Sorrentino D, Weisiger R A, Bass N M, Licko V
Department of Medicine, University of California, San Francisco 94143.
Lipids. 1989 May;24(5):438-42. doi: 10.1007/BF02535153.
The hypolipidemic drug clofibrate is known to affect the hepatic transport of various organic anions including bilirubin, fatty acids and sulfobromophthalein. Changes in the rate of metabolism and/or intracellular transport have been claimed responsible for the effect. To evaluate these possibilities, the transport of sulfobromophthalein-glutathione, a model compound that does not require metabolism for biliary excretion, was studied in perfused livers isolated from clofibrate-treated and control rats. Cytosolic fatty acid binding protein and glutathione S-transferase activity were also measured. Clofibrate treatment significantly increased liver weight; as a result glutathione S-transferase activity (toward 1-chloro-2,4-dinitrobenzene) fell if expressed per gram of liver (4560 +/- 420 (SE) vs 7010 +/- 260 nmoles/min for clofibrate treated and controls respectively, p less than 0.002), but was unchanged when expressed per total liver (60.8 +/- 6.5 vs 64.6 +/- 3.5 mumoles/min for clofibrate and controls p greater than 0.5). Irrespective of how it was expressed fatty acid binding protein was significantly increased by the drug treatment. Steady state sulfobromophthalein-glutathione removal velocity was saturable with increasing concentrations of sulfobromophthalein-glutathione in both control and clofibrate-treated livers. Steady state extraction ratio, as well as Vmax and Km for removal, did not differ between the two groups. In keeping with other observations, these data collectively indicate that the hepatic steady state removal of nonmetabolized compounds is not affected by clofibrate.(ABSTRACT TRUNCATED AT 250 WORDS)
降血脂药物氯贝丁酯已知会影响包括胆红素、脂肪酸和磺溴酞钠在内的各种有机阴离子的肝脏转运。代谢速率和/或细胞内转运的变化被认为是造成这种影响的原因。为了评估这些可能性,在从氯贝丁酯处理组和对照组大鼠分离出的灌注肝脏中,研究了磺溴酞钠 - 谷胱甘肽(一种无需代谢即可经胆汁排泄的模型化合物)的转运。还测量了胞质脂肪酸结合蛋白和谷胱甘肽S - 转移酶活性。氯贝丁酯处理显著增加了肝脏重量;结果,如果以每克肝脏表示,谷胱甘肽S - 转移酶活性(针对1 - 氯 - 2,4 - 二硝基苯)下降(氯贝丁酯处理组和对照组分别为4560±420(标准误)和7010±260纳摩尔/分钟,p<0.002),但以肝脏总量表示时则无变化(氯贝丁酯组和对照组分别为60.8±6.5和64.6±3.5微摩尔/分钟,p>0.5)。无论如何表示,药物处理均使脂肪酸结合蛋白显著增加。在对照组和氯贝丁酯处理组的肝脏中,随着磺溴酞钠 - 谷胱甘肽浓度增加,稳态磺溴酞钠 - 谷胱甘肽清除速度均呈现饱和状态。两组之间的稳态提取率以及清除的Vmax和Km均无差异。与其他观察结果一致,这些数据共同表明,氯贝丁酯不影响肝脏对非代谢化合物的稳态清除。(摘要截短于250字)