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Updated: Jun 21, 2026

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Published on: February 10, 2015
Altered integrity and decreased expression of hepatocyte tight junctions in rifampicin-induced cholestasis in mice
Xi Chen1, Cheng Zhang, Hua Wang
1Department of Gastroenterology, First Affiliated Hospital, Anhui Medical University, Hefei 230022, China.
Abstract:
Rifampicin is a well-known hepatotoxicant, but little is known about the mechanism of rifampicin-induced hepatotoxicity. The aim of this study was to characterize the expression and localization of hepatocyte tight junctions in rifampicin-induced cholestasis in mice. Cholestasis was induced by administration of rifampicin (200 mg/kg) for 7 consecutive days or treatment with a single dose of rifampicin (200 mg/kg) by gastric intubation. The expression of mRNA for hepatic zonula occludens (ZO)-1, ZO-2, ZO-3, occludin and claudin-1 was determined using RT-PCR. Localization of ZO-1 and occludin was detected using immunofluorescence. Results showed that there was an 82-fold increase in the conjugated bilirubin in serum in rifampicin-treated mice. In addition, an 8-fold increase in total bile acid in serum was observed after a seven-day administration of rifampicin. The integrity of hepatocyte ZO-1 and occludin was altered by a seven-day administration of rifampicin. Importantly, the integrity and intensity of hepatocyte tight junctions were altered as early as 30 min after a single dose of rifampicin. The expression of hepatic ZO-1 and ZO-2 mRNA was significantly decreased, beginning as early as 30 min and remaining a lower level 12 h after a single dose of rifampicin. Taken together, these results suggest that the altered integrity and internalization of hepatocyte tight junctions are associated with rifampicin-induced cholestasis.
Insights
Rifampicin disrupts hepatocyte tight junctions, leading to cholestasis. This study reveals early alterations in junctional proteins, contributing to liver injury from this antibiotic.
Area of Science:
- Hepatology
- Molecular Biology
- Toxicology
Background:
- Rifampicin is a known hepatotoxicant, but its precise mechanism of liver injury remains unclear.
- Hepatocyte tight junctions play a crucial role in maintaining liver function and bile flow.
Purpose of the Study:
- To investigate the role of hepatocyte tight junctions in rifampicin-induced cholestasis.
- To characterize the expression and localization of key tight junction proteins (ZO-1, ZO-2, ZO-3, occludin, claudin-1) in response to rifampicin.
Main Methods:
- Cholestasis was induced in mice via daily rifampicin administration or a single dose.
- Messenger RNA (mRNA) expression of tight junction proteins was analyzed using RT-PCR.
- Immunofluorescence was employed to assess the localization of ZO-1 and occludin.
Main Results:
- Rifampicin treatment significantly increased serum conjugated bilirubin and total bile acids.
- The integrity and intensity of hepatocyte tight junctions were compromised by rifampicin.
- Alterations in tight junction integrity were observed as early as 30 minutes after a single rifampicin dose.
- Expression of ZO-1 and ZO-2 mRNA decreased significantly following rifampicin exposure.
Conclusions:
- Altered integrity and internalization of hepatocyte tight junctions are strongly associated with rifampicin-induced cholestasis.
- These findings elucidate a key mechanism underlying rifampicin's hepatotoxicity.
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