The major aim of the current investigation was to define whether essen
tial fatty acid (EFA) deficiency modifies the intrahepatic metabolism
and biliary output of sterols in rats. EFA-deficient diet caused an im
poverishment in Linoleic, arachidonic, and docosahexaenoic acids, and
a marked enrichment in the eicosatrienoic acid of the plasma, Liver, a
nd hepatic microsomes. During a short term of biliary drainage, a sign
ificant decline of the pool size of biliary sterols was noted in EFA-d
eficient rats compared with control rats. To assess the biosynthesis o
f biliary components, the common bile duct was cannulated and the pool
size depleted (24 hours). Subsequently, a 6-hour bile collection disc
losed a significant decrease (nmoles/min/g liver) in bile acids (4.8 /- 0.3 vs. 8.4 +/- 0.7, P < .005), cholesterol (0.26 +/- 0.01 vs. 0.34
+/- 0.02, P < .05), and phospholipids (1.49 +/- 0.11 vs. 2.82 +/- 0.3
2, P < .005) in EFA-deficient rats compared with controls (n = 6/group
). When cholesterogenesis was measured by the incorporation of [C-14]a
cetate and (H2O)-H-3 into cholesterol, using liver slices, it was also
found to be significantly (P < .001) reduced in EFA deficient rats, T
he activity of hepatic 3-hydroxy-3-methylglutaryl coenzyme A reductase
, the rate-limiting enzyme in cholesterol biosynthesis, was consistent
ly lower (80%, P < .001) in EFA-deficient rats. In parallel experiment
s, the direct measurement of microsomal acyl-CoA:cholesterol acyltrans
ferase (ACAT) showed a decrease averaging 52% (P < .001). This is in s
triking contrast to the elevated activity (157%, P < .005) of choleste
rol 7 alpha-hydroxylase, the rate-limiting enzyme in bile acid biosynt
hesis. Current experiments also suggest that the enzyme regulation inv
olving phosphorylation and dephosphorylation is modified by EFA defici
ency. Among the structural alterations observed in the morphology of h
epatocytes in EFA-deficient rats, the lumen of bile canaliculi was red
uced in size. These results underline the importance of EFA in the maj
or mechanisms involved in the maintenance of hepatocyte sterol balance
.