H. Takikawa et al., CHANGES IN BILIARY EXCRETORY MECHANISMS IN RATS WITH ETHINYLESTRADIOL-INDUCED CHOLESTASIS, Journal of gastroenterology and hepatology, 13(2), 1998, pp. 186-191
Several excretory pathways for cholephilic compounds have been known.
To examine the changes in excretory pathways in cholestasis induced by
ethinyloestradiol, various bile acids, organic anions and organic cat
ions were intravenously administered to ethinyloestradiol-treated rats
and their biliary excretion was studied. Biliary excretion of tauroch
olate was slightly delayed, but its excretory maximum was markedly dec
reased. Biliary excretion of lithocholate-3-O-glucuronide, leukotriene
C-4, sulphobromophthalein and pravastatin was markedly impaired to a
similar extent. Biliary excretion of vinblastine, a P-glycoprotein sub
strate, was increased, suggesting increased expression of P-glycoprote
in. In contrast, biliary excretion of erythromycin, a cationic antibio
tic, was markedly impaired. In conclusion, ethinyloestradiol treatment
altered the biliary excretion of organic compounds, which may partly
be related to changes of the canalicular transporters.