Naito T, Kuroki S, Chijiiwa K, Tanaka M
Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan.
J Surg Res. 1996 Sep;65(1):70-6. doi: 10.1006/jsre.1996.0345.
Hepatic cholesterol 7alpha-hydroxylase, the rate-limiting enzyme for bile acid synthesis, is regulated by bile acid returning to the liver. In the bile duct-ligated rats, however, cholesterol 7alpha-hydroxylase activity is known to increase in spite of the elevated serum bile acids. The aim of this study was to investigate the relationship between the bile acid synthesis and biliary hydrophobicity to solve the paradoxical phenomenon. Male Wister rats (250-350 g) were divided into two groups, bile duct-ligated group and sham-operated group. Rats were sacrificed on the Days 1, 2, 4, 7, and 14 after the operation. Cholesterol 7alpha-hydroxylase activity, biliary bile acid composition, and biliary hydrophobicity were analyzed. Hepatic and serum total bile acid concentrations and serum 7alpha-hydroxycholesterol levels were also determined. Bile duct ligation caused significant increases in hepatic and serum bile acid concentrations on Day 1, which persisted for 14 days after the bile duct ligation. Activities of hepatic cholesterol 7alpha-hydroxylase increased to 3.2-fold of the preoperative value on Day 2, remained significantly high until Day 7, and then decreased to the basal value on Day 14. The serum 7alpha-hydroxycholesterol level essentially behaved in a similar fashion to that of hepatic cholesterol 7alpha-hydroxylase activity with a significant (P < 0.01) positive correlation. beta-Muricholic acid was predominant in bile until Day 7 (71 vs 10% in the controls on Day 4; P < 0.05) with a concomitant decrease in the proportion of cholic acid. Biliary bile acid became less hydrophobic and hepatic cholesterol 7alpha-hydroxylase activity significantly correlated with the hydrophobicity of biliary bile acids (n = 55, r = 0.54, P < 0.01). There were no significant correlations between the activity of cholesterol 7alpha-hydroxylase and total bile acid concentrations in serum, liver, or bile. The increased cholesterol 7alpha-hydroxylase activity is accompanied by the decreased biliary hydrophobicity, which may be a rationale for the paradoxical increase in bile acid synthesis in spite of the accumulation of bile acids in the serum and liver during obstructive jaundice in rats.
肝胆固醇7α-羟化酶是胆汁酸合成的限速酶,受返回肝脏的胆汁酸调节。然而,在胆管结扎的大鼠中,尽管血清胆汁酸升高,但胆固醇7α-羟化酶活性已知会增加。本研究的目的是探讨胆汁酸合成与胆汁疏水性之间的关系,以解决这一矛盾现象。将雄性Wister大鼠(250 - 350 g)分为两组,胆管结扎组和假手术组。在术后第1、2、4、7和14天处死大鼠。分析胆固醇7α-羟化酶活性、胆汁胆汁酸组成和胆汁疏水性。还测定了肝脏和血清总胆汁酸浓度以及血清7α-羟基胆固醇水平。胆管结扎在第1天导致肝脏和血清胆汁酸浓度显著升高,在胆管结扎后持续14天。肝脏胆固醇7α-羟化酶活性在第2天增加到术前值的3.2倍,直到第7天一直保持显著高水平,然后在第14天降至基础值。血清7α-羟基胆固醇水平的变化趋势与肝脏胆固醇7α-羟化酶活性基本相似,两者具有显著的(P < 0.01)正相关。直到第7天,β-鼠胆酸在胆汁中占主导地位(第4天对照组为71%,而此时为10%;P < 0.05),同时胆酸比例下降。胆汁胆汁酸的疏水性降低,肝脏胆固醇7α-羟化酶活性与胆汁胆汁酸的疏水性显著相关(n = 55,r = 0.54,P < 0.01)。胆固醇7α-羟化酶活性与血清、肝脏或胆汁中的总胆汁酸浓度之间无显著相关性。胆固醇7α-羟化酶活性增加伴随着胆汁疏水性降低,这可能是大鼠梗阻性黄疸期间尽管血清和肝脏中胆汁酸积累,但胆汁酸合成却出现矛盾性增加的一个原因。