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1 Institut National de la Santé et de la Recherche Médicale, 2 Service d'Hépatologie, Hôpital Saint-Antoine, and 4 Service de Chirurgie Générale et Digestive, Hôpital Saint-Antoine, 75012 Paris; and 3 Service de Biochimie, Hôpital Tenon, 75020 Paris, France
Fluid and ion secretion in
the gallbladder is mainly triggered by the intracellular second
messenger cAMP. We examined the action of bile salts on the
cAMP-dependent pathway in the gallbladder epithelium. Primary cultures
of human gallbladder epithelial cells were exposed to agonists of the
cAMP pathway and/or to bile salts. Taurochenodeoxycholate and
tauroursodeoxycholate increased forskolin-induced cAMP accumulation to
a similar extent, without affecting cAMP basal levels. This
potentiating effect was abrogated after PKC inhibition, whereas both
taurochenodeoxycholate and tauroursodeoxycholate induced PKC-
and
-
translocation to cell membranes. Consistent with a PKC-mediated
stimulation of cAMP production, the expression of six adenylyl cyclase
isoforms, including PKC-regulated isoforms 5 and 7, was identified in
human gallbladder epithelial cells. cAMP-dependent chloride secretion
induced by isoproterenol, a
-adrenergic agonist, was significantly
increased by taurochenodeoxycholate and by tauroursodeoxycholate. In
conclusion, endogenous and therapeutic bile salts via PKC regulation of
adenylyl cyclase activity potentiate cAMP production in the human
gallbladder epithelium. Through this action, bile salts may increase
fluid secretion in the gallbladder after feeding.
-adrenergic agonist; chenodeoxycholic acid; chloride channels; ursodeoxycholic acid
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