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侧链缩短对胆汁酸生理特性的影响:啮齿动物肝脏转运及对23-去甲熊去氧胆酸胆汁分泌的影响

Effect of side-chain shortening on the physiologic properties of bile acids: hepatic transport and effect on biliary secretion of 23-nor-ursodeoxycholate in rodents.

作者信息

Yoon Y B, Hagey L R, Hofmann A F, Gurantz D, Michelotti E L, Steinbach J H

出版信息

Gastroenterology. 1986 Apr;90(4):837-52. doi: 10.1016/0016-5085(86)90859-0.

Abstract

To define whether side-chain length influences the physiologic properties of bile acids, nor-ursodeoxycholate (nor-UDC), the C23-nor derivative of ursodeoxycholate (UDC), was synthesized in both nonradioactive and radioactive forms (23-14C). Its hepatic translocation, hepatic biotransformation, and effect on bile flow, biliary bicarbonate, and biliary lipid secretion were compared with that of UDC and those of their respective glycine and taurine conjugates in anesthetized biliary fistula hamsters, rats, and guinea pigs, as well as the isolated perfused hamster liver. Hepatic uptake and biliary output of nor-UDC was slower than that of UDC or cholyltaurine in the isolated perfused hamster liver. In biliary fistula animals, nor-UDC was secreted only in bile. Biliary recovery of nor-UDC as compared to that of UDC was prolonged in the rat and hamster, although not in the guinea pig. Hepatic biotransformation, assessed by chromatography of bile, showed that conjugation of nor-UDC was inefficient, as unconjugated nor-UDC was present in bile; there was little amidation with glycine or taurine in any species, but sulfates and glucuronides, as well as other metabolites, were formed, with the pattern of biotransformation varying among species. When infused over a dosage range of 0.2-30 mumol/kg X min, nor-UDC induced a striking choleresis of canalicular origin. The bile acid-dependent flow was increased threefold in hamsters, ninefold in rats, and nearly twofold in guinea pigs when compared to that induced by UDC. The choleresis was associated with a linear increase in bicarbonate output and concentration in bile, and little phospholipid or cholesterol secretion was induced. A competition experiment in the bile fistula hamster indicated that nor-UDC or its metabolites, or both, appeared to compete for canalicular transport of ursocholyltaurine (a cholyltaurine epimer) when the latter was secreted under its Vmax conditions. Conjugates of nor-UDC and UDC were promptly and almost completely recovered in bile without appreciable hepatic biotransformation; the conjugates did not induce a hypercholeresis or increase biliary bicarbonate concentration. It is proposed that a fraction of nor-UDC is secreted into canalicular bile in the unconjugated form and is protonated by a hydrogen ion derived from carbonic acid that was generated by the hydration of luminal CO2 by carbonic anhydrase present in biliary ductular cells. The protonated bile acid is absorbed, thus generating a bicarbonate anion. The bile acid passes through the cholangiocyte, returns to the sinusoids via the periductular capillary plexus, and is resecreted into bile.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

为了确定侧链长度是否会影响胆汁酸的生理特性,我们合成了熊去氧胆酸(UDC)的C23 - 去甲衍生物——去甲熊去氧胆酸(nor - UDC)的非放射性和放射性形式(23 - 14C)。在麻醉的胆瘘仓鼠、大鼠和豚鼠以及离体灌注的仓鼠肝脏中,将其肝转运、肝生物转化以及对胆汁流量、胆汁碳酸氢盐和胆汁脂质分泌的影响与UDC及其各自的甘氨酸和牛磺酸共轭物进行了比较。在离体灌注的仓鼠肝脏中,nor - UDC的肝摄取和胆汁输出比UDC或胆酰牛磺酸慢。在胆瘘动物中,nor - UDC仅分泌到胆汁中。与UDC相比,nor - UDC在大鼠和仓鼠中的胆汁回收率延长,尽管在豚鼠中没有。通过胆汁色谱评估的肝生物转化表明,nor - UDC的共轭作用效率低下,因为胆汁中存在未共轭的nor - UDC;在任何物种中,与甘氨酸或牛磺酸的酰胺化作用都很少,但形成了硫酸盐、葡萄糖醛酸苷以及其他代谢产物,生物转化模式因物种而异。当以0.2 - 30 μmol/kg×min的剂量范围输注时,nor - UDC诱导出显著源于胆小管的胆汁分泌增加。与UDC诱导的相比,仓鼠的胆汁酸依赖性流量增加了三倍,大鼠增加了九倍,豚鼠增加了近两倍。胆汁分泌增加与胆汁中碳酸氢盐输出和浓度的线性增加相关,并且几乎没有诱导磷脂或胆固醇分泌。在胆瘘仓鼠中进行的一项竞争实验表明,当牛磺熊去氧胆酸(一种胆酰牛磺酸差向异构体)在其最大反应速度条件下分泌时,nor - UDC或其代谢产物,或两者似乎竞争其胆小管转运。nor - UDC和UDC的共轭物在胆汁中迅速且几乎完全回收,没有明显的肝生物转化;这些共轭物没有诱导胆汁分泌过多或增加胆汁碳酸氢盐浓度。有人提出,一部分nor - UDC以未共轭的形式分泌到胆小管胆汁中,并被来自碳酸的氢离子质子化,碳酸是由胆管细胞中存在的碳酸酐酶使管腔CO2水合产生的。质子化的胆汁酸被吸收,从而产生碳酸氢根阴离子。胆汁酸穿过胆管细胞,通过导管周围毛细血管丛返回肝血窦,并重新分泌到胆汁中。(摘要截断于400字)

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