Abstract
Adequate bile flow, maintained in part by the efficient enterohepatic recirculation of bile acids, is critical for normal liver function. One important component of this process is the uptake of bile acids from the portal circulation into hepatocytes by the bile acid uptake transporter sodium taurocholate cotransporting polypeptide (NTCP). Thus, the expression and functional activity of this transporter may affect the rate of bile acid removal from the portal circulation. Accordingly, we assessed NTCP mRNA expression from human livers using a sensitive RNase protection assay. In addition, the ability of various bile acids and drugs to inhibit NTCP activity was determined using a recombinant vaccinia expression system. A 40-fold interindividual variability was found inNTCP mRNA levels determined in eight liver samples of disease-free donors. Expressed NTCP exhibited high-affinity, sodium-dependent uptake of taurocholate, and as expected, this was markedly inhibited by bile acids and organic anions. A number of drugs, including peptidomimetic renin inhibitors, propranolol, cyclosporin, and progesterone, were found to be potent inhibitors, whereas antiarrhythmic agents, including bupivicaine, lidocaine, and quinidine, were found to enhance NTCP activity. Accordingly, these results indicate that large interindividual variability exists in NTCP mRNA level and that a number of drugs currently in clinical use have the potential to interact with and alter NTCP activity, thereby affecting hepatic bile acid uptake.
Footnotes
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Send reprint requests to: Dr. Richard B. Kim, Medical Research Building 1-572, Division of Clinical Pharmacology, Vanderbilt University School of Medicine, Nashville, TN 37232-6600. E-mail:richard.kim{at}mcmail.vanderbilt.edu
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↵1 This work was supported by a Pharmaceutical Research and Manufacturers Foundation Faculty Development Award in Clinical Pharmacology (R.B.K.), a Vanderbilt University Research Board Award (R.B.K.), a Merck International Fellowship in Clinical Pharmacology (A.W.), and United States Public Health Service Grants GM54724, GM31304, and GM07569.
- Abbreviation:
- NTCP
- human sodium taurocholate cotransporting polypeptide
- Received April 15, 1999.
- Accepted August 30, 1999.
- The American Society for Pharmacology and Experimental Therapeutics
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