Effect of ursodeoxycholate on the bile flow in the rat

The relationship between the bile flow and biliary excretion rate of bile salt was studied by a continuous infusion of ursodeoxycholate and its glycine conjugate in rats. Infusion of glycoursodeoxycholate produced a higher flow rate and higher bile salt concentration than previously reported values for taurocholate. The estimated biliary transport maximum value was 2.21±0.15 μmole/min/100g body weight (mean±SD, N=13). Furthermore, a linear relation was found between the bile flow and bile salt excretion rate for a wide range of bile salt excretion with a slope value of 4.10±0.64 μl/μmole (N=10). These values were close to values previously reported for tauroursodeoxycholate. In contrast, when free ursodeoxycholate was infused, a bile salt excretion rate increased at first to a level of around 1.0 μmole/min/100g body weight with a concomitant bile flow increase, but after one hr, the bile salt excretion dropped sharply and a lower plateau of about half of the initial maximum level was established in the following hr. On the other hand, the bile flow further increased even in the second hr. Consequently, the linear relationship initially observed between the bile flow and bile salt excretion rate became gradually distorted and after one hr even the positive correlation between the two parameters was completely lost. The sharp drop in the bile salt excretion rate was found to be due to the decrease in the taurine conjugate of ursodeoxycholate in the bile. The excretion rate of free ursodeoxycholate remained at a very low level (about 0.1 μmole/min/100g body weight) throughout the experiments. The concentration of ursodeoxycholate in the liver increased sharply in the second hr corresponding to the decrease in the bile salt excretion rate. These results appear to be most easily explained by the thesis that there is a fraction of bile independent of bile salt excretion but dependent on the bile salt concentration in the hepatocyte.