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肝脏转运体在预防小鼠部分肝切除术后胆汁酸毒性中的作用。

Role of hepatic transporters in prevention of bile acid toxicity after partial hepatectomy in mice.

作者信息

Csanaky Iván L, Aleksunes Lauren M, Tanaka Yuji, Klaassen Curtis D

机构信息

Department of Pharmacology, Toxicology, and Therapeutics, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2009 Sep;297(3):G419-33. doi: 10.1152/ajpgi.90728.2008. Epub 2009 Jun 4.

Abstract

The enterohepatic recirculation of bile acids (BAs) is important in several physiological processes. Although there has been considerable research on liver regeneration after two-thirds partial hepatectomy (PHx), little is known about how the liver protects itself against BA toxicity during regeneration. In this study, various BAs in plasma and liver, the composition of micelle-forming bile constituents, as well as gene expression of the main hepatobiliary transporters were quantified in sham-operated and PHx mice 24 and 48 h after surgery. PHx did not influence the hepatic concentrations of taurine-conjugated BAs (T-BA) but increased the concentration of glycine-conjugated (G-BA) and unconjugated BAs. Total BA excretion (microg x min(-1) x g liver wt(-1)) increased 2.4-fold and was accompanied by a 55% increase in bile flow after PHx. The plasma concentrations of T-BAs (402-fold), G-BAs (17-fold), and unconjugated BAs (500-fold) increased. The mRNA and protein levels of the BA uptake transporter Ntcp were unchanged after PHx, whereas the canalicular Bsep protein increased twofold at 48 h. The basolateral efflux transporter Mrp3 was induced at the mRNA (2.6-fold) and protein (3.1-fold) levels after PHx, which may contribute to elevated plasma BA and bilirubin levels. Biliary phospholipid excretion was nearly doubled in PHx mice, most likely owing to increased mRNA expression of the phospholipid transporter, Mdr2. In conclusion, the remnant liver after PHx excretes 2.5-fold more BAs and three times more phospholipids per gram liver than the sham-operated mouse liver. Upregulation of phospholipid transport may be important in protecting the biliary tract from BA toxicity during PHx.

摘要

胆汁酸(BAs)的肝肠循环在多个生理过程中都很重要。尽管对于三分之二部分肝切除术(PHx)后的肝脏再生已经有了大量研究,但对于肝脏在再生过程中如何保护自身免受BA毒性影响却知之甚少。在本研究中,对假手术组和PHx小鼠术后24小时和48小时血浆和肝脏中的各种BAs、形成微团的胆汁成分组成以及主要肝胆转运体的基因表达进行了定量分析。PHx并未影响牛磺酸结合型BAs(T-BA)的肝脏浓度,但增加了甘氨酸结合型(G-BA)和未结合型BAs的浓度。PHx后总BA排泄量(微克×分钟⁻¹×克肝脏重量⁻¹)增加了2.4倍,同时胆汁流量增加了55%。T-BAs(402倍)、G-BAs(17倍)和未结合型BAs(500倍)的血浆浓度升高。PHx后BA摄取转运体Ntcp的mRNA和蛋白质水平未发生变化,而胆小管Bsep蛋白在48小时时增加了两倍。基底外侧外排转运体Mrp3在PHx后mRNA(2.6倍)和蛋白质(3.1倍)水平上被诱导,这可能导致血浆BA和胆红素水平升高。PHx小鼠的胆汁磷脂排泄量几乎增加了一倍,这很可能是由于磷脂转运体Mdr2的mRNA表达增加所致。总之,PHx后的残余肝脏每克肝脏排泄的BAs比假手术组小鼠肝脏多2.5倍,磷脂多3倍。磷脂转运的上调可能在PHx期间保护胆道免受BA毒性方面很重要。

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