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Published on: June 12, 2019
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.
Abstract:
Benzylpenicillin (PCG; 180 micromol/kg), a classic beta-lactam antibiotic, was intravenously given to Sprague-Dawley (SD) rats and multidrug resistance-associated protein 2 (Mrp2)-deficient Eisai hyperbilirubinemic rats (EHBR). A percentage of the [(3)H]PCG was excreted into the bile of the rats within 60 min (SD rats: 31.7% and EHBR: 4.3%). Remarkably, a transient increase in the bile flow ( approximately 2-fold) and a slight increase in the total biliary bilirubin excretion were observed in SD rats but not in the EHBR after PCG administration. This suggests that the biliary excretion of PCG and its choleretic effect are Mrp2-dependent. Positive correlations were observed between the biliary excretion rate of PCG and bile flow (r(2) = 0.768) and more remarkably between the biliary excretion rate of GSH and bile flow (r(2) = 0.968). No ATP-dependent uptake of [(3)H]PCG was observed in Mrp2-expressing Sf9 membrane vesicles, whereas other forms of Mrp2-substrate transport were stimulated in the presence of PCG. GSH efflux mediated by human MRP2 expressed in Madin-Darby canine kidney II cells was enhanced in the presence of PCG in a concentration-dependent manner. In conclusion, the choleretic effect of PCG is caused by the stimulation of biliary GSH efflux as well as the concentrative biliary excretion of PCG itself, both of which were Mrp2 dependent.
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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