There is evidence to suggest that peripheral-type benzodiazepine recep
tors (PER) are involved in porphyrin transport during erythroid differ
entiation, and it is possible that these receptors have an important r
ole in heme biosynthesis, We examined the biochemical and ultrastructu
ral alterations in rat liver following experimentally induced acute he
patic porphyria, as well as the effects of the administration of a sel
ective PER Ligand, PK 11195. The most severe pathological conditions w
ere found in rats that received a combined treatment of the porphyrino
genic agent 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) and PK 111
95, Transmission electron microscopy showed a correlation between the
ultrastructural pathology of the liver, the total porphyrin levels in
urine and Liver, and the porphobilinogen levels in urine, Hepatocytes
in this acute porphyria showed the development of large secondary lyso
somes containing crystalline aggregates of protoporphyrin. Bile canali
culi were grossly enlarged, contained aggregates of protoporphyrin cry
stals, and showed the presence of bile thrombi, In addition, prominent
bundles of collagen fibers (fibrosis) were commonly found in livers o
f rats that had been treated with DDC or DDC and PK 11195, We conclude
that the administration of PK 11195 to porphyric rats aggravates porp
hyrin accumulation and cellular damage in the Liver, Perhaps this evid
ence suggests that PK 11195 blocks the binding of protoporphyrin IX to
PER, thus elevating the content of protoporphyrin IX in Liver.