大鼠肝脏中测量胆汁流动和胆汁碳酸氢盐,因为肝动脉为胆管提供血液供应。肝脏用促胰液素或乙酰胆碱(ACh)灌注,它们分别增加胆管细胞中的3',5'-环磷酸腺苷(cAMP)或胞质钙(Ca(2+))。肝脏也用胰高血糖素或血管加压素灌注,以增加肝细胞中的cAMP或胞质钙(Ca(2+))。

结果

促胰液素以剂量依赖方式增加胆汁碳酸氢盐,经肝动脉给药时效果更佳。促胰液素不影响胆汁流动。同样,ACh经肝动脉而非门静脉注入时增加碳酸氢盐排泄。促胰液素的作用被ACh增强,而这被环孢素A阻止。ACh的作用被4,4'-二异硫氰基芪-2,2'-二磺酸(DIDS)、5-硝基-2-(3-苯丙基氨基)苯甲酸(NPPB)或二苯胺-2-羧酸(DPC)阻断,促胰液素的作用被NPPB或DPC抑制且不受DIDS影响。胰高血糖素和血管加压素均未改变胆汁碳酸氢盐。

结论

在正常大鼠肝脏中,胆汁碳酸氢盐由胆管细胞而非肝细胞调节。ACh诱导的碳酸氢盐排泄依赖于氯离子通道和碳酸氢盐交换,而促胰液素诱导的碳酸氢盐排泄独立于碳酸氢盐交换。

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