Geier Andreas, Dietrich Christoph G, Trauner Michael, Gartung Carsten
Department of Medicine III, University Hospital Aachen (UKA), Aachen University (RWTH), Aachen, Germany.
Liver Int. 2007 Oct;27(8):1056-65. doi: 10.1111/j.1478-3231.2007.01523.x.
Hepatic uptake of bile salts is mediated by sodium-dependent and sodium-independent transport systems. During extrahepatic cholestasis, both the function and the expression of the Na(+)/taurocholate cotransporting polypeptide (Ntcp) are downregulated. To test whether sodium-independent organic anion-transporting polypeptides are also affected by extrahepatic cholestasis, the function and expression of all three Oatps have been determined in common bile duct-ligated (CBDL) rats. Oatp1/Oatp1a1 protein mass remained unchanged after CBDL for 1 day, but then declined by 75+/-7% and 90+/-17%, respectively, after 3 and 7 days. In contrast, Oatp2/Oatp1a4 and Oatp4/Oatp1b2 protein expression was not affected by CBDL as compared with controls. After CBDL, Oatp1 mRNA was rapidly downregulated by 68+/-21% of untreated controls (P<0.05) within 24 h, and remained at similar levels at 3 and 7 days. Cytokine-inactivation studies with etanercept pretreatment demonstrated that TNF-alpha-dependent signals mediated the down-regulation of this transporter gene at both protein and mRNA levels during obstructive cholestasis. Sodium-independent uptake of taurocholate and cholate into freshly isolated hepatocyte suspensions showed neither significant differences in K(m) nor V(max) values. These results indicate that sodium-independent transport of bile salts may be mediated by Oatp2 and 4 during biliary obstruction, because its expression remains unaffected and may compensate for loss of Oatp1 expression and function in cholestatic hepatocytes.
肝对胆盐的摄取由钠依赖性和非钠依赖性转运系统介导。在肝外胆汁淤积期间,钠/牛磺胆酸盐共转运多肽(Ntcp)的功能和表达均下调。为了测试非钠依赖性有机阴离子转运多肽是否也受肝外胆汁淤积的影响,已在胆总管结扎(CBDL)大鼠中测定了所有三种有机阴离子转运多肽(Oatps)的功能和表达。CBDL 1天后,Oatp1/Oatp1a1蛋白量保持不变,但在3天和7天后分别下降了75±7%和90±17%。相比之下,与对照组相比,Oatp2/Oatp1a4和Oatp4/Oatp1b2蛋白表达不受CBDL影响。CBDL后,Oatp1 mRNA在24小时内迅速下调至未处理对照组的68±21%(P<0.05),并在3天和7天时保持在相似水平。用依那西普预处理进行的细胞因子失活研究表明,在梗阻性胆汁淤积期间,TNF-α依赖性信号在蛋白质和mRNA水平上介导了该转运体基因的下调。在新鲜分离的肝细胞悬液中,牛磺胆酸盐和胆酸盐的非钠依赖性摄取在K(m)和V(max)值上均未显示出显著差异。这些结果表明,在胆道梗阻期间,胆盐的非钠依赖性转运可能由Oatp2和Oatp4介导,因为其表达不受影响,可能补偿了胆汁淤积性肝细胞中Oatp1表达和功能的丧失。