Mesa V A, Fevery J, De Groote J
J Hepatol. 1985;1(3):243-52. doi: 10.1016/s0168-8278(85)80052-0.
Biliary excretion of ioglycamide was studied in Wistar and Gunn rats. A hepatic transport-maximum (Tm) was observed. Higher Tm-values were found in Gunn rats, which have a greater bile flow compared to the parent Wistar rats, in spite of having a similar bile acid output. This suggests that the Tm is related to the bile acid-independent bile flow. In bile acid-depleted Wistar rats, bile acid output was 30% of control values whereas bile flow and ioglycamide-Tm had only decreased by approximately 15%. Ioglycamide excretion could not be increased by taurocholate infusion. An additional 22.0 ml of bile was excreted per mmol of biliary ioglycamide. Loads of the contrast agent markedly exceeding the Tm resulted in a decrease of its own biliary excretion and its choleretic properties. These presumed 'toxic' effects were counteracted by near-physiological amounts of taurocholate. Thus, the effect of taurocholate varies greatly depending upon the amounts of the contrast agent and the taurocholate administered.
在Wistar大鼠和Gunn大鼠中研究了碘甘酰胺的胆汁排泄。观察到肝脏转运最大值(Tm)。尽管胆汁酸输出相似,但在Gunn大鼠中发现了更高的Tm值,与亲代Wistar大鼠相比,Gunn大鼠的胆汁流量更大。这表明Tm与不依赖胆汁酸的胆汁流量有关。在胆汁酸缺乏的Wistar大鼠中,胆汁酸输出量为对照值的30%,而胆汁流量和碘甘酰胺Tm仅下降了约15%。牛磺胆酸盐输注不能增加碘甘酰胺的排泄。每毫摩尔胆汁碘甘酰胺额外排泄22.0毫升胆汁。造影剂负荷明显超过Tm会导致其自身胆汁排泄及其利胆特性降低。这些推测的“毒性作用”被接近生理量的牛磺胆酸盐抵消。因此,牛磺胆酸盐的作用因造影剂和牛磺胆酸盐的给药量不同而有很大差异。