Bilirubin may be cleared from the brain by transport across the blood-
brain barrier and by a 'sink effect' into the cerebrospinal fluid. How
ever, there is also evidence to suggest that bilirubin may be metaboli
zed in the brain by a process of oxidation, The purpose of this study
was to confirm the existence of bilirubin metabolism in the brain and
to examine the possible contribution of such an activity to the biliru
bin staining pattern characteristic of kernicterus. Mitochondrial memb
rane fractions were prepared in 0.32 M sucrose from whole rat brains a
s well as brain regions. The change in optical density of a bilirubin
solution at 440 nm was measured over time following addition of the mi
tochondrial suspension, Our results confirmed the existence of a bilir
ubin-metabolizing activity in brain mitochondrial membranes, This acti
vity could be removed by heating the mitochondrial suspension and had
a definable temperature and pH maxima. The rate of oxidation of biliru
bin ranged from 109 to 164 pmol/min/mg protein, There were significant
differences between rat brain regions in the ability to oxidize bilir
ubin, However, these differences could not explain the kernicterus sta
ining phenomenon, because the highest activities were found in brain r
egions which are more heavily stained in kernicterus, We conclude that
bilirubin is metabolized by brain mitochondrial membranes at a rate t
hat would appear to represent a biologically meaningful contribution t
o bilirubin clearance from the brain, In the present model, difference
s in such an activity between brain regions do not appear to be compat
ible with a kernicteric staining pattern.