Bossard R, Stieger B, O'Neill B, Fricker G, Meier P J
Department of Medicine, University Hospital, Zurich, Switzerland.
J Clin Invest. 1993 Jun;91(6):2714-20. doi: 10.1172/JCI116511.
We investigated the effects of 17 alpha-ethinylestradiol treatment of rats on various transport functions in isolated basolateral and canalicular liver plasma membrane vesicles. Both membrane subfractions were purified to a similar degree from control and cholestatic livers. Although moderate membrane lipid alterations were predominantly observed in basolateral vesicles, no change in basolateral Na+/K(+)-ATPase activity was found. Furthermore, while Na(+)-dependent taurocholate uptake was decreased by approximately 40% in basolateral vesicles, the maximal velocity of ATP-dependent taurocholate transport was decreased by 63% in canalicular membranes. In contrast, only minimal changes or no changes at all were observed for electrogenic taurocholate transport in "cholestatic" canalicular membranes and total microsomes, respectively. However, canalicular vesicles from cholestatic livers also exhibited marked reductions in ATP-dependent transport of S-(2,4-dinitrophenyl)glutathione and in Na(+)-dependent uptake of adenosine, while in the same vesicles HCO3-/SO4- exchange and Na+/glycine cotransport activities were markedly stimulated. These data show that in addition to the previously demonstrated sinusoidal transport abnormalities ethinylestradiol-induced cholestasis is also associated with multiple canalicular membrane transport alterations in rat liver. Hence, functional transport alterations at both polar surface domains might ultimately be responsible for the inhibitory effects of estrogens on the organic anion excretory capacity and on bile formation in rat liver.
我们研究了用17α-乙炔雌二醇处理大鼠对分离的肝基底外侧和胆小管肝细胞膜囊泡中各种转运功能的影响。从对照肝脏和胆汁淤积性肝脏中以相似程度纯化了这两种膜亚组分。虽然在基底外侧囊泡中主要观察到中度膜脂改变,但未发现基底外侧Na⁺/K⁺-ATP酶活性有变化。此外,虽然基底外侧囊泡中Na⁺依赖性牛磺胆酸盐摄取减少了约40%,但胆小管膜中ATP依赖性牛磺胆酸盐转运的最大速度降低了63%。相比之下,在“胆汁淤积性”胆小管膜和总微粒体中,分别观察到电生性牛磺胆酸盐转运仅有微小变化或根本没有变化。然而,胆汁淤积性肝脏的胆小管囊泡在S-(2,4-二硝基苯基)谷胱甘肽的ATP依赖性转运以及腺苷的Na⁺依赖性摄取方面也表现出明显降低,而在相同囊泡中,HCO₃⁻/SO₄⁻交换和Na⁺/甘氨酸共转运活性受到明显刺激。这些数据表明,除了先前证明的肝血窦转运异常外,乙炔雌二醇诱导的胆汁淤积还与大鼠肝脏中多种胆小管膜转运改变有关。因此,两个极性表面结构域的功能性转运改变最终可能是雌激素对大鼠肝脏有机阴离子排泄能力和胆汁形成产生抑制作用的原因。