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胆囊切除术对小鼠胆汁酸昼夜节律以及肠肝转运体和酶系统的影响。

The influences of cholecystectomy on the circadian rhythms of bile acids as well as the enterohepatic transporters and enzymes systems in mice.

作者信息

Zhang Fan, Duan Yingting, Xi Lili, Wei Mengmeng, Shi Axi, Zhou Yan, Wei Yuhui, Wu Xinan

机构信息

a Department of Pharmacy , The First Hospital of Lanzhou University , Lanzhou , China.

b School of pharmacy , Lanzhou University , Lanzhou , China.

出版信息

Chronobiol Int. 2018 May;35(5):673-690. doi: 10.1080/07420528.2018.1426596. Epub 2018 Jan 30.

Abstract

UNLABELLED

Bile acids (BAs), the most important endogenous and signaling molecules regulate the target transporters and enzymes at transcriptional level, participate in a wide variety of processes throughout the entire gastrointestinal tract to orchestrate homeostasis in vivo. BAs and their metabolism and transportation appear to follow the clear circadian rhythms, and they are recently proposed also as the potential chronobiological signals that can affect the molecular clock mechanism. Cholecystectomy are believed to affect the circadian rhythms of BAs and the relevant enterohepatic transporters and enzymes systems and their regulatory signaling pathways, for the reason that the circadian cycle of gallbladder filling and emptying play a pivotal role in controlling the flow of bile into the intestine and the enterohepatic circulation of BAs. Here, in the present study, the circadian rhythms about BAs concentration and composition and the mRNA expression of genes involved in BAs transportation, metabolism and regulation in liver and ileum of mice with or without gallbladder were evaluated. As a result, it has been found that, mice with gallbladder exhibited significant and distinct circadian oscillations in BAs concentration, mRNA expression of enterohepatic transporters and enzymes systems and farnesoid X receptor-mediated regulatory pathways both in liver and ileum during gallbladder emptying period (1:00 AM and 1:00 PM), despite food was restricted during these periods; the circadian rhythmicity of BAs pool and hepatic and ileal BAs diminished but the BAs composition had no significant alteration in liver and ileum after cholecystectomy as compared with sham-operated mice; in parallel to the alteration of BAs levels in liver and ileum after cholecystectomy, the day/night circadian oscillations in the mRNA expression of the relevant transporting and metabolic genes and the farnesoid X receptor signaling pathway-mediated “intestine-liver†regulatory axis also shifted. In conclusion, the BAs concentration and the corresponding genes exhibit significant circadian rhythms in mice with gallbladder, and the circadian oscillations of most of the investigation factors are flattened and altered following by cholecystectomy, which could mainly ascribe to the disappearance of the filling and emptying cycle of gallbladder and might result in pathological states or drug chronopharmacology alternation. We expect that this study would provide a cue for patients with cholecystectomy.

ABBREVIATIONS

Asbt: apical sodium-dependent bile acids transporter; AUC24h: area under the 24-hour BA concentration time curve; BAs: bile acids; Bsep: bile salt export pump; β-MCA: β-muricholic acid; CA: cholic acid; CDCA: chenodeoxycholic acid; Cyp3a11: cytochrome P450 3a11 (human CYP3A4); Cyp7a1: cholesterol 7α-hydroxylase cytochrome P450 7a1; DCA: deoxycholic acid; Fxr: farnesoid X receptor; Fgf15: fibroblast growth factor 15; G-: glycine conjugated bile acid; HDCA: hyodesoxycholic acid; LCA: lithocholic acid; Mrp2: multidrug resistance-associated protein 2; NDCA: demethylation deoxycholic acid; Ntcp: Na+-taurocholate co-transporting polypeptide; Oatp2: organic anion transporting polypeptide 2; Ostα/β: heterodimeric organic solute transporters alpha and beta; Shp: small heterodimer partner; T-: taurine conjugated bile acid; UDCA: ursodeoxycholic acid.

摘要

未标注

胆汁酸(BAs)是最重要的内源性和信号分子,在转录水平调节靶转运体和酶,参与整个胃肠道的多种过程以协调体内稳态。胆汁酸及其代谢和转运似乎遵循明显的昼夜节律,最近它们也被认为是可能影响分子钟机制的潜在生物钟信号。胆囊切除术被认为会影响胆汁酸的昼夜节律以及相关的肠肝转运体和酶系统及其调节信号通路,因为胆囊充盈和排空的昼夜周期在控制胆汁流入肠道和胆汁酸的肠肝循环中起关键作用。在此,在本研究中,评估了有或无胆囊的小鼠肝脏和回肠中胆汁酸浓度和组成的昼夜节律以及参与胆汁酸转运、代谢和调节的基因的mRNA表达。结果发现,有胆囊的小鼠在胆囊排空期(凌晨1:00和下午1:00)肝脏和回肠中的胆汁酸浓度、肠肝转运体和酶系统的mRNA表达以及法尼酯X受体介导的调节途径均表现出显著且明显的昼夜振荡,尽管在此期间食物受到限制;与假手术小鼠相比,胆囊切除术后肝脏和回肠中胆汁酸池以及肝脏和回肠胆汁酸的昼夜节律性减弱,但胆汁酸组成无明显改变;与胆囊切除术后肝脏和回肠中胆汁酸水平的改变平行,相关转运和代谢基因的mRNA表达以及法尼酯X受体信号通路介导的“肠-肝”调节轴的昼夜振荡也发生了改变。总之,有胆囊的小鼠胆汁酸浓度和相应基因表现出显著的昼夜节律,胆囊切除术后大多数研究因素的昼夜振荡变平并改变,这可能主要归因于胆囊充盈和排空周期的消失,并可能导致病理状态或药物时辰药理学改变。我们期望这项研究能为胆囊切除术后的患者提供线索。

缩写

Asbt:顶端钠依赖性胆汁酸转运体;AUC24h:24小时胆汁酸浓度时间曲线下面积;BAs:胆汁酸;Bsep:胆盐输出泵;β-MCA:β-鼠胆酸;CA:胆酸;CDCA:鹅脱氧胆酸;Cyp3a11:细胞色素P450 3a11(人CYP3A4);Cyp7a1:胆固醇7α-羟化酶细胞色素P450 7a1;DCA:脱氧胆酸;Fxr:法尼酯X受体;Fgf15:成纤维细胞生长因子15;G-:甘氨酸结合胆汁酸;HDCA:猪去氧胆酸;LCA:石胆酸;Mrp2:多药耐药相关蛋白2;NDCA:去甲基化脱氧胆酸;Ntcp:牛磺胆酸钠共转运多肽;Oatp2:有机阴离子转运多肽2;Ostα/β:异二聚体有机溶质转运体α和β;Shp:小异二聚体伴侣;T-:牛磺酸结合胆汁酸;UDCA:熊去氧胆酸。

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