Background & Aims: Hepatobiliary complications occur in inflammatory b
owel disease and may be caused by the translocation of intestinal toxi
ns from portal blood into bile through leaky hepatocyte tight junction
s. The role of tight junctions in the pathogenesis of hepatobiliary co
mplications in experimental inflammatory bowel disease was investigate
d. Methods: Colitis was induced in rats by intracolonic instillation o
f trinitrobenzene sulfonic acid, The function of hepatocellular tight
junctions was evaluated in perfused livers by measuring early (paracel
lular) horseradish peroxidase excretion into the bile and by electron
microscopy and semiquantitative analysis of lanthanum penetration thro
ugh the tight junction and into bile canaliculi. Immunofluorescent loc
alization of cingulin and ZO-1 was used to study the structure of hepa
tocyte junctions, Results: Colitis was associated with increased serum
bilirubin and bile acid concentrations, a 2.5-fold increase in parace
llular biliary excretion of horseradish peroxidase, and a ninefold inc
rease in lanthanum permeability, Liver histology and cingulin and ZO-1
localizations were similar to normal liver, Conclusions: Experimental
colitis is associated with hepatobiliary complications and an increas
ed hepatocyte tight junctional permeability to horseradish peroxidase
and lanthanum. Subtle alterations in tight junction function may be in
volved ire the pathogenesis of hepatobiliary injuries in inflammatory
bower disease.