title: Role of MRP2 and GSH in intrahepatic cycling of toxins.
abstract: MRP2 is a canalicular transporter in hepatocytes mediating the transport of a wide spectrum of amphipathic compounds. This includes organic anions but also compounds complexed with GSH as, e.g. alpha-naphthylisothiocyanate (ANIT) and arsenite. These reversible complexes may fall apart in bile after MRP2-mediated transport, which induces high concentrations of the toxic compound in the biliary tree. To further investigate the role of MRP2 in transport and toxicity of both compounds, we conducted experiments in transduced polarized epithelial cells and in vivo, using the Mrp2-deficient TR(-) rat as a model. Our results show, that in MRP2-transduced MDCK II cells both compounds induce disproportionally strong apical GSH secretion. This induction of GSH secretion was not observed in the parent cells lacking MRP2 expression. This indicated that after transport via MRP2 both complexes released GSH upon which the compound could re-enter the cells. The resulting cycling of both toxins led to concentration dependent GSH depletion of the cells. To further test our hypothesis we administered arsenite (12.5 micromol absolute i.v.) to Wistar and Mrp2-deficient TR(-) rats and collected bile. While both arsenite and GSH secretion were absent in TR(-) rats, the total secretion of arsenite into Wistar bile (2.91 micromol) was accompanied by a excess secretion of 24 micromol GSH, indicating that arsenite undergoes multiple cycles of GSH complexation. We also administered ANIT to both animal models and could show that TR(-) rats are protected from ANIT induced cholestasis. This indicates that Mrp2-mediated biliary secretion of GS-ANIT is a prerequisite for development of cholestasis in rats. We hypothesize that the toxic parent compound ANIT is regenerated in the biliary tree where it can exert its toxic properties on bile duct epithelial cells.
authors.affiliation: Laboratory of Experimental Hepatology, Academic Medical Center, F0-116, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. christoph.dietrich@post.rwth-aachen.de
authors.forename: C G
authors.initials: CG
authors.lastname: Dietrich
authors.forename: R
authors.initials: R
authors.lastname: Ottenhoff
authors.forename: D R
authors.initials: DR
authors.lastname: de Waart
authors.forename: R P
authors.initials: RP
authors.lastname: Oude Elferink
mesh_terms: D015058:1-Naphthylisothiocyanate / Q000378:metabolism / Q000493:pharmacokinetics* / Q000633:toxicity; D018435:ATP Binding Cassette Transporter, Subfamily B / Q000235:genetics / Q000378:metabolism*; D018528:ATP-Binding Cassette Transporters; D000818:Animals; D018053:Arsenites / Q000378:metabolism / Q000493:pharmacokinetics* / Q000633:toxicity; D001646:Bile / Q000378:metabolism; D002352:Carrier Proteins / Q000378:metabolism*; D002460:Cell Line; D002478:Cells, Cultured; D004285:Dogs; D005978:Glutathione / Q000378:metabolism*; D008099:Liver / Q000187:drug effects / Q000378:metabolism*; D008297:Male; D026901:Membrane Transport Proteins; D000089762:Multidrug Resistance-Associated Protein 2; D027425:ATP-Binding Cassette, Sub-Family C Proteins; D051381:Rats; D017208:Rats, Wistar; D014161:Transduction, Genetic
chemical_list: D015058:1-Naphthylisothiocyanate; D018435:ATP Binding Cassette Transporter, Subfamily B; D018528:ATP-Binding Cassette Transporters; D018053:Arsenites; D002352:Carrier Proteins; D005978:Glutathione; D026901:Membrane Transport Proteins; D000089762:Multidrug Resistance-Associated Protein 2; D027425:ATP-Binding Cassette, Sub-Family C Proteins; C423013:Abcc2 protein, rat; C015001:arsenite; C421109:multidrug resistance-associated protein 1