Feedback regulation of bile acid synthesis in primary human hepatocytes: evidence that CDCA is the strongest inhibitor

Hepatology. 2003 Oct;38(4):930-8. doi: 10.1053/jhep.2003.50394.

Abstract

Primary human hepatocytes were used to elucidate the effect of individual bile acids on bile acid formation in human liver. Hepatocytes were treated with free as well as glycine-conjugated bile acids. Bile acid formation and messenger RNA (mRNA) levels of key enzymes and the nuclear receptor short heterodimer partner (SHP) were measured after 24 hours. Glycochenodeoxycholic acid (GCDCA; 100 micromol/L) significantly decreased formation of cholic acid (CA) to 44% +/- 4% of controls and glycodeoxycholic acid (GDCA) decreased formation of CA to 67% +/- 11% of controls. Glycoursodeoxycholic acid (GUDCA; 100 micromol/L) had no effect. GDCA or glycocholic acid (GCA) had no significant effect on chenodeoxycholic acid (CDCA) synthesis. Free bile acids had a similar effect as glycine-conjugated bile acids. Addition of GCDCA, GDCA, and GCA (100 micromol/L) markedly decreased cholesterol 7alpha-hydroxylase (CYP7A1) mRNA levels to 2% +/- 1%, 2% +/- 1%, and 29% +/- 11% of controls, respectively, whereas GUDCA had no effect. Addition of GDCA and GCDCA (100 micromol/L) significantly decreased sterol 12alpha-hydroxylase (CYP8B1) mRNA levels to 48% +/- 5% and 61% +/- 4% of controls, respectively, whereas GCA and GUDCA had no effect. Addition of GCDCA and GDCA (100 micromol/L) significantly decreased sterol 27-hydroxylase (CYP27A1) mRNA levels to 59% +/- 3% and 60% +/- 7% of controls, respectively, whereas GUDCA and GCA had no significant effect. Addition of both GCDCA and GDCA markedly increased the mRNA levels of SHP to 298% +/- 43% and 273% +/- 30% of controls, respectively. In conclusion, glycine-conjugated and free bile acids suppress bile acid synthesis and mRNA levels of CYP7A1 in the order CDCA > DCA > CA > UDCA. mRNA levels of CYP8B1 and CYP27A1 are suppressed to a much lower degree than CYP7A1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bile Acids and Salts / biosynthesis*
  • Bile Acids and Salts / pharmacology*
  • Chenodeoxycholic Acid / pharmacology*
  • Cholestanetriol 26-Monooxygenase
  • Cholesterol 7-alpha-Hydroxylase / genetics
  • Feedback
  • Female
  • Glycocholic Acid / pharmacology
  • Glycodeoxycholic Acid / pharmacology
  • Hepatocytes / drug effects
  • Hepatocytes / metabolism*
  • Humans
  • Male
  • Middle Aged
  • RNA, Messenger / analysis
  • Receptors, Cytoplasmic and Nuclear / genetics
  • Steroid 12-alpha-Hydroxylase / genetics
  • Steroid Hydroxylases / genetics
  • Ursodeoxycholic Acid / analogs & derivatives*
  • Ursodeoxycholic Acid / pharmacology

Substances

  • Bile Acids and Salts
  • RNA, Messenger
  • Receptors, Cytoplasmic and Nuclear
  • nuclear receptor subfamily 0, group B, member 2
  • Chenodeoxycholic Acid
  • Glycodeoxycholic Acid
  • glycoursodeoxycholic acid
  • Ursodeoxycholic Acid
  • Steroid Hydroxylases
  • Cholesterol 7-alpha-Hydroxylase
  • CYP27A1 protein, human
  • Cholestanetriol 26-Monooxygenase
  • Steroid 12-alpha-Hydroxylase
  • Glycocholic Acid