Inhibition of the intestinal absorption of bile acids using cationic derivatives: mechanism and repercussions

M Vicens, RIR Macias, O Briz, A Rodriguez… - Biochemical …, 2007 - Elsevier
M Vicens, RIR Macias, O Briz, A Rodriguez, MY El-Mir, M Medarde, JJG Marin
Biochemical pharmacology, 2007Elsevier
To pharmacologically interrupt bile acid enterohepatic circulation, two compounds named
BAPA-3 and BAPA-6, with a steroid structure and 1 or 2 positive charges, were obtained by
conjugation of N-(3-aminopropyl)-1, 3-propanediamine with one or two moieties of
glycocholic acid (GC). Both BAPA-3 and BAPA-6 inhibited Na+-dependent taurocholate (TC)
uptake by Xenopus laevis oocytes expressing rat Asbt, with Ki values of 28 and 16μM,
respectively. BAPA-3 reduced Vmax without affecting Km. In contrast, BAPA-6 increased Km …
To pharmacologically interrupt bile acid enterohepatic circulation, two compounds named BAPA-3 and BAPA-6, with a steroid structure and 1 or 2 positive charges, were obtained by conjugation of N-(3-aminopropyl)-1,3-propanediamine with one or two moieties of glycocholic acid (GC). Both BAPA-3 and BAPA-6 inhibited Na+-dependent taurocholate (TC) uptake by Xenopus laevis oocytes expressing rat Asbt, with Ki values of 28 and 16μM, respectively. BAPA-3 reduced Vmax without affecting Km. In contrast, BAPA-6 increased Km, with no effect on Vmax. Uptake of [14C]-GC by the last 10cm of the rat ileum, perfused in situ over 60min, was inhibited to a similar extent by unlabeled GC, BAPA-3 and BAPA-6. However, the intestinal absorption of these compounds was lower (BAPA-6) or much lower (BAPA-3) than that of GC. When administered orally to mice, both compounds (BAPA-3>BAPA-6) reduced the bile acid pool size, which was accompanied by up-regulation of hepatic Cyp7a1 and Hmgcr and intestinal Ostα/Ostβ. A tendency towards a decreased expression of hepatic Ntcp and an enhanced expression of intestinal Asbt was also observed. Serum biochemical parameters were not affected by treatment with these compounds, except for a moderate increase in serum triglyceride concentrations. In sum, our results suggest that these compounds, in particular BAPA-3, are potentially useful tools for inhibiting the intestinal absorption of bile acids in a non-competitive manner.
Elsevier