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Updated: Aug 7, 2026

Measurements of Physiological Stress Responses in C. Elegans
Published on: May 21, 2020
Oxidative stress and Mrp2 internalization
Shuichi Sekine1, Kousei Ito, Toshiharu Horie
1Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Inohana 1-8-1, Chiba, 260-8675, Japan.
Abstract:
Oxidative stress in the liver is sometimes accompanied by cholestasis. We have described the internalization of multidrug resistance-associated protein 2/ATP-binding cassette transporter family 2 (Mrp2/Abcc2), a biliary transporter involved in bile-salt-independent bile flow, under ethacrynic acid (EA)-induced acute oxidative stress in rat liver. However, the signaling pathway and regulatory molecules have not been investigated. In the present study, we investigated the mechanism of EA-induced Mrp2 internalization using isolated rat hepatocyte couplets (IRCHs). The Mrp2 index, defined as the ratio of Mrp2-positive canalicular membrane staining in IRCHs per number of cell nuclei, was significantly reduced by treatment with EA. This reduction was abolished by a nonspecific protein kinase C (PKC) inhibitor Gö6850, a Ca(2+) chelator, EGTA, but not by a protein kinase A (PKA)-selective inhibitor, a Ca(2+)-dependent conventional PKC (cPKC) inhibitor Gö6976, or a protein kinase G (PKG) inhibitor (1 microM). Moreover, an increase in the intracellular Ca(2+) level and NO release into medium were observed shortly after the EA treatment. Both of these increases, as well as Mrp2 internalization, were completely blocked by EGTA. In conclusion, EA produced a reduction in GSH, Ca(2+) elevation, NO production, and nPKC activation in a sequential manner, finally leading to Mrp2 internalization.
Insights
Ethacrynic acid (EA) causes liver oxidative stress, leading to the internalization of the bile transporter multidrug resistance-associated protein 2 (Mrp2). This process involves calcium elevation and nitric oxide release, mediated by non-specific protein kinase C activation.
Area of Science:
- Hepatology
- Cell Biology
- Biochemistry
Background:
- Oxidative stress in the liver can lead to cholestasis.
- The biliary transporter multidrug resistance-associated protein 2 (Mrp2/Abcc2) is crucial for bile flow.
- Previous studies showed Mrp2 internalization during ethacrynic acid (EA)-induced oxidative stress, but the mechanism was unclear.
Purpose of the Study:
- To investigate the signaling pathway and regulatory molecules involved in EA-induced Mrp2 internalization.
- To elucidate the mechanism of Mrp2 internalization in rat liver.
Main Methods:
- Isolated rat hepatocyte couplets (IRCHs) were used to study EA effects.
- The Mrp2 index (canalicular membrane staining) was measured.
- Involvement of protein kinases (PKC, PKA, PKG) and calcium signaling was assessed using specific inhibitors and EGTA.
Main Results:
- EA treatment significantly reduced the Mrp2 index in IRCHs.
- This reduction was prevented by a non-specific PKC inhibitor (Gö6850) and a calcium chelator (EGTA).
- EA increased intracellular calcium levels and nitric oxide (NO) release, which were blocked by EGTA. Mrp2 internalization was also blocked by EGTA.
Conclusions:
- EA induces Mrp2 internalization through a sequential pathway: reduced GSH, increased intracellular calcium, NO production, and non-specific PKC activation.
- Calcium and NO signaling play critical roles in EA-induced Mrp2 internalization.
- This study clarifies the mechanism underlying Mrp2 transporter dysfunction during oxidative stress.
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