Department of Internal Medicine and Department of Pathology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Lipid Res. 2009 Dec;50(12):2340-57. doi: 10.1194/jlr.R900012-JLR200. Epub 2009 Jun 4.
In liver and intestine, transporters play a critical role in maintaining the enterohepatic circulation and bile acid homeostasis. Over the past two decades, there has been significant progress toward identifying the individual membrane transporters and unraveling their complex regulation. In the liver, bile acids are efficiently transported across the sinusoidal membrane by the Na(+) taurocholate cotransporting polypeptide with assistance by members of the organic anion transporting polypeptide family. The bile acids are then secreted in an ATP-dependent fashion across the canalicular membrane by the bile salt export pump. Following their movement with bile into the lumen of the small intestine, bile acids are almost quantitatively reclaimed in the ileum by the apical sodium-dependent bile acid transporter. The bile acids are shuttled across the enterocyte to the basolateral membrane and effluxed into the portal circulation by the recently indentified heteromeric organic solute transporter, OSTalpha-OSTbeta. In addition to the hepatocyte and enterocyte, subgroups of these bile acid transporters are expressed by the biliary, renal, and colonic epithelium where they contribute to maintaining bile acid homeostasis and play important cytoprotective roles. This article will review our current understanding of the physiological role and regulation of these important carriers.
在肝脏和肠道中,转运蛋白在维持肠肝循环和胆汁酸稳态方面发挥着关键作用。在过去的二十年中,人们在鉴定各个膜转运蛋白并揭示其复杂的调节机制方面取得了重大进展。在肝脏中,胆盐通过 Na(+)牛磺胆酸钠共转运多肽有效地穿过窦状膜转运,有机阴离子转运蛋白家族的成员也协助其转运。然后,胆汁酸以 ATP 依赖的方式通过胆汁盐输出泵分泌到胆管膜中。随着胆汁进入小肠腔,胆汁酸几乎在回肠中被顶端钠依赖性胆汁酸转运蛋白完全回收。胆汁酸被转运穿过肠上皮细胞到基底外侧膜,并通过最近鉴定的异源有机溶质转运蛋白 OSTalpha-OSTbeta 被排出到门静脉循环中。除了肝细胞和肠细胞,这些胆汁酸转运蛋白的亚群还表达在胆管、肾脏和结肠上皮细胞中,它们有助于维持胆汁酸稳态并发挥重要的细胞保护作用。本文将综述我们目前对这些重要载体的生理作用和调节的理解。