Bile Acid Secretion and Pool Size during Phenobarbital Induced Hypercholeresis

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Abstract
An increase in bile flow after phenobarbital administration occurs in the rat and other species; however, the mechanism(s) of the choleretic effect is incompletely understood and the role of the increase in liver weight is controversial. We therefore measured bile flow, bile acid secretion and pool size in male Sprague-Dawley rats pretreated with phenobarbital (75 mg/kg/day) for 6 days; liver weight, liver cell volume and DNA content were also evaluated. Phenobarbital treatment increased liver weight and mean hepatocyte volume by 39 and 26%, respectively, while total DNA content did not change, thus indicating that the hepatomegaly results principally from hypertrophy rather than hyperplasia. Bile flow was significantly higher in treated rats when expressed per unit of body weight (64.6 ± 2.4 (S.E.) vs 53.3 ± 1.6 μl/min/kg; P < 0.05) but was unchanged when expressed per gram of liver (1.40 ± 0.04 vs 1.37 ± 0.06 μl/min/g; P > 0.5). The initial bile acid secretion rate and pool size were both significantly reduced in the phenobarbital group compared to controls (1224.2 ± 110.4 vs 1656.6 ± 163.2 nmol/kg/min and 562.8 ± 41.5 vs 814.3 ± 78.3 μmol/kg; both P < 0.05), whereas the basal synthetic rate was unchanged. These findings suggest that the enlarged, phenobarbital-treated hepatocyte produces more bile than the normal cell, despite the decreased secretion of bile acids. Therefore, the drug-induced choleresis involves a selective increase in the bile acid-independent fraction of bile flow.