Desmond P V, Smyth F E, Mashford M L
Department of Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australia.
J Gastroenterol Hepatol. 1994 Jul-Aug;9(4):350-4. doi: 10.1111/j.1440-1746.1994.tb01254.x.
In patients with parenchymal liver disease, glucuronidation of drugs is generally preserved but oxidation is impaired. This study explores the effects of liver injuries induced in rats by the administration of acute carbon tetrachloride, chronic bile duct ligation and chronic choline deficiency for 30 weeks on the glucuronidation of p-nitrophenol and 1-naphthol, both before and after solubilization of the microsomes and compares this to three measures of oxidation. Cytochrome P450 content was reduced to 17% of control values after acute carbon tetrachloride and to 35% of control values after bile duct ligation. Cytochrome C reductase fell to 58 and 32% of control and aniline hydroxylase to 46 and 13%, respectively, after acute carbon tetrachloride and bile duct ligation. P-nitrophenol glucuronidation by native microsomes was 206 and 73% of controls in the respective models, while 1-naphthol glucuronidation was 167 and 66% of control. Latent uridine diphosphate-glucuronosyltransferase (UDP-GT) activity, that is, differences between solubilized and native activity, was decreased by each liver injury. Chronic choline deficiency had little effect on the oxidation and native glucuronidation activity, although latent glucuronidation activity was lower. These studies suggest a preservation of glucuronidation compared to oxidation at the microsomal level in these experimental liver injuries. The data also support the hypothesis that a release of latent UDP-GT activity may contribute to this phenomenon.
在患有实质性肝病的患者中,药物的葡萄糖醛酸化通常保持正常,但氧化作用受损。本研究探讨了通过急性给予四氯化碳、慢性胆管结扎以及30周慢性胆碱缺乏诱导大鼠肝损伤后,微粒体溶解前后对对硝基苯酚和1-萘酚葡萄糖醛酸化的影响,并将其与三种氧化指标进行比较。急性四氯化碳处理后,细胞色素P450含量降至对照值的17%,胆管结扎后降至对照值的35%。急性四氯化碳和胆管结扎后,细胞色素C还原酶分别降至对照值的58%和32%,苯胺羟化酶分别降至对照值的46%和13%。在各自模型中,天然微粒体对对硝基苯酚的葡萄糖醛酸化分别为对照值的206%和73%,而对1-萘酚的葡萄糖醛酸化分别为对照值的167%和66%。潜在的尿苷二磷酸葡萄糖醛酸基转移酶(UDP-GT)活性,即溶解后与天然活性之间的差异,在每种肝损伤后均降低。慢性胆碱缺乏对氧化和天然葡萄糖醛酸化活性影响较小,尽管潜在的葡萄糖醛酸化活性较低。这些研究表明,在这些实验性肝损伤中,微粒体水平的葡萄糖醛酸化与氧化相比得以保留。数据还支持这样的假设,即潜在UDP-GT活性的释放可能促成了这一现象。