Strazzabosco Mario, Fiorotto Romina, Melero Saida, Glaser Shannon, Francis Heather, Spirli Carlo, Alpini Gianfranco
Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine and Liver Center, New Haven, CT 06520, USA.
Hepatology. 2009 Jul;50(1):244-52. doi: 10.1002/hep.22926.
Cyclic adenosine monophosphate (cAMP) is generated by adenylyl cyclases (ACs), a group of enzymes with different tissue specificity and regulation. We hypothesized that AC isoforms are heterogeneously expressed along the biliary tree, are associated with specific secretory stimuli, and are differentially modulated in cholestasis. Small duct and large duct cholangiocytes were isolated from controls and from lipopolysaccharide-treated or alpha-naphthylisothiocyanate-treated rats. AC isoform expression was assessed via real-time polymerase chain reaction. Secretion and cAMP levels were measured in intrahepatic bile duct units after stimulation with secretin, forskolin, HCO(3)(-)/CO(2), cholinergic agonists, and beta-adrenergic agonists, with or without selected inhibitors or after silencing of AC8 or soluble adenylyl cyclase (sAC) with small interfering RNA. Gene expression of the Ca(2+)-insensitive isoforms (AC4, AC7) was higher in small duct cholangiocytes, whereas that of the Ca(2+)-inhibitable (AC5, AC6, AC9), the Ca(2+)/calmodulin-stimulated AC8, and the soluble sAC was higher in large duct cholangiocytes. Ca(2+)/calmodulin inhibitors and AC8 gene silencing inhibited choleresis and cAMP production stimulated by secretin and acetylcholine, but not by forskolin. Secretion stimulated by isoproterenol and calcineurin inibitors was cAMP-dependent and gamma-aminobutyric acid-inhibitable, consistent with activation of AC9. Cholangiocyte secretion stimulated by isohydric changes in HCO(3)(-) was cAMP-dependent and inhibited by sAC inhibitor and sAC gene silencing. Treatment with lipopolysaccharide or alpha-naphthylisothiocyanate increased expression of AC7 and sAC but decreased expression of the other ACs.
These studies demonstrate a previously unrecognized role of ACs in biliary pathophysiology. In fact: (1) AC isoforms are differentially expressed in cholangiocyte subpopulations; (2) AC8, AC9, and sAC mediate cholangiocyte secretion in response to secretin, beta-adrenergic agonists, or changes in HCO(3)(-), respectively; and (3) AC gene expression is modulated in experimental cholestasis.
环磷酸腺苷(cAMP)由腺苷酸环化酶(ACs)产生,ACs是一组具有不同组织特异性和调节方式的酶。我们假设AC同工型在胆管树中呈异质性表达,与特定的分泌刺激相关,并且在胆汁淤积中受到不同的调节。从对照大鼠以及脂多糖处理或α-萘异硫氰酸酯处理的大鼠中分离出小胆管和大胆管胆管细胞。通过实时聚合酶链反应评估AC同工型的表达。在用促胰液素、福斯可林、HCO₃⁻/CO₂、胆碱能激动剂和β-肾上腺素能激动剂刺激肝内胆管单位后,测量其分泌和cAMP水平,刺激时使用或不使用选定的抑制剂,或者在用小干扰RNA使AC8或可溶性腺苷酸环化酶(sAC)沉默后进行测量。对Ca²⁺不敏感的同工型(AC4、AC7)在小胆管胆管细胞中的基因表达较高,而对Ca²⁺可抑制的同工型(AC5、AC6、AC9)、受Ca²⁺/钙调蛋白刺激的AC8以及可溶性sAC在大胆管胆管细胞中的基因表达较高。Ca²⁺/钙调蛋白抑制剂和AC8基因沉默抑制了促胰液素和乙酰胆碱刺激的胆汁分泌和cAMP产生,但对福斯可林刺激的无此作用。异丙肾上腺素和钙调神经磷酸酶抑制剂刺激的分泌是cAMP依赖性的且可被γ-氨基丁酸抑制,这与AC9的激活一致。[HCO₃⁻]i等渗变化刺激的胆管细胞分泌是cAMP依赖性的且可被sAC抑制剂和sAC基因沉默抑制。脂多糖或α-萘异硫氰酸酯处理会增加AC7和sAC的表达,但会降低其他ACs的表达。
这些研究证明了ACs在胆汁病理生理学中以前未被认识到的作用。事实上:(1)AC同工型在胆管细胞亚群中呈差异表达;(2)AC8分别介导胆管细胞对促胰液素的分泌反应,AC9介导对β-肾上腺素能激动剂的反应,sAC介导对[HCO₃⁻]i变化的反应;(3)在实验性胆汁淤积中AC基因表达受到调节。