title: Mechanism of hepatocellular uptake of albumin-bound bilirubin.
abstract: We previously demonstrated that unconjugated bilirubin spontaneously diffuses through phospholipid bilayers at a rate which exceeds albumin dissociation, suggesting that solvation from albumin represents the rate-limiting step in hepatic bilirubin clearance. To further examine this hypothesis, we studied the uptake of bovine serum albumin (BSA)-bound bilirubin by cultured hepatoblastoma (HepG2) cells. Uptake of bilirubin was saturable, with a K(m) and V(max) of 4.2+/-0.5 microM (+/-S.E.M.) and 469+/-41 pmol min(-1) mg(-1) at 25 degrees C. Substantial bilirubin uptake also was observed at 4 degrees C (K(m)=7.0+/-0.8 microM, V(max)=282+/-26 pmol min(-1) mg(-1)), supporting a diffusional transport mechanism. Consistent with reported solvation rates, the cellular uptake of bilirubin bound to human serum albumin was more rapid than for BSA-bound bilirubin, indicative of dissociation-limited uptake. Counterintuitively, an inverse correlation between pH and the rate of bilirubin flip-flop was observed, due to pH effects on the rate of dissociation of bilirubin from albumin and from the membrane bilayer. The identification of an inflection point at pH 8.1 is indicative of a pK(a) value for bilirubin in this range. Taken together, our data suggest that hepatocellular uptake of bilirubin is dissociation-limited and occurs principally by a mechanism involving spontaneous transmembrane diffusion.
authors.affiliation: Division of Digestive Diseases, University of Cincinnati Medical Center, 231 Bethesda Avenue (ML 0595), Cincinnati, OH 45267-0595, USA.
authors.forename: S D
authors.initials: SD
authors.lastname: Zucker
authors.forename: W
authors.initials: W
authors.lastname: Goessling
mesh_terms: D000818:Animals; D001663:Bilirubin / Q000378:metabolism*; D001692:Biological Transport; D006528:Carcinoma, Hepatocellular / Q000378:metabolism*; D002417:Cattle; D002462:Cell Membrane / Q000378:metabolism; D004910:Erythrocyte Membrane / Q000378:metabolism; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007700:Kinetics; D008051:Lipid Bilayers / Q000378:metabolism; D008113:Liver Neoplasms / Q000378:metabolism*; D012709:Serum Albumin / Q000378:metabolism*; D012710:Serum Albumin, Bovine / Q000493:pharmacokinetics; D000075462:Serum Albumin, Human; D014407:Tumor Cells, Cultured
chemical_list: D008051:Lipid Bilayers; D012709:Serum Albumin; C053498:albumin-bilirubin complex; D012710:Serum Albumin, Bovine; D001663:Bilirubin; D000075462:Serum Albumin, Human