Forker E L, Luxon B A
J Clin Invest. 1981 May;67(5):1517-22. doi: 10.1172/jci110182.
Perfused rat liver removes 97% of the taurocholate from the afferent circulation when the perfusate albumin concentration is 0.5 g/dl. Increasing the albumin concentration 10-fold reduces the concentration of free taurocholate by a factor of five but produces only a 50% reduction in the apparent uptake coefficient. A similar discrepancy is evident from a model-independent analysis of the extraction fractions. From these observations we argue that uptake is not driven solely, or even predominantly, by the plasma concentration of free taurocholate but also depends on interaction between albumin and the cell surface. Nonequilibrium binding, saturation kinetics, and an inhomogeneous population of liver cells are considered as alternative explanations and excluded. The possibility that albumin exerts its effect by enhancing the diffusion of taurocholate across an unstirred layer in the Disse space appears improbable but cannot be eliminated.
当灌注液中白蛋白浓度为0.5 g/dl时,灌注的大鼠肝脏可从输入循环中去除97%的牛磺胆酸盐。将白蛋白浓度提高10倍可使游离牛磺胆酸盐的浓度降低五倍,但表观摄取系数仅降低50%。从提取分数的模型独立分析中也可以明显看出类似的差异。基于这些观察结果,我们认为摄取并非仅由游离牛磺胆酸盐的血浆浓度驱动,甚至也不是主要由其驱动,还取决于白蛋白与细胞表面之间的相互作用。非平衡结合、饱和动力学和肝细胞群体的不均匀性被视为替代解释并被排除。白蛋白通过增强牛磺胆酸盐在狄氏间隙未搅动层中的扩散来发挥作用的可能性似乎不大,但不能排除。