Hoshino M, Hayakawa T, Hirano A, Kamiya Y, Ohiwa T, Tanaka A, Kumai T, Inagaki T, Miyaji M, Takeuchi T
First Department of Internal Medicine, Medical School, Nagoya City University, Japan.
Hepatology. 1994 Oct;20(4 Pt 1):932-9. doi: 10.1002/hep.1840200423.
We investigated bile flow and biliary excretion of bile acids in the Eisai hyperbilirubinemic rat, a Sprague-Dawley mutant rat with conjugated hyperbilirubinemia, using both in vivo and in vitro models. In vivo bile flow was lower in Eisai hyperbilirubinemic rats than in the control rats before and after taurocholate was infused. After taurocholate was infused, bile acid output was similar in the Eisai hyperbilirubinemic rats and control rats. In the isolated perfused rat liver, biliary excretion of bile acids was higher in the Eisai hyperbilirubinemic rats than in the control rats after a high-dose infusion of taurocholate (0.33 mumol/min/gm liver). Infusion of taurochenodeoxycholate (0.22 mumol/min/gm liver) did not produce cholestasis and did not reduce the biliary excretion of bile acids in the Eisai hyperbilirubinemic rats. Taurochenodeoxycholate significantly increased the phospholipid/bile acid molar ratio and slightly reduced bile acid-induced alkaline phosphatase output into bile. The release of lactate dehydrogenase from the perfused liver 30 min after the start of the taurochenodeoxycholate infusion was 10 times lower in the Eisai hyperbilirubinemic rats than in the control rats (2.0 +/- 0.8 vs. 28.7 +/- 6.8 mU/min/gm liver). When the isolated perfused rat liver was infused with a 1-min pulse of horseradish peroxidase (25 mg), we observed an early and late peak of biliary excretion of horseradish peroxidase. The Eisai hyperbilirubinemic rats showed a significant increase in the late peak.(ABSTRACT TRUNCATED AT 250 WORDS)
我们使用体内和体外模型,对艾塞胆红素血症大鼠(一种患有结合胆红素血症的斯普拉格-道利突变大鼠)的胆汁流动和胆汁酸的胆汁排泄进行了研究。在输注牛磺胆酸盐之前和之后,艾塞胆红素血症大鼠的体内胆汁流动均低于对照大鼠。输注牛磺胆酸盐后,艾塞胆红素血症大鼠和对照大鼠的胆汁酸输出相似。在离体灌注大鼠肝脏中,在高剂量输注牛磺胆酸盐(0.33 μmol/分钟/克肝脏)后,艾塞胆红素血症大鼠的胆汁酸胆汁排泄高于对照大鼠。输注牛磺鹅去氧胆酸盐(0.22 μmol/分钟/克肝脏)不会产生胆汁淤积,也不会降低艾塞胆红素血症大鼠的胆汁酸胆汁排泄。牛磺鹅去氧胆酸盐显著增加了磷脂/胆汁酸摩尔比,并略微降低了胆汁酸诱导的碱性磷酸酶向胆汁中的输出。在输注牛磺鹅去氧胆酸盐开始30分钟后,艾塞胆红素血症大鼠灌注肝脏中乳酸脱氢酶的释放量比对照大鼠低10倍(2.0±0.8对28.7±6.8 mU/分钟/克肝脏)。当向离体灌注大鼠肝脏中输注1分钟脉冲的辣根过氧化物酶(25毫克)时,我们观察到辣根过氧化物酶胆汁排泄出现早期和晚期峰值。艾塞胆红素血症大鼠的晚期峰值显著增加。(摘要截断于250字)