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LIVER AND BILIARY TRACT
1Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, and 2Division of Gastroenterology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School and Harvard Digestive Diseases Center, Boston, Massachusetts 02215; 3First Department of Internal Medicine, Hiroshima University School of Medicine, Hiroshima 734-8551, Japan; and 4Marion Bessin Liver Research Center, Albert Einstein College of Medicine, Bronx, New York 10461
Submitted 2 April 2003 ; accepted in final form 7 May 2003
We explored the influence of the hydrophilic-hydrophobic balance of a
series of natural bile acids on cholesterol absorption in the mouse. Male
C57L/J mice were fed standard chow or chow supplemented with 0.5% cholic;
chenodeoxycholic; deoxycholic; dehydrocholic; hyocholic; hyodeoxycholic;
-,
-, or
-muricholic; ursocholic; or ursodeoxycholic acids
for 7 days. Biliary bile salts were measured by reverse-phase HPLC, and
hydrophobicity indices were estimated by Heuman's method. Cholesterol
absorption efficiency was determined by a plasma dual-isotope ratio method. In
mice fed chow, natural proportions of tauro-
-muricholate (42 ±
6%) and taurocholate (50 ± 7%) with a hydrophobicity index of -0.35
± 0.04 produced cholesterol absorption of 37 ± 5%. Because
bacterial and especially hepatic biotransformations of specific bile acids
occurred, hydrophobicity indices of the resultant bile salt pools differed
from fed bile acids. We observed a significant positive correlation between
hydrophobicity indices of the bile salt pool and percent cholesterol
absorption. The principal mechanism whereby hydrophilic bile acids inhibit
cholesterol absorption appears to be diminution of intraluminal micellar
cholesterol solubilization. Gene expression of intestinal sterol efflux
transporters Abcg5 and Abcg8 was upregulated by feeding
cholic acid but not by hydrophilic
-muricholic acid nor by hydrophobic
deoxycholic acid. We conclude that the hydrophobicity of the bile salt pool
predicts the effects of individual fed bile acids on intestinal cholesterol
absorption. Natural
- and
-muricholic acids are the most powerful
inhibitors of cholesterol absorption in mice and might act as potent
cholesterol-lowering agents for prevention of cholesterol deposition diseases
in humans.
ATP-binding cassette transporters; bile flow; bile salt pool size; biliary secretion; mixed micelles
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