Related Experiment Video
Updated: Apr 12, 2026

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Hepatocellular Shuttling and Recirculation of Sorafenib-Glucuronide Is Dependent on Abcc2, Abcc3, and Oatp1a/1b
Aksana Vasilyeva1, Selvi Durmus2, Lie Li1
1Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Abstract:
Recently, an efficient liver detoxification process dubbed "hepatocyte hopping" was proposed on the basis of findings with the endogenous compound, bilirubin glucuronide. According to this model, hepatocytic bilirubin glucuronide can follow a liver-to-blood shuttling loop via Abcc3 transporter-mediated efflux and subsequent Oatp1a/1b-mediated liver uptake. We hypothesized that glucuronide conjugates of xenobiotics, such as the anticancer drug sorafenib, can also undergo hepatocyte hopping. Using transporter-deficient mouse models, we show here that sorafenib-glucuronide can be extruded from hepatocytes into the bile by Abcc2 or back into the systemic circulation by Abcc3, and that it can be taken up efficiently again into neighboring hepatocytes by Oatp1a/1b. We further demonstrate that sorafenib-glucuronide excreted into the gut lumen can be cleaved by microbial enzymes to sorafenib, which is then reabsorbed, supporting its persistence in the systemic circulation. Our results suggest broad relevance of a hepatocyte shuttling process known as "hepatocyte hopping"-a novel concept in clinical pharmacology-for detoxification of targeted cancer drugs that undergo hepatic glucuronidation, such as sorafenib.
Insights
Hepatocyte hopping, a liver detoxification process, allows cancer drug sorafenib glucuronide to shuttle between liver cells and circulation. This process, involving transporters and gut bacteria, impacts drug persistence and detoxification.
Area of Science:
- Pharmacology
- Hepatology
- Drug Metabolism
Background:
- The "hepatocyte hopping" process describes liver detoxification via shuttling of endogenous compounds like bilirubin glucuronide.
- This involves transporter-mediated efflux from hepatocytes and subsequent re-uptake into liver cells.
Purpose of the Study:
- To investigate if xenobiotic glucuronides, specifically of the anticancer drug sorafenib, also undergo hepatocyte hopping.
- To elucidate the role of transporters and gut microbiota in the disposition of sorafenib glucuronide.
Main Methods:
- Utilized transporter-deficient mouse models to study sorafenib-glucuronide transport.
- Analyzed the efflux and re-uptake mechanisms of sorafenib-glucuronide in hepatocytes.
- Investigated the role of microbial enzymes in the gut lumen on sorafenib-glucuronide.
Main Results:
- Sorafenib-glucuronide is extruded from hepatocytes via Abcc2 (to bile) or Abcc3 (to circulation).
- Oatp1a/1b transporters facilitate efficient re-uptake of sorafenib-glucuronide into neighboring hepatocytes.
- Gut microbial enzymes cleave excreted sorafenib-glucuronide to sorafenib, which is reabsorbed, prolonging systemic exposure.
Conclusions:
- The hepatocyte hopping mechanism is relevant for the detoxification of anticancer drugs like sorafenib that undergo hepatic glucuronidation.
- This shuttling process, involving transporters and gut microbiota, contributes to the persistence of sorafenib in systemic circulation.
- Hepatocyte hopping represents a novel concept in clinical pharmacology with implications for targeted cancer drug therapy.
Related Concept Videos
Hepatic Drug Clearance: Role of Transporters
Hepatic Drug Excretion: Enterohepatic Cycling
Post-release drugs and metabolites can be reabsorbed into the body from the intestine. For conjugated metabolites like glucuronides, reabsorption requires enzymatic hydrolysis by intestinal microflora. This...
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Drug Elimination by Renal Route: Tubular Secretion
Carrier-Mediated Transport
Active transport involves two types of membrane-spanning transporters: uptake and efflux. Uptake transporters are expressed in the small...
Drug Elimination: Non-Renal Routes

