To clarify the intrahepatical transport mechanism of cefpiramide, we i
nvestigated effects of various agents mainly excreted into the bile by
several different mechanisms on the biliary excretion of cefpiramide
in rats. Sulfobromophthalein, indocyanine green, bilirubin and probene
cid, known to be bound to glutathione S-transferases (GST) (EC 2.5.1.1
8) in liver cytosol, reduced the biliary excretion of cefpiramide, whi
le neither secretory IgA, which is transported via vesicles in the liv
er, nor colchicine, which inhibits movements of vesicles, had any effe
ct on the excretion of cefpiramide. Propranolol and metoprolol, metabo
lized by mixed function oxidases, had no effect on the biliary excreti
on of cefpiramide. In the chromatography of liver cytosol, the amount
of sulfobromophthalein or benzylpenicillin bound to the GST fraction d
ecreased in the presence of cefpiramide or probenecid. The study showe
d that cefpiramide was transported in the liver without relation to mi
xed function oxidases or vesichle-mediated transporting system, but in
relation to GST which binds cefpiramide, sulfobromophthalein, benzylp
enicillin and probenecid, indicating an important role of GST in the c
efpiramide excretion into the bile.