Verkade H J, Kuipers F, Domingo N, Havinga R, Léonardi J, Vonk R J, Lafont H
Department of Pediatrics, University of Groningen, The Netherlands.
Hepatology. 1997 Jan;25(1):38-47. doi: 10.1002/hep.510250108.
Anionic polypeptide fraction (APF) is a phospholipid- and calcium-binding apoprotein present in animal and human bile, predominantly associated with cholesterol-phospholipid vesicles. In bile, the protein may play a physiological role in preventing precipitation of calcium salts. APF has also been suggested to be of regulatory importance in the process of biliary lipid secretion. The aim of the present study was to investigate whether the secretion rates of APF and that of biliary lipids are coupled, which would support a physiological role of APF in biliary lipid secretion. Biliary secretion rates of bile acids, phospholipids, and cholesterol were experimentally modulated in three different rat models. Secretion rates of APF were compared with that of bile acids, lipids, and with that of two other biliary proteins, the lysosomal protein beta-glucuronidase and apolipoprotein A-I (apo A-I). Model 1: diurnal variation in bile formation during chronic bile diversion; model 2: specific inhibition of biliary phospholipid and cholesterol, but not of bile acid secretion by infusion of the organic anion, sulfated lithocholyltaurine; model 3: acute interruption of the enterohepatic circulation in unanesthetized rats. The diurnal variation in bile formation involved a parallel increase of the biliary secretion rates of bile acids (+56 +/- 7%, mean +/- SD), phospholipids (+53 +/- 29%), cholesterol (+73 +/- 54%), and APF (+72 +/- 86%) during the night phase of the cycle. Infusion of sulfated lithocholyltaurine inhibited biliary phospholipid and cholesterol secretion (-78 +/- 15%, and -54 +/- 25%, respectively), but did not affect biliary bile acid or APF secretion rate (-19 +/- 14%, and +12 +/- 107%, respectively). Within 4 hours after interruption of the enterohepatic circulation, bile secretion rates for bile acids (-92 +/- 3%), phospholipids (-74 +/- 13%), cholesterol (-64 +/- 8%), and APF (-58 +/- 24%) rapidly declined to a new steady-state level. Correlation analysis using the data from the three experimental models indicated that the biliary secretion rate of APF was independent from that of phospholipids, cholesterol, beta-glucuronidase, and, presumably, apolipoprotein A-I, and positively correlated to bile acid secretion rate and bile flow. The data from three experimental models indicate that the biliary secretion rates of APF and of phospholipids/cholesterol are not coupled and, therefore, do not support a direct physiological role of APF secretion in biliary lipid secretion. APF secretion into bile may, at least partially, be controlled by biliary bile acid secretion.
阴离子多肽组分(APF)是一种存在于动物和人类胆汁中的磷脂结合和钙结合载脂蛋白,主要与胆固醇-磷脂囊泡相关。在胆汁中,该蛋白质可能在防止钙盐沉淀方面发挥生理作用。APF也被认为在胆汁脂质分泌过程中具有调节重要性。本研究的目的是调查APF的分泌速率与胆汁脂质的分泌速率是否相关联,这将支持APF在胆汁脂质分泌中的生理作用。在三种不同的大鼠模型中,对胆汁酸、磷脂和胆固醇的胆汁分泌速率进行了实验性调节。将APF的分泌速率与胆汁酸、脂质以及另外两种胆汁蛋白(溶酶体蛋白β-葡萄糖醛酸酶和载脂蛋白A-I(apo A-I))的分泌速率进行了比较。模型1:慢性胆汁引流期间胆汁形成的昼夜变化;模型2:通过输注有机阴离子硫酸化石胆酰牛磺酸特异性抑制胆汁磷脂和胆固醇,但不抑制胆汁酸分泌;模型3:未麻醉大鼠肠肝循环的急性中断。胆汁形成的昼夜变化涉及在周期的夜间阶段胆汁酸(+56±7%,平均值±标准差)、磷脂(+53±29%)、胆固醇(+73±54%)和APF(+72±8%)的胆汁分泌速率平行增加。输注硫酸化石胆酰牛磺酸抑制了胆汁磷脂和胆固醇分泌(分别为-78±15%和-54±25%),但不影响胆汁酸或APF的胆汁分泌速率(分别为-19±14%和+12±107%)。在肠肝循环中断后4小时内,胆汁酸(-92±3%)、磷脂(-74±13%)、胆固醇(-64±8%)和APF(-58±24%)的胆汁分泌速率迅速下降至新的稳态水平。使用来自三个实验模型的数据进行的相关分析表明,APF的胆汁分泌速率独立于磷脂、胆固醇、β-葡萄糖醛酸酶,可能还有载脂蛋白A-I,并且与胆汁酸分泌速率和胆汁流量呈正相关。来自三个实验模型的数据表明,APF和磷脂/胆固醇的胆汁分泌速率不相关联,因此不支持APF分泌在胆汁脂质分泌中的直接生理作用。APF分泌到胆汁中可能至少部分受胆汁酸分泌的控制。