Fuhrman-Lane C, Fujimoto J M
J Pharmacol Exp Ther. 1982 Sep;222(3):526-33.
The effect of the inducing agent trans-stilbene oxide (TSO) on the metabolism and biliary excretion of [14C]morphine was studied in the isolated in situ perfused rat liver. After administration of morphine by intraportal injection or by the segmented retrograde intrabiliary injection technique, the TSO-treated group showed a marked decrease in the biliary recovery of morphine as its glucuronide conjugate [morphine-3-glucuronide (MG)]. However, recovery of MG in the venous outflow of the single pass perfusate was greatly increased. These findings suggested that TSO treatment enhanced the formation of MG from morphine and changed the primary route of hepatic elimination of MG. TSO treatment also decreased the excretion of morphine (as MG) in the bile of anesthetized renal-ligated rats. This decreased biliary function required several days to develop and appeared closely associated with the inductive effect of TSO. After i.v. administration of [14C]MG itself, biliary recovery was also markedly decreased in TSO-treated rats. It is postulated that the effect of the TSO treatment led to either a decrease in canalicular transport of MG into bile or an increase in the efficiency of transfer of MG to the blood at the sinusoidal side of the hepatocyte. Regardless of the mechanism, the results indicate the need to study compartmentalization of drug transport and metabolism functions.
在离体原位灌注大鼠肝脏中研究了诱导剂反式氧化茋(TSO)对[14C]吗啡代谢和胆汁排泄的影响。通过门静脉内注射或分段逆行胆管内注射技术给予吗啡后,TSO处理组中吗啡以其葡萄糖醛酸结合物[吗啡-3-葡萄糖醛酸苷(MG)]形式的胆汁回收率显著降低。然而,单次灌注流出液静脉中MG的回收率大大增加。这些发现表明,TSO处理增强了吗啡生成MG的过程,并改变了肝脏消除MG的主要途径。TSO处理还降低了麻醉后肾结扎大鼠胆汁中吗啡(以MG形式)的排泄。这种胆汁功能的降低需要几天时间才会出现,并且似乎与TSO的诱导作用密切相关。静脉注射[14C]MG本身后,TSO处理的大鼠胆汁回收率也显著降低。据推测,TSO处理的作用导致要么是MG向胆汁的胆小管转运减少,要么是MG在肝细胞窦状隙一侧向血液的转运效率增加。无论机制如何,结果都表明需要研究药物转运和代谢功能的区室化。