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豚鼠胆道系统的通透性特征

Permeability characteristics of the guinea pig biliary apparatus.

作者信息

Tavoloni N, Wyssbrod H R, Jones M J

出版信息

Hepatology. 1986 Nov-Dec;6(6):1369-81. doi: 10.1002/hep.1840060625.

Abstract

To determine the mechanism and pathway of entry of polar nonelectrolytes into bile, we studied first the permeation of [3H]H2O, [14C]urea, [14C]erythritol, [14C]mannitol, [3H]sucrose, [3H]inulin and [3H]dextran across an isolated, in situ perfused segment of the guinea pig's extrahepatic bile duct. All of these molecules, except [3H]dextran, permeated the bile duct. The diffusive permeability coefficients (cm per sec per 10(6) ranged from 248 for [3H]H2O to 1.2 for [3H]inulin. On the basis of these results, we formulated two models of solute biliary excretion. In Model I, permeation across both the canaliculus and ductule/duct was assumed to be by simple diffusion. In Model II, solute was assumed to enter the canaliculus by convection and diffusion, and the ductule/duct by diffusion. Reflection coefficients and/or permeability coefficients for the canalicular membrane were then determined by fitting the equations describing these processes to the bile-to-plasma ratios of [14C] erythritol, [14C]mannitol, [3H]sucrose and [3H]inulin observed at different rates of bile flow produced by partially clamping the bile duct cannula and subsequently infusing taurodehydrocholate. Only when convection was included as a mechanism of canalicular permeation (Model II) was excellent fitting observed. In such a case, the reflection coefficients and permeability coefficients for the carbohydrates in question were similar to those reported for other transporting epithelia. Cholestasis produced by taurolithocholate (10 to 40 mumoles per kg, i.v.) was associated with an irreversible increase in both the sieving coefficient and permeability coefficient for [3H]sucrose and [3H]inulin, even when the inhibition of bile flow was fully reversible. The permeability to [14C] erythritol and [14C]mannitol was either not affected or minimally increased. These findings suggest that, in the guinea pig: solutes as large as [3H]inulin enter the biliary tree both at the canaliculus and bile ductule/duct; [14C]erythritol and [14C]mannitol gain access into the canalicular lumen primarily by convection, whereas [3H]sucrose and [3H]inulin permeate mainly by diffusion; distal permeation of these carbohydrates is small, and accounts for 1 to 11% of their total biliary entry; the canalicular membrane permeability to [3H]sucrose and [3H]inulin is not functionally important in bile secretion, and a fraction of canalicular bile flows through the transjunctional shunt pathway.

摘要

为了确定极性非电解质进入胆汁的机制和途径,我们首先研究了[3H]H2O、[14C]尿素、[14C]赤藓糖醇、[14C]甘露醇、[3H]蔗糖、[3H]菊粉和[3H]葡聚糖通过豚鼠肝外胆管离体原位灌注段的渗透情况。除[3H]葡聚糖外,所有这些分子均能透过胆管。扩散渗透系数(厘米/秒/10^6)范围从[3H]H2O的248到[3H]菊粉的1.2。基于这些结果,我们构建了两种溶质胆汁排泄模型。在模型I中,假定通过小管和胆小管/胆管的渗透均为简单扩散。在模型II中,假定溶质通过对流和扩散进入小管,通过扩散进入胆小管/胆管。然后通过将描述这些过程的方程与在部分夹闭胆管插管并随后注入牛磺去氧胆酸盐产生的不同胆汁流速下观察到的[14C]赤藓糖醇、[14C]甘露醇、[3H]蔗糖和[3H]菊粉的胆汁与血浆比率进行拟合,来确定小管膜的反射系数和/或渗透系数。只有当对流作为小管渗透机制(模型II)被纳入时,才观察到极佳的拟合。在这种情况下,所研究碳水化合物的反射系数和渗透系数与其他转运上皮细胞报道的相似。牛磺石胆酸盐(10至40微摩尔/千克,静脉注射)引起的胆汁淤积与[3H]蔗糖和[3H]菊粉的筛分系数和渗透系数不可逆增加相关,即使胆汁流动的抑制是完全可逆的。对[14C]赤藓糖醇和[14C]甘露醇的渗透性要么未受影响,要么仅略有增加。这些发现表明,在豚鼠中:大小如[3H]菊粉的溶质在小管和胆小管/胆管处均进入胆管树;[14C]赤藓糖醇和[14C]甘露醇主要通过对流进入小管腔,而[3H]蔗糖和[3H]菊粉主要通过扩散渗透;这些碳水化合物的远端渗透较小,占其总胆汁进入量 的1%至11%;小管膜对[3H]蔗糖和[3H]菊粉的渗透性在胆汁分泌中功能不重要,并且一部分小管胆汁通过跨连接分流途径流动。

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