Belinsky S A, Matsumura T, Kauffman F C, Thurman R G
Mol Pharmacol. 1984 Jan;25(1):158-64.
Rates of allyl alcohol metabolism in periportal and pericentral regions of the liver lobule were measured to determine whether the zonal toxicity due to allyl alcohol results from its selective metabolism in periportal regions. Infusion of allyl alcohol into perfused livers from fed, phenobarbital-treated rats caused an increase in NADH fluorescence (366 leads to 450 nm) measured with a large-tipped (2-mm) light guide placed on the surface of the liver. A linear increase in NADH fluorescence was observed when 25-150 microM allyl alcohol was infused; however, when allyl alcohol exceeded 200 microM, oxygen uptake by the liver was inhibited 30-40%, and a large increase in NADH fluorescence occurred. Miniature oxygen electrodes were then placed on periportal and pericentral regions of the liver lobule and local rates of oxygen uptake were determined [Matsumura and Thurman, Am. J. Physiol. 244:G656-G659 (1983)]. Allyl alcohol (350 microM) or acrolein (200 microM) inhibited oxygen uptake only in periportal regions. Micro-light guides were placed on periportal and pericentral regions of livers perfused in either the anterograde or retrograde direction. The maximal increase in NADH fluorescence due to allyl alcohol infusion (100 microM) was greater in pericentral than in periportal regions. 4-Methylpyrazole (80 microM), an inhibitor of alcohol dehydrogenase, prevented the fluorescence increase due to allyl alcohol in both regions, indicating that the changes were due entirely to NADH generated from alcohol dehydrogenase-dependent allyl alcohol metabolism. Using the correlation (r = 0.91) between rates of allyl alcohol uptake and the increase in NADH fluorescence established for the whole organ, local rates of allyl alcohol metabolism were 23 and 31 mumoles/g/hr in periportal and pericentral regions, respectively. These results indicate that metabolism of allyl alcohol occurs at slightly greater rates in pericentral than in periportal regions of the liver lobule. Thirty minutes after the i.p. injection of a necrogenic dose of allyl alcohol in vivo, the concentrations of allyl alcohol in the portal vein and vena cava were 1210 and 530 microM, respectively. Thus, both periportal and pericentral regions of the liver lobule were exposed to concentrations of allyl alcohol (e.g., greater than 200 microM) which were metabolized in the perfused liver. Since allyl alcohol is metabolized in both regions of the liver lobule, the hypothesis that the zone-specific hepatotoxicity results from its exclusive metabolism to acrolein in periportal regions seems unlikely.
测量肝小叶门静脉周围和中央静脉周围区域烯丙醇的代谢率,以确定烯丙醇引起的区域毒性是否源于其在门静脉周围区域的选择性代谢。将烯丙醇注入喂食过、经苯巴比妥处理的大鼠的灌注肝脏中,会导致用放置在肝脏表面的大尖端(2毫米)光导测量的NADH荧光增加(366至450纳米)。当注入25 - 150微摩尔烯丙醇时,观察到NADH荧光呈线性增加;然而,当烯丙醇超过200微摩尔时,肝脏的氧气摄取受到30 - 40%的抑制,并且NADH荧光大幅增加。然后将微型氧电极放置在肝小叶的门静脉周围和中央静脉周围区域,并测定局部氧气摄取率[松村和瑟曼,《美国生理学杂志》244:G656 - G659(1983)]。烯丙醇(350微摩尔)或丙烯醛(200微摩尔)仅抑制门静脉周围区域的氧气摄取。将微型光导放置在以顺行或逆行方向灌注的肝脏的门静脉周围和中央静脉周围区域。由于注入烯丙醇(100微摩尔)导致的NADH荧光最大增加在中央静脉周围区域比在门静脉周围区域更大。4 - 甲基吡唑(80微摩尔),一种乙醇脱氢酶抑制剂,可防止两个区域因烯丙醇导致的荧光增加,表明这些变化完全是由于乙醇脱氢酶依赖性烯丙醇代谢产生的NADH所致。利用为整个器官建立的烯丙醇摄取率与NADH荧光增加之间的相关性(r = 0.91),门静脉周围和中央静脉周围区域烯丙醇的局部代谢率分别为23和31微摩尔/克/小时。这些结果表明,肝小叶中央静脉周围区域烯丙醇的代谢率略高于门静脉周围区域。在体内腹腔注射致死剂量的烯丙醇30分钟后,门静脉和腔静脉中烯丙醇的浓度分别为1210和530微摩尔。因此,肝小叶的门静脉周围和中央静脉周围区域都暴露于在灌注肝脏中被代谢的烯丙醇浓度(例如,大于200微摩尔)。由于烯丙醇在肝小叶的两个区域都被代谢,区域特异性肝毒性是由其在门静脉周围区域独家代谢为丙烯醛导致的这一假设似乎不太可能。