Akita H, Suzuki H, Sugiyama Y
Graduate School of Pharmaceutical Sciences, The University of Tokyo, Japan.
Pharm Res. 2001 Aug;18(8):1119-25. doi: 10.1023/a:1010918825019.
It has been shown that plasma concentration and urinary excretion of bile acids is elevated under the cholestatic/ hyperbilirubinemic conditions. Previously, it was demonstrated that the plasma concentration of bile acids was elevated in the multidrug resistance-associated protein 2 (Mrp2)-deficient rats. The purpose of the present study was to compare the sinusoidal efflux clearance of taurocholate (TC) between Mrp2-deficient Eisai hyperbilirubinemic rats (EHBR) and normal rats.
Hepatic disposition of the [3H]TC was examined in the perfused liver. Apparent efflux clearance (PSnet, eff) of [3H]TC from hepatocytes to outflow across the sinusoidal membrane was defined as the amount of [3H]TC excreted into the outflow from the liver divided by hepatic AUC of [3H]TC. Additionally, influx clearance (PSinf) was also determined by multiple indicator dilution method because PSnet, eff is also affected by PSinf.
PSnet, eff was significantly higher in EHBR than that in Sprague-Dawley (SD) rats (16.6 +/- 1.7 vs. 6.1 +/- 1.3 microL/min/g liver, P < 0.01). In contrast, PSinf was comparable between SD rats and EHBR. Kinetic analysis suggested that the intrinsic clearance for the efflux of [3H]TC across the sinusoidal membrane in EHBR was higher than that in SD rats (10.4 +/- 1.0 v.s. 23.3 +/- 1.7 microL/min/g liver, P < 0.01).
Enhanced sinusoidal efflux of TC in EHBR may be related to the altered disposition of bile acids in the mutant rats. Because Mrp3 transports TC and its expression is induced on the basolateral membrane of Mrp2-deficient rats, the enhanced sinusoidal efflux of TC in EHBR may be accounted for, at least partially, by the increased expression of Mrp3.
已有研究表明,在胆汁淤积/高胆红素血症情况下,胆汁酸的血浆浓度和尿排泄量会升高。此前有研究表明,多药耐药相关蛋白2(Mrp2)缺陷大鼠的胆汁酸血浆浓度升高。本研究的目的是比较Mrp2缺陷的艾塞那高胆红素血症大鼠(EHBR)和正常大鼠之间牛磺胆酸盐(TC)的窦状隙流出清除率。
在灌注肝脏中检测[3H]TC的肝脏处置情况。[3H]TC从肝细胞经窦状隙膜流出到流出液中的表观流出清除率(PSnet, eff)定义为从肝脏流出液中排泄的[3H]TC量除以[3H]TC的肝脏曲线下面积。此外,由于PSnet, eff也受流入清除率(PSinf)影响,所以还通过多指示剂稀释法测定了流入清除率。
EHBR的PSnet, eff显著高于Sprague-Dawley(SD)大鼠(16.6±1.7对6.1±1.3微升/分钟/克肝脏,P<0.01)。相比之下,SD大鼠和EHBR之间的PSinf相当。动力学分析表明,EHBR中[3H]TC经窦状隙膜流出的内在清除率高于SD大鼠(10.4±1.0对23.3±1.7微升/分钟/克肝脏,P<0.01)。
EHBR中TC窦状隙流出增强可能与突变大鼠胆汁酸处置改变有关。由于Mrp3转运TC且其表达在Mrp2缺陷大鼠的基底外侧膜上被诱导,EHBR中TC窦状隙流出增强可能至少部分是由Mrp3表达增加所致。