INVESTIGADORES
SANCHEZ POZZI Enrique Juan
artículos
Título:
Dapsone-induced cholestasis and impairment of bile salt output in the rat.
Autor/es:
VEGGI, LUIS M; CROCENZI, FERNANDO A; ROMA, MARCELO G; DAWSON, PAUL A; PELLEGRINO, JOSÉ M; ENRIQUE JUAN SANCHEZ POZZI; MOTTINO, ALDO D
Revista:
BIOCHEMICAL PHARMACOLOGY
Editorial:
PERGAMON-ELSEVIER SCIENCE LTD
Referencias:
Lugar: Amsterdam; Año: 2002 vol. 63 p. 1553 - 1563
ISSN:
0006-2952
Resumen:
To evaluate the effect of dapsone (4,4'-diaminodiphenylsulfone, DDS) on biliary bile salt
secretion, we administered the drug to male and female Wistar rats at a
dose of 30 mg/kg body wt, twice a day, for 4 days. DDS decreased basal bile flow by about 20% in both male and female rats. In addition, basal biliary bile salt secretion was decreased by the drug in animals from both sexes (about 30% decrease). Bile salt
maximum secretory rate, as evaluated by infusing tauroursodeoxycholate
at stepwise-increasing rates, was not affected by DDS in either male or
female rats, suggesting that the density of canalicular bile salt transporters is preserved. The size of the bile salt pool and the rate of de novo synthesis of bile salts, measured in bile salt-depleted
animals, were decreased by about 33 and 35%, respectively; there was no
difference in response between males and females. The ability of the
ileum to reabsorb bile salts, as estimated by analysis of the expression of the ileal apical sodium-dependent bile salt
transporter and of sodium taurocholate transport activity in brush
border membrane vesicles, was not affected by DDS in either males or
females. Overall, our findings suggest that an impairment of de novo synthesis mediated by a direct inhibition of CYP3A metabolism, rather than a decreased intestinal reabsorption of bile salts, accounts for the decrease in bile salt pool size. The dissociation between alteration of bile secretory function and the oxidative stress induced by DDS, which is known to be relevant only in male rats, is discussed.