PMID- 21707612 OWN - NLM STAT- MEDLINE DCOM- 20120419 LR - 20131121 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 42 IP - 2 DP - 2012 Feb TI - Comparison of different bile acid-phospholipid conjugates in acute hepatitis. PG - 130-8 LID - 10.1111/j.1365-2362.2011.02563.x [doi] AB - INTRODUCTION: The bile acid-phospholipid conjugate ursodeoxycholyl lysophosphatidylethanolamide (UDCA-LPE) is a promising novel compound with profound hepatoprotective functions in vitro and in vivo. Because of high costs of LPE synthesis from hydrolysis of phosphatidylethanolamide (PE), costs for UDCA-LPE synthesis for in vivo and human use can become quite high. In this study, we evaluated whether ursodeoxycholyl phosphatidylethanolamide (udca-pe), which is more cost-effective, could replace udca-lpe in terms of protection from hepatocellular injury. MATERIALS AND METHODS: Anti-apoptotic and anti-inflammatory properties of UDCA-PE and UDCA-LPE were compared in TNFalpha/cyclohexamide (CHX)-treated HepG2 cells as well as in a mouse model of d-galactosamine/lipopolysaccharide (Gal/LPS)-induced acute liver injury. RESULTS: Ursodeoxycholyl lysophosphatidylethanolamide inhibited TNFalpha/CHX-induced apoptosis in HepG2 cells in a dose-dependent manner and markedly ameliorated Gal/LPS-mediated fulminant hepatitis in mice. In contrast, UDCA-PE showed weaker hepatoprotective functions at low concentrations, and protection was lost at higher dosage. Analysis of hepatic gene expression showed that both conjugates significantly reduced Gal/LPS-mediated expression of chemoattractants, such as monocyte chemotactic protein 1 (MCP1) and RANTES. These inhibitory effects by UDCA-PE were transient while those by UDCA-LPE were sustained in attenuating expression of inflammatory MCP1 and RANTES expression. CONCLUSIONS: Our data underline the superiority of UDCA-LPE compared to UDCA-PE in ameliorating acute liver inflammation. This indicates the significance of the lyso-functional group of bile acid conjugate for optimal hepatoprotection and reduction in inflammation in vivo. CI - (c) 2011 The Authors. European Journal of Clinical Investigation (c) 2011 Stichting European Society for Clinical Investigation Journal Foundation. FAU - Pathil, Anita AU - Pathil A AD - Department of Internal Medicine IV, Gastroenterology and Hepatology, University of Heidelberg, Heidelberg, Germany. FAU - Warth, Arne AU - Warth A FAU - Chamulitrat, Walee AU - Chamulitrat W FAU - Stremmel, Wolfgang AU - Stremmel W LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110627 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 RN - 0 (Cholagogues and Choleretics) RN - 0 (Lysophospholipids) RN - 724L30Y2QR (Ursodeoxycholic Acid) SB - IM MH - Animals MH - Bile/drug effects MH - Cell Line, Tumor MH - Cholagogues and Choleretics/*pharmacology MH - Flow Cytometry MH - Gene Expression/drug effects MH - Hepatitis/*drug therapy MH - Humans MH - Liver/drug effects MH - Lysophospholipids/*pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Microarray Analysis MH - Models, Animal MH - Real-Time Polymerase Chain Reaction MH - Ursodeoxycholic Acid/*pharmacology EDAT- 2011/06/29 06:00 MHDA- 2012/04/20 06:00 CRDT- 2011/06/29 06:00 PHST- 2011/06/29 06:00 [entrez] PHST- 2011/06/29 06:00 [pubmed] PHST- 2012/04/20 06:00 [medline] AID - 10.1111/j.1365-2362.2011.02563.x [doi] PST - ppublish SO - Eur J Clin Invest. 2012 Feb;42(2):130-8. doi: 10.1111/j.1365-2362.2011.02563.x. Epub 2011 Jun 27.