Kim Hyo Jung, Kim Jae Seon, Oh Seikwan, Yoo Hwan-Soo
Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Dig Dis. 2017;35(5):439-443. doi: 10.1159/000465517. Epub 2017 Mar 8.
The increased risk of gallstone has been reported in patients with ATP-binding cassette (ABC) transporter polymorphism. The half-transporters ABCG5 and ABCG8 mediate the efflux of cholesterol in hepatocytes and the intestine. We investigated whether ceramide plays a role in cholesterol efflux through the ABC transporters.
Six-week-old C57BL/6J mice were assigned to 3 groups. The normal group (n = 5) was fed a normal chow diet, the cholesterol group (n = 10) was fed a lithogenic diet, and the myriocin group (n = 15) was fed the lithogenic diet and myriocin, a specific inhibitor of serine-palmitoyl transferase. After 6 weeks, the ABCG5 and ABCG8 transporters were analyzed.
The rate of cholesterol gallstone formation in cholesterol group was also higher than that in normal and myriocin groups (0, 70, and 40%, respectively). ABCG5 and ABCG8 mRNA levels were significantly increased in cholesterol group and less increased in myriocin group, relative to that in normal group (p < 0.05).
The inhibition of ceramide biosynthesis by myriocin suppressed gallstone formation and ABCG5/8 mRNA expression. We expect that ceramide's role as a regulator of the ABCG5/8 transporter might be linked to cholesterol gallstone formation.
已有报道称,三磷酸腺苷结合盒(ABC)转运蛋白多态性患者患胆结石的风险增加。半转运蛋白ABCG5和ABCG8介导肝细胞和肠道中胆固醇的流出。我们研究了神经酰胺是否通过ABC转运蛋白在胆固醇流出中发挥作用。
将6周龄的C57BL/6J小鼠分为3组。正常组(n = 5)给予正常饲料,胆固醇组(n = 10)给予致石性饮食,霉酚酸酯组(n = 15)给予致石性饮食和丝氨酸棕榈酰转移酶的特异性抑制剂霉酚酸酯。6周后,分析ABCG5和ABCG8转运蛋白。
胆固醇组胆固醇胆结石形成率也高于正常组和霉酚酸酯组(分别为0%、70%和40%)。相对于正常组,胆固醇组ABCG5和ABCG8 mRNA水平显著升高,霉酚酸酯组升高较少(p < 0.05)。
霉酚酸酯抑制神经酰胺生物合成可抑制胆结石形成和ABCG5/8 mRNA表达。我们预计神经酰胺作为ABCG5/8转运蛋白调节剂的作用可能与胆固醇胆结石形成有关。