(H2O)-H-2 affects many membrane transport processes by solvent and kin
etic isotope effects. Since bile formation is a process of osmotic fil
tration where such effects could be important, we investigated the eff
ects of (H2O)-H-2 on bile formation in the in situ perfused rat liver.
Dose finding experiments showed that at high concentrations, (H2O)-H-
2 increased vascular resistance and induced cholestasis; at 60% (H2O)-
H-2 however, a clear dissociation between the vascular and biliary eff
ects was observed. Therefore, further experiments were carried out at
this concentration. The main finding was a reduction in bile salt-inde
pendent bile flow from 0.99+/-0.04 to 0.66+/-0.04 mu l . min(-1). g(-1
) (P < 0.001). This was associated with a 40% reduction in biliary bic
arbonate concentration (P < 0.001). Choleretic response to neither tau
rocholate nor ursodeoxycholate was altered by (H2O)-H-2; in particular
, there was a similar stimulation of bicarbonate secretion by ursodeox
ycholate in the presence of 60% (H2O)-H-2. To further elucidate this p
henomenon, the effect of (H2O)-H-2 on three proteins potentially invol
ved in biliary bicarbonate secretion was studied in vitro. (H2O)-H-2 s
lightly inhibited cytosolic carboanhydrase and leukocyte Na+/H+-exchan
ge, these effects reached statistical significance at 100% 2H(2)O only
, however. In contrast, Cl-/HCO3--exchange in canalicular membrane ves
icles was already inhibited by 50% (P < 0.001) at 60% 2H(2)O. Finally,
there was a slight reduction in biliary glutathione secretion while t
hat of the disulphide was not affected. Our results are compatible wit
h an inhibition of canalicular Cl-/HCO3--exchange by (H2O)-H-2. Whethe
r this is due to altered hydration of the exchanger and/or of the tran
sported bicarbonate remains to be determined.