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Recovery of hepatocytes from attack by the pore former amphotericin B

A Binet1, J Bolard

  • 1INSERM U274, Université Paris, Sud, Orsay.

Insights

Sublytic Amphotericin B (AmB) causes transient ion shifts in liver cells without affecting calcium levels. A repair mechanism, mediated by Na+/K+-ATPase, restores ion balance and cell viability.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Amphotericin B (AmB) is a known antifungal agent that interacts with cell membranes.
  • Its precise effects on ion transport and cell viability at sublytic concentrations require further elucidation.

Purpose of the Study:

  • To investigate the impact of sublytic Amphotericin B concentrations on ion flux in hepatocytes.
  • To characterize the cellular response and recovery mechanisms following AmB-induced membrane perturbation.

Main Methods:

  • Hepatocytes were treated with varying concentrations of Amphotericin B.
  • Ion concentrations (Na+, K+, Ca2+) were monitored using spectroscopic techniques.
  • AmB binding to cell membranes was assessed via circular dichroism (c.d.) spectroscopy.
  • The role of Na+/K+-ATPase in the recovery process was investigated.

Main Results:

  • Sublytic AmB induced rapid and transient leakage of intracellular potassium (K+) and subsequent sodium (Na+) influx.
  • These ion movements occurred without altering intracellular free calcium (Ca2+) levels.
  • A significant portion of AmB binding (approx. 16%) was responsible for the initial ion flux.
  • Cell viability was maintained, and a repair process restoring cationic concentrations was observed within 3-10 minutes.
  • The recovery was mediated by the Na+/K+-ATPase and associated with higher AmB binding.
  • AmB formed a complex with cholesterol in the hepatocyte plasma membrane.

Conclusions:

  • Sublytic Amphotericin B causes transient ion permeability in hepatocytes.
  • Hepatocytes possess a robust repair mechanism involving Na+/K+-ATPase to restore ion homeostasis and viability.
  • AmB-cholesterol complex formation is implicated in the membrane interactions during the recovery phase.

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