Mrp2 is involved in benzylpenicillin-induced choleresis

Kousei Ito1, Tomokazu Koresawa, Koichi Nakano

  • 1Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 263-8675, Japan.

Insights

Benzylpenicillin

Area of Science:

  • Pharmacology and Toxicology
  • Drug Metabolism and Transport
  • Hepatobiliary Physiology

Background:

  • Benzylpenicillin (PCG) is a widely used beta-lactam antibiotic.
  • The multidrug resistance-associated protein 2 (Mrp2) is a key transporter in biliary excretion.
  • The role of Mrp2 in PCG's biliary excretion and its choleretic effects is not fully understood.

Purpose of the Study:

  • To investigate the role of Mrp2 in the biliary excretion of benzylpenicillin.
  • To determine if Mrp2 mediates the choleretic effect of benzylpenicillin.
  • To elucidate the mechanisms underlying PCG-induced bile flow changes.

Main Methods:

  • Intravenous administration of [(3)H]benzylpenicillin to Sprague-Dawley (SD) rats and Mrp2-deficient Eisai hyperbilirubinemic rats (EHBR).
  • Measurement of biliary excretion of PCG and bile flow.
  • In vitro studies using Sf9 membrane vesicles and Madin-Darby canine kidney II cells expressing human MRP2 to assess PCG and glutathione (GSH) transport.

Main Results:

  • Significantly lower biliary excretion of PCG in EHBR (4.3%) compared to SD rats (31.7%).
  • PCG administration caused a 2-fold increase in bile flow and bilirubin excretion in SD rats, but not in EHBR.
  • PCG enhanced GSH efflux mediated by human MRP2 in a concentration-dependent manner, suggesting Mrp2 involvement.

Conclusions:

  • The biliary excretion of benzylpenicillin and its choleretic effect are dependent on the Mrp2 transporter.
  • PCG stimulates bile flow by enhancing biliary glutathione (GSH) efflux via Mrp2.
  • Concentrative biliary excretion of PCG itself, mediated by Mrp2, also contributes to its pharmacological action.

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