PMID- 36787806 OWN - NLM STAT- MEDLINE DCOM- 20230605 LR - 20230612 IS - 1099-1263 (Electronic) IS - 0260-437X (Linking) VI - 43 IP - 7 DP - 2023 Jul TI - The choleretic role of tauroursodeoxycholic acid exacerbates alpha-naphthylisothiocyanate induced cholestatic liver injury through the FXR/BSEP pathway. PG - 1095-1103 LID - 10.1002/jat.4446 [doi] AB - The aim of this study was to determine the effect of tauroursodeoxycholic acid (TUDCA) on the alpha-naphthylisothiocyanate (ANIT)-induced model of cholestasis in mice. Wild-type and farnesoid X receptor (FXR)-deficient (Fxr(-/-) ) mice were used to generate cholestasis models by gavage with ANIT. Obeticholic acid (OCA) was used as a positive control. In wild-type mice, treatment with TUDCA for 7 days resulted in a dramatic increase in serum levels of alanine aminotransferase (ALT), with aggravation of bile infarcts and hepatocyte necrosis with ANIT-induction. TUDCA activated FXR to upregulate the expression of bile salt export pump (BSEP), increasing bile acids (BAs)-dependent bile flow, but aggravating cholestatic liver injury when bile ducts were obstructed resulting from ANIT. In contrast, TUDCA improved the liver pathology and decreased serum ALT and alkaline phosphatase (ALP) levels in ANIT-induced Fxr(-/-) mice. Furthermore, TUDCA inhibited the expression of cleaved caspase-3 and reduced the area of terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) staining in the model mice. TUDCA also upregulated anion exchanger 2 (AE2) protein expression, protecting cholangiocytes against excessive toxic BAs. Our results showed that TUDCA aggravated cholestatic liver injury via the FXR/BSEP pathway when bile ducts were obstructed, although TUDCA inhibited apoptotic activity and protected cholangiocytes against excessive toxic BAs. CI - (c) 2023 John Wiley & Sons Ltd. FAU - Zhao, Jing AU - Zhao J AUID- ORCID: 0000-0003-0175-1319 AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Song, Guochao AU - Song G AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Weng, Fengyi AU - Weng F AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Li, Yue AU - Li Y AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Zou, Bin AU - Zou B AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Jin, Jingyi AU - Jin J AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Yan, Dongming AU - Yan D AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Sun, Xin AU - Sun X AD - Shanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Liu, Chenghai AU - Liu C AD - Shanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Qiu, Fu-Rong AU - Qiu FR AD - Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated with the Shanghai University of Traditional Chinese Medicine, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230227 PL - England TA - J Appl Toxicol JT - Journal of applied toxicology : JAT JID - 8109495 RN - 60EUX8MN5X (ursodoxicoltaurine) RN - 0 (Cholagogues and Choleretics) RN - 551-06-4 (1-Naphthylisothiocyanate) RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 11) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Bile Acids and Salts) SB - IM MH - Mice MH - Animals MH - *Cholagogues and Choleretics/adverse effects/metabolism MH - 1-Naphthylisothiocyanate/toxicity/metabolism MH - ATP Binding Cassette Transporter, Subfamily B, Member 11/metabolism MH - Receptors, Cytoplasmic and Nuclear/genetics/metabolism MH - Liver MH - *Cholestasis/chemically induced MH - Bile Acids and Salts/metabolism OTO - NOTNLM OT - alpha-naphthyl isothiocyanate OT - bile salt export pump OT - cholestatic liver injury OT - farnesoid X receptor OT - tauroursodeoxycholic acid EDAT- 2023/02/15 06:00 MHDA- 2023/06/05 06:42 CRDT- 2023/02/14 19:13 PHST- 2023/02/10 00:00 [revised] PHST- 2022/12/16 00:00 [received] PHST- 2023/02/10 00:00 [accepted] PHST- 2023/06/05 06:42 [medline] PHST- 2023/02/15 06:00 [pubmed] PHST- 2023/02/14 19:13 [entrez] AID - 10.1002/jat.4446 [doi] PST - ppublish SO - J Appl Toxicol. 2023 Jul;43(7):1095-1103. doi: 10.1002/jat.4446. Epub 2023 Feb 27.