Elsevier

Journal of Hepatology

Volume 32, Issue 4, April 2000, Pages 603-611
Journal of Hepatology

Dexamethasone coupled to albumin is selectively taken up by rat nonparenchymal liver cells and attenuates LPS-induced activation of hepatic cells

https://doi.org/10.1016/S0168-8278(00)80222-6Get rights and content

Abstract

Background/Aims: The human serum albumin (HSA) conjugate Dexa10-HSA was designed to specifically deliver the anti-inflammatory drug dexamethasone (Dexa) to nonparenchymal cells (NPC) in the rat liver. NPC play an important role in the pathogenesis of acute and chronic inflammatory liver diseases like fibrosis. Targeting Dexa to these cells might reduce its adverse effects and increase the efficacy.

Methods: Tissue and intrahepatic distributions of Dexa10-HSA were assessed in normal and fibrotic rats with 125I-labelled conjugate and by immunohistochemistry. The effect of the conjugate on lipopolysaccharide (LPS)-induced inflammation and cell activation was studied in vitro with precision-cut liver slices and in vivo.

Results: Ten minutes after i.v. injection 72±13% and 65±12% of a tracer dose of Dexa10-HSA had been taken up in normal and fibrotic livers, respectively. Unconjugated Dexa also accumulated in livers, but cellular distribution studies revealed an accumulation in parenchymal cells (NPC vs. parenchymal cell (PC) ratio=0.29±11, p<0.005) whereas Dexa10-HSA accumulated in nonparenchymal cells (NPC/PC ratio=7.9±3.1). Both coupled and uncoupled Dexa showed effective inhibition of LPS-induced NOx and TNFα production in precision-cut liver slices. At low concentrations (0.02 μM), however, Dexa10-HSA was more efficient at inhibiting TNFα production than uncoupled Dexa. In fibrotic rats Dexa10-HSA (3 mg/kg) and an equimolar amount of uncoupled Dexa (0.22 mg/kg) both significantly promoted survival after LPS-induced acute inflammation.

Conclusion: Dexa10-HSA was at least as effective as uncoupled Dexa at inhibiting LPS-induced effects, which indicates that HSA-bound Dexa is pharmacologically active. Coupling Dexa to HSA shifted the accumulation of Dexa from the PC to the NPC of livers. Since mediator release from NPC is crucial in the initiation and propagation of the fibrotic process, selective delivery of Dexa in NPC may improve the efficacy and safety of corticosteroid treatment of liver fibrosis.

Section snippets

Materials

The following compounds were obtained from the sources indicated: human serum albumin from the Central Blood Laboratory (Amsterdam, The Netherlands); dexamethasone and dexamethasone disodium phosphate from Bufa (Hilversum, The Netherlands); 3H-dexamethasone from Amersham International (Buckinghamshire, UK); LPS from Escherichia coli (serotype 026:B6) from Sigma Chemical Co. (St. Louis, MO, USA); Williams' medium E (WME) supplemented with Glutamax I and gentamicin from Gibco BRL (Paisley, UK);

Characterisation of Dexa10-HSA

Coupling of dexamethasone hemisuccinate to HSA resulted in a PBS-soluble conjugate with an average of 10 Dexa molecules covalently linked per HSA molecule as detected by HPLC analysis. Noncovalently attached Dexa was not detectable in the product. FPLC analysis showed a significant increase in negative charge as compared to HSA and an increase in molecular mass (Table 1). With hydrolysis under alkaline conditions, all Dexa was released within 1 h. HPLC analysis also showed that Dexa was only

Discussion

The present study has shown that cell-selective hepatic delivery of Dexa can be achieved by covalent linking of Dexa to HSA. The coupling of Dexa to lysine groups in HSA prevents subsequent protonation of the lysine amino group, leading to an increase in net negative charge (Table 1). In addition, the linking of Dexa molecules also increased the hydrophobicity of HSA. The endothelial and Kupffer cells contain scavenger receptors recognising macromolecules with negative charge 33., 34., 35., 36.

Acknowledgements

The following are gratefully acknowledged for their assistance: A. van Zanten for performing the radionation of Dexa10-HSA, A. van Loenen-Weemaes for all surgery on the rats, P. A. Klok for handling the rabbits to produce the anti-Dexa antibody, J. Visser for assistance with the HPLC technique, M.T. Merema and M.H. de Jager for making liver slices and Dr. A.P. Bruins for the mass spectral analysis.

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