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Am J Physiol Gastrointest Liver Physiol 293: G66-G74, 2007. First published March 15, 2007; doi:10.1152/ajpgi.00578.2006
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LIVER AND BILIARY TRACT

Phloracetophenone-induced choleresis in rats is mediated through Mrp2

Lukmanee Tradtrantip,1,2 Pawinee Piyachaturawat,1 Carol J. Soroka,2 Kathy Harry,2 Albert Mennone,2 Chitrawina Mahagita,1,3 Nazzareno Ballatori,3 and James L. Boyer2

1Department of Physiology, Faculty of Science, Mahidol University, Bangkok, Thailand; 2Liver Center, Yale University School of Medicine, New Haven, Connecticut, and 3Department of Environmental Medicine, University of Rochester School of Medicine, Rochester, New York

Submitted 20 December 2006 ; accepted in final form 14 March 2007

Phloracetophenone (2,4,6-trihydroxyacetophenone, THA) is a potent choleretic in the bile fistula rat, although the mechanism is unknown. In the present study, we examined how THA enhances bile secretion. Stepwise infusions of THA (1–4 µmol/min) in the isolated perfused rat liver resulted in an immediate and dose-dependent increase in bile flow (BF), which reached saturation. The increase in BF was not associated with a change in the excretion of bile acids, suggesting that THA stimulated bile acid-independent bile flow. To further define the mechanism, the effect of THA on the excretion of sulfobromophthalein (BSP) and disulfobromophthalein (DBSP), typical multidrug resistance protein-2 (Mrp2) substrates was examined. THA inhibited the biliary excretion of both substrates. Because DBSP is excreted without conjugation to glutathione, in contrast to BSP, the findings suggest that THA might compete with DBSP and BSP metabolites at a common canalicular transport site, presumably Mrp2. THA infusions had no effect on the subcellular localization and distribution of either Mrp2 or the bile salt export pump (Bsep), nor the integrity of the tight junction. In contrast, the choleretic activity of THA was completely absent in the TR rat, an animal model that lacks Mrp2, directly implicating this canalicular export pump as the mechanisms by which THA is excreted in bile. THA also partially reversed the cholestatic effects of estradiol-17beta-D-glucuronide, a process also dependent on Mrp2. In conclusion, the choleretic activity of THA and its possible metabolites is dependent on Mrp2. THA appears to stimulate BF by its osmotic effects and may attenuate the cholestatic effects of hepatotoxins undergoing biotransformation and excretion via similar pathways.

hepatobiliary excretion; multidrug-resistance-associated protein 2; bile secretion; ABC transporters



Address for reprint requests and other correspondence: J. L. Boyer, Dept. of Medicine, Yale Univ. School of Medicine, 333 Cedar St./1080 LMP, PO Box 208019, New Haven, CT 06520-8019 (e-mail: james.boyer{at}yale.edu)







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