Groen Annemiek, Kunne Cindy, Paulusma Coen C, Kramer Werner, Agellon Luis B, Bull Laura N, Oude Elferink Ronald P J
AMC Liver Center, Academic Medical Center, Room S1-166, Meibergdreef 69-71, 1105 BK Amsterdam, The Netherlands.
J Hepatol. 2007 Jul;47(1):114-22. doi: 10.1016/j.jhep.2007.02.011. Epub 2007 Mar 7.
BACKGROUND/AIMS: Mutations in the ATP8B1 gene can cause Progressive Familial Intrahepatic Cholestasis type 1. We have previously reported that Atp8b1(G308V/G308V) mice, a model for PFIC1, have slightly, but significantly, higher baseline serum bile salt (BS) concentrations compared to wt mice. Upon BS feeding, serum BS concentrations strongly increased in Atp8b1-deficient mice. Despite these findings, we observed only mildly impaired canalicular BS transport. In the present report we tested the hypothesis that Atp8b1(G308V/G308V) mice hyperabsorb BS in the intestine during BS feeding.
Intestinal BS absorption was measured in intestinal perfusion and in intestinal explants. In addition, we measured BS concentrations in portal blood. Ileal expression of the Fxr-targets Asbt, Ilbp and Shp was assessed.
In wt and Atp8b1(G308V/G308V) mice, intestinal taurocholate absorption is primarily mediated by the ileal bile salt transporter Asbt. Neither of the experimental systems revealed enhanced absorption of BS in Atp8b1(G308V/G308V) mice compared to wt mice. In line with these observations, we found no difference in the ileal protein expression of Asbt. Induction of Shp expression during BS feeding also demonstrated that Fxr signalling is intact in Atp8b1(G308V/G308V) mice.
The accumulation of BS in plasma of Atp8b1(G308V/G308V) mice during BS feeding is not caused by increased intestinal BS absorption.
背景/目的:ATP8B1基因突变可导致1型进行性家族性肝内胆汁淤积症。我们之前报道过,Atp8b1(G308V/G308V)小鼠作为PFIC1的模型,与野生型小鼠相比,其基线血清胆汁盐(BS)浓度略有升高,但差异显著。给予BS喂养后,Atp8b1基因缺陷小鼠的血清BS浓度大幅增加。尽管有这些发现,但我们仅观察到胆小管BS转运有轻微受损。在本报告中,我们检验了Atp8b1(G308V/G308V)小鼠在BS喂养期间肠道超吸收BS的假说。
在肠道灌注和肠道外植体中测量肠道BS吸收。此外,我们测量了门静脉血中的BS浓度。评估了法尼酯X受体(Fxr)靶标小肠胆汁酸转运体(Asbt)、肠内胆汁酸结合蛋白(Ilbp)和小异二聚体伴侣蛋白(Shp)在回肠中的表达。
在野生型和Atp8b1(G308V/G308V)小鼠中,肠道牛磺胆酸盐吸收主要由回肠胆汁盐转运体Asbt介导。与野生型小鼠相比,这两个实验系统均未显示Atp8b1(G308V/G308V)小鼠对BS的吸收增强。与这些观察结果一致,我们发现Asbt在回肠中的蛋白表达没有差异。BS喂养期间Shp表达的诱导也表明Atp8b1(G308V/G308V)小鼠的Fxr信号通路是完整的。
Atp8b1(G308V/G308V)小鼠在BS喂养期间血浆中BS的积累不是由肠道BS吸收增加引起的。